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 Seminole County, Florida.
Obamacare Providers, Plans and 2016 Rates for Seminole County
Seminole County is in “Rating Area 57” of Florida.
Currently, there are 6 providers offering 181 plans to Rating Area 57. †
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 Oviedo, FL area accept this insurance coverage as within the plan's "network".
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Blue Cross and Blue Shield of FloridaLocal: 1-855-805-8175 | Toll Free: 1-855-805-8175 |
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Plan: (EPO) BlueOptions Everyday Health 1423Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$5,500
: Family:
$11,000 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 |
$376.42 $427.24 $481.06 $672.29 $1021.60 |
$752.84 $854.48 $962.12 $1344.58 $2043.20 |
$991.87 $1093.51 $1201.15 $1583.61 |
$1230.90 $1332.54 $1440.18 $1822.64 |
$1469.93 $1571.57 $1679.21 $2061.67 |
$615.45 $666.27 $720.09 $911.32 |
$854.48 $905.30 $959.12 $1150.35 |
$1093.51 $1144.33 $1198.15 $1389.38 |
$239.03 |
Plan: (EPO) BlueOptions Essential 1419Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$6,850
: Family:
$13,700 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 |
$319.09 $362.17 $407.80 $569.89 $866.01 |
$638.18 $724.34 $815.60 $1139.78 $1732.02 |
$840.80 $926.96 $1018.22 $1342.40 |
$1043.42 $1129.58 $1220.84 $1545.02 |
$1246.04 $1332.20 $1423.46 $1747.64 |
$521.71 $564.79 $610.42 $772.51 |
$724.33 $767.41 $813.04 $975.13 |
$926.95 $970.03 $1015.66 $1177.75 |
$202.62 |
Plan: (EPO) BlueOptions Everyday Health 1431Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$5,000
: Family:
$10,000 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 |
$413.97 $469.86 $529.05 $739.35 $1123.51 |
$827.94 $939.72 $1058.10 $1478.70 $2247.02 |
$1090.81 $1202.59 $1320.97 $1741.57 |
$1353.68 $1465.46 $1583.84 $2004.44 |
$1616.55 $1728.33 $1846.71 $2267.31 |
$676.84 $732.73 $791.92 $1002.22 |
$939.71 $995.60 $1054.79 $1265.09 |
$1202.58 $1258.47 $1317.66 $1527.96 |
$262.87 |
Plan: (EPO) BlueOptions Everyday Health 1418Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$800
: Family:
$1,600 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 |
$553.19 $627.87 $706.98 $988.00 $1501.36 |
$1106.38 $1255.74 $1413.96 $1976.00 $3002.72 |
$1457.66 $1607.02 $1765.24 $2327.28 |
$1808.94 $1958.30 $2116.52 $2678.56 |
$2160.22 $2309.58 $2467.80 $3029.84 |
$904.47 $979.15 $1058.26 $1339.28 |
$1255.75 $1330.43 $1409.54 $1690.56 |
$1607.03 $1681.71 $1760.82 $2041.84 |
$351.28 |
Plan: (EPO) BlueOptions Everyday Health Premier 1418VSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$800
: Family:
$1,600 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 |
$596.67 $677.22 $762.54 $1065.65 $1619.36 |
$1193.34 $1354.44 $1525.08 $2131.30 $3238.72 |
$1572.23 $1733.33 $1903.97 $2510.19 |
$1951.12 $2112.22 $2282.86 $2889.08 |
$2330.01 $2491.11 $2661.75 $3267.97 |
$975.56 $1056.11 $1141.43 $1444.54 |
$1354.45 $1435.00 $1520.32 $1823.43 |
$1733.34 $1813.89 $1899.21 $2202.32 |
$378.89 |
Plan: (EPO) BlueOptions Everyday Health 1416Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$6,700
: Family:
$13,400 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 |
$353.86 $401.63 $452.23 $631.99 $960.38 |
$707.72 $803.26 $904.46 $1263.98 $1920.76 |
$932.42 $1027.96 $1129.16 $1488.68 |
$1157.12 $1252.66 $1353.86 $1713.38 |
$1381.82 $1477.36 $1578.56 $1938.08 |
$578.56 $626.33 $676.93 $856.69 |
$803.26 $851.03 $901.63 $1081.39 |
$1027.96 $1075.73 $1126.33 $1306.09 |
$224.70 |
Plan: (EPO) BlueOptions All Copay 1424Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$0
: Family:
$0 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 |
$574.86 $652.47 $734.67 $1026.70 $1560.17 |
$1149.72 $1304.94 $1469.34 $2053.40 $3120.34 |
$1514.76 $1669.98 $1834.38 $2418.44 |
$1879.80 $2035.02 $2199.42 $2783.48 |
$2244.84 $2400.06 $2564.46 $3148.52 |
$939.90 $1017.51 $1099.71 $1391.74 |
$1304.94 $1382.55 $1464.75 $1756.78 |
$1669.98 $1747.59 $1829.79 $2121.82 |
$365.04 |
Plan: (EPO) BlueOptions Everyday Health 1410Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$6,100
: Family:
$12,200 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 |
$350.34 $397.64 $447.73 $625.71 $950.82 |
$700.68 $795.28 $895.46 $1251.42 $1901.64 |
$923.15 $1017.75 $1117.93 $1473.89 |
$1145.62 $1240.22 $1340.40 $1696.36 |
$1368.09 $1462.69 $1562.87 $1918.83 |
$572.81 $620.11 $670.20 $848.18 |
$795.28 $842.58 $892.67 $1070.65 |
$1017.75 $1065.05 $1115.14 $1293.12 |
$222.47 |
Plan: (EPO) BlueOptions All Copay 1505Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$0
: Family:
$0 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 |
$490.43 $556.64 $626.77 $875.91 $1331.03 |
$980.86 $1113.28 $1253.54 $1751.82 $2662.06 |
$1292.28 $1424.70 $1564.96 $2063.24 |
$1603.70 $1736.12 $1876.38 $2374.66 |
$1915.12 $2047.54 $2187.80 $2686.08 |
$801.85 $868.06 $938.19 $1187.33 |
$1113.27 $1179.48 $1249.61 $1498.75 |
$1424.69 $1490.90 $1561.03 $1810.17 |
$311.42 |
Plan: (EPO) BlueSelect Everyday Health 1456Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$5,500
: Family:
$11,000 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 |
$278.45 $316.04 $355.86 $497.31 $755.71 |
$556.90 $632.08 $711.72 $994.62 $1511.42 |
$733.72 $808.90 $888.54 $1171.44 |
$910.54 $985.72 $1065.36 $1348.26 |
$1087.36 $1162.54 $1242.18 $1525.08 |
$455.27 $492.86 $532.68 $674.13 |
$632.09 $669.68 $709.50 $850.95 |
$808.91 $846.50 $886.32 $1027.77 |
$176.82 |
Plan: (EPO) BlueSelect Essential 1452Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$6,850
: Family:
$13,700 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 |
$234.87 $266.58 $300.16 $419.48 $637.44 |
$469.74 $533.16 $600.32 $838.96 $1274.88 |
$618.88 $682.30 $749.46 $988.10 |
$768.02 $831.44 $898.60 $1137.24 |
$917.16 $980.58 $1047.74 $1286.38 |
$384.01 $415.72 $449.30 $568.62 |
$533.15 $564.86 $598.44 $717.76 |
$682.29 $714.00 $747.58 $866.90 |
$149.14 |
Plan: (EPO) BlueSelect Everyday Health 1464Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$5,000
: Family:
$10,000 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 |
$306.95 $348.39 $392.28 $548.21 $833.06 |
$613.90 $696.78 $784.56 $1096.42 $1666.12 |
$808.81 $891.69 $979.47 $1291.33 |
$1003.72 $1086.60 $1174.38 $1486.24 |
$1198.63 $1281.51 $1369.29 $1681.15 |
$501.86 $543.30 $587.19 $743.12 |
$696.77 $738.21 $782.10 $938.03 |
$891.68 $933.12 $977.01 $1132.94 |
$194.91 |
Plan: (EPO) BlueSelect Everyday Health 1451Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$800
: Family:
$1,600 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 |
$412.53 $468.22 $527.21 $736.78 $1119.61 |
$825.06 $936.44 $1054.42 $1473.56 $2239.22 |
$1087.02 $1198.40 $1316.38 $1735.52 |
$1348.98 $1460.36 $1578.34 $1997.48 |
$1610.94 $1722.32 $1840.30 $2259.44 |
$674.49 $730.18 $789.17 $998.74 |
$936.45 $992.14 $1051.13 $1260.70 |
$1198.41 $1254.10 $1313.09 $1522.66 |
$261.96 |
Plan: (EPO) BlueSelect Everyday Health Premier 1451VSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$800
: Family:
$1,600 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 |
$444.96 $505.03 $568.66 $794.70 $1207.62 |
$889.92 $1010.06 $1137.32 $1589.40 $2415.24 |
$1172.47 $1292.61 $1419.87 $1871.95 |
$1455.02 $1575.16 $1702.42 $2154.50 |
$1737.57 $1857.71 $1984.97 $2437.05 |
$727.51 $787.58 $851.21 $1077.25 |
$1010.06 $1070.13 $1133.76 $1359.80 |
$1292.61 $1352.68 $1416.31 $1642.35 |
$282.55 |
Plan: (EPO) BlueSelect Everyday Health 1449Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$6,700
: Family:
$13,400 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 |
$260.47 $295.63 $332.88 $465.20 $706.92 |
$520.94 $591.26 $665.76 $930.40 $1413.84 |
$686.34 $756.66 $831.16 $1095.80 |
$851.74 $922.06 $996.56 $1261.20 |
$1017.14 $1087.46 $1161.96 $1426.60 |
$425.87 $461.03 $498.28 $630.60 |
$591.27 $626.43 $663.68 $796.00 |
$756.67 $791.83 $829.08 $961.40 |
$165.40 |
Plan: (EPO) BlueSelect All Copay 1457Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$0
: Family:
$0 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 |
$431.17 $489.38 $551.04 $770.07 $1170.20 |
$862.34 $978.76 $1102.08 $1540.14 $2340.40 |
$1136.13 $1252.55 $1375.87 $1813.93 |
$1409.92 $1526.34 $1649.66 $2087.72 |
$1683.71 $1800.13 $1923.45 $2361.51 |
$704.96 $763.17 $824.83 $1043.86 |
$978.75 $1036.96 $1098.62 $1317.65 |
$1252.54 $1310.75 $1372.41 $1591.44 |
$273.79 |
Plan: (EPO) BlueSelect Everyday Health 1443Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$6,100
: Family:
$12,200 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 |
$259.16 $294.15 $331.21 $462.86 $703.36 |
$518.32 $588.30 $662.42 $925.72 $1406.72 |
$682.89 $752.87 $826.99 $1090.29 |
$847.46 $917.44 $991.56 $1254.86 |
$1012.03 $1082.01 $1156.13 $1419.43 |
$423.73 $458.72 $495.78 $627.43 |
$588.30 $623.29 $660.35 $792.00 |
$752.87 $787.86 $824.92 $956.57 |
$164.57 |
Plan: (EPO) BlueSelect All Copay 1535Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$0
: Family:
$0 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 |
$369.65 $419.55 $472.41 $660.19 $1003.23 |
$739.30 $839.10 $944.82 $1320.38 $2006.46 |
$974.03 $1073.83 $1179.55 $1555.11 |
$1208.76 $1308.56 $1414.28 $1789.84 |
$1443.49 $1543.29 $1649.01 $2024.57 |
$604.38 $654.28 $707.14 $894.92 |
$839.11 $889.01 $941.87 $1129.65 |
$1073.84 $1123.74 $1176.60 $1364.38 |
$234.73 |
ADVERTISEMENT
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Health Options, Inc.Local: 1-855-805-8175 | Toll Free: 1-855-805-8175 |
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Plan: (HMO) MyBlue Bronze 1601Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$6,700
: Family:
$13,400 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$244.05 $277.00 $311.90 $435.87 $662.35 |
$488.10 $554.00 $623.80 $871.74 $1324.70 |
$643.07 $708.97 $778.77 $1026.71 |
$798.04 $863.94 $933.74 $1181.68 |
$953.01 $1018.91 $1088.71 $1336.65 |
$399.02 $431.97 $466.87 $590.84 |
$553.99 $586.94 $621.84 $745.81 |
$708.96 $741.91 $776.81 $900.78 |
$154.97 |
Plan: (HMO) MyBlue Bronze 1602Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$213.79 $242.65 $273.22 $381.83 $580.23 |
$427.58 $485.30 $546.44 $763.66 $1160.46 |
$563.34 $621.06 $682.20 $899.42 |
$699.10 $756.82 $817.96 $1035.18 |
$834.86 $892.58 $953.72 $1170.94 |
$349.55 $378.41 $408.98 $517.59 |
$485.31 $514.17 $544.74 $653.35 |
$621.07 $649.93 $680.50 $789.11 |
$135.76 |
Plan: (HMO) MyBlue Silver 1603Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$250.93 $284.81 $320.69 $448.16 $681.02 |
$501.86 $569.62 $641.38 $896.32 $1362.04 |
$661.20 $728.96 $800.72 $1055.66 |
$820.54 $888.30 $960.06 $1215.00 |
$979.88 $1047.64 $1119.40 $1374.34 |
$410.27 $444.15 $480.03 $607.50 |
$569.61 $603.49 $639.37 $766.84 |
$728.95 $762.83 $798.71 $926.18 |
$159.34 |
Plan: (HMO) MyBlue Silver 1604Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$6,100
: Family:
$12,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$240.50 $272.97 $307.36 $429.53 $652.72 |
$481.00 $545.94 $614.72 $859.06 $1305.44 |
$633.72 $698.66 $767.44 $1011.78 |
$786.44 $851.38 $920.16 $1164.50 |
$939.16 $1004.10 $1072.88 $1317.22 |
$393.22 $425.69 $460.08 $582.25 |
$545.94 $578.41 $612.80 $734.97 |
$698.66 $731.13 $765.52 $887.69 |
$152.72 |
Plan: (HMO) MyBlue Gold 1605Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$900
: Family:
$1,800 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$301.04 $341.68 $384.73 $537.66 $817.02 |
$602.08 $683.36 $769.46 $1075.32 $1634.04 |
$793.24 $874.52 $960.62 $1266.48 |
$984.40 $1065.68 $1151.78 $1457.64 |
$1175.56 $1256.84 $1342.94 $1648.80 |
$492.20 $532.84 $575.89 $728.82 |
$683.36 $724.00 $767.05 $919.98 |
$874.52 $915.16 $958.21 $1111.14 |
$191.16 |
ADVERTISEMENT
|
||||||||||
Humana Medical Plan, Inc.Local: 1-877-720-4854 | Toll Free: 1-877-720-4854 TTY: 1-800-325-2028 |
||||||||||
Plan: (HMO) Humana Basic 6850/HMO PremierSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, 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 |
$166.08 $188.50 $212.25 $296.62 $450.74 |
$332.16 $377.00 $424.50 $593.24 $901.48 |
$437.62 $482.46 $529.96 $698.70 |
$543.08 $587.92 $635.42 $804.16 |
$648.54 $693.38 $740.88 $909.62 |
$271.54 $293.96 $317.71 $402.08 |
$377.00 $399.42 $423.17 $507.54 |
$482.46 $504.88 $528.63 $613.00 |
$105.46 |
Plan: (HMO) Humana Bronze 6450/HMO PremierSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)
Deductible: Individual:
$6,450
: Family:
$12,900 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$223.00 $253.11 $284.99 $398.28 $605.22 |
$446.00 $506.22 $569.98 $796.56 $1210.44 |
$587.61 $647.83 $711.59 $938.17 |
$729.22 $789.44 $853.20 $1079.78 |
$870.83 $931.05 $994.81 $1221.39 |
$364.61 $394.72 $426.60 $539.89 |
$506.22 $536.33 $568.21 $681.50 |
$647.83 $677.94 $709.82 $823.11 |
$141.61 |
Plan: (HMO) Humana Bronze 4850/HMO PremierSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)
Deductible: Individual:
$4,850
: Family:
$9,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$242.87 $275.66 $310.39 $433.77 $659.15 |
$485.74 $551.32 $620.78 $867.54 $1318.30 |
$639.96 $705.54 $775.00 $1021.76 |
$794.18 $859.76 $929.22 $1175.98 |
$948.40 $1013.98 $1083.44 $1330.20 |
$397.09 $429.88 $464.61 $587.99 |
$551.31 $584.10 $618.83 $742.21 |
$705.53 $738.32 $773.05 $896.43 |
$154.22 |
Plan: (HMO) Humana Silver 3800/HMO PremierSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)
Deductible: Individual:
$3,800
: Family:
$7,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$262.99 $298.49 $336.10 $469.70 $713.75 |
$525.98 $596.98 $672.20 $939.40 $1427.50 |
$692.98 $763.98 $839.20 $1106.40 |
$859.98 $930.98 $1006.20 $1273.40 |
$1026.98 $1097.98 $1173.20 $1440.40 |
$429.99 $465.49 $503.10 $636.70 |
$596.99 $632.49 $670.10 $803.70 |
$763.99 $799.49 $837.10 $970.70 |
$167.00 |
Plan: (HMO) Humana Gold 2250/HMO PremierSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)
Deductible: Individual:
$2,250
: Family:
$4,500 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$311.85 $353.95 $398.54 $556.96 $846.36 |
$623.70 $707.90 $797.08 $1113.92 $1692.72 |
$821.72 $905.92 $995.10 $1311.94 |
$1019.74 $1103.94 $1193.12 $1509.96 |
$1217.76 $1301.96 $1391.14 $1707.98 |
$509.87 $551.97 $596.56 $754.98 |
$707.89 $749.99 $794.58 $953.00 |
$905.91 $948.01 $992.60 $1151.02 |
$198.02 |
Plan: (HMO) Humana Platinum 500/HMO PremierSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, 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 |
Platinum | 21 30 40 50 60 |
$371.62 $421.79 $474.93 $663.71 $1008.58 |
$743.24 $843.58 $949.86 $1327.42 $2017.16 |
$979.22 $1079.56 $1185.84 $1563.40 |
$1215.20 $1315.54 $1421.82 $1799.38 |
$1451.18 $1551.52 $1657.80 $2035.36 |
$607.60 $657.77 $710.91 $899.69 |
$843.58 $893.75 $946.89 $1135.67 |
$1079.56 $1129.73 $1182.87 $1371.65 |
$235.98 |
ADVERTISEMENT
|
||||||||||
Florida Health Care Plan, Inc.Local: 1-386-676-7110 | Toll Free: 1-800-232-0578 TTY: 1-800-955-8771 |
||||||||||
Plan: (HMO) Gym Access IND Essential Plus Catastrophic HMO 36Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$177.53 $201.50 $226.88 $317.07 $481.82 |
$355.06 $403.00 $453.76 $634.14 $963.64 |
$467.79 $515.73 $566.49 $746.87 |
$580.52 $628.46 $679.22 $859.60 |
$693.25 $741.19 $791.95 $972.33 |
$290.26 $314.23 $339.61 $429.80 |
$402.99 $426.96 $452.34 $542.53 |
$515.72 $539.69 $565.07 $655.26 |
$112.73 |
Plan: (HMO) IND Essential Plus Catastrophic HMO 36Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$175.09 $198.73 $223.77 $312.71 $475.20 |
$350.18 $397.46 $447.54 $625.42 $950.40 |
$461.36 $508.64 $558.72 $736.60 |
$572.54 $619.82 $669.90 $847.78 |
$683.72 $731.00 $781.08 $958.96 |
$286.27 $309.91 $334.95 $423.89 |
$397.45 $421.09 $446.13 $535.07 |
$508.63 $532.27 $557.31 $646.25 |
$111.18 |
Plan: (POS) Gym Access IND Essential Plus Catastrophic POS 37Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$197.12 $223.73 $251.92 $352.06 $534.99 |
$394.24 $447.46 $503.84 $704.12 $1069.98 |
$519.41 $572.63 $629.01 $829.29 |
$644.58 $697.80 $754.18 $954.46 |
$769.75 $822.97 $879.35 $1079.63 |
$322.29 $348.90 $377.09 $477.23 |
$447.46 $474.07 $502.26 $602.40 |
$572.63 $599.24 $627.43 $727.57 |
$125.17 |
Plan: (POS) IND Essential Plus Catastrophic POS 37Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$194.44 $220.69 $248.50 $347.27 $527.71 |
$388.88 $441.38 $497.00 $694.54 $1055.42 |
$512.35 $564.85 $620.47 $818.01 |
$635.82 $688.32 $743.94 $941.48 |
$759.29 $811.79 $867.41 $1064.95 |
$317.91 $344.16 $371.97 $470.74 |
$441.38 $467.63 $495.44 $594.21 |
$564.85 $591.10 $618.91 $717.68 |
$123.47 |
Plan: (HMO) Gym Access IND Essential Plus Silver HMO 53Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$1,700
: Family:
$3,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 $291.15 $327.83 $458.14 $696.19 |
$513.04 $582.30 $655.66 $916.28 $1392.38 |
$675.93 $745.19 $818.55 $1079.17 |
$838.82 $908.08 $981.44 $1242.06 |
$1001.71 $1070.97 $1144.33 $1404.95 |
$419.41 $454.04 $490.72 $621.03 |
$582.30 $616.93 $653.61 $783.92 |
$745.19 $779.82 $816.50 $946.81 |
$162.89 |
Plan: (HMO) IND Essential Plus Silver HMO 53Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$1,700
: Family:
$3,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$253.10 $287.27 $323.46 $452.03 $686.91 |
$506.20 $574.54 $646.92 $904.06 $1373.82 |
$666.92 $735.26 $807.64 $1064.78 |
$827.64 $895.98 $968.36 $1225.50 |
$988.36 $1056.70 $1129.08 $1386.22 |
$413.82 $447.99 $484.18 $612.75 |
$574.54 $608.71 $644.90 $773.47 |
$735.26 $769.43 $805.62 $934.19 |
$160.72 |
Plan: (HMO) Gym Access IND Essential Plus Bronze HMO 41Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$194.75 $221.04 $248.89 $347.82 $528.55 |
$389.50 $442.08 $497.78 $695.64 $1057.10 |
$513.17 $565.75 $621.45 $819.31 |
$636.84 $689.42 $745.12 $942.98 |
$760.51 $813.09 $868.79 $1066.65 |
$318.42 $344.71 $372.56 $471.49 |
$442.09 $468.38 $496.23 $595.16 |
$565.76 $592.05 $619.90 $718.83 |
$123.67 |
Plan: (HMO) IND Essential Plus Bronze HMO 41Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$192.09 $218.03 $245.50 $343.08 $521.34 |
$384.18 $436.06 $491.00 $686.16 $1042.68 |
$506.16 $558.04 $612.98 $808.14 |
$628.14 $680.02 $734.96 $930.12 |
$750.12 $802.00 $856.94 $1052.10 |
$314.07 $340.01 $367.48 $465.06 |
$436.05 $461.99 $489.46 $587.04 |
$558.03 $583.97 $611.44 $709.02 |
$121.98 |
Plan: (HMO) Gym Access IND Essential Plus Gold HMO 63Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$302.28 $343.08 $386.31 $539.87 $820.38 |
$604.56 $686.16 $772.62 $1079.74 $1640.76 |
$796.51 $878.11 $964.57 $1271.69 |
$988.46 $1070.06 $1156.52 $1463.64 |
$1180.41 $1262.01 $1348.47 $1655.59 |
$494.23 $535.03 $578.26 $731.82 |
$686.18 $726.98 $770.21 $923.77 |
$878.13 $918.93 $962.16 $1115.72 |
$191.95 |
Plan: (HMO) IND Essential Plus Gold HMO 63Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$298.29 $338.55 $381.21 $532.74 $809.55 |
$596.58 $677.10 $762.42 $1065.48 $1619.10 |
$785.99 $866.51 $951.83 $1254.89 |
$975.40 $1055.92 $1141.24 $1444.30 |
$1164.81 $1245.33 $1330.65 $1633.71 |
$487.70 $527.96 $570.62 $722.15 |
$677.11 $717.37 $760.03 $911.56 |
$866.52 $906.78 $949.44 $1100.97 |
$189.41 |
Plan: (HMO) Gym Access IND Essential Plus Platinum HMO 65Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$360.63 $409.31 $460.88 $644.08 $978.74 |
$721.26 $818.62 $921.76 $1288.16 $1957.48 |
$950.26 $1047.62 $1150.76 $1517.16 |
$1179.26 $1276.62 $1379.76 $1746.16 |
$1408.26 $1505.62 $1608.76 $1975.16 |
$589.63 $638.31 $689.88 $873.08 |
$818.63 $867.31 $918.88 $1102.08 |
$1047.63 $1096.31 $1147.88 $1331.08 |
$229.00 |
Plan: (HMO) IND Essential Plus Platinum HMO 65Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$355.91 $403.96 $454.86 $635.66 $965.95 |
$711.82 $807.92 $909.72 $1271.32 $1931.90 |
$937.82 $1033.92 $1135.72 $1497.32 |
$1163.82 $1259.92 $1361.72 $1723.32 |
$1389.82 $1485.92 $1587.72 $1949.32 |
$581.91 $629.96 $680.86 $861.66 |
$807.91 $855.96 $906.86 $1087.66 |
$1033.91 $1081.96 $1132.86 $1313.66 |
$226.00 |
Plan: (POS) Gym Access IND Essential Plus Silver POS 54Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$285.42 $323.95 $364.77 $509.76 $774.63 |
$570.84 $647.90 $729.54 $1019.52 $1549.26 |
$752.08 $829.14 $910.78 $1200.76 |
$933.32 $1010.38 $1092.02 $1382.00 |
$1114.56 $1191.62 $1273.26 $1563.24 |
$466.66 $505.19 $546.01 $691.00 |
$647.90 $686.43 $727.25 $872.24 |
$829.14 $867.67 $908.49 $1053.48 |
$181.24 |
Plan: (POS) IND Essential Plus Silver POS 54Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$281.64 $319.66 $359.93 $503.01 $764.37 |
$563.28 $639.32 $719.86 $1006.02 $1528.74 |
$742.12 $818.16 $898.70 $1184.86 |
$920.96 $997.00 $1077.54 $1363.70 |
$1099.80 $1175.84 $1256.38 $1542.54 |
$460.48 $498.50 $538.77 $681.85 |
$639.32 $677.34 $717.61 $860.69 |
$818.16 $856.18 $896.45 $1039.53 |
$178.84 |
Plan: (POS) Gym Access IND Essential Plus Bronze POS 42Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$216.94 $246.23 $277.25 $387.46 $588.78 |
$433.88 $492.46 $554.50 $774.92 $1177.56 |
$571.64 $630.22 $692.26 $912.68 |
$709.40 $767.98 $830.02 $1050.44 |
$847.16 $905.74 $967.78 $1188.20 |
$354.70 $383.99 $415.01 $525.22 |
$492.46 $521.75 $552.77 $662.98 |
$630.22 $659.51 $690.53 $800.74 |
$137.76 |
Plan: (POS) IND Essential Plus Bronze POS 42Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$214.01 $242.90 $273.51 $382.22 $580.83 |
$428.02 $485.80 $547.02 $764.44 $1161.66 |
$563.92 $621.70 $682.92 $900.34 |
$699.82 $757.60 $818.82 $1036.24 |
$835.72 $893.50 $954.72 $1172.14 |
$349.91 $378.80 $409.41 $518.12 |
$485.81 $514.70 $545.31 $654.02 |
$621.71 $650.60 $681.21 $789.92 |
$135.90 |
Plan: (POS) Gym Access IND Essential Plus Gold POS 64Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$1,600
: Family:
$3,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$345.09 $391.67 $441.02 $616.32 $936.56 |
$690.18 $783.34 $882.04 $1232.64 $1873.12 |
$909.31 $1002.47 $1101.17 $1451.77 |
$1128.44 $1221.60 $1320.30 $1670.90 |
$1347.57 $1440.73 $1539.43 $1890.03 |
$564.22 $610.80 $660.15 $835.45 |
$783.35 $829.93 $879.28 $1054.58 |
$1002.48 $1049.06 $1098.41 $1273.71 |
$219.13 |
Plan: (POS) IND Essential Plus Gold POS 64Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$1,600
: Family:
$3,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$340.57 $386.54 $435.24 $608.25 $924.30 |
$681.14 $773.08 $870.48 $1216.50 $1848.60 |
$897.40 $989.34 $1086.74 $1432.76 |
$1113.66 $1205.60 $1303.00 $1649.02 |
$1329.92 $1421.86 $1519.26 $1865.28 |
$556.83 $602.80 $651.50 $824.51 |
$773.09 $819.06 $867.76 $1040.77 |
$989.35 $1035.32 $1084.02 $1257.03 |
$216.26 |
Plan: (POS) Gym Access IND Essential Plus Platinum POS 66Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$398.80 $452.64 $509.67 $712.26 $1082.35 |
$797.60 $905.28 $1019.34 $1424.52 $2164.70 |
$1050.84 $1158.52 $1272.58 $1677.76 |
$1304.08 $1411.76 $1525.82 $1931.00 |
$1557.32 $1665.00 $1779.06 $2184.24 |
$652.04 $705.88 $762.91 $965.50 |
$905.28 $959.12 $1016.15 $1218.74 |
$1158.52 $1212.36 $1269.39 $1471.98 |
$253.24 |
Plan: (POS) IND Essential Plus Platinum POS 66Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$393.61 $446.75 $503.04 $702.99 $1068.27 |
$787.22 $893.50 $1006.08 $1405.98 $2136.54 |
$1037.16 $1143.44 $1256.02 $1655.92 |
$1287.10 $1393.38 $1505.96 $1905.86 |
$1537.04 $1643.32 $1755.90 $2155.80 |
$643.55 $696.69 $752.98 $952.93 |
$893.49 $946.63 $1002.92 $1202.87 |
$1143.43 $1196.57 $1252.86 $1452.81 |
$249.94 |
Plan: (HMO) Gym Access IND Platinum HMO 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$353.68 $401.43 $452.01 $631.68 $959.90 |
$707.36 $802.86 $904.02 $1263.36 $1919.80 |
$931.95 $1027.45 $1128.61 $1487.95 |
$1156.54 $1252.04 $1353.20 $1712.54 |
$1381.13 $1476.63 $1577.79 $1937.13 |
$578.27 $626.02 $676.60 $856.27 |
$802.86 $850.61 $901.19 $1080.86 |
$1027.45 $1075.20 $1125.78 $1305.45 |
$224.59 |
Plan: (HMO) IND Platinum HMO 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$349.06 $396.18 $446.09 $623.41 $947.34 |
$698.12 $792.36 $892.18 $1246.82 $1894.68 |
$919.77 $1014.01 $1113.83 $1468.47 |
$1141.42 $1235.66 $1335.48 $1690.12 |
$1363.07 $1457.31 $1557.13 $1911.77 |
$570.71 $617.83 $667.74 $845.06 |
$792.36 $839.48 $889.39 $1066.71 |
$1014.01 $1061.13 $1111.04 $1288.36 |
$221.65 |
Plan: (POS) Gym Access Platinum POS 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$390.89 $443.66 $499.56 $698.14 $1060.89 |
$781.78 $887.32 $999.12 $1396.28 $2121.78 |
$1030.00 $1135.54 $1247.34 $1644.50 |
$1278.22 $1383.76 $1495.56 $1892.72 |
$1526.44 $1631.98 $1743.78 $2140.94 |
$639.11 $691.88 $747.78 $946.36 |
$887.33 $940.10 $996.00 $1194.58 |
$1135.55 $1188.32 $1244.22 $1442.80 |
$248.22 |
Plan: (POS) IND Platinum POS 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$385.80 $437.89 $493.05 $689.04 $1047.07 |
$771.60 $875.78 $986.10 $1378.08 $2094.14 |
$1016.58 $1120.76 $1231.08 $1623.06 |
$1261.56 $1365.74 $1476.06 $1868.04 |
$1506.54 $1610.72 $1721.04 $2113.02 |
$630.78 $682.87 $738.03 $934.02 |
$875.76 $927.85 $983.01 $1179.00 |
$1120.74 $1172.83 $1227.99 $1423.98 |
$244.98 |
Plan: (HMO) Gym Access IND Gold HMO 5500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$309.87 $351.70 $396.01 $553.42 $840.98 |
$619.74 $703.40 $792.02 $1106.84 $1681.96 |
$816.51 $900.17 $988.79 $1303.61 |
$1013.28 $1096.94 $1185.56 $1500.38 |
$1210.05 $1293.71 $1382.33 $1697.15 |
$506.64 $548.47 $592.78 $750.19 |
$703.41 $745.24 $789.55 $946.96 |
$900.18 $942.01 $986.32 $1143.73 |
$196.77 |
Plan: (HMO) IND Gold HMO 5500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$305.78 $347.06 $390.78 $546.12 $829.88 |
$611.56 $694.12 $781.56 $1092.24 $1659.76 |
$805.73 $888.29 $975.73 $1286.41 |
$999.90 $1082.46 $1169.90 $1480.58 |
$1194.07 $1276.63 $1364.07 $1674.75 |
$499.95 $541.23 $584.95 $740.29 |
$694.12 $735.40 $779.12 $934.46 |
$888.29 $929.57 $973.29 $1128.63 |
$194.17 |
Plan: (POS) Gym Access IND Gold POS 5500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$342.70 $388.96 $437.97 $612.06 $930.08 |
$685.40 $777.92 $875.94 $1224.12 $1860.16 |
$903.01 $995.53 $1093.55 $1441.73 |
$1120.62 $1213.14 $1311.16 $1659.34 |
$1338.23 $1430.75 $1528.77 $1876.95 |
$560.31 $606.57 $655.58 $829.67 |
$777.92 $824.18 $873.19 $1047.28 |
$995.53 $1041.79 $1090.80 $1264.89 |
$217.61 |
Plan: (POS) IND Gold POS 5500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$338.20 $383.86 $432.22 $604.03 $917.88 |
$676.40 $767.72 $864.44 $1208.06 $1835.76 |
$891.16 $982.48 $1079.20 $1422.82 |
$1105.92 $1197.24 $1293.96 $1637.58 |
$1320.68 $1412.00 $1508.72 $1852.34 |
$552.96 $598.62 $646.98 $818.79 |
$767.72 $813.38 $861.74 $1033.55 |
$982.48 $1028.14 $1076.50 $1248.31 |
$214.76 |
Plan: (HMO) Gym Access IND Silver HMO 6400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$278.20 $315.75 $355.54 $496.86 $755.03 |
$556.40 $631.50 $711.08 $993.72 $1510.06 |
$733.06 $808.16 $887.74 $1170.38 |
$909.72 $984.82 $1064.40 $1347.04 |
$1086.38 $1161.48 $1241.06 $1523.70 |
$454.86 $492.41 $532.20 $673.52 |
$631.52 $669.07 $708.86 $850.18 |
$808.18 $845.73 $885.52 $1026.84 |
$176.66 |
Plan: (HMO) IND Silver HMO 6400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$274.51 $311.57 $350.82 $490.27 $745.01 |
$549.02 $623.14 $701.64 $980.54 $1490.02 |
$723.33 $797.45 $875.95 $1154.85 |
$897.64 $971.76 $1050.26 $1329.16 |
$1071.95 $1146.07 $1224.57 $1503.47 |
$448.82 $485.88 $525.13 $664.58 |
$623.13 $660.19 $699.44 $838.89 |
$797.44 $834.50 $873.75 $1013.20 |
$174.31 |
Plan: (HMO) Gym Access IND Silver HMO 6600Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$256.67 $291.33 $328.03 $458.42 $696.61 |
$513.34 $582.66 $656.06 $916.84 $1393.22 |
$676.33 $745.65 $819.05 $1079.83 |
$839.32 $908.64 $982.04 $1242.82 |
$1002.31 $1071.63 $1145.03 $1405.81 |
$419.66 $454.32 $491.02 $621.41 |
$582.65 $617.31 $654.01 $784.40 |
$745.64 $780.30 $817.00 $947.39 |
$162.99 |
Plan: (HMO) IND Silver HMO 6600Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$253.25 $287.44 $323.65 $452.30 $687.32 |
$506.50 $574.88 $647.30 $904.60 $1374.64 |
$667.31 $735.69 $808.11 $1065.41 |
$828.12 $896.50 $968.92 $1226.22 |
$988.93 $1057.31 $1129.73 $1387.03 |
$414.06 $448.25 $484.46 $613.11 |
$574.87 $609.06 $645.27 $773.92 |
$735.68 $769.87 $806.08 $934.73 |
$160.81 |
Plan: (HMO) Gym Access IND Bronze HMO 6850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$199.64 $226.59 $255.13 $356.55 $541.81 |
$399.28 $453.18 $510.26 $713.10 $1083.62 |
$526.05 $579.95 $637.03 $839.87 |
$652.82 $706.72 $763.80 $966.64 |
$779.59 $833.49 $890.57 $1093.41 |
$326.41 $353.36 $381.90 $483.32 |
$453.18 $480.13 $508.67 $610.09 |
$579.95 $606.90 $635.44 $736.86 |
$126.77 |
Plan: (HMO) IND Bronze HMO 6850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$196.92 $223.51 $251.67 $351.70 $534.45 |
$393.84 $447.02 $503.34 $703.40 $1068.90 |
$518.89 $572.07 $628.39 $828.45 |
$643.94 $697.12 $753.44 $953.50 |
$768.99 $822.17 $878.49 $1078.55 |
$321.97 $348.56 $376.72 $476.75 |
$447.02 $473.61 $501.77 $601.80 |
$572.07 $598.66 $626.82 $726.85 |
$125.05 |
Plan: (HMO) Gym Access IND Bronze HMO HSA 4700/6450Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$4,700
: Family:
$9,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$201.07 $228.21 $256.96 $359.10 $545.69 |
$402.14 $456.42 $513.92 $718.20 $1091.38 |
$529.82 $584.10 $641.60 $845.88 |
$657.50 $711.78 $769.28 $973.56 |
$785.18 $839.46 $896.96 $1101.24 |
$328.75 $355.89 $384.64 $486.78 |
$456.43 $483.57 $512.32 $614.46 |
$584.11 $611.25 $640.00 $742.14 |
$127.68 |
Plan: (HMO) IND Bronze HMO HSA 4700/6450Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$4,700
: Family:
$9,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$198.34 $225.11 $253.47 $354.23 $538.28 |
$396.68 $450.22 $506.94 $708.46 $1076.56 |
$522.62 $576.16 $632.88 $834.40 |
$648.56 $702.10 $758.82 $960.34 |
$774.50 $828.04 $884.76 $1086.28 |
$324.28 $351.05 $379.41 $480.17 |
$450.22 $476.99 $505.35 $606.11 |
$576.16 $602.93 $631.29 $732.05 |
$125.94 |
Plan: (HMO) Gym Access IND Bronze HMO HSA 6000/6450Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$198.35 $225.12 $253.49 $354.25 $538.31 |
$396.70 $450.24 $506.98 $708.50 $1076.62 |
$522.65 $576.19 $632.93 $834.45 |
$648.60 $702.14 $758.88 $960.40 |
$774.55 $828.09 $884.83 $1086.35 |
$324.30 $351.07 $379.44 $480.20 |
$450.25 $477.02 $505.39 $606.15 |
$576.20 $602.97 $631.34 $732.10 |
$125.95 |
Plan: (HMO) IND Bronze HMO HSA 6000/6450Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$195.65 $222.06 $250.04 $349.43 $530.99 |
$391.30 $444.12 $500.08 $698.86 $1061.98 |
$515.54 $568.36 $624.32 $823.10 |
$639.78 $692.60 $748.56 $947.34 |
$764.02 $816.84 $872.80 $1071.58 |
$319.89 $346.30 $374.28 $473.67 |
$444.13 $470.54 $498.52 $597.91 |
$568.37 $594.78 $622.76 $722.15 |
$124.24 |
Plan: (HMO) IND Bronze HMO BC 3841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,700
: Family:
$13,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$204.65 $232.28 $261.55 $365.51 $555.43 |
$409.30 $464.56 $523.10 $731.02 $1110.86 |
$539.25 $594.51 $653.05 $860.97 |
$669.20 $724.46 $783.00 $990.92 |
$799.15 $854.41 $912.95 $1120.87 |
$334.60 $362.23 $391.50 $495.46 |
$464.55 $492.18 $521.45 $625.41 |
$594.50 $622.13 $651.40 $755.36 |
$129.95 |
Plan: (HMO) Gym Access IND Bronze HMO BC 3841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,700
: Family:
$13,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$207.46 $235.47 $265.14 $370.53 $563.05 |
$414.92 $470.94 $530.28 $741.06 $1126.10 |
$546.66 $602.68 $662.02 $872.80 |
$678.40 $734.42 $793.76 $1004.54 |
$810.14 $866.16 $925.50 $1136.28 |
$339.20 $367.21 $396.88 $502.27 |
$470.94 $498.95 $528.62 $634.01 |
$602.68 $630.69 $660.36 $765.75 |
$131.74 |
Plan: (POS) IND Bronze POS BC 3841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,700
: Family:
$13,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$226.96 $257.60 $290.05 $405.35 $615.96 |
$453.92 $515.20 $580.10 $810.70 $1231.92 |
$598.04 $659.32 $724.22 $954.82 |
$742.16 $803.44 $868.34 $1098.94 |
$886.28 $947.56 $1012.46 $1243.06 |
$371.08 $401.72 $434.17 $549.47 |
$515.20 $545.84 $578.29 $693.59 |
$659.32 $689.96 $722.41 $837.71 |
$144.12 |
Plan: (POS) Gym Access IND Bronze POS BC 3841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,700
: Family:
$13,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$230.05 $261.11 $294.00 $410.87 $624.35 |
$460.10 $522.22 $588.00 $821.74 $1248.70 |
$606.18 $668.30 $734.08 $967.82 |
$752.26 $814.38 $880.16 $1113.90 |
$898.34 $960.46 $1026.24 $1259.98 |
$376.13 $407.19 $440.08 $556.95 |
$522.21 $553.27 $586.16 $703.03 |
$668.29 $699.35 $732.24 $849.11 |
$146.08 |
Plan: (HMO) IND Silver HMO BC 0941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$244.24 $277.21 $312.13 $436.20 $662.85 |
$488.48 $554.42 $624.26 $872.40 $1325.70 |
$643.57 $709.51 $779.35 $1027.49 |
$798.66 $864.60 $934.44 $1182.58 |
$953.75 $1019.69 $1089.53 $1337.67 |
$399.33 $432.30 $467.22 $591.29 |
$554.42 $587.39 $622.31 $746.38 |
$709.51 $742.48 $777.40 $901.47 |
$155.09 |
Plan: (HMO) Gym Access IND Silver HMO BC 0941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$247.54 $280.96 $316.36 $442.11 $671.83 |
$495.08 $561.92 $632.72 $884.22 $1343.66 |
$652.27 $719.11 $789.91 $1041.41 |
$809.46 $876.30 $947.10 $1198.60 |
$966.65 $1033.49 $1104.29 $1355.79 |
$404.73 $438.15 $473.55 $599.30 |
$561.92 $595.34 $630.74 $756.49 |
$719.11 $752.53 $787.93 $913.68 |
$157.19 |
Plan: (POS) IND Silver POS BC 0941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$270.50 $307.02 $345.70 $483.11 $734.14 |
$541.00 $614.04 $691.40 $966.22 $1468.28 |
$712.77 $785.81 $863.17 $1137.99 |
$884.54 $957.58 $1034.94 $1309.76 |
$1056.31 $1129.35 $1206.71 $1481.53 |
$442.27 $478.79 $517.47 $654.88 |
$614.04 $650.56 $689.24 $826.65 |
$785.81 $822.33 $861.01 $998.42 |
$171.77 |
Plan: (POS) Gym Access IND Silver POS BC 0941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$274.14 $311.15 $350.35 $489.62 $744.02 |
$548.28 $622.30 $700.70 $979.24 $1488.04 |
$722.36 $796.38 $874.78 $1153.32 |
$896.44 $970.46 $1048.86 $1327.40 |
$1070.52 $1144.54 $1222.94 $1501.48 |
$448.22 $485.23 $524.43 $663.70 |
$622.30 $659.31 $698.51 $837.78 |
$796.38 $833.39 $872.59 $1011.86 |
$174.08 |
Plan: (HMO) IND Silver HMO BC 7741Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,200
: Family:
$10,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$252.12 $286.15 $322.20 $450.28 $684.24 |
$504.24 $572.30 $644.40 $900.56 $1368.48 |
$664.33 $732.39 $804.49 $1060.65 |
$824.42 $892.48 $964.58 $1220.74 |
$984.51 $1052.57 $1124.67 $1380.83 |
$412.21 $446.24 $482.29 $610.37 |
$572.30 $606.33 $642.38 $770.46 |
$732.39 $766.42 $802.47 $930.55 |
$160.09 |
Plan: (HMO) Gym Access IND Silver HMO BC 7741Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,200
: Family:
$10,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$255.53 $290.02 $326.56 $456.37 $693.50 |
$511.06 $580.04 $653.12 $912.74 $1387.00 |
$673.32 $742.30 $815.38 $1075.00 |
$835.58 $904.56 $977.64 $1237.26 |
$997.84 $1066.82 $1139.90 $1399.52 |
$417.79 $452.28 $488.82 $618.63 |
$580.05 $614.54 $651.08 $780.89 |
$742.31 $776.80 $813.34 $943.15 |
$162.26 |
Plan: (POS) IND Silver POS BC 7741Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,200
: Family:
$10,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$279.17 $316.86 $356.78 $498.59 $757.66 |
$558.34 $633.72 $713.56 $997.18 $1515.32 |
$735.61 $810.99 $890.83 $1174.45 |
$912.88 $988.26 $1068.10 $1351.72 |
$1090.15 $1165.53 $1245.37 $1528.99 |
$456.44 $494.13 $534.05 $675.86 |
$633.71 $671.40 $711.32 $853.13 |
$810.98 $848.67 $888.59 $1030.40 |
$177.27 |
Plan: (POS) Gym Access IND Silver POS BC 7741Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,200
: Family:
$10,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$282.92 $321.11 $361.57 $505.29 $767.84 |
$565.84 $642.22 $723.14 $1010.58 $1535.68 |
$745.49 $821.87 $902.79 $1190.23 |
$925.14 $1001.52 $1082.44 $1369.88 |
$1104.79 $1181.17 $1262.09 $1549.53 |
$462.57 $500.76 $541.22 $684.94 |
$642.22 $680.41 $720.87 $864.59 |
$821.87 $860.06 $900.52 $1044.24 |
$179.65 |
Plan: (HMO) IND Gold HMO BC 5651Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$336.73 $382.19 $430.34 $601.40 $913.89 |
$673.46 $764.38 $860.68 $1202.80 $1827.78 |
$887.28 $978.20 $1074.50 $1416.62 |
$1101.10 $1192.02 $1288.32 $1630.44 |
$1314.92 $1405.84 $1502.14 $1844.26 |
$550.55 $596.01 $644.16 $815.22 |
$764.37 $809.83 $857.98 $1029.04 |
$978.19 $1023.65 $1071.80 $1242.86 |
$213.82 |
Plan: (HMO) Gym Access IND Gold HMO BC 5651Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$341.20 $387.26 $436.06 $609.39 $926.02 |
$682.40 $774.52 $872.12 $1218.78 $1852.04 |
$899.06 $991.18 $1088.78 $1435.44 |
$1115.72 $1207.84 $1305.44 $1652.10 |
$1332.38 $1424.50 $1522.10 $1868.76 |
$557.86 $603.92 $652.72 $826.05 |
$774.52 $820.58 $869.38 $1042.71 |
$991.18 $1037.24 $1086.04 $1259.37 |
$216.66 |
Plan: (POS) IND Gold POS BC 5651Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$373.78 $424.24 $477.69 $667.57 $1014.43 |
$747.56 $848.48 $955.38 $1335.14 $2028.86 |
$984.91 $1085.83 $1192.73 $1572.49 |
$1222.26 $1323.18 $1430.08 $1809.84 |
$1459.61 $1560.53 $1667.43 $2047.19 |
$611.13 $661.59 $715.04 $904.92 |
$848.48 $898.94 $952.39 $1142.27 |
$1085.83 $1136.29 $1189.74 $1379.62 |
$237.35 |
Plan: (POS) Gym Access IND Gold POS BC 5651Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$378.72 $429.85 $484.00 $676.39 $1027.84 |
$757.44 $859.70 $968.00 $1352.78 $2055.68 |
$997.93 $1100.19 $1208.49 $1593.27 |
$1238.42 $1340.68 $1448.98 $1833.76 |
$1478.91 $1581.17 $1689.47 $2074.25 |
$619.21 $670.34 $724.49 $916.88 |
$859.70 $910.83 $964.98 $1157.37 |
$1100.19 $1151.32 $1205.47 $1397.86 |
$240.49 |
Plan: (HMO) IND Platinum HMO BC 5841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$800
: Family:
$1,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$337.11 $382.62 $430.82 $602.08 $914.91 |
$674.22 $765.24 $861.64 $1204.16 $1829.82 |
$888.28 $979.30 $1075.70 $1418.22 |
$1102.34 $1193.36 $1289.76 $1632.28 |
$1316.40 $1407.42 $1503.82 $1846.34 |
$551.17 $596.68 $644.88 $816.14 |
$765.23 $810.74 $858.94 $1030.20 |
$979.29 $1024.80 $1073.00 $1244.26 |
$214.06 |
Plan: (HMO) Gym Access IND Platinum HMO BC 5841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$800
: Family:
$1,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$341.59 $387.70 $436.55 $610.07 $927.06 |
$683.18 $775.40 $873.10 $1220.14 $1854.12 |
$900.09 $992.31 $1090.01 $1437.05 |
$1117.00 $1209.22 $1306.92 $1653.96 |
$1333.91 $1426.13 $1523.83 $1870.87 |
$558.50 $604.61 $653.46 $826.98 |
$775.41 $821.52 $870.37 $1043.89 |
$992.32 $1038.43 $1087.28 $1260.80 |
$216.91 |
Plan: (POS) IND Platinum POS BC 5841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$800
: Family:
$1,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$374.19 $424.71 $478.22 $668.31 $1015.56 |
$748.38 $849.42 $956.44 $1336.62 $2031.12 |
$985.99 $1087.03 $1194.05 $1574.23 |
$1223.60 $1324.64 $1431.66 $1811.84 |
$1461.21 $1562.25 $1669.27 $2049.45 |
$611.80 $662.32 $715.83 $905.92 |
$849.41 $899.93 $953.44 $1143.53 |
$1087.02 $1137.54 $1191.05 $1381.14 |
$237.61 |
Plan: (POS) Gym Access IND Platinum POS BC 5841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$800
: Family:
$1,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$379.14 $430.32 $484.54 $677.14 $1028.99 |
$758.28 $860.64 $969.08 $1354.28 $2057.98 |
$999.03 $1101.39 $1209.83 $1595.03 |
$1239.78 $1342.14 $1450.58 $1835.78 |
$1480.53 $1582.89 $1691.33 $2076.53 |
$619.89 $671.07 $725.29 $917.89 |
$860.64 $911.82 $966.04 $1158.64 |
$1101.39 $1152.57 $1206.79 $1399.39 |
$240.75 |
Plan: (HMO) IND Platinum HMO BC 1941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$355.23 $403.19 $453.99 $634.45 $964.10 |
$710.46 $806.38 $907.98 $1268.90 $1928.20 |
$936.03 $1031.95 $1133.55 $1494.47 |
$1161.60 $1257.52 $1359.12 $1720.04 |
$1387.17 $1483.09 $1584.69 $1945.61 |
$580.80 $628.76 $679.56 $860.02 |
$806.37 $854.33 $905.13 $1085.59 |
$1031.94 $1079.90 $1130.70 $1311.16 |
$225.57 |
Plan: (HMO) Gym Access IND Platinum HMO BC 1941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$359.94 $408.53 $460.01 $642.86 $976.88 |
$719.88 $817.06 $920.02 $1285.72 $1953.76 |
$948.44 $1045.62 $1148.58 $1514.28 |
$1177.00 $1274.18 $1377.14 $1742.84 |
$1405.56 $1502.74 $1605.70 $1971.40 |
$588.50 $637.09 $688.57 $871.42 |
$817.06 $865.65 $917.13 $1099.98 |
$1045.62 $1094.21 $1145.69 $1328.54 |
$228.56 |
Plan: (POS) IND Platinum POS BC 1941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$394.22 $447.44 $503.81 $704.07 $1069.90 |
$788.44 $894.88 $1007.62 $1408.14 $2139.80 |
$1038.77 $1145.21 $1257.95 $1658.47 |
$1289.10 $1395.54 $1508.28 $1908.80 |
$1539.43 $1645.87 $1758.61 $2159.13 |
$644.55 $697.77 $754.14 $954.40 |
$894.88 $948.10 $1004.47 $1204.73 |
$1145.21 $1198.43 $1254.80 $1455.06 |
$250.33 |
Plan: (POS) Gym Access IND Platinum POS BC 1941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$399.41 $453.33 $510.45 $713.35 $1084.00 |
$798.82 $906.66 $1020.90 $1426.70 $2168.00 |
$1052.45 $1160.29 $1274.53 $1680.33 |
$1306.08 $1413.92 $1528.16 $1933.96 |
$1559.71 $1667.55 $1781.79 $2187.59 |
$653.04 $706.96 $764.08 $966.98 |
$906.67 $960.59 $1017.71 $1220.61 |
$1160.30 $1214.22 $1271.34 $1474.24 |
$253.63 |
Plan: (HMO) IND Platinum HMO 91Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$250
: Family:
$750 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$346.82 $393.64 $443.24 $619.43 $941.28 |
$693.64 $787.28 $886.48 $1238.86 $1882.56 |
$913.87 $1007.51 $1106.71 $1459.09 |
$1134.10 $1227.74 $1326.94 $1679.32 |
$1354.33 $1447.97 $1547.17 $1899.55 |
$567.05 $613.87 $663.47 $839.66 |
$787.28 $834.10 $883.70 $1059.89 |
$1007.51 $1054.33 $1103.93 $1280.12 |
$220.23 |
Plan: (HMO) Gym Access IND Platinum HMO 91Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$250
: Family:
$750 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$351.43 $398.87 $449.13 $627.65 $953.78 |
$702.86 $797.74 $898.26 $1255.30 $1907.56 |
$926.02 $1020.90 $1121.42 $1478.46 |
$1149.18 $1244.06 $1344.58 $1701.62 |
$1372.34 $1467.22 $1567.74 $1924.78 |
$574.59 $622.03 $672.29 $850.81 |
$797.75 $845.19 $895.45 $1073.97 |
$1020.91 $1068.35 $1118.61 $1297.13 |
$223.16 |
Plan: (HMO) IND Platinum HMO 92Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$500
: Family:
$1,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$342.04 $388.21 $437.13 $610.88 $928.29 |
$684.08 $776.42 $874.26 $1221.76 $1856.58 |
$901.27 $993.61 $1091.45 $1438.95 |
$1118.46 $1210.80 $1308.64 $1656.14 |
$1335.65 $1427.99 $1525.83 $1873.33 |
$559.23 $605.40 $654.32 $828.07 |
$776.42 $822.59 $871.51 $1045.26 |
$993.61 $1039.78 $1088.70 $1262.45 |
$217.19 |
Plan: (HMO) Gym Acccess IND Platinum HMO 92Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$500
: Family:
$1,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$346.58 $393.37 $442.93 $618.99 $940.62 |
$693.16 $786.74 $885.86 $1237.98 $1881.24 |
$913.24 $1006.82 $1105.94 $1458.06 |
$1133.32 $1226.90 $1326.02 $1678.14 |
$1353.40 $1446.98 $1546.10 $1898.22 |
$566.66 $613.45 $663.01 $839.07 |
$786.74 $833.53 $883.09 $1059.15 |
$1006.82 $1053.61 $1103.17 $1279.23 |
$220.08 |
ADVERTISEMENT
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||||||||||
UnitedHealthcare of Florida, Inc.Local: 1-877-887-0441 | Toll Free: 1-877-887-0441 |
||||||||||
Plan: (HMO) Gold Compass 1500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$332.33 $377.18 $424.70 $593.52 $901.91 |
$664.66 $754.36 $849.40 $1187.04 $1803.82 |
$875.68 $965.38 $1060.42 $1398.06 |
$1086.70 $1176.40 $1271.44 $1609.08 |
$1297.72 $1387.42 $1482.46 $1820.10 |
$543.35 $588.20 $635.72 $804.54 |
$754.37 $799.22 $846.74 $1015.56 |
$965.39 $1010.24 $1057.76 $1226.58 |
$211.02 |
Plan: (HMO) Gold Compass HSA 1600Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$1,600
: Family:
$3,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$305.37 $346.59 $390.25 $545.38 $828.76 |
$610.74 $693.18 $780.50 $1090.76 $1657.52 |
$804.65 $887.09 $974.41 $1284.67 |
$998.56 $1081.00 $1168.32 $1478.58 |
$1192.47 $1274.91 $1362.23 $1672.49 |
$499.28 $540.50 $584.16 $739.29 |
$693.19 $734.41 $778.07 $933.20 |
$887.10 $928.32 $971.98 $1127.11 |
$193.91 |
Plan: (HMO) Silver Compass 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$279.62 $317.36 $357.35 $499.39 $758.87 |
$559.24 $634.72 $714.70 $998.78 $1517.74 |
$736.80 $812.28 $892.26 $1176.34 |
$914.36 $989.84 $1069.82 $1353.90 |
$1091.92 $1167.40 $1247.38 $1531.46 |
$457.18 $494.92 $534.91 $676.95 |
$634.74 $672.48 $712.47 $854.51 |
$812.30 $850.04 $890.03 $1032.07 |
$177.56 |
Plan: (HMO) Silver Compass HSA 3600Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$3,600
: Family:
$7,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$281.64 $319.65 $359.92 $502.98 $764.33 |
$563.28 $639.30 $719.84 $1005.96 $1528.66 |
$742.11 $818.13 $898.67 $1184.79 |
$920.94 $996.96 $1077.50 $1363.62 |
$1099.77 $1175.79 $1256.33 $1542.45 |
$460.47 $498.48 $538.75 $681.81 |
$639.30 $677.31 $717.58 $860.64 |
$818.13 $856.14 $896.41 $1039.47 |
$178.83 |
Plan: (HMO) Bronze Compass 4200Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$4,200
: Family:
$8,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$238.59 $270.79 $304.90 $426.10 $647.50 |
$477.18 $541.58 $609.80 $852.20 $1295.00 |
$628.68 $693.08 $761.30 $1003.70 |
$780.18 $844.58 $912.80 $1155.20 |
$931.68 $996.08 $1064.30 $1306.70 |
$390.09 $422.29 $456.40 $577.60 |
$541.59 $573.79 $607.90 $729.10 |
$693.09 $725.29 $759.40 $880.60 |
$151.50 |
Plan: (HMO) Bronze Compass 6400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$6,400
: Family:
$12,800 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$245.02 $278.09 $313.13 $437.60 $664.97 |
$490.04 $556.18 $626.26 $875.20 $1329.94 |
$645.62 $711.76 $781.84 $1030.78 |
$801.20 $867.34 $937.42 $1186.36 |
$956.78 $1022.92 $1093.00 $1341.94 |
$400.60 $433.67 $468.71 $593.18 |
$556.18 $589.25 $624.29 $748.76 |
$711.76 $744.83 $779.87 $904.34 |
$155.58 |
Plan: (HMO) Catastrophic Compass 6850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$197.15 $223.75 $251.94 $352.09 $535.03 |
$394.30 $447.50 $503.88 $704.18 $1070.06 |
$519.48 $572.68 $629.06 $829.36 |
$644.66 $697.86 $754.24 $954.54 |
$769.84 $823.04 $879.42 $1079.72 |
$322.33 $348.93 $377.12 $477.27 |
$447.51 $474.11 $502.30 $602.45 |
$572.69 $599.29 $627.48 $727.63 |
$125.18 |
†Source: Our summary of lowest costs and numbers of providers is based on a government report released September 25, 2013. For more detailed information about specific plans and providers, see HealthCare.gov.
‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Seminole County here.