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 Cass County, Indiana.
Obamacare Providers, Plans and 2016 Rates for Cass County
Cass County is in “Rating Area 7” of Indiana.
Currently, there are 3 providers offering 40 plans to Rating Area 7. †
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 Logansport, IN area accept this insurance coverage as within the plan's "network".
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Anthem Ins Companies Inc(Anthem BCBS)Local: 1-855-886-6152 | Toll Free: 1-855-886-6152 |
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Plan: (HMO) Anthem Bronze Pathway X 6250 20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$6,250
: Family:
$12,500 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$241.29 $273.86 $308.37 $430.94 $654.86 |
$482.58 $547.72 $616.74 $861.88 $1309.72 |
$635.80 $700.94 $769.96 $1015.10 |
$789.02 $854.16 $923.18 $1168.32 |
$942.24 $1007.38 $1076.40 $1321.54 |
$394.51 $427.08 $461.59 $584.16 |
$547.73 $580.30 $614.81 $737.38 |
$700.95 $733.52 $768.03 $890.60 |
$153.22 |
Plan: (HMO) Anthem Bronze Pathway X 4850 20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$4,850
: Family:
$9,700 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 |
$235.56 $267.36 $301.05 $420.71 $639.31 |
$471.12 $534.72 $602.10 $841.42 $1278.62 |
$620.70 $684.30 $751.68 $991.00 |
$770.28 $833.88 $901.26 $1140.58 |
$919.86 $983.46 $1050.84 $1290.16 |
$385.14 $416.94 $450.63 $570.29 |
$534.72 $566.52 $600.21 $719.87 |
$684.30 $716.10 $749.79 $869.45 |
$149.58 |
Plan: (HMO) Anthem Bronze Pathway X 6400 30Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$6,400
: Family:
$12,800 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 |
$239.35 $271.66 $305.89 $427.48 $649.60 |
$478.70 $543.32 $611.78 $854.96 $1299.20 |
$630.69 $695.31 $763.77 $1006.95 |
$782.68 $847.30 $915.76 $1158.94 |
$934.67 $999.29 $1067.75 $1310.93 |
$391.34 $423.65 $457.88 $579.47 |
$543.33 $575.64 $609.87 $731.46 |
$695.32 $727.63 $761.86 $883.45 |
$151.99 |
Plan: (HMO) Anthem Bronze Pathway X 0 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$6,300
: Family:
$12,600 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$241.27 $273.84 $308.34 $430.91 $654.81 |
$482.54 $547.68 $616.68 $861.82 $1309.62 |
$635.75 $700.89 $769.89 $1015.03 |
$788.96 $854.10 $923.10 $1168.24 |
$942.17 $1007.31 $1076.31 $1321.45 |
$394.48 $427.05 $461.55 $584.12 |
$547.69 $580.26 $614.76 $737.33 |
$700.90 $733.47 $767.97 $890.54 |
$153.21 |
Plan: (HMO) Anthem Bronze Pathway X 20 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$240.79 $273.30 $307.73 $430.05 $653.50 |
$481.58 $546.60 $615.46 $860.10 $1307.00 |
$634.48 $699.50 $768.36 $1013.00 |
$787.38 $852.40 $921.26 $1165.90 |
$940.28 $1005.30 $1074.16 $1318.80 |
$393.69 $426.20 $460.63 $582.95 |
$546.59 $579.10 $613.53 $735.85 |
$699.49 $732.00 $766.43 $888.75 |
$152.90 |
Plan: (HMO) Anthem Silver Pathway X 3500 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$289.53 $328.62 $370.02 $517.10 $785.78 |
$579.06 $657.24 $740.04 $1034.20 $1571.56 |
$762.91 $841.09 $923.89 $1218.05 |
$946.76 $1024.94 $1107.74 $1401.90 |
$1130.61 $1208.79 $1291.59 $1585.75 |
$473.38 $512.47 $553.87 $700.95 |
$657.23 $696.32 $737.72 $884.80 |
$841.08 $880.17 $921.57 $1068.65 |
$183.85 |
Plan: (HMO) Anthem Silver Pathway X 2500 10Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$279.96 $317.75 $357.79 $500.01 $759.81 |
$559.92 $635.50 $715.58 $1000.02 $1519.62 |
$737.69 $813.27 $893.35 $1177.79 |
$915.46 $991.04 $1071.12 $1355.56 |
$1093.23 $1168.81 $1248.89 $1533.33 |
$457.73 $495.52 $535.56 $677.78 |
$635.50 $673.29 $713.33 $855.55 |
$813.27 $851.06 $891.10 $1033.32 |
$177.77 |
Plan: (HMO) Anthem Silver Pathway X 10 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$3,000
: Family:
$6,000 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 |
$276.84 $314.21 $353.80 $494.44 $751.34 |
$553.68 $628.42 $707.60 $988.88 $1502.68 |
$729.47 $804.21 $883.39 $1164.67 |
$905.26 $980.00 $1059.18 $1340.46 |
$1081.05 $1155.79 $1234.97 $1516.25 |
$452.63 $490.00 $529.59 $670.23 |
$628.42 $665.79 $705.38 $846.02 |
$804.21 $841.58 $881.17 $1021.81 |
$175.79 |
Plan: (HMO) Anthem Catastrophic Pathway X 6850 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$189.38 $214.95 $242.03 $338.23 $513.98 |
$378.76 $429.90 $484.06 $676.46 $1027.96 |
$499.02 $550.16 $604.32 $796.72 |
$619.28 $670.42 $724.58 $916.98 |
$739.54 $790.68 $844.84 $1037.24 |
$309.64 $335.21 $362.29 $458.49 |
$429.90 $455.47 $482.55 $578.75 |
$550.16 $575.73 $602.81 $699.01 |
$120.26 |
Plan: (HMO) Anthem Gold Pathway X 1500 25Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$343.13 $389.45 $438.52 $612.83 $931.25 |
$686.26 $778.90 $877.04 $1225.66 $1862.50 |
$904.15 $996.79 $1094.93 $1443.55 |
$1122.04 $1214.68 $1312.82 $1661.44 |
$1339.93 $1432.57 $1530.71 $1879.33 |
$561.02 $607.34 $656.41 $830.72 |
$778.91 $825.23 $874.30 $1048.61 |
$996.80 $1043.12 $1092.19 $1266.50 |
$217.89 |
Plan: (HMO) Anthem Bronze Pathway X 5850 35Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$5,850
: Family:
$11,700 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 |
$224.49 $254.80 $286.90 $400.94 $609.27 |
$448.98 $509.60 $573.80 $801.88 $1218.54 |
$591.53 $652.15 $716.35 $944.43 |
$734.08 $794.70 $858.90 $1086.98 |
$876.63 $937.25 $1001.45 $1229.53 |
$367.04 $397.35 $429.45 $543.49 |
$509.59 $539.90 $572.00 $686.04 |
$652.14 $682.45 $714.55 $828.59 |
$142.55 |
Plan: (HMO) Anthem Bronze Pathway X 4950 50Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$4,950
: Family:
$9,900 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$223.29 $253.43 $285.36 $398.80 $606.01 |
$446.58 $506.86 $570.72 $797.60 $1212.02 |
$588.37 $648.65 $712.51 $939.39 |
$730.16 $790.44 $854.30 $1081.18 |
$871.95 $932.23 $996.09 $1222.97 |
$365.08 $395.22 $427.15 $540.59 |
$506.87 $537.01 $568.94 $682.38 |
$648.66 $678.80 $710.73 $824.17 |
$141.79 |
Plan: (HMO) Anthem Bronze Pathway X 6850 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$234.09 $265.69 $299.17 $418.08 $635.32 |
$468.18 $531.38 $598.34 $836.16 $1270.64 |
$616.83 $680.03 $746.99 $984.81 |
$765.48 $828.68 $895.64 $1133.46 |
$914.13 $977.33 $1044.29 $1282.11 |
$382.74 $414.34 $447.82 $566.73 |
$531.39 $562.99 $596.47 $715.38 |
$680.04 $711.64 $745.12 $864.03 |
$148.65 |
Plan: (HMO) Anthem Silver Pathway X 4250 30Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$4,250
: Family:
$8,500 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$259.74 $294.80 $331.95 $463.90 $704.93 |
$519.48 $589.60 $663.90 $927.80 $1409.86 |
$684.41 $754.53 $828.83 $1092.73 |
$849.34 $919.46 $993.76 $1257.66 |
$1014.27 $1084.39 $1158.69 $1422.59 |
$424.67 $459.73 $496.88 $628.83 |
$589.60 $624.66 $661.81 $793.76 |
$754.53 $789.59 $826.74 $958.69 |
$164.93 |
Plan: (POS) Anthem Bronze Pathway X POS 5000 40Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$225.85 $256.34 $288.64 $403.37 $612.96 |
$451.70 $512.68 $577.28 $806.74 $1225.92 |
$595.11 $656.09 $720.69 $950.15 |
$738.52 $799.50 $864.10 $1093.56 |
$881.93 $942.91 $1007.51 $1236.97 |
$369.26 $399.75 $432.05 $546.78 |
$512.67 $543.16 $575.46 $690.19 |
$656.08 $686.57 $718.87 $833.60 |
$143.41 |
Plan: (HMO) Anthem Blue Cross and Blue Shield Silver DirectAccess, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$277.80 $315.30 $355.03 $496.15 $753.95 |
$555.60 $630.60 $710.06 $992.30 $1507.90 |
$732.00 $807.00 $886.46 $1168.70 |
$908.40 $983.40 $1062.86 $1345.10 |
$1084.80 $1159.80 $1239.26 $1521.50 |
$454.20 $491.70 $531.43 $672.55 |
$630.60 $668.10 $707.83 $848.95 |
$807.00 $844.50 $884.23 $1025.35 |
$176.40 |
Plan: (HMO) Anthem Blue Cross and Blue Shield Gold DirectAccess, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$367.44 $417.04 $469.59 $656.25 $997.23 |
$734.88 $834.08 $939.18 $1312.50 $1994.46 |
$968.20 $1067.40 $1172.50 $1545.82 |
$1201.52 $1300.72 $1405.82 $1779.14 |
$1434.84 $1534.04 $1639.14 $2012.46 |
$600.76 $650.36 $702.91 $889.57 |
$834.08 $883.68 $936.23 $1122.89 |
$1067.40 $1117.00 $1169.55 $1356.21 |
$233.32 |
ADVERTISEMENT
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Indiana University Health Plans, Inc.Local: 1-317-963-9700 | Toll Free: 1-855-344-7015 TTY: 1-800-743-3333 |
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Plan: (HMO) IU Health Plans Gold ValueSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-344-7015 - Provider Directory for This Plan: (Indiana University Health Plans, Inc.)
Deductible: Individual:
$750
: Family:
$1,500 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$288.08 $326.97 $368.17 $514.51 $781.85 |
$576.16 $653.94 $736.34 $1029.02 $1563.70 |
$759.09 $836.87 $919.27 $1211.95 |
$942.02 $1019.80 $1102.20 $1394.88 |
$1124.95 $1202.73 $1285.13 $1577.81 |
$471.01 $509.90 $551.10 $697.44 |
$653.94 $692.83 $734.03 $880.37 |
$836.87 $875.76 $916.96 $1063.30 |
$182.93 |
Plan: (HMO) IU Health Plans Silver HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-344-7015 - Provider Directory for This Plan: (Indiana University Health Plans, Inc.)
Deductible: Individual:
$3,000
: Family:
$6,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$228.42 $259.26 $291.92 $407.96 $619.93 |
$456.84 $518.52 $583.84 $815.92 $1239.86 |
$601.89 $663.57 $728.89 $960.97 |
$746.94 $808.62 $873.94 $1106.02 |
$891.99 $953.67 $1018.99 $1251.07 |
$373.47 $404.31 $436.97 $553.01 |
$518.52 $549.36 $582.02 $698.06 |
$663.57 $694.41 $727.07 $843.11 |
$145.05 |
Plan: (HMO) IU Health Plans Silver ValueSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-344-7015 - Provider Directory for This Plan: (Indiana University Health Plans, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$245.22 $278.32 $313.39 $437.96 $665.53 |
$490.44 $556.64 $626.78 $875.92 $1331.06 |
$646.15 $712.35 $782.49 $1031.63 |
$801.86 $868.06 $938.20 $1187.34 |
$957.57 $1023.77 $1093.91 $1343.05 |
$400.93 $434.03 $469.10 $593.67 |
$556.64 $589.74 $624.81 $749.38 |
$712.35 $745.45 $780.52 $905.09 |
$155.71 |
Plan: (HMO) IU Health Plans Silver EnhancedSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-344-7015 - Provider Directory for This Plan: (Indiana University Health Plans, 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 |
$247.67 $281.11 $316.52 $442.34 $672.18 |
$495.34 $562.22 $633.04 $884.68 $1344.36 |
$652.61 $719.49 $790.31 $1041.95 |
$809.88 $876.76 $947.58 $1199.22 |
$967.15 $1034.03 $1104.85 $1356.49 |
$404.94 $438.38 $473.79 $599.61 |
$562.21 $595.65 $631.06 $756.88 |
$719.48 $752.92 $788.33 $914.15 |
$157.27 |
Plan: (HMO) IU Health Plans Bronze HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-344-7015 - Provider Directory for This Plan: (Indiana University Health Plans, 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 |
$187.13 $212.39 $239.15 $334.21 $507.87 |
$374.26 $424.78 $478.30 $668.42 $1015.74 |
$493.09 $543.61 $597.13 $787.25 |
$611.92 $662.44 $715.96 $906.08 |
$730.75 $781.27 $834.79 $1024.91 |
$305.96 $331.22 $357.98 $453.04 |
$424.79 $450.05 $476.81 $571.87 |
$543.62 $568.88 $595.64 $690.70 |
$118.83 |
Plan: (HMO) IU Health Plans Bronze ValueSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-344-7015 - Provider Directory for This Plan: (Indiana University Health Plans, 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 |
$201.39 $228.58 $257.38 $359.68 $546.57 |
$402.78 $457.16 $514.76 $719.36 $1093.14 |
$530.66 $585.04 $642.64 $847.24 |
$658.54 $712.92 $770.52 $975.12 |
$786.42 $840.80 $898.40 $1103.00 |
$329.27 $356.46 $385.26 $487.56 |
$457.15 $484.34 $513.14 $615.44 |
$585.03 $612.22 $641.02 $743.32 |
$127.88 |
Plan: (HMO) IU Health Plans Silver CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-344-7015 - Provider Directory for This Plan: (Indiana University Health Plans, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$246.94 $280.28 $315.59 $441.03 $670.20 |
$493.88 $560.56 $631.18 $882.06 $1340.40 |
$650.69 $717.37 $787.99 $1038.87 |
$807.50 $874.18 $944.80 $1195.68 |
$964.31 $1030.99 $1101.61 $1352.49 |
$403.75 $437.09 $472.40 $597.84 |
$560.56 $593.90 $629.21 $754.65 |
$717.37 $750.71 $786.02 $911.46 |
$156.81 |
Plan: (HMO) IU Health Plans Bronze Simple HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-344-7015 - Provider Directory for This Plan: (Indiana University Health Plans, Inc.)
Deductible: Individual:
$6,500
: Family:
$13,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$179.99 $204.29 $230.03 $321.46 $488.49 |
$359.98 $408.58 $460.06 $642.92 $976.98 |
$474.27 $522.87 $574.35 $757.21 |
$588.56 $637.16 $688.64 $871.50 |
$702.85 $751.45 $802.93 $985.79 |
$294.28 $318.58 $344.32 $435.75 |
$408.57 $432.87 $458.61 $550.04 |
$522.86 $547.16 $572.90 $664.33 |
$114.29 |
Plan: (HMO) IU Health Plans Gold Value Plus Dental & VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-344-7015 - Provider Directory for This Plan: (Indiana University Health Plans, Inc.)
Deductible: Individual:
$750
: Family:
$1,500 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$303.85 $344.87 $388.32 $542.68 $824.65 |
$607.70 $689.74 $776.64 $1085.36 $1649.30 |
$800.64 $882.68 $969.58 $1278.30 |
$993.58 $1075.62 $1162.52 $1471.24 |
$1186.52 $1268.56 $1355.46 $1664.18 |
$496.79 $537.81 $581.26 $735.62 |
$689.73 $730.75 $774.20 $928.56 |
$882.67 $923.69 $967.14 $1121.50 |
$192.94 |
Plan: (HMO) IU Health Plans Bronze Value Plus Dental & VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-344-7015 - Provider Directory for This Plan: (Indiana University Health Plans, 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 |
$218.38 $247.86 $279.09 $390.03 $592.68 |
$436.76 $495.72 $558.18 $780.06 $1185.36 |
$575.43 $634.39 $696.85 $918.73 |
$714.10 $773.06 $835.52 $1057.40 |
$852.77 $911.73 $974.19 $1196.07 |
$357.05 $386.53 $417.76 $528.70 |
$495.72 $525.20 $556.43 $667.37 |
$634.39 $663.87 $695.10 $806.04 |
$138.67 |
ADVERTISEMENT
|
||||||||||
All Savers Insurance CompanyLocal: 1-877-512-9947 | Toll Free: 1-877-512-9947 |
||||||||||
Plan: (EPO) Gold Choice 1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9947 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$364.52 $413.72 $465.85 $651.02 $989.28 |
$729.04 $827.44 $931.70 $1302.04 $1978.56 |
$960.50 $1058.90 $1163.16 $1533.50 |
$1191.96 $1290.36 $1394.62 $1764.96 |
$1423.42 $1521.82 $1626.08 $1996.42 |
$595.98 $645.18 $697.31 $882.48 |
$827.44 $876.64 $928.77 $1113.94 |
$1058.90 $1108.10 $1160.23 $1345.40 |
$231.46 |
Plan: (EPO) Silver Choice HSA 3000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9947 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$3,000
: Family:
$6,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$302.66 $343.51 $386.79 $540.54 $821.40 |
$605.32 $687.02 $773.58 $1081.08 $1642.80 |
$797.50 $879.20 $965.76 $1273.26 |
$989.68 $1071.38 $1157.94 $1465.44 |
$1181.86 $1263.56 $1350.12 $1657.62 |
$494.84 $535.69 $578.97 $732.72 |
$687.02 $727.87 $771.15 $924.90 |
$879.20 $920.05 $963.33 $1117.08 |
$192.18 |
Plan: (EPO) Silver Choice 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9947 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$317.45 $360.29 $405.69 $566.94 $861.53 |
$634.90 $720.58 $811.38 $1133.88 $1723.06 |
$836.47 $922.15 $1012.95 $1335.45 |
$1038.04 $1123.72 $1214.52 $1537.02 |
$1239.61 $1325.29 $1416.09 $1738.59 |
$519.02 $561.86 $607.26 $768.51 |
$720.59 $763.43 $808.83 $970.08 |
$922.16 $965.00 $1010.40 $1171.65 |
$201.57 |
Plan: (EPO) Silver Choice 3500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9947 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$319.86 $363.03 $408.77 $571.26 $868.08 |
$639.72 $726.06 $817.54 $1142.52 $1736.16 |
$842.83 $929.17 $1020.65 $1345.63 |
$1045.94 $1132.28 $1223.76 $1548.74 |
$1249.05 $1335.39 $1426.87 $1751.85 |
$522.97 $566.14 $611.88 $774.37 |
$726.08 $769.25 $814.99 $977.48 |
$929.19 $972.36 $1018.10 $1180.59 |
$203.11 |
Plan: (EPO) Silver Choice 4500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9947 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$326.80 $370.91 $417.64 $583.65 $886.92 |
$653.60 $741.82 $835.28 $1167.30 $1773.84 |
$861.11 $949.33 $1042.79 $1374.81 |
$1068.62 $1156.84 $1250.30 $1582.32 |
$1276.13 $1364.35 $1457.81 $1789.83 |
$534.31 $578.42 $625.15 $791.16 |
$741.82 $785.93 $832.66 $998.67 |
$949.33 $993.44 $1040.17 $1206.18 |
$207.51 |
Plan: (EPO) Bronze Choice HSA 5500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9947 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$264.04 $299.67 $337.43 $471.56 $716.57 |
$528.08 $599.34 $674.86 $943.12 $1433.14 |
$695.74 $767.00 $842.52 $1110.78 |
$863.40 $934.66 $1010.18 $1278.44 |
$1031.06 $1102.32 $1177.84 $1446.10 |
$431.70 $467.33 $505.09 $639.22 |
$599.36 $634.99 $672.75 $806.88 |
$767.02 $802.65 $840.41 $974.54 |
$167.66 |
Plan: (EPO) Bronze Choice 6500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9947 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$6,500
: Family:
$13,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$278.22 $315.77 $355.55 $496.89 $755.07 |
$556.44 $631.54 $711.10 $993.78 $1510.14 |
$733.10 $808.20 $887.76 $1170.44 |
$909.76 $984.86 $1064.42 $1347.10 |
$1086.42 $1161.52 $1241.08 $1523.76 |
$454.88 $492.43 $532.21 $673.55 |
$631.54 $669.09 $708.87 $850.21 |
$808.20 $845.75 $885.53 $1026.87 |
$176.66 |
Plan: (EPO) Gold Choice 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9947 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$358.79 $407.21 $458.52 $640.78 $973.72 |
$717.58 $814.42 $917.04 $1281.56 $1947.44 |
$945.40 $1042.24 $1144.86 $1509.38 |
$1173.22 $1270.06 $1372.68 $1737.20 |
$1401.04 $1497.88 $1600.50 $1965.02 |
$586.61 $635.03 $686.34 $868.60 |
$814.43 $862.85 $914.16 $1096.42 |
$1042.25 $1090.67 $1141.98 $1324.24 |
$227.82 |
Plan: (EPO) Silver Choice 2000 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9947 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$315.03 $357.55 $402.60 $562.63 $854.98 |
$630.06 $715.10 $805.20 $1125.26 $1709.96 |
$830.10 $915.14 $1005.24 $1325.30 |
$1030.14 $1115.18 $1205.28 $1525.34 |
$1230.18 $1315.22 $1405.32 $1725.38 |
$515.07 $557.59 $602.64 $762.67 |
$715.11 $757.63 $802.68 $962.71 |
$915.15 $957.67 $1002.72 $1162.75 |
$200.04 |
ADVERTISEMENT
|
||||||||||
Physicians Health Plan of Northern Indiana, Inc.Local: 1-260-432-6690 x11 | Toll Free: 1-800-982-6257 TTY: 1-260-459-2600 |
||||||||||
Plan: (HMO) Marquee Silver 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-982-6257 - Provider Directory for This Plan: (Physicians Health Plan of Northern Indiana, 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 |
$363.92 $413.05 $465.09 $649.96 $987.68 |
$727.84 $826.10 $930.18 $1299.92 $1975.36 |
$958.93 $1057.19 $1161.27 $1531.01 |
$1190.02 $1288.28 $1392.36 $1762.10 |
$1421.11 $1519.37 $1623.45 $1993.19 |
$595.01 $644.14 $696.18 $881.05 |
$826.10 $875.23 $927.27 $1112.14 |
$1057.19 $1106.32 $1158.36 $1343.23 |
$231.09 |
Plan: (HMO) Marquee Silver 2500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-982-6257 - Provider Directory for This Plan: (Physicians Health Plan of Northern Indiana, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$367.24 $416.82 $469.33 $655.89 $996.69 |
$734.48 $833.64 $938.66 $1311.78 $1993.38 |
$967.68 $1066.84 $1171.86 $1544.98 |
$1200.88 $1300.04 $1405.06 $1778.18 |
$1434.08 $1533.24 $1638.26 $2011.38 |
$600.44 $650.02 $702.53 $889.09 |
$833.64 $883.22 $935.73 $1122.29 |
$1066.84 $1116.42 $1168.93 $1355.49 |
$233.20 |
Plan: (HMO) Marquee HSA Silver 3500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-982-6257 - Provider Directory for This Plan: (Physicians Health Plan of Northern Indiana, Inc.)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$379.19 $430.38 $484.60 $677.23 $1029.12 |
$758.38 $860.76 $969.20 $1354.46 $2058.24 |
$999.17 $1101.55 $1209.99 $1595.25 |
$1239.96 $1342.34 $1450.78 $1836.04 |
$1480.75 $1583.13 $1691.57 $2076.83 |
$619.98 $671.17 $725.39 $918.02 |
$860.77 $911.96 $966.18 $1158.81 |
$1101.56 $1152.75 $1206.97 $1399.60 |
$240.79 |
Plan: (HMO) Marquee HSA Bronze 3750Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-982-6257 - Provider Directory for This Plan: (Physicians Health Plan of Northern Indiana, Inc.)
Deductible: Individual:
$3,750
: Family:
$7,500 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$312.21 $354.36 $399.00 $557.61 $847.34 |
$624.42 $708.72 $798.00 $1115.22 $1694.68 |
$822.67 $906.97 $996.25 $1313.47 |
$1020.92 $1105.22 $1194.50 $1511.72 |
$1219.17 $1303.47 $1392.75 $1709.97 |
$510.46 $552.61 $597.25 $755.86 |
$708.71 $750.86 $795.50 $954.11 |
$906.96 $949.11 $993.75 $1152.36 |
$198.25 |
Plan: (HMO) Marquee Bronze 5000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-982-6257 - Provider Directory for This Plan: (Physicians Health Plan of Northern Indiana, 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 |
Bronze | 21 30 40 50 60 |
$296.64 $336.69 $379.11 $529.80 $805.08 |
$593.28 $673.38 $758.22 $1059.60 $1610.16 |
$781.65 $861.75 $946.59 $1247.97 |
$970.02 $1050.12 $1134.96 $1436.34 |
$1158.39 $1238.49 $1323.33 $1624.71 |
$485.01 $525.06 $567.48 $718.17 |
$673.38 $713.43 $755.85 $906.54 |
$861.75 $901.80 $944.22 $1094.91 |
$188.37 |
Plan: (HMO) Marquee HSA Bronze 6000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-982-6257 - Provider Directory for This Plan: (Physicians Health Plan of Northern Indiana, 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 |
$295.13 $334.97 $377.18 $527.10 $800.98 |
$590.26 $669.94 $754.36 $1054.20 $1601.96 |
$777.67 $857.35 $941.77 $1241.61 |
$965.08 $1044.76 $1129.18 $1429.02 |
$1152.49 $1232.17 $1316.59 $1616.43 |
$482.54 $522.38 $564.59 $714.51 |
$669.95 $709.79 $752.00 $901.92 |
$857.36 $897.20 $939.41 $1089.33 |
$187.41 |
Plan: (HMO) Marquee Gold 1250Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-982-6257 - Provider Directory for This Plan: (Physicians Health Plan of Northern Indiana, Inc.)
Deductible: Individual:
$1,250
: Family:
$2,500 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$451.93 $512.94 $577.57 $807.15 $1226.54 |
$903.86 $1025.88 $1155.14 $1614.30 $2453.08 |
$1190.84 $1312.86 $1442.12 $1901.28 |
$1477.82 $1599.84 $1729.10 $2188.26 |
$1764.80 $1886.82 $2016.08 $2475.24 |
$738.91 $799.92 $864.55 $1094.13 |
$1025.89 $1086.90 $1151.53 $1381.11 |
$1312.87 $1373.88 $1438.51 $1668.09 |
$286.98 |
Plan: (HMO) Marquee Catastrophic 6850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-982-6257 - Provider Directory for This Plan: (Physicians Health Plan of Northern Indiana, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$217.61 $246.99 $278.11 $388.65 $590.59 |
$435.22 $493.98 $556.22 $777.30 $1181.18 |
$573.40 $632.16 $694.40 $915.48 |
$711.58 $770.34 $832.58 $1053.66 |
$849.76 $908.52 $970.76 $1191.84 |
$355.79 $385.17 $416.29 $526.83 |
$493.97 $523.35 $554.47 $665.01 |
$632.15 $661.53 $692.65 $803.19 |
$138.18 |
Plan: (POS) Marquee Bronze 5000 POSSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-982-6257 - Provider Directory for This Plan: (Physicians Health Plan of Northern Indiana, 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 |
Bronze | 21 30 40 50 60 |
$302.20 $343.00 $386.21 $539.73 $820.17 |
$604.40 $686.00 $772.42 $1079.46 $1640.34 |
$796.30 $877.90 $964.32 $1271.36 |
$988.20 $1069.80 $1156.22 $1463.26 |
$1180.10 $1261.70 $1348.12 $1655.16 |
$494.10 $534.90 $578.11 $731.63 |
$686.00 $726.80 $770.01 $923.53 |
$877.90 $918.70 $961.91 $1115.43 |
$191.90 |
ADVERTISEMENT
|
||||||||||
CareSource Indiana, Inc.Local: 1-800-479-9502 | Toll Free: 1-877-806-9284 |
||||||||||
Plan: (HMO) CareSource Just4Me GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, 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 |
$244.28 $277.25 $312.18 $436.28 $662.97 |
$488.56 $554.50 $624.36 $872.56 $1325.94 |
$643.67 $709.61 $779.47 $1027.67 |
$798.78 $864.72 $934.58 $1182.78 |
$953.89 $1019.83 $1089.69 $1337.89 |
$399.39 $432.36 $467.29 $591.39 |
$554.50 $587.47 $622.40 $746.50 |
$709.61 $742.58 $777.51 $901.61 |
$155.11 |
Plan: (HMO) CareSource Just4Me SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$195.81 $222.24 $250.24 $349.71 $531.42 |
$391.62 $444.48 $500.48 $699.42 $1062.84 |
$515.95 $568.81 $624.81 $823.75 |
$640.28 $693.14 $749.14 $948.08 |
$764.61 $817.47 $873.47 $1072.41 |
$320.14 $346.57 $374.57 $474.04 |
$444.47 $470.90 $498.90 $598.37 |
$568.80 $595.23 $623.23 $722.70 |
$124.33 |
Plan: (HMO) CareSource Just4Me BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)
Deductible: Individual:
$6,650
: Family:
$13,300 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$165.02 $187.29 $210.89 $294.72 $447.86 |
$330.04 $374.58 $421.78 $589.44 $895.72 |
$434.82 $479.36 $526.56 $694.22 |
$539.60 $584.14 $631.34 $799.00 |
$644.38 $688.92 $736.12 $903.78 |
$269.80 $292.07 $315.67 $399.50 |
$374.58 $396.85 $420.45 $504.28 |
$479.36 $501.63 $525.23 $609.06 |
$104.78 |
Plan: (HMO) CareSource Just4Me Gold with Dental and VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, 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 |
$262.27 $297.67 $335.18 $468.41 $711.80 |
$524.54 $595.34 $670.36 $936.82 $1423.60 |
$691.08 $761.88 $836.90 $1103.36 |
$857.62 $928.42 $1003.44 $1269.90 |
$1024.16 $1094.96 $1169.98 $1436.44 |
$428.81 $464.21 $501.72 $634.95 |
$595.35 $630.75 $668.26 $801.49 |
$761.89 $797.29 $834.80 $968.03 |
$166.54 |
Plan: (HMO) CareSource Just4Me Silver with Dental and VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$213.80 $242.66 $273.23 $381.84 $580.25 |
$427.60 $485.32 $546.46 $763.68 $1160.50 |
$563.36 $621.08 $682.22 $899.44 |
$699.12 $756.84 $817.98 $1035.20 |
$834.88 $892.60 $953.74 $1170.96 |
$349.56 $378.42 $408.99 $517.60 |
$485.32 $514.18 $544.75 $653.36 |
$621.08 $649.94 $680.51 $789.12 |
$135.76 |
Plan: (HMO) CareSource Just4Me Bronze with Dental and VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)
Deductible: Individual:
$6,650
: Family:
$13,300 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$183.01 $207.71 $233.88 $326.85 $496.68 |
$366.02 $415.42 $467.76 $653.70 $993.36 |
$482.23 $531.63 $583.97 $769.91 |
$598.44 $647.84 $700.18 $886.12 |
$714.65 $764.05 $816.39 $1002.33 |
$299.22 $323.92 $350.09 $443.06 |
$415.43 $440.13 $466.30 $559.27 |
$531.64 $556.34 $582.51 $675.48 |
$116.21 |
ADVERTISEMENT
|
||||||||||
MDwise Marketplace, Inc.Local: 1-855-417-5615 | Toll Free: 1-855-417-5615 TTY: 1-800-743-3333 |
||||||||||
Plan: (HMO) MDwise Marketplace Bronze PlusSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-417-5615 - Provider Directory for This Plan: (MDwise Marketplace, Inc.)
Deductible: Individual:
$4,800
: Family:
$9,600 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 |
$200.66 $227.75 $256.45 $358.39 $544.60 |
$401.32 $455.50 $512.90 $716.78 $1089.20 |
$528.74 $582.92 $640.32 $844.20 |
$656.16 $710.34 $767.74 $971.62 |
$783.58 $837.76 $895.16 $1099.04 |
$328.08 $355.17 $383.87 $485.81 |
$455.50 $482.59 $511.29 $613.23 |
$582.92 $610.01 $638.71 $740.65 |
$127.42 |
Plan: (HMO) MDwise Marketplace Silver PlusSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-417-5615 - Provider Directory for This Plan: (MDwise Marketplace, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$226.53 $257.12 $289.51 $404.59 $614.82 |
$453.06 $514.24 $579.02 $809.18 $1229.64 |
$596.91 $658.09 $722.87 $953.03 |
$740.76 $801.94 $866.72 $1096.88 |
$884.61 $945.79 $1010.57 $1240.73 |
$370.38 $400.97 $433.36 $548.44 |
$514.23 $544.82 $577.21 $692.29 |
$658.08 $688.67 $721.06 $836.14 |
$143.85 |
Plan: (HMO) MDwise Marketplace Gold PlusSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-417-5615 - Provider Directory for This Plan: (MDwise Marketplace, 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 |
$271.30 $307.92 $346.72 $484.54 $736.31 |
$542.60 $615.84 $693.44 $969.08 $1472.62 |
$714.87 $788.11 $865.71 $1141.35 |
$887.14 $960.38 $1037.98 $1313.62 |
$1059.41 $1132.65 $1210.25 $1485.89 |
$443.57 $480.19 $518.99 $656.81 |
$615.84 $652.46 $691.26 $829.08 |
$788.11 $824.73 $863.53 $1001.35 |
$172.27 |
Plan: (HMO) MDwise Marketplace Bronze BasicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-417-5615 - Provider Directory for This Plan: (MDwise Marketplace, Inc.)
Deductible: Individual:
$6,200
: Family:
$12,400 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 |
$196.20 $222.69 $250.75 $350.42 $532.51 |
$392.40 $445.38 $501.50 $700.84 $1065.02 |
$516.99 $569.97 $626.09 $825.43 |
$641.58 $694.56 $750.68 $950.02 |
$766.17 $819.15 $875.27 $1074.61 |
$320.79 $347.28 $375.34 $475.01 |
$445.38 $471.87 $499.93 $599.60 |
$569.97 $596.46 $624.52 $724.19 |
$124.59 |
Plan: (HMO) MDwise Marketplace Silver BasicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-417-5615 - Provider Directory for This Plan: (MDwise Marketplace, 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 |
$213.81 $242.67 $273.25 $381.87 $580.28 |
$427.62 $485.34 $546.50 $763.74 $1160.56 |
$563.39 $621.11 $682.27 $899.51 |
$699.16 $756.88 $818.04 $1035.28 |
$834.93 $892.65 $953.81 $1171.05 |
$349.58 $378.44 $409.02 $517.64 |
$485.35 $514.21 $544.79 $653.41 |
$621.12 $649.98 $680.56 $789.18 |
$135.77 |
Plan: (HMO) MDwise Marketplace Silver CoinsuranceSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-417-5615 - Provider Directory for This Plan: (MDwise Marketplace, Inc.)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$223.10 $253.22 $285.12 $398.46 $605.50 |
$446.20 $506.44 $570.24 $796.92 $1211.00 |
$587.87 $648.11 $711.91 $938.59 |
$729.54 $789.78 $853.58 $1080.26 |
$871.21 $931.45 $995.25 $1221.93 |
$364.77 $394.89 $426.79 $540.13 |
$506.44 $536.56 $568.46 $681.80 |
$648.11 $678.23 $710.13 $823.47 |
$141.67 |
Plan: (HMO) MDwise Marketplace Bronze Plus with Adult VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-417-5615 - Provider Directory for This Plan: (MDwise Marketplace, Inc.)
Deductible: Individual:
$4,800
: Family:
$9,600 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 |
$204.82 $232.47 $261.76 $365.81 $555.88 |
$409.64 $464.94 $523.52 $731.62 $1111.76 |
$539.70 $595.00 $653.58 $861.68 |
$669.76 $725.06 $783.64 $991.74 |
$799.82 $855.12 $913.70 $1121.80 |
$334.88 $362.53 $391.82 $495.87 |
$464.94 $492.59 $521.88 $625.93 |
$595.00 $622.65 $651.94 $755.99 |
$130.06 |
Plan: (HMO) MDwise Marketplace Silver Plus with Adult VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-417-5615 - Provider Directory for This Plan: (MDwise Marketplace, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$230.69 $261.83 $294.82 $412.02 $626.10 |
$461.38 $523.66 $589.64 $824.04 $1252.20 |
$607.87 $670.15 $736.13 $970.53 |
$754.36 $816.64 $882.62 $1117.02 |
$900.85 $963.13 $1029.11 $1263.51 |
$377.18 $408.32 $441.31 $558.51 |
$523.67 $554.81 $587.80 $705.00 |
$670.16 $701.30 $734.29 $851.49 |
$146.49 |
†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 Cass County here.