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 Polk County, Iowa.
Obamacare Providers, Plans and 2016 Rates for Polk County
Polk County is in “Rating Area 2” of Iowa.
Currently, there are 2 providers offering 35 plans to Rating Area 2. †
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 Des Moines, IA area accept this insurance coverage as within the plan's "network".
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Aetna Health Inc. (a IA corp.)Local: 1-515-225-1234 | Toll Free: 1-855-449-2889 |
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Plan: (POS) Coventry Bronze $15 Copay UnityPoint Health Des MoinesSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Aetna Health Inc. (a IA corp.))
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 |
$159.41 $180.93 $203.73 $284.71 $432.64 |
$318.82 $361.86 $407.46 $569.42 $865.28 |
$420.05 $463.09 $508.69 $670.65 |
$521.28 $564.32 $609.92 $771.88 |
$622.51 $665.55 $711.15 $873.11 |
$260.64 $282.16 $304.96 $385.94 |
$361.87 $383.39 $406.19 $487.17 |
$463.10 $484.62 $507.42 $588.40 |
$101.23 |
Plan: (POS) Coventry Bronze HSA Eligible UnityPoint Health Des MoinesSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Aetna Health Inc. (a IA corp.))
Deductible: Individual:
$6,450
: Family:
$12,900 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$150.90 $171.27 $192.85 $269.51 $409.55 |
$301.80 $342.54 $385.70 $539.02 $819.10 |
$397.62 $438.36 $481.52 $634.84 |
$493.44 $534.18 $577.34 $730.66 |
$589.26 $630.00 $673.16 $826.48 |
$246.72 $267.09 $288.67 $365.33 |
$342.54 $362.91 $384.49 $461.15 |
$438.36 $458.73 $480.31 $556.97 |
$95.82 |
Plan: (POS) Coventry Gold $10 Copay UnityPoint Health Des MoinesSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Aetna Health Inc. (a IA corp.))
Deductible: Individual:
$1,400
: Family:
$2,800 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 |
Gold | 21 30 40 50 60 |
$250.21 $283.99 $319.77 $446.87 $679.07 |
$500.42 $567.98 $639.54 $893.74 $1358.14 |
$659.30 $726.86 $798.42 $1052.62 |
$818.18 $885.74 $957.30 $1211.50 |
$977.06 $1044.62 $1116.18 $1370.38 |
$409.09 $442.87 $478.65 $605.75 |
$567.97 $601.75 $637.53 $764.63 |
$726.85 $760.63 $796.41 $923.51 |
$158.88 |
Plan: (POS) Coventry Silver $10 Copay UnityPoint Health Des MoinesSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Aetna Health Inc. (a IA corp.))
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 |
$192.72 $218.74 $246.30 $344.20 $523.05 |
$385.44 $437.48 $492.60 $688.40 $1046.10 |
$507.82 $559.86 $614.98 $810.78 |
$630.20 $682.24 $737.36 $933.16 |
$752.58 $804.62 $859.74 $1055.54 |
$315.10 $341.12 $368.68 $466.58 |
$437.48 $463.50 $491.06 $588.96 |
$559.86 $585.88 $613.44 $711.34 |
$122.38 |
Plan: (POS) Coventry Gold $10 CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Aetna Health Inc. (a IA corp.))
Deductible: Individual:
$1,400
: Family:
$2,800 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 |
Gold | 21 30 40 50 60 |
$294.47 $334.22 $376.33 $525.92 $799.18 |
$588.94 $668.44 $752.66 $1051.84 $1598.36 |
$775.93 $855.43 $939.65 $1238.83 |
$962.92 $1042.42 $1126.64 $1425.82 |
$1149.91 $1229.41 $1313.63 $1612.81 |
$481.46 $521.21 $563.32 $712.91 |
$668.45 $708.20 $750.31 $899.90 |
$855.44 $895.19 $937.30 $1086.89 |
$186.99 |
Plan: (POS) Coventry Silver $10 CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Aetna Health Inc. (a IA corp.))
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 |
$226.82 $257.44 $289.87 $405.10 $615.58 |
$453.64 $514.88 $579.74 $810.20 $1231.16 |
$597.67 $658.91 $723.77 $954.23 |
$741.70 $802.94 $867.80 $1098.26 |
$885.73 $946.97 $1011.83 $1242.29 |
$370.85 $401.47 $433.90 $549.13 |
$514.88 $545.50 $577.93 $693.16 |
$658.91 $689.53 $721.96 $837.19 |
$144.03 |
Plan: (POS) Coventry Bronze $15 CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Aetna Health Inc. (a IA corp.))
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 |
$187.64 $212.97 $239.81 $335.13 $509.26 |
$375.28 $425.94 $479.62 $670.26 $1018.52 |
$494.43 $545.09 $598.77 $789.41 |
$613.58 $664.24 $717.92 $908.56 |
$732.73 $783.39 $837.07 $1027.71 |
$306.79 $332.12 $358.96 $454.28 |
$425.94 $451.27 $478.11 $573.43 |
$545.09 $570.42 $597.26 $692.58 |
$119.15 |
Plan: (POS) Coventry Bronze Deductible Only HSA EligibleSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Aetna Health Inc. (a IA corp.))
Deductible: Individual:
$6,450
: Family:
$12,900 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$177.60 $201.58 $226.97 $317.19 $482.01 |
$355.20 $403.16 $453.94 $634.38 $964.02 |
$467.98 $515.94 $566.72 $747.16 |
$580.76 $628.72 $679.50 $859.94 |
$693.54 $741.50 $792.28 $972.72 |
$290.38 $314.36 $339.75 $429.97 |
$403.16 $427.14 $452.53 $542.75 |
$515.94 $539.92 $565.31 $655.53 |
$112.78 |
Plan: (POS) Coventry Bronze $15 Copay Mercy Medical Center DMSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Aetna Health Inc. (a IA corp.))
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 |
$150.78 $171.14 $192.70 $269.29 $409.22 |
$301.56 $342.28 $385.40 $538.58 $818.44 |
$397.31 $438.03 $481.15 $634.33 |
$493.06 $533.78 $576.90 $730.08 |
$588.81 $629.53 $672.65 $825.83 |
$246.53 $266.89 $288.45 $365.04 |
$342.28 $362.64 $384.20 $460.79 |
$438.03 $458.39 $479.95 $556.54 |
$95.75 |
Plan: (POS) Coventry Bronze HSA Eligible Mercy Medical Center DMSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Aetna Health Inc. (a IA corp.))
Deductible: Individual:
$6,450
: Family:
$12,900 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$142.72 $161.99 $182.40 $254.90 $387.35 |
$285.44 $323.98 $364.80 $509.80 $774.70 |
$376.07 $414.61 $455.43 $600.43 |
$466.70 $505.24 $546.06 $691.06 |
$557.33 $595.87 $636.69 $781.69 |
$233.35 $252.62 $273.03 $345.53 |
$323.98 $343.25 $363.66 $436.16 |
$414.61 $433.88 $454.29 $526.79 |
$90.63 |
Plan: (POS) Coventry Gold $10 Copay Mercy Medical Center DMSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Aetna Health Inc. (a IA corp.))
Deductible: Individual:
$1,400
: Family:
$2,800 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 |
Gold | 21 30 40 50 60 |
$236.65 $268.60 $302.44 $422.66 $642.27 |
$473.30 $537.20 $604.88 $845.32 $1284.54 |
$623.57 $687.47 $755.15 $995.59 |
$773.84 $837.74 $905.42 $1145.86 |
$924.11 $988.01 $1055.69 $1296.13 |
$386.92 $418.87 $452.71 $572.93 |
$537.19 $569.14 $602.98 $723.20 |
$687.46 $719.41 $753.25 $873.47 |
$150.27 |
Plan: (POS) Coventry Silver $10 Copay Mercy Medical Center DMSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Aetna Health Inc. (a IA corp.))
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 |
$182.29 $206.90 $232.97 $325.57 $494.74 |
$364.58 $413.80 $465.94 $651.14 $989.48 |
$480.33 $529.55 $581.69 $766.89 |
$596.08 $645.30 $697.44 $882.64 |
$711.83 $761.05 $813.19 $998.39 |
$298.04 $322.65 $348.72 $441.32 |
$413.79 $438.40 $464.47 $557.07 |
$529.54 $554.15 $580.22 $672.82 |
$115.75 |
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UnitedHealthcare of the Midlands, Inc.Local: 1-800-482-3229 | Toll Free: 1-800-482-3229 |
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Plan: (HMO) Gold Compass 1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-482-3229 - Provider Directory for This Plan: (UnitedHealthcare of the Midlands, Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$259.30 $294.31 $331.39 $463.11 $703.74 |
$518.60 $588.62 $662.78 $926.22 $1407.48 |
$683.26 $753.28 $827.44 $1090.88 |
$847.92 $917.94 $992.10 $1255.54 |
$1012.58 $1082.60 $1156.76 $1420.20 |
$423.96 $458.97 $496.05 $627.77 |
$588.62 $623.63 $660.71 $792.43 |
$753.28 $788.29 $825.37 $957.09 |
$164.66 |
Plan: (HMO) Gold Compass 500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-482-3229 - Provider Directory for This Plan: (UnitedHealthcare of the Midlands, Inc.)
Deductible: Individual:
$500
: Family:
$1,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$258.01 $292.84 $329.74 $460.80 $700.24 |
$516.02 $585.68 $659.48 $921.60 $1400.48 |
$679.86 $749.52 $823.32 $1085.44 |
$843.70 $913.36 $987.16 $1249.28 |
$1007.54 $1077.20 $1151.00 $1413.12 |
$421.85 $456.68 $493.58 $624.64 |
$585.69 $620.52 $657.42 $788.48 |
$749.53 $784.36 $821.26 $952.32 |
$163.84 |
Plan: (HMO) Gold Compass 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-482-3229 - Provider Directory for This Plan: (UnitedHealthcare of the Midlands, Inc.)
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 |
$255.21 $289.66 $326.16 $455.81 $692.64 |
$510.42 $579.32 $652.32 $911.62 $1385.28 |
$672.48 $741.38 $814.38 $1073.68 |
$834.54 $903.44 $976.44 $1235.74 |
$996.60 $1065.50 $1138.50 $1397.80 |
$417.27 $451.72 $488.22 $617.87 |
$579.33 $613.78 $650.28 $779.93 |
$741.39 $775.84 $812.34 $941.99 |
$162.06 |
Plan: (HMO) Silver Compass HSA 3000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-482-3229 - Provider Directory for This Plan: (UnitedHealthcare of the Midlands, Inc.)
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 |
$215.19 $244.24 $275.01 $384.32 $584.02 |
$430.38 $488.48 $550.02 $768.64 $1168.04 |
$567.02 $625.12 $686.66 $905.28 |
$703.66 $761.76 $823.30 $1041.92 |
$840.30 $898.40 $959.94 $1178.56 |
$351.83 $380.88 $411.65 $520.96 |
$488.47 $517.52 $548.29 $657.60 |
$625.11 $654.16 $684.93 $794.24 |
$136.64 |
Plan: (HMO) Silver Compass 2000 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-482-3229 - Provider Directory for This Plan: (UnitedHealthcare of the Midlands, Inc.)
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 |
$224.01 $254.25 $286.28 $400.08 $607.96 |
$448.02 $508.50 $572.56 $800.16 $1215.92 |
$590.27 $650.75 $714.81 $942.41 |
$732.52 $793.00 $857.06 $1084.66 |
$874.77 $935.25 $999.31 $1226.91 |
$366.26 $396.50 $428.53 $542.33 |
$508.51 $538.75 $570.78 $684.58 |
$650.76 $681.00 $713.03 $826.83 |
$142.25 |
Plan: (HMO) Silver Compass 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-482-3229 - Provider Directory for This Plan: (UnitedHealthcare of the Midlands, Inc.)
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 |
$225.73 $256.20 $288.48 $403.16 $612.63 |
$451.46 $512.40 $576.96 $806.32 $1225.26 |
$594.80 $655.74 $720.30 $949.66 |
$738.14 $799.08 $863.64 $1093.00 |
$881.48 $942.42 $1006.98 $1236.34 |
$369.07 $399.54 $431.82 $546.50 |
$512.41 $542.88 $575.16 $689.84 |
$655.75 $686.22 $718.50 $833.18 |
$143.34 |
Plan: (HMO) Silver Compass 3500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-482-3229 - Provider Directory for This Plan: (UnitedHealthcare of the Midlands, 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 |
$227.45 $258.16 $290.68 $406.23 $617.31 |
$454.90 $516.32 $581.36 $812.46 $1234.62 |
$599.33 $660.75 $725.79 $956.89 |
$743.76 $805.18 $870.22 $1101.32 |
$888.19 $949.61 $1014.65 $1245.75 |
$371.88 $402.59 $435.11 $550.66 |
$516.31 $547.02 $579.54 $695.09 |
$660.74 $691.45 $723.97 $839.52 |
$144.43 |
Plan: (HMO) Silver Compass 4500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-482-3229 - Provider Directory for This Plan: (UnitedHealthcare of the Midlands, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$232.62 $264.02 $297.28 $415.45 $631.32 |
$465.24 $528.04 $594.56 $830.90 $1262.64 |
$612.95 $675.75 $742.27 $978.61 |
$760.66 $823.46 $889.98 $1126.32 |
$908.37 $971.17 $1037.69 $1274.03 |
$380.33 $411.73 $444.99 $563.16 |
$528.04 $559.44 $592.70 $710.87 |
$675.75 $707.15 $740.41 $858.58 |
$147.71 |
Plan: (HMO) Bronze Compass HSA 5500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-482-3229 - Provider Directory for This Plan: (UnitedHealthcare of the Midlands, 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 |
Bronze | 21 30 40 50 60 |
$187.64 $212.97 $239.81 $335.13 $509.26 |
$375.28 $425.94 $479.62 $670.26 $1018.52 |
$494.43 $545.09 $598.77 $789.41 |
$613.58 $664.24 $717.92 $908.56 |
$732.73 $783.39 $837.07 $1027.71 |
$306.79 $332.12 $358.96 $454.28 |
$425.94 $451.27 $478.11 $573.43 |
$545.09 $570.42 $597.26 $692.58 |
$119.15 |
Plan: (HMO) Bronze Compass 6500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-482-3229 - Provider Directory for This Plan: (UnitedHealthcare of the Midlands, 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 |
$197.76 $224.45 $252.73 $353.19 $536.71 |
$395.52 $448.90 $505.46 $706.38 $1073.42 |
$521.10 $574.48 $631.04 $831.96 |
$646.68 $700.06 $756.62 $957.54 |
$772.26 $825.64 $882.20 $1083.12 |
$323.34 $350.03 $378.31 $478.77 |
$448.92 $475.61 $503.89 $604.35 |
$574.50 $601.19 $629.47 $729.93 |
$125.58 |
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Medica Insurance CompanyLocal: | Toll Free: |
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Plan: (PPO) Medica Insure Gold CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Medica Insurance Company)
Deductible: Individual:
$300
: Family:
$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 |
Gold | 21 30 40 50 60 |
$359.57 $408.10 $459.52 $642.18 $975.85 |
$719.14 $816.20 $919.04 $1284.36 $1951.70 |
$947.46 $1044.52 $1147.36 $1512.68 |
$1175.78 $1272.84 $1375.68 $1741.00 |
$1404.10 $1501.16 $1604.00 $1969.32 |
$587.89 $636.42 $687.84 $870.50 |
$816.21 $864.74 $916.16 $1098.82 |
$1044.53 $1093.06 $1144.48 $1327.14 |
$228.32 |
Plan: (PPO) Medica Insure Silver CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Medica Insurance Company)
Deductible: Individual:
$2,600
: Family:
$7,800 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 |
Silver | 21 30 40 50 60 |
$300.35 $340.89 $383.84 $536.41 $815.13 |
$600.70 $681.78 $767.68 $1072.82 $1630.26 |
$791.42 $872.50 $958.40 $1263.54 |
$982.14 $1063.22 $1149.12 $1454.26 |
$1172.86 $1253.94 $1339.84 $1644.98 |
$491.07 $531.61 $574.56 $727.13 |
$681.79 $722.33 $765.28 $917.85 |
$872.51 $913.05 $956.00 $1108.57 |
$190.72 |
Plan: (PPO) Medica Insure Bronze CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Medica Insurance Company)
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 |
$260.08 $295.18 $332.37 $464.49 $705.83 |
$520.16 $590.36 $664.74 $928.98 $1411.66 |
$685.31 $755.51 $829.89 $1094.13 |
$850.46 $920.66 $995.04 $1259.28 |
$1015.61 $1085.81 $1160.19 $1424.43 |
$425.23 $460.33 $497.52 $629.64 |
$590.38 $625.48 $662.67 $794.79 |
$755.53 $790.63 $827.82 $959.94 |
$165.15 |
Plan: (PPO) Medica Insure Gold H S ASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Medica Insurance Company)
Deductible: Individual:
$1,300
: Family:
$3,900 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 |
Gold | 21 30 40 50 60 |
$344.72 $391.25 $440.54 $615.66 $935.55 |
$689.44 $782.50 $881.08 $1231.32 $1871.10 |
$908.33 $1001.39 $1099.97 $1450.21 |
$1127.22 $1220.28 $1318.86 $1669.10 |
$1346.11 $1439.17 $1537.75 $1887.99 |
$563.61 $610.14 $659.43 $834.55 |
$782.50 $829.03 $878.32 $1053.44 |
$1001.39 $1047.92 $1097.21 $1272.33 |
$218.89 |
Plan: (PPO) Medica Insure Silver H S ASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Medica Insurance Company)
Deductible: Individual:
$1,300
: Family:
$3,900 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 |
Silver | 21 30 40 50 60 |
$294.49 $334.24 $376.35 $525.94 $799.22 |
$588.98 $668.48 $752.70 $1051.88 $1598.44 |
$775.98 $855.48 $939.70 $1238.88 |
$962.98 $1042.48 $1126.70 $1425.88 |
$1149.98 $1229.48 $1313.70 $1612.88 |
$481.49 $521.24 $563.35 $712.94 |
$668.49 $708.24 $750.35 $899.94 |
$855.49 $895.24 $937.35 $1086.94 |
$187.00 |
Plan: (PPO) Medica Insure Bronze H S ASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Medica Insurance Company)
Deductible: Individual:
$6,300
: Family:
$12,700 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 |
$247.60 $281.02 $316.43 $442.20 $671.97 |
$495.20 $562.04 $632.86 $884.40 $1343.94 |
$652.42 $719.26 $790.08 $1041.62 |
$809.64 $876.48 $947.30 $1198.84 |
$966.86 $1033.70 $1104.52 $1356.06 |
$404.82 $438.24 $473.65 $599.42 |
$562.04 $595.46 $630.87 $756.64 |
$719.26 $752.68 $788.09 $913.86 |
$157.22 |
Plan: (PPO) Medica Insure CatastrophicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Medica Insurance Company)
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 |
$182.67 $207.32 $233.44 $326.23 $495.73 |
$365.34 $414.64 $466.88 $652.46 $991.46 |
$481.33 $530.63 $582.87 $768.45 |
$597.32 $646.62 $698.86 $884.44 |
$713.31 $762.61 $814.85 $1000.43 |
$298.66 $323.31 $349.43 $442.22 |
$414.65 $439.30 $465.42 $558.21 |
$530.64 $555.29 $581.41 $674.20 |
$115.99 |
Plan: (PPO) Medica Insure Gold Copay 100Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Medica Insurance Company)
Deductible: Individual:
$2,400
: 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 |
Gold | 21 30 40 50 60 |
$358.96 $407.41 $458.74 $641.09 $974.19 |
$717.92 $814.82 $917.48 $1282.18 $1948.38 |
$945.85 $1042.75 $1145.41 $1510.11 |
$1173.78 $1270.68 $1373.34 $1738.04 |
$1401.71 $1498.61 $1601.27 $1965.97 |
$586.89 $635.34 $686.67 $869.02 |
$814.82 $863.27 $914.60 $1096.95 |
$1042.75 $1091.20 $1142.53 $1324.88 |
$227.93 |
Plan: (PPO) Medica Insure Gold Copay PlusSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Medica Insurance Company)
Deductible: Individual:
$1,000
: 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 |
$393.33 $446.42 $502.67 $702.48 $1067.48 |
$786.66 $892.84 $1005.34 $1404.96 $2134.96 |
$1036.42 $1142.60 $1255.10 $1654.72 |
$1286.18 $1392.36 $1504.86 $1904.48 |
$1535.94 $1642.12 $1754.62 $2154.24 |
$643.09 $696.18 $752.43 $952.24 |
$892.85 $945.94 $1002.19 $1202.00 |
$1142.61 $1195.70 $1251.95 $1451.76 |
$249.76 |
Plan: (PPO) Medica Insure Silver Copay PlusSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Medica Insurance Company)
Deductible: Individual:
$2,500
: 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 |
Silver | 21 30 40 50 60 |
$346.56 $393.33 $442.89 $618.93 $940.53 |
$693.12 $786.66 $885.78 $1237.86 $1881.06 |
$913.18 $1006.72 $1105.84 $1457.92 |
$1133.24 $1226.78 $1325.90 $1677.98 |
$1353.30 $1446.84 $1545.96 $1898.04 |
$566.62 $613.39 $662.95 $838.99 |
$786.68 $833.45 $883.01 $1059.05 |
$1006.74 $1053.51 $1103.07 $1279.11 |
$220.06 |
†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 Polk County here.