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Providers for Zip Code 66701

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ObamacareByZipCode.com

Obamacare 2016 Marketplace Rates For Bourbon County, Kansas

Tuesday, April 16th, 2024


The health insurance rates listed below are for calendar year 2016.

2016 Rates and Providers

(click here for 2014)

(click here for 2015)

This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Bourbon County, Kansas.

Obamacare Providers, Plans and 2016 Rates for Bourbon County

Bourbon County is in “Rating Area 7” of Kansas.

Currently, there are 2 providers offering 36 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 Fort Scott, KS area accept this insurance coverage as within the plan's "network".
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Blue Cross and Blue Shield of Kansas, Inc.

Local: 1-785-291-4186 | Toll Free: 1-800-392-7366

TTY: 1-800-430-1270

Plan: (PPO) BlueCare Elite with pediatric dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Kansas, Inc.)

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $1,150 : Family: $2,300

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
Platinum 21
30
40
50
60		 $328.13
$372.43
$419.35
$586.04
$890.55		 $656.26
$744.86
$838.70
$1172.08
$1781.10		 $864.62
$953.22
$1047.06
$1380.44		 $1072.98
$1161.58
$1255.42
$1588.80		 $1281.34
$1369.94
$1463.78
$1797.16		 $536.49
$580.79
$627.71
$794.40		 $744.85
$789.15
$836.07
$1002.76		 $953.21
$997.51
$1044.43
$1211.12		 $208.36

Plan: (PPO) BlueCare Premier with pediatric dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Kansas, Inc.)

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $3,500 : Family: $7,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $262.82
$298.30
$335.89
$469.40
$713.30		 $525.64
$596.60
$671.78
$938.80
$1426.60		 $692.53
$763.49
$838.67
$1105.69		 $859.42
$930.38
$1005.56
$1272.58		 $1026.31
$1097.27
$1172.45
$1439.47		 $429.71
$465.19
$502.78
$636.29		 $596.60
$632.08
$669.67
$803.18		 $763.49
$798.97
$836.56
$970.07		 $166.89

Plan: (PPO) BlueCare Essential with pediatric dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Kansas, Inc.)

Deductible: Individual: $6,850 : Family: $13,700
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $199.52
$226.46
$254.99
$356.35
$541.50		 $399.04
$452.92
$509.98
$712.70
$1083.00		 $525.74
$579.62
$636.68
$839.40		 $652.44
$706.32
$763.38
$966.10		 $779.14
$833.02
$890.08
$1092.80		 $326.22
$353.16
$381.69
$483.05		 $452.92
$479.86
$508.39
$609.75		 $579.62
$606.56
$635.09
$736.45		 $126.70

Plan: (PPO) Blue Cross and Blue Shield FreedomPlus, a Multi-State Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Kansas, Inc.)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: 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		 $292.32
$331.79
$373.59
$522.09
$793.37		 $584.64
$663.58
$747.18
$1044.18
$1586.74		 $770.27
$849.21
$932.81
$1229.81		 $955.90
$1034.84
$1118.44
$1415.44		 $1141.53
$1220.47
$1304.07
$1601.07		 $477.95
$517.42
$559.22
$707.72		 $663.58
$703.05
$744.85
$893.35		 $849.21
$888.68
$930.48
$1078.98		 $185.63

Plan: (PPO) Blue Cross and Blue Shield Freedom, a Multi-State Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Kansas, Inc.)

Deductible: Individual: $2,200 : Family: $4,400
Out of Pocket Maximum per year: 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		 $239.88
$272.27
$306.57
$428.43
$651.04		 $479.76
$544.54
$613.14
$856.86
$1302.08		 $632.08
$696.86
$765.46
$1009.18		 $784.40
$849.18
$917.78
$1161.50		 $936.72
$1001.50
$1070.10
$1313.82		 $392.20
$424.59
$458.89
$580.75		 $544.52
$576.91
$611.21
$733.07		 $696.84
$729.23
$763.53
$885.39		 $152.32

Plan: (PPO) BlueCare Elite

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Kansas, Inc.)

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $1,150 : Family: $2,300

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
Platinum 21
30
40
50
60		 $327.21
$371.38
$418.17
$584.40
$888.05		 $654.42
$742.76
$836.34
$1168.80
$1776.10		 $862.20
$950.54
$1044.12
$1376.58		 $1069.98
$1158.32
$1251.90
$1584.36		 $1277.76
$1366.10
$1459.68
$1792.14		 $534.99
$579.16
$625.95
$792.18		 $742.77
$786.94
$833.73
$999.96		 $950.55
$994.72
$1041.51
$1207.74		 $207.78

Plan: (PPO) BlueCare PremierPlus

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Kansas, Inc.)

Deductible: Individual: $750 : Family: $1,500
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $286.07
$324.69
$365.60
$510.92
$776.39		 $572.14
$649.38
$731.20
$1021.84
$1552.78		 $753.79
$831.03
$912.85
$1203.49		 $935.44
$1012.68
$1094.50
$1385.14		 $1117.09
$1194.33
$1276.15
$1566.79		 $467.72
$506.34
$547.25
$692.57		 $649.37
$687.99
$728.90
$874.22		 $831.02
$869.64
$910.55
$1055.87		 $181.65

Plan: (PPO) BlueCare Signature

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Kansas, Inc.)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: 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		 $232.53
$263.92
$297.17
$415.29
$631.08		 $465.06
$527.84
$594.34
$830.58
$1262.16		 $612.71
$675.49
$741.99
$978.23		 $760.36
$823.14
$889.64
$1125.88		 $908.01
$970.79
$1037.29
$1273.53		 $380.18
$411.57
$444.82
$562.94		 $527.83
$559.22
$592.47
$710.59		 $675.48
$706.87
$740.12
$858.24		 $147.65

Plan: (PPO) BlueCare Premier

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Kansas, Inc.)

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $3,500 : Family: $7,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $262.09
$297.47
$334.95
$468.09
$711.30		 $524.18
$594.94
$669.90
$936.18
$1422.60		 $690.60
$761.36
$836.32
$1102.60		 $857.02
$927.78
$1002.74
$1269.02		 $1023.44
$1094.20
$1169.16
$1435.44		 $428.51
$463.89
$501.37
$634.51		 $594.93
$630.31
$667.79
$800.93		 $761.35
$796.73
$834.21
$967.35		 $166.42

Plan: (PPO) BlueCare SaverPlus

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Kansas, Inc.)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $224.14
$254.40
$286.45
$400.31
$608.31		 $448.28
$508.80
$572.90
$800.62
$1216.62		 $590.61
$651.13
$715.23
$942.95		 $732.94
$793.46
$857.56
$1085.28		 $875.27
$935.79
$999.89
$1227.61		 $366.47
$396.73
$428.78
$542.64		 $508.80
$539.06
$571.11
$684.97		 $651.13
$681.39
$713.44
$827.30		 $142.33

Plan: (PPO) BlueCare Essential

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Kansas, Inc.)

Deductible: Individual: $6,850 : Family: $13,700
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $198.96
$225.82
$254.28
$355.35
$539.99		 $397.92
$451.64
$508.56
$710.70
$1079.98		 $524.26
$577.98
$634.90
$837.04		 $650.60
$704.32
$761.24
$963.38		 $776.94
$830.66
$887.58
$1089.72		 $325.30
$352.16
$380.62
$481.69		 $451.64
$478.50
$506.96
$608.03		 $577.98
$604.84
$633.30
$734.37		 $126.34

Plan: (PPO) BlueCare Simple Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Kansas, Inc.)

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: 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		 $231.33
$262.55
$295.63
$413.15
$627.82		 $462.66
$525.10
$591.26
$826.30
$1255.64		 $609.55
$671.99
$738.15
$973.19		 $756.44
$818.88
$885.04
$1120.08		 $903.33
$965.77
$1031.93
$1266.97		 $378.22
$409.44
$442.52
$560.04		 $525.11
$556.33
$589.41
$706.93		 $672.00
$703.22
$736.30
$853.82		 $146.89

Plan: (PPO) BlueCare Simple Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Kansas, Inc.)

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: 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		 $198.57
$225.38
$253.78
$354.65
$538.93		 $397.14
$450.76
$507.56
$709.30
$1077.86		 $523.23
$576.85
$633.65
$835.39		 $649.32
$702.94
$759.74
$961.48		 $775.41
$829.03
$885.83
$1087.57		 $324.66
$351.47
$379.87
$480.74		 $450.75
$477.56
$505.96
$606.83		 $576.84
$603.65
$632.05
$732.92		 $126.09
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BlueCross BlueShield Kansas Solutions, Inc.

Local: 1-785-291-4186 | Toll Free: 1-800-392-7366

TTY: 1-800-430-1270

Plan: (HMO) BlueCare Solutions Gold

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (BlueCross BlueShield Kansas Solutions, Inc.)

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $3,500 : Family: $7,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $209.95
$238.29
$268.32
$374.97
$569.80		 $419.90
$476.58
$536.64
$749.94
$1139.60		 $553.22
$609.90
$669.96
$883.26		 $686.54
$743.22
$803.28
$1016.58		 $819.86
$876.54
$936.60
$1149.90		 $343.27
$371.61
$401.64
$508.29		 $476.59
$504.93
$534.96
$641.61		 $609.91
$638.25
$668.28
$774.93		 $133.32

Plan: (HMO) BlueCare Solutions Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (BlueCross BlueShield Kansas Solutions, Inc.)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $179.57
$203.81
$229.49
$320.71
$487.36		 $359.14
$407.62
$458.98
$641.42
$974.72		 $473.17
$521.65
$573.01
$755.45		 $587.20
$635.68
$687.04
$869.48		 $701.23
$749.71
$801.07
$983.51		 $293.60
$317.84
$343.52
$434.74		 $407.63
$431.87
$457.55
$548.77		 $521.66
$545.90
$571.58
$662.80		 $114.03

Plan: (HMO) BlueCare Solutions Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (BlueCross BlueShield Kansas Solutions, Inc.)

Deductible: Individual: $6,850 : Family: $13,700
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $160.22
$181.84
$204.76
$286.15
$434.83		 $320.44
$363.68
$409.52
$572.30
$869.66		 $422.18
$465.42
$511.26
$674.04		 $523.92
$567.16
$613.00
$775.78		 $625.66
$668.90
$714.74
$877.52		 $261.96
$283.58
$306.50
$387.89		 $363.70
$385.32
$408.24
$489.63		 $465.44
$487.06
$509.98
$591.37		 $101.74

Plan: (HMO) BlueCare Solutions Simple Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (BlueCross BlueShield Kansas Solutions, Inc.)

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: 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		 $185.65
$210.71
$237.26
$331.57
$503.86		 $371.30
$421.42
$474.52
$663.14
$1007.72		 $489.19
$539.31
$592.41
$781.03		 $607.08
$657.20
$710.30
$898.92		 $724.97
$775.09
$828.19
$1016.81		 $303.54
$328.60
$355.15
$449.46		 $421.43
$446.49
$473.04
$567.35		 $539.32
$564.38
$590.93
$685.24		 $117.89

Plan: (HMO) BlueCare Solutions Simple Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-7366 - Provider Directory for This Plan: (BlueCross BlueShield Kansas Solutions, Inc.)

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: 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		 $159.46
$180.99
$203.79
$284.80
$432.78		 $318.92
$361.98
$407.58
$569.60
$865.56		 $420.18
$463.24
$508.84
$670.86		 $521.44
$564.50
$610.10
$772.12		 $622.70
$665.76
$711.36
$873.38		 $260.72
$282.25
$305.05
$386.06		 $361.98
$383.51
$406.31
$487.32		 $463.24
$484.77
$507.57
$588.58		 $101.26
ADVERTISEMENT

UnitedHealthcare of the Midwest, Inc.

Local: 1-877-632-4195 | Toll Free: 1-877-632-4195

Plan: (HMO) Gold Compass 500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare of the Midwest, Inc.)

Deductible: Individual: $500 : Family: $1,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $291.24
$330.56
$372.21
$520.16
$790.44		 $582.48
$661.12
$744.42
$1040.32
$1580.88		 $767.42
$846.06
$929.36
$1225.26		 $952.36
$1031.00
$1114.30
$1410.20		 $1137.30
$1215.94
$1299.24
$1595.14		 $476.18
$515.50
$557.15
$705.10		 $661.12
$700.44
$742.09
$890.04		 $846.06
$885.38
$927.03
$1074.98		 $184.94

Plan: (HMO) Gold Compass 0

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare of the Midwest, Inc.)

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $288.09
$326.98
$368.17
$514.52
$781.87		 $576.18
$653.96
$736.34
$1029.04
$1563.74		 $759.11
$836.89
$919.27
$1211.97		 $942.04
$1019.82
$1102.20
$1394.90		 $1124.97
$1202.75
$1285.13
$1577.83		 $471.02
$509.91
$551.10
$697.45		 $653.95
$692.84
$734.03
$880.38		 $836.88
$875.77
$916.96
$1063.31		 $182.93

Plan: (HMO) Silver Compass HSA 3000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare of the Midwest, Inc.)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $242.91
$275.70
$310.43
$433.83
$659.25		 $485.82
$551.40
$620.86
$867.66
$1318.50		 $640.07
$705.65
$775.11
$1021.91		 $794.32
$859.90
$929.36
$1176.16		 $948.57
$1014.15
$1083.61
$1330.41		 $397.16
$429.95
$464.68
$588.08		 $551.41
$584.20
$618.93
$742.33		 $705.66
$738.45
$773.18
$896.58		 $154.25

Plan: (HMO) Silver Compass 2000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare of the Midwest, Inc.)

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $254.81
$289.21
$325.65
$455.09
$691.55		 $509.62
$578.42
$651.30
$910.18
$1383.10		 $671.42
$740.22
$813.10
$1071.98		 $833.22
$902.02
$974.90
$1233.78		 $995.02
$1063.82
$1136.70
$1395.58		 $416.61
$451.01
$487.45
$616.89		 $578.41
$612.81
$649.25
$778.69		 $740.21
$774.61
$811.05
$940.49		 $161.80

Plan: (HMO) Silver Compass 3500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare of the Midwest, Inc.)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $256.75
$291.41
$328.13
$458.56
$696.82		 $513.50
$582.82
$656.26
$917.12
$1393.64		 $676.54
$745.86
$819.30
$1080.16		 $839.58
$908.90
$982.34
$1243.20		 $1002.62
$1071.94
$1145.38
$1406.24		 $419.79
$454.45
$491.17
$621.60		 $582.83
$617.49
$654.21
$784.64		 $745.87
$780.53
$817.25
$947.68		 $163.04

Plan: (HMO) Silver Compass 4500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare of the Midwest, Inc.)

Deductible: Individual: $4,500 : Family: $9,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $262.58
$298.03
$335.58
$468.97
$712.65		 $525.16
$596.06
$671.16
$937.94
$1425.30		 $691.90
$762.80
$837.90
$1104.68		 $858.64
$929.54
$1004.64
$1271.42		 $1025.38
$1096.28
$1171.38
$1438.16		 $429.32
$464.77
$502.32
$635.71		 $596.06
$631.51
$669.06
$802.45		 $762.80
$798.25
$835.80
$969.19		 $166.74

Plan: (HMO) Bronze Compass HSA 5500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare of the Midwest, Inc.)

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $211.81
$240.41
$270.70
$378.30
$574.86		 $423.62
$480.82
$541.40
$756.60
$1149.72		 $558.12
$615.32
$675.90
$891.10		 $692.62
$749.82
$810.40
$1025.60		 $827.12
$884.32
$944.90
$1160.10		 $346.31
$374.91
$405.20
$512.80		 $480.81
$509.41
$539.70
$647.30		 $615.31
$643.91
$674.20
$781.80		 $134.50

Plan: (HMO) Bronze Compass 6500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare of the Midwest, Inc.)

Deductible: Individual: $6,500 : Family: $13,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $223.23
$253.37
$285.29
$398.69
$605.85		 $446.46
$506.74
$570.58
$797.38
$1211.70		 $588.21
$648.49
$712.33
$939.13		 $729.96
$790.24
$854.08
$1080.88		 $871.71
$931.99
$995.83
$1222.63		 $364.98
$395.12
$427.04
$540.44		 $506.73
$536.87
$568.79
$682.19		 $648.48
$678.62
$710.54
$823.94		 $141.75

†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 Bourbon County here.

 

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