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Providers for Zip Code 70364

LegalConsumer.com/obamacare

ObamacareByZipCode.com

Obamacare 2016 Marketplace Rates For Terrebonne Parish, Louisiana

Friday, April 19th, 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 Terrebonne Parish, Louisiana.

Obamacare Providers, Plans and 2016 Rates for Terrebonne Parish

Terrebonne Parish is in “Rating Area 2” of Louisiana.

Currently, there are 4 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 Houma, LA area accept this insurance coverage as within the plan's "network".
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HMO Louisiana, Inc.

Local: 1-800-392-4087 | Toll Free: 1-800-392-4087

TTY: 1-800-392-4087

Plan: (POS) Blue POS copay 80/60 $1000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (HMO Louisiana, Inc.)

Deductible: Individual: $1,000 : Family: $3,000
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $339.26
$385.06
$433.57
$605.92
$920.75		 $678.52
$770.12
$867.14
$1211.84
$1841.50		 $893.95
$985.55
$1082.57
$1427.27		 $1109.38
$1200.98
$1298.00
$1642.70		 $1324.81
$1416.41
$1513.43
$1858.13		 $554.69
$600.49
$649.00
$821.35		 $770.12
$815.92
$864.43
$1036.78		 $985.55
$1031.35
$1079.86
$1252.21		 $215.43

Plan: (POS) Blue POS copay 70/50 $3000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (HMO Louisiana, Inc.)

Deductible: Individual: $3,000 : 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		 $300.11
$340.62
$383.54
$536.00
$814.50		 $600.22
$681.24
$767.08
$1072.00
$1629.00		 $790.79
$871.81
$957.65
$1262.57		 $981.36
$1062.38
$1148.22
$1453.14		 $1171.93
$1252.95
$1338.79
$1643.71		 $490.68
$531.19
$574.11
$726.57		 $681.25
$721.76
$764.68
$917.14		 $871.82
$912.33
$955.25
$1107.71		 $190.57

Plan: (POS) Blue POS 100/80 $3500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (HMO Louisiana, Inc.)

Deductible: Individual: $3,500 : Family: $10,500
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		 $267.77
$303.92
$342.21
$478.24
$726.73		 $535.54
$607.84
$684.42
$956.48
$1453.46		 $705.57
$777.87
$854.45
$1126.51		 $875.60
$947.90
$1024.48
$1296.54		 $1045.63
$1117.93
$1194.51
$1466.57		 $437.80
$473.95
$512.24
$648.27		 $607.83
$643.98
$682.27
$818.30		 $777.86
$814.01
$852.30
$988.33		 $170.03

Plan: (POS) Blue POS copay 80/60 $4500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (HMO Louisiana, Inc.)

Deductible: Individual: $4,500 : Family: $13,500
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		 $294.85
$334.65
$376.82
$526.60
$800.22		 $589.70
$669.30
$753.64
$1053.20
$1600.44		 $776.93
$856.53
$940.87
$1240.43		 $964.16
$1043.76
$1128.10
$1427.66		 $1151.39
$1230.99
$1315.33
$1614.89		 $482.08
$521.88
$564.05
$713.83		 $669.31
$709.11
$751.28
$901.06		 $856.54
$896.34
$938.51
$1088.29		 $187.23

Plan: (POS) Blue POS 60/40 $6500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (HMO Louisiana, Inc.)

Deductible: Individual: $6,500 : 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		 $205.27
$232.98
$262.34
$366.61
$557.10		 $410.54
$465.96
$524.68
$733.22
$1114.20		 $540.89
$596.31
$655.03
$863.57		 $671.24
$726.66
$785.38
$993.92		 $801.59
$857.01
$915.73
$1124.27		 $335.62
$363.33
$392.69
$496.96		 $465.97
$493.68
$523.04
$627.31		 $596.32
$624.03
$653.39
$757.66		 $130.35

Plan: (POS) Blue POS 70/50 $4500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (HMO Louisiana, Inc.)

Deductible: Individual: $4,500 : Family: $13,500
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		 $214.95
$243.97
$274.71
$383.90
$583.37		 $429.90
$487.94
$549.42
$767.80
$1166.74		 $566.39
$624.43
$685.91
$904.29		 $702.88
$760.92
$822.40
$1040.78		 $839.37
$897.41
$958.89
$1177.27		 $351.44
$380.46
$411.20
$520.39		 $487.93
$516.95
$547.69
$656.88		 $624.42
$653.44
$684.18
$793.37		 $136.49
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UnitedHealthcare of Louisiana, Inc.

Local: 1-877-512-9977 | Toll Free: 1-877-512-9977

Plan: (HMO) Gold Compass 1000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9977 - Provider Directory for This Plan: (UnitedHealthcare of Louisiana, Inc.)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200

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		 $322.93
$366.52
$412.69
$576.74
$876.41		 $645.86
$733.04
$825.38
$1153.48
$1752.82		 $850.92
$938.10
$1030.44
$1358.54		 $1055.98
$1143.16
$1235.50
$1563.60		 $1261.04
$1348.22
$1440.56
$1768.66		 $527.99
$571.58
$617.75
$781.80		 $733.05
$776.64
$822.81
$986.86		 $938.11
$981.70
$1027.87
$1191.92		 $205.06

Plan: (HMO) Silver Compass HSA 3600

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9977 - Provider Directory for This Plan: (UnitedHealthcare of Louisiana, Inc.)

Deductible: Individual: $3,600 : Family: $7,200
Out of Pocket Maximum per year: Individual: $3,600 : Family: $7,200

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $278.15
$315.69
$355.46
$496.75
$754.86		 $556.30
$631.38
$710.92
$993.50
$1509.72		 $732.92
$808.00
$887.54
$1170.12		 $909.54
$984.62
$1064.16
$1346.74		 $1086.16
$1161.24
$1240.78
$1523.36		 $454.77
$492.31
$532.08
$673.37		 $631.39
$668.93
$708.70
$849.99		 $808.01
$845.55
$885.32
$1026.61		 $176.62

Plan: (HMO) Silver Compass 4000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9977 - Provider Directory for This Plan: (UnitedHealthcare of Louisiana, Inc.)

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $275.79
$313.01
$352.45
$492.54
$748.47		 $551.58
$626.02
$704.90
$985.08
$1496.94		 $726.70
$801.14
$880.02
$1160.20		 $901.82
$976.26
$1055.14
$1335.32		 $1076.94
$1151.38
$1230.26
$1510.44		 $450.91
$488.13
$527.57
$667.66		 $626.03
$663.25
$702.69
$842.78		 $801.15
$838.37
$877.81
$1017.90		 $175.12

Plan: (HMO) Silver Compass 5000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9977 - Provider Directory for This Plan: (UnitedHealthcare of Louisiana, Inc.)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $268.33
$304.54
$342.91
$479.21
$728.21		 $536.66
$609.08
$685.82
$958.42
$1456.42		 $707.04
$779.46
$856.20
$1128.80		 $877.42
$949.84
$1026.58
$1299.18		 $1047.80
$1120.22
$1196.96
$1469.56		 $438.71
$474.92
$513.29
$649.59		 $609.09
$645.30
$683.67
$819.97		 $779.47
$815.68
$854.05
$990.35		 $170.38

Plan: (HMO) Bronze Compass 6400

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9977 - Provider Directory for This Plan: (UnitedHealthcare of Louisiana, Inc.)

Deductible: Individual: $6,400 : Family: $12,800
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		 $242.00
$274.66
$309.27
$432.20
$656.77		 $484.00
$549.32
$618.54
$864.40
$1313.54		 $637.67
$702.99
$772.21
$1018.07		 $791.34
$856.66
$925.88
$1171.74		 $945.01
$1010.33
$1079.55
$1325.41		 $395.67
$428.33
$462.94
$585.87		 $549.34
$582.00
$616.61
$739.54		 $703.01
$735.67
$770.28
$893.21		 $153.67

Plan: (HMO) Catastrophic Compass 6850

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9977 - Provider Directory for This Plan: (UnitedHealthcare of Louisiana, Inc.)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Catastrophic 21
30
40
50
60		 $194.47
$220.71
$248.52
$347.31
$527.76		 $388.94
$441.42
$497.04
$694.62
$1055.52		 $512.42
$564.90
$620.52
$818.10		 $635.90
$688.38
$744.00
$941.58		 $759.38
$811.86
$867.48
$1065.06		 $317.95
$344.19
$372.00
$470.79		 $441.43
$467.67
$495.48
$594.27		 $564.91
$591.15
$618.96
$717.75		 $123.48
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Vantage Health Plan, Inc.

Local: 1-318-361-0900 | Toll Free: 1-888-823-1910

TTY: 1-866-524-5144

Plan: (POS) Vantage Plus Individual Platinum

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-823-1910 - Provider Directory for This Plan: (Vantage Health Plan, Inc.)

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $1,700 : Family: $3,400

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Platinum 21
30
40
50
60		 $378.43
$429.52
$483.63
$675.88
$1027.06		 $756.86
$859.04
$967.26
$1351.76
$2054.12		 $997.16
$1099.34
$1207.56
$1592.06		 $1237.46
$1339.64
$1447.86
$1832.36		 $1477.76
$1579.94
$1688.16
$2072.66		 $618.73
$669.82
$723.93
$916.18		 $859.03
$910.12
$964.23
$1156.48		 $1099.33
$1150.42
$1204.53
$1396.78		 $240.30

Plan: (POS) Vantage Plus Individual Gold

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-823-1910 - Provider Directory for This Plan: (Vantage Health Plan, Inc.)

Deductible: Individual: $750 : Family: $1,500
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $334.64
$379.82
$427.67
$597.67
$908.21		 $669.28
$759.64
$855.34
$1195.34
$1816.42		 $881.78
$972.14
$1067.84
$1407.84		 $1094.28
$1184.64
$1280.34
$1620.34		 $1306.78
$1397.14
$1492.84
$1832.84		 $547.14
$592.32
$640.17
$810.17		 $759.64
$804.82
$852.67
$1022.67		 $972.14
$1017.32
$1065.17
$1235.17		 $212.50

Plan: (POS) Vantage Plus Individual Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-823-1910 - Provider Directory for This Plan: (Vantage Health Plan, Inc.)

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $293.69
$333.34
$375.33
$524.53
$797.07		 $587.38
$666.68
$750.66
$1049.06
$1594.14		 $773.87
$853.17
$937.15
$1235.55		 $960.36
$1039.66
$1123.64
$1422.04		 $1146.85
$1226.15
$1310.13
$1608.53		 $480.18
$519.83
$561.82
$711.02		 $666.67
$706.32
$748.31
$897.51		 $853.16
$892.81
$934.80
$1084.00		 $186.49

Plan: (POS) Vantage Plus Individual Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-823-1910 - Provider Directory for This Plan: (Vantage Health Plan, Inc.)

Deductible: Individual: $6,800 : Family: $13,600
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		 $229.07
$260.00
$292.76
$409.13
$621.71		 $458.14
$520.00
$585.52
$818.26
$1243.42		 $603.60
$665.46
$730.98
$963.72		 $749.06
$810.92
$876.44
$1109.18		 $894.52
$956.38
$1021.90
$1254.64		 $374.53
$405.46
$438.22
$554.59		 $519.99
$550.92
$583.68
$700.05		 $665.45
$696.38
$729.14
$845.51		 $145.46

Plan: (POS) Vantage Savings Plus

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-823-1910 - Provider Directory for This Plan: (Vantage Health Plan, Inc.)

Deductible: Individual: $6,000 : Family: $12,000
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		 $212.59
$241.29
$271.69
$379.68
$576.96		 $425.18
$482.58
$543.38
$759.36
$1153.92		 $560.17
$617.57
$678.37
$894.35		 $695.16
$752.56
$813.36
$1029.34		 $830.15
$887.55
$948.35
$1164.33		 $347.58
$376.28
$406.68
$514.67		 $482.57
$511.27
$541.67
$649.66		 $617.56
$646.26
$676.66
$784.65		 $134.99
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Louisiana Health Service & Indemnity Company

Local: 1-800-392-4087 | Toll Free: 1-800-392-4087

TTY: 1-800-392-4087

Plan: (PPO) Blue Cross and Blue Shield of Louisiana $2250, a Multi-State Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)

Deductible: Individual: $2,250 : Family: $6,750
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		 $350.95
$398.33
$448.51
$626.80
$952.48		 $701.90
$796.66
$897.02
$1253.60
$1904.96		 $924.75
$1019.51
$1119.87
$1476.45		 $1147.60
$1242.36
$1342.72
$1699.30		 $1370.45
$1465.21
$1565.57
$1922.15		 $573.80
$621.18
$671.36
$849.65		 $796.65
$844.03
$894.21
$1072.50		 $1019.50
$1066.88
$1117.06
$1295.35		 $222.85

Plan: (PPO) Blue Cross and Blue Shield of Louisiana $1900, a Multi-State Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)

Deductible: Individual: $1,900 : Family: $5,700
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
Gold 21
30
40
50
60		 $383.50
$435.27
$490.11
$684.93
$1040.82		 $767.00
$870.54
$980.22
$1369.86
$2081.64		 $1010.52
$1114.06
$1223.74
$1613.38		 $1254.04
$1357.58
$1467.26
$1856.90		 $1497.56
$1601.10
$1710.78
$2100.42		 $627.02
$678.79
$733.63
$928.45		 $870.54
$922.31
$977.15
$1171.97		 $1114.06
$1165.83
$1220.67
$1415.49		 $243.52

Plan: (PPO) Blue Max copay 70/50 $2500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)

Deductible: Individual: $2,500 : Family: $7,500
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $338.87
$384.62
$433.08
$605.22
$919.69		 $677.74
$769.24
$866.16
$1210.44
$1839.38		 $892.92
$984.42
$1081.34
$1425.62		 $1108.10
$1199.60
$1296.52
$1640.80		 $1323.28
$1414.78
$1511.70
$1855.98		 $554.05
$599.80
$648.26
$820.40		 $769.23
$814.98
$863.44
$1035.58		 $984.41
$1030.16
$1078.62
$1250.76		 $215.18

Plan: (PPO) Blue Max 100/80 $1800

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)

Deductible: Individual: $1,800 : Family: $5,400
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		 $388.35
$440.78
$496.31
$693.59
$1053.98		 $776.70
$881.56
$992.62
$1387.18
$2107.96		 $1023.30
$1128.16
$1239.22
$1633.78		 $1269.90
$1374.76
$1485.82
$1880.38		 $1516.50
$1621.36
$1732.42
$2126.98		 $634.95
$687.38
$742.91
$940.19		 $881.55
$933.98
$989.51
$1186.79		 $1128.15
$1180.58
$1236.11
$1433.39		 $246.60

Plan: (PPO) Blue Max 80/60 $3000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)

Deductible: Individual: $3,000 : Family: $9,000
Out of Pocket Maximum per year: 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		 $324.99
$368.86
$415.34
$580.43
$882.02		 $649.98
$737.72
$830.68
$1160.86
$1764.04		 $856.35
$944.09
$1037.05
$1367.23		 $1062.72
$1150.46
$1243.42
$1573.60		 $1269.09
$1356.83
$1449.79
$1779.97		 $531.36
$575.23
$621.71
$786.80		 $737.73
$781.60
$828.08
$993.17		 $944.10
$987.97
$1034.45
$1199.54		 $206.37

Plan: (PPO) Blue Max 80/60 $5000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)

Deductible: Individual: $5,000 : 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		 $252.36
$286.43
$322.52
$450.71
$684.91		 $504.72
$572.86
$645.04
$901.42
$1369.82		 $664.97
$733.11
$805.29
$1061.67		 $825.22
$893.36
$965.54
$1221.92		 $985.47
$1053.61
$1125.79
$1382.17		 $412.61
$446.68
$482.77
$610.96		 $572.86
$606.93
$643.02
$771.21		 $733.11
$767.18
$803.27
$931.46		 $160.25

Plan: (PPO) Blue Max Copay 80/60 $6250

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)

Deductible: Individual: $6,250 : 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		 $261.29
$296.56
$333.93
$466.66
$709.14		 $522.58
$593.12
$667.86
$933.32
$1418.28		 $688.50
$759.04
$833.78
$1099.24		 $854.42
$924.96
$999.70
$1265.16		 $1020.34
$1090.88
$1165.62
$1431.08		 $427.21
$462.48
$499.85
$632.58		 $593.13
$628.40
$665.77
$798.50		 $759.05
$794.32
$831.69
$964.42		 $165.92

Plan: (PPO) Blue Max 100/100 $4000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)

Deductible: Individual: $4,000 : Family: $12,000
Out of Pocket Maximum per year: Individual: $4,000 : 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
Silver 21
30
40
50
60		 $310.47
$352.38
$396.78
$554.50
$842.62		 $620.94
$704.76
$793.56
$1109.00
$1685.24		 $818.09
$901.91
$990.71
$1306.15		 $1015.24
$1099.06
$1187.86
$1503.30		 $1212.39
$1296.21
$1385.01
$1700.45		 $507.62
$549.53
$593.93
$751.65		 $704.77
$746.68
$791.08
$948.80		 $901.92
$943.83
$988.23
$1145.95		 $197.15

Plan: (PPO) Blue Saver 100/80 $1700

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)

Deductible: Individual: $1,700 : Family: $3,400
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $394.88
$448.19
$504.66
$705.26
$1071.70		 $789.76
$896.38
$1009.32
$1410.52
$2143.40		 $1040.51
$1147.13
$1260.07
$1661.27		 $1291.26
$1397.88
$1510.82
$1912.02		 $1542.01
$1648.63
$1761.57
$2162.77		 $645.63
$698.94
$755.41
$956.01		 $896.38
$949.69
$1006.16
$1206.76		 $1147.13
$1200.44
$1256.91
$1457.51		 $250.75

Plan: (PPO) Blue Saver 80/60 $1900

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)

Deductible: Individual: $1,900 : Family: $3,800
Out of Pocket Maximum per year: Individual: $4,600 : Family: $9,200

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $339.14
$384.92
$433.42
$605.70
$920.43		 $678.28
$769.84
$866.84
$1211.40
$1840.86		 $893.63
$985.19
$1082.19
$1426.75		 $1108.98
$1200.54
$1297.54
$1642.10		 $1324.33
$1415.89
$1512.89
$1857.45		 $554.49
$600.27
$648.77
$821.05		 $769.84
$815.62
$864.12
$1036.40		 $985.19
$1030.97
$1079.47
$1251.75		 $215.35

Plan: (PPO) Blue Saver 100/80 $3000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: 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		 $336.11
$381.48
$429.55
$600.29
$912.20		 $672.22
$762.96
$859.10
$1200.58
$1824.40		 $885.65
$976.39
$1072.53
$1414.01		 $1099.08
$1189.82
$1285.96
$1627.44		 $1312.51
$1403.25
$1499.39
$1840.87		 $549.54
$594.91
$642.98
$813.72		 $762.97
$808.34
$856.41
$1027.15		 $976.40
$1021.77
$1069.84
$1240.58		 $213.43

Plan: (PPO) Blue Saver 60/40 $3600

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)

Deductible: Individual: $3,600 : Family: $7,200
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $279.08
$316.76
$356.66
$498.44
$757.42		 $558.16
$633.52
$713.32
$996.88
$1514.84		 $735.38
$810.74
$890.54
$1174.10		 $912.60
$987.96
$1067.76
$1351.32		 $1089.82
$1165.18
$1244.98
$1528.54		 $456.30
$493.98
$533.88
$675.66		 $633.52
$671.20
$711.10
$852.88		 $810.74
$848.42
$888.32
$1030.10		 $177.22

Plan: (PPO) Blue Saver 100/80 $5550

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)

Deductible: Individual: $5,550 : Family: $11,100
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $279.34
$317.05
$357.00
$498.90
$758.13		 $558.68
$634.10
$714.00
$997.80
$1516.26		 $736.06
$811.48
$891.38
$1175.18		 $913.44
$988.86
$1068.76
$1352.56		 $1090.82
$1166.24
$1246.14
$1529.94		 $456.72
$494.43
$534.38
$676.28		 $634.10
$671.81
$711.76
$853.66		 $811.48
$849.19
$889.14
$1031.04		 $177.38

Plan: (PPO) Blue Saver 100/100 $6450

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-392-4087 - Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)

Deductible: Individual: $6,450 : Family: $12,900
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $267.24
$303.32
$341.53
$477.29
$725.29		 $534.48
$606.64
$683.06
$954.58
$1450.58		 $704.18
$776.34
$852.76
$1124.28		 $873.88
$946.04
$1022.46
$1293.98		 $1043.58
$1115.74
$1192.16
$1463.68		 $436.94
$473.02
$511.23
$646.99		 $606.64
$642.72
$680.93
$816.69		 $776.34
$812.42
$850.63
$986.39		 $169.70

†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 Terrebonne Parish here.

 

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