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Providers for Zip Code 48625

LegalConsumer.com/obamacare

ObamacareByZipCode.com

Obamacare 2016 Marketplace Rates For Clare County, Michigan

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 Clare County, Michigan.

Obamacare Providers, Plans and 2016 Rates for Clare County

Clare County is in “Rating Area 13” of Michigan.

Currently, there are 7 providers offering 40 plans to Rating Area 13. †

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 Harrison, MI area accept this insurance coverage as within the plan's "network".
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Blue Cross Blue Shield of Michigan Mutual Insurance Company

Local: 1-888-288-2738 | Toll Free: 1-888-288-2738

TTY: 1-800-481-8704

Plan: (PPO) Blue Cross® Premier Value

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)

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		 $165.02
$187.30
$210.90
$294.73
$447.86		 $330.04
$374.60
$421.80
$589.46
$895.72		 $434.83
$479.39
$526.59
$694.25		 $539.62
$584.18
$631.38
$799.04		 $644.41
$688.97
$736.17
$903.83		 $269.81
$292.09
$315.69
$399.52		 $374.60
$396.88
$420.48
$504.31		 $479.39
$501.67
$525.27
$609.10		 $104.79

Plan: (PPO) Blue Cross® Premier Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)

Deductible: Individual: $6,350 : Family: $12,700
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
Bronze 21
30
40
50
60		 $211.97
$240.59
$270.90
$378.58
$575.29		 $423.94
$481.18
$541.80
$757.16
$1150.58		 $558.54
$615.78
$676.40
$891.76		 $693.14
$750.38
$811.00
$1026.36		 $827.74
$884.98
$945.60
$1160.96		 $346.57
$375.19
$405.50
$513.18		 $481.17
$509.79
$540.10
$647.78		 $615.77
$644.39
$674.70
$782.38		 $134.60

Plan: (PPO) Blue Cross® Premier Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)

Deductible: Individual: $1,400 : Family: $2,800
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
Silver 21
30
40
50
60		 $284.30
$322.68
$363.34
$507.76
$771.59		 $568.60
$645.36
$726.68
$1015.52
$1543.18		 $749.13
$825.89
$907.21
$1196.05		 $929.66
$1006.42
$1087.74
$1376.58		 $1110.19
$1186.95
$1268.27
$1557.11		 $464.83
$503.21
$543.87
$688.29		 $645.36
$683.74
$724.40
$868.82		 $825.89
$864.27
$904.93
$1049.35		 $180.53

Plan: (PPO) Blue Cross® Premier Gold

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)

Deductible: Individual: $150 : Family: $300
Out of Pocket Maximum per year: Individual: $5,100 : Family: $10,200

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		 $343.25
$389.59
$438.67
$613.04
$931.58		 $686.50
$779.18
$877.34
$1226.08
$1863.16		 $904.46
$997.14
$1095.30
$1444.04		 $1122.42
$1215.10
$1313.26
$1662.00		 $1340.38
$1433.06
$1531.22
$1879.96		 $561.21
$607.55
$656.63
$831.00		 $779.17
$825.51
$874.59
$1048.96		 $997.13
$1043.47
$1092.55
$1266.92		 $217.96

Plan: (PPO) Blue Cross® Premier Bronze Saver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)

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		 $201.88
$229.13
$258.00
$360.56
$547.90		 $403.76
$458.26
$516.00
$721.12
$1095.80		 $531.95
$586.45
$644.19
$849.31		 $660.14
$714.64
$772.38
$977.50		 $788.33
$842.83
$900.57
$1105.69		 $330.07
$357.32
$386.19
$488.75		 $458.26
$485.51
$514.38
$616.94		 $586.45
$613.70
$642.57
$745.13		 $128.19

Plan: (PPO) Blue Cross® Premier Silver Saver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $4,250 : Family: $8,500

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		 $262.82
$298.30
$335.88
$469.40
$713.29		 $525.64
$596.60
$671.76
$938.80
$1426.58		 $692.53
$763.49
$838.65
$1105.69		 $859.42
$930.38
$1005.54
$1272.58		 $1026.31
$1097.27
$1172.43
$1439.47		 $429.71
$465.19
$502.77
$636.29		 $596.60
$632.08
$669.66
$803.18		 $763.49
$798.97
$836.55
$970.07		 $166.89

Plan: (PPO) Blue Cross® Silver with Dental and Vision, a Multi-State Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)

Deductible: Individual: $1,400 : Family: $2,800
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
Silver 21
30
40
50
60		 $299.05
$339.42
$382.19
$534.10
$811.62		 $598.10
$678.84
$764.38
$1068.20
$1623.24		 $788.00
$868.74
$954.28
$1258.10		 $977.90
$1058.64
$1144.18
$1448.00		 $1167.80
$1248.54
$1334.08
$1637.90		 $488.95
$529.32
$572.09
$724.00		 $678.85
$719.22
$761.99
$913.90		 $868.75
$909.12
$951.89
$1103.80		 $189.90

Plan: (PPO) Blue Cross® Gold with Dental and Vision, a Multi-State Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)

Deductible: Individual: $150 : Family: $300
Out of Pocket Maximum per year: Individual: $5,100 : Family: $10,200

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		 $358.39
$406.77
$458.02
$640.08
$972.67		 $716.78
$813.54
$916.04
$1280.16
$1945.34		 $944.36
$1041.12
$1143.62
$1507.74		 $1171.94
$1268.70
$1371.20
$1735.32		 $1399.52
$1496.28
$1598.78
$1962.90		 $585.97
$634.35
$685.60
$867.66		 $813.55
$861.93
$913.18
$1095.24		 $1041.13
$1089.51
$1140.76
$1322.82		 $227.58

Plan: (PPO) Blue Cross® Premier Bronze with Primary Care Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)

Deductible: Individual: $6,750 : Family: $13,500
Out of Pocket Maximum per year: Individual: $6,750 : Family: $13,500

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		 $218.36
$247.84
$279.06
$389.99
$592.63		 $436.72
$495.68
$558.12
$779.98
$1185.26		 $575.38
$634.34
$696.78
$918.64		 $714.04
$773.00
$835.44
$1057.30		 $852.70
$911.66
$974.10
$1195.96		 $357.02
$386.50
$417.72
$528.65		 $495.68
$525.16
$556.38
$667.31		 $634.34
$663.82
$695.04
$805.97		 $138.66

Plan: (PPO) Blue Cross® Premier Silver Extra

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)

Deductible: Individual: $2,300 : Family: $4,600
Out of Pocket Maximum per year: Individual: $5,800 : Family: $11,600

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $292.94
$332.49
$374.38
$523.19
$795.04		 $585.88
$664.98
$748.76
$1046.38
$1590.08		 $771.90
$851.00
$934.78
$1232.40		 $957.92
$1037.02
$1120.80
$1418.42		 $1143.94
$1223.04
$1306.82
$1604.44		 $478.96
$518.51
$560.40
$709.21		 $664.98
$704.53
$746.42
$895.23		 $851.00
$890.55
$932.44
$1081.25		 $186.02

Plan: (PPO) Blue Cross® Premier Gold Extra

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)

Deductible: Individual: $750 : Family: $1,500
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $363.62
$412.71
$464.71
$649.43
$986.86		 $727.24
$825.42
$929.42
$1298.86
$1973.72		 $958.14
$1056.32
$1160.32
$1529.76		 $1189.04
$1287.22
$1391.22
$1760.66		 $1419.94
$1518.12
$1622.12
$1991.56		 $594.52
$643.61
$695.61
$880.33		 $825.42
$874.51
$926.51
$1111.23		 $1056.32
$1105.41
$1157.41
$1342.13		 $230.90

Plan: (PPO) Blue Cross® Premier Platinum with Dental and Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)

Deductible: Individual: $0 : Family: $0
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
Platinum 21
30
40
50
60		 $440.49
$499.96
$562.95
$786.72
$1195.49		 $880.98
$999.92
$1125.90
$1573.44
$2390.98		 $1160.69
$1279.63
$1405.61
$1853.15		 $1440.40
$1559.34
$1685.32
$2132.86		 $1720.11
$1839.05
$1965.03
$2412.57		 $720.20
$779.67
$842.66
$1066.43		 $999.91
$1059.38
$1122.37
$1346.14		 $1279.62
$1339.09
$1402.08
$1625.85		 $279.71

Plan: (PPO) Blue Cross® Silver Extra with Dental and Vision, a Multi-State Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)

Deductible: Individual: $2,300 : Family: $4,600
Out of Pocket Maximum per year: Individual: $5,800 : Family: $11,600

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $309.47
$351.25
$395.50
$552.71
$839.90		 $618.94
$702.50
$791.00
$1105.42
$1679.80		 $815.45
$899.01
$987.51
$1301.93		 $1011.96
$1095.52
$1184.02
$1498.44		 $1208.47
$1292.03
$1380.53
$1694.95		 $505.98
$547.76
$592.01
$749.22		 $702.49
$744.27
$788.52
$945.73		 $899.00
$940.78
$985.03
$1142.24		 $196.51

Plan: (PPO) Blue Cross® Gold Extra with Dental and Vision, a Multi-State Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)

Deductible: Individual: $750 : Family: $1,500
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $380.61
$431.99
$486.42
$679.77
$1032.98		 $761.22
$863.98
$972.84
$1359.54
$2065.96		 $1002.91
$1105.67
$1214.53
$1601.23		 $1244.60
$1347.36
$1456.22
$1842.92		 $1486.29
$1589.05
$1697.91
$2084.61		 $622.30
$673.68
$728.11
$921.46		 $863.99
$915.37
$969.80
$1163.15		 $1105.68
$1157.06
$1211.49
$1404.84		 $241.69
ADVERTISEMENT

Priority Health Insurance Company (PHIC)

Local: 1-855-682-5217 | Toll Free: 1-855-682-5217

Plan: (PPO) MyPriority PPO RxPlus Silver 1900

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health Insurance Company (PHIC))

Deductible: Individual: $1,900 : Family: $3,800
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		 $254.82
$289.22
$325.66
$455.11
$691.58		 $509.64
$578.44
$651.32
$910.22
$1383.16		 $671.45
$740.25
$813.13
$1072.03		 $833.26
$902.06
$974.94
$1233.84		 $995.07
$1063.87
$1136.75
$1395.65		 $416.63
$451.03
$487.47
$616.92		 $578.44
$612.84
$649.28
$778.73		 $740.25
$774.65
$811.09
$940.54		 ++

Plan: (PPO) MyPriority PPO RxPlus Silver 1800

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health Insurance Company (PHIC))

Deductible: Individual: $1,800 : Family: $3,600
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		 $249.94
$283.68
$319.42
$446.39
$678.34		 $499.88
$567.36
$638.84
$892.78
$1356.68		 $658.59
$726.07
$797.55
$1051.49		 $817.30
$884.78
$956.26
$1210.20		 $976.01
$1043.49
$1114.97
$1368.91		 $408.65
$442.39
$478.13
$605.10		 $567.36
$601.10
$636.84
$763.81		 $726.07
$759.81
$795.55
$922.52		 $158.71

Plan: (PPO) MyPriority PPO HSA Silver 1500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health Insurance Company (PHIC))

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $5,100 : Family: $10,200

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		 $249.85
$283.58
$319.31
$446.23
$678.09		 $499.70
$567.16
$638.62
$892.46
$1356.18		 $658.35
$725.81
$797.27
$1051.11		 $817.00
$884.46
$955.92
$1209.76		 $975.65
$1043.11
$1114.57
$1368.41		 $408.50
$442.23
$477.96
$604.88		 $567.15
$600.88
$636.61
$763.53		 $725.80
$759.53
$795.26
$922.18		 $158.65

Plan: (PPO) MyPriority PPO RxPlus Gold 200

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health Insurance Company (PHIC))

Deductible: Individual: $200 : Family: $400
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		 $322.93
$366.53
$412.70
$576.75
$876.43		 $645.86
$733.06
$825.40
$1153.50
$1752.86		 $850.92
$938.12
$1030.46
$1358.56		 $1055.98
$1143.18
$1235.52
$1563.62		 $1261.04
$1348.24
$1440.58
$1768.68		 $527.99
$571.59
$617.76
$781.81		 $733.05
$776.65
$822.82
$986.87		 $938.11
$981.71
$1027.88
$1191.93		 $205.06

Plan: (PPO) MyPriority PPO RxPlus Bronze 3975

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health Insurance Company (PHIC))

Deductible: Individual: $3,975 : Family: $7,950
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		 $213.37
$242.17
$272.69
$381.08
$579.09		 $426.74
$484.34
$545.38
$762.16
$1158.18		 $562.23
$619.83
$680.87
$897.65		 $697.72
$755.32
$816.36
$1033.14		 $833.21
$890.81
$951.85
$1168.63		 $348.86
$377.66
$408.18
$516.57		 $484.35
$513.15
$543.67
$652.06		 $619.84
$648.64
$679.16
$787.55		 $135.49

Plan: (PPO) MyPriority PPO RxPlus Silver 1400

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health Insurance Company (PHIC))

Deductible: Individual: $1,400 : Family: $2,800
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		 $259.71
$294.77
$331.91
$463.84
$704.85		 $519.42
$589.54
$663.82
$927.68
$1409.70		 $684.34
$754.46
$828.74
$1092.60		 $849.26
$919.38
$993.66
$1257.52		 $1014.18
$1084.30
$1158.58
$1422.44		 $424.63
$459.69
$496.83
$628.76		 $589.55
$624.61
$661.75
$793.68		 $754.47
$789.53
$826.67
$958.60		 $164.92

Plan: (PPO) MyPriority PPO HSA Bronze 6550

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health Insurance Company (PHIC))

Deductible: Individual: $6,550 : Family: $13,100
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

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		 $190.32
$216.01
$243.23
$339.91
$516.53		 $380.64
$432.02
$486.46
$679.82
$1033.06		 $501.49
$552.87
$607.31
$800.67		 $622.34
$673.72
$728.16
$921.52		 $743.19
$794.57
$849.01
$1042.37		 $311.17
$336.86
$364.08
$460.76		 $432.02
$457.71
$484.93
$581.61		 $552.87
$578.56
$605.78
$702.46		 $120.85

Plan: (PPO) MyPriority PPO HSA Gold 1350

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health Insurance Company (PHIC))

Deductible: Individual: $1,350 : Family: $2,700
Out of Pocket Maximum per year: Individual: $2,000 : Family: $4,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $299.28
$339.68
$382.48
$534.51
$812.25		 $598.56
$679.36
$764.96
$1069.02
$1624.50		 $788.60
$869.40
$955.00
$1259.06		 $978.64
$1059.44
$1145.04
$1449.10		 $1168.68
$1249.48
$1335.08
$1639.14		 $489.32
$529.72
$572.52
$724.55		 $679.36
$719.76
$762.56
$914.59		 $869.40
$909.80
$952.60
$1104.63		 $190.04
ADVERTISEMENT

Priority Health

Local: 1-855-682-5217 | Toll Free: 1-855-682-5217

Plan: (HMO) MyPriority HMO RxPlus Silver 1900

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $1,900 : Family: $3,800
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		 $216.60
$245.84
$276.81
$386.85
$587.85		 $433.20
$491.68
$553.62
$773.70
$1175.70		 $570.74
$629.22
$691.16
$911.24		 $708.28
$766.76
$828.70
$1048.78		 $845.82
$904.30
$966.24
$1186.32		 $354.14
$383.38
$414.35
$524.39		 $491.68
$520.92
$551.89
$661.93		 $629.22
$658.46
$689.43
$799.47		 ++

Plan: (HMO) MyPriority HMO RxPlus Silver 1800

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $1,800 : Family: $3,600
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		 $211.03
$239.52
$269.70
$376.90
$572.74		 $422.06
$479.04
$539.40
$753.80
$1145.48		 $556.06
$613.04
$673.40
$887.80		 $690.06
$747.04
$807.40
$1021.80		 $824.06
$881.04
$941.40
$1155.80		 $345.03
$373.52
$403.70
$510.90		 $479.03
$507.52
$537.70
$644.90		 $613.03
$641.52
$671.70
$778.90		 $134.00

Plan: (HMO) MyPriority HMO HSA Silver 1500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $5,100 : Family: $10,200

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		 $212.47
$241.15
$271.54
$379.47
$576.64		 $424.94
$482.30
$543.08
$758.94
$1153.28		 $559.86
$617.22
$678.00
$893.86		 $694.78
$752.14
$812.92
$1028.78		 $829.70
$887.06
$947.84
$1163.70		 $347.39
$376.07
$406.46
$514.39		 $482.31
$510.99
$541.38
$649.31		 $617.23
$645.91
$676.30
$784.23		 $134.92

Plan: (HMO) MyPriority HMO Silver 1400

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $1,400 : Family: $2,800
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		 $217.71
$247.10
$278.23
$388.83
$590.86		 $435.42
$494.20
$556.46
$777.66
$1181.72		 $573.67
$632.45
$694.71
$915.91		 $711.92
$770.70
$832.96
$1054.16		 $850.17
$908.95
$971.21
$1192.41		 $355.96
$385.35
$416.48
$527.08		 $494.21
$523.60
$554.73
$665.33		 $632.46
$661.85
$692.98
$803.58		 $138.25

Plan: (HMO) MyPriority HMO RxPlus Gold 200

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $200 : Family: $400
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		 $285.31
$323.83
$364.63
$509.56
$774.33		 $570.62
$647.66
$729.26
$1019.12
$1548.66		 $751.79
$828.83
$910.43
$1200.29		 $932.96
$1010.00
$1091.60
$1381.46		 $1114.13
$1191.17
$1272.77
$1562.63		 $466.48
$505.00
$545.80
$690.73		 $647.65
$686.17
$726.97
$871.90		 $828.82
$867.34
$908.14
$1053.07		 $181.17

Plan: (HMO) MyPriority HMO RxPlus Bronze 3975

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $3,975 : Family: $7,950
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		 $182.38
$207.00
$233.08
$325.73
$494.98		 $364.76
$414.00
$466.16
$651.46
$989.96		 $480.57
$529.81
$581.97
$767.27		 $596.38
$645.62
$697.78
$883.08		 $712.19
$761.43
$813.59
$998.89		 $298.19
$322.81
$348.89
$441.54		 $414.00
$438.62
$464.70
$557.35		 $529.81
$554.43
$580.51
$673.16		 $115.81

Plan: (HMO) MyPriority HMO RxPlus Silver 1400

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $1,400 : Family: $2,800
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		 $218.60
$248.11
$279.37
$390.42
$593.28		 $437.20
$496.22
$558.74
$780.84
$1186.56		 $576.01
$635.03
$697.55
$919.65		 $714.82
$773.84
$836.36
$1058.46		 $853.63
$912.65
$975.17
$1197.27		 $357.41
$386.92
$418.18
$529.23		 $496.22
$525.73
$556.99
$668.04		 $635.03
$664.54
$695.80
$806.85		 $138.81

Plan: (HMO) MyPriority HMO HSA Bronze 6550

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $6,550 : Family: $13,100
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

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		 $161.86
$183.71
$206.86
$289.08
$439.29		 $323.72
$367.42
$413.72
$578.16
$878.58		 $426.50
$470.20
$516.50
$680.94		 $529.28
$572.98
$619.28
$783.72		 $632.06
$675.76
$722.06
$886.50		 $264.64
$286.49
$309.64
$391.86		 $367.42
$389.27
$412.42
$494.64		 $470.20
$492.05
$515.20
$597.42		 $102.78

Plan: (HMO) MyPriority HMO HSA Gold 1350

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $1,350 : Family: $2,700
Out of Pocket Maximum per year: Individual: $2,000 : Family: $4,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $265.75
$301.63
$339.63
$474.63
$721.25		 $531.50
$603.26
$679.26
$949.26
$1442.50		 $700.25
$772.01
$848.01
$1118.01		 $869.00
$940.76
$1016.76
$1286.76		 $1037.75
$1109.51
$1185.51
$1455.51		 $434.50
$470.38
$508.38
$643.38		 $603.25
$639.13
$677.13
$812.13		 $772.00
$807.88
$845.88
$980.88		 $168.75

Plan: (HMO) MyPriority HMO Bronze 6450

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $6,450 : Family: $12,900
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		 $166.70
$189.20
$213.04
$297.73
$452.42		 $333.40
$378.40
$426.08
$595.46
$904.84		 $439.25
$484.25
$531.93
$701.31		 $545.10
$590.10
$637.78
$807.16		 $650.95
$695.95
$743.63
$913.01		 $272.55
$295.05
$318.89
$403.58		 $378.40
$400.90
$424.74
$509.43		 $484.25
$506.75
$530.59
$615.28		 $105.85

Plan: (HMO) MyPriority HMO Holistic Bronze 5200

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $5,200 : Family: $10,400
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
Bronze 21
30
40
50
60		 $174.31
$197.84
$222.77
$311.32
$473.08		 $348.62
$395.68
$445.54
$622.64
$946.16		 $459.31
$506.37
$556.23
$733.33		 $570.00
$617.06
$666.92
$844.02		 $680.69
$727.75
$777.61
$954.71		 $285.00
$308.53
$333.46
$422.01		 $395.69
$419.22
$444.15
$532.70		 $506.38
$529.91
$554.84
$643.39		 $110.69

Plan: (HMO) MyPriority HMO Holistic Silver 2000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $6,750 : Family: $13,500

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		 $210.78
$239.24
$269.38
$376.45
$572.06		 $421.56
$478.48
$538.76
$752.90
$1144.12		 $555.41
$612.33
$672.61
$886.75		 $689.26
$746.18
$806.46
$1020.60		 $823.11
$880.03
$940.31
$1154.45		 $344.63
$373.09
$403.23
$510.30		 $478.48
$506.94
$537.08
$644.15		 $612.33
$640.79
$670.93
$778.00		 $133.85

Plan: (POS) MyPriority POS RxPlus Silver 1800

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $1,800 : Family: $3,600
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		 $222.34
$252.36
$284.15
$397.10
$603.43		 $444.68
$504.72
$568.30
$794.20
$1206.86		 $585.87
$645.91
$709.49
$935.39		 $727.06
$787.10
$850.68
$1076.58		 $868.25
$928.29
$991.87
$1217.77		 $363.53
$393.55
$425.34
$538.29		 $504.72
$534.74
$566.53
$679.48		 $645.91
$675.93
$707.72
$820.67		 $141.19

Plan: (POS) MyPriority POS HSA Silver 1500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $5,100 : Family: $10,200

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		 $223.76
$253.97
$285.97
$399.64
$607.28		 $447.52
$507.94
$571.94
$799.28
$1214.56		 $589.61
$650.03
$714.03
$941.37		 $731.70
$792.12
$856.12
$1083.46		 $873.79
$934.21
$998.21
$1225.55		 $365.85
$396.06
$428.06
$541.73		 $507.94
$538.15
$570.15
$683.82		 $650.03
$680.24
$712.24
$825.91		 $142.09

Plan: (POS) MyPriority POS Silver 1400

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $1,400 : Family: $2,800
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		 $229.72
$260.73
$293.58
$410.28
$623.46		 $459.44
$521.46
$587.16
$820.56
$1246.92		 $605.31
$667.33
$733.03
$966.43		 $751.18
$813.20
$878.90
$1112.30		 $897.05
$959.07
$1024.77
$1258.17		 $375.59
$406.60
$439.45
$556.15		 $521.46
$552.47
$585.32
$702.02		 $667.33
$698.34
$731.19
$847.89		 $145.87

Plan: (POS) MyPriority POS RxPlus Gold 200

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $200 : Family: $400
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		 $302.63
$343.49
$386.76
$540.50
$821.34		 $605.26
$686.98
$773.52
$1081.00
$1642.68		 $797.43
$879.15
$965.69
$1273.17		 $989.60
$1071.32
$1157.86
$1465.34		 $1181.77
$1263.49
$1350.03
$1657.51		 $494.80
$535.66
$578.93
$732.67		 $686.97
$727.83
$771.10
$924.84		 $879.14
$920.00
$963.27
$1117.01		 $192.17

Plan: (POS) MyPriority POS RxPlus Bronze 3975

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $3,975 : Family: $7,950
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		 $191.35
$217.18
$244.55
$341.75
$519.32		 $382.70
$434.36
$489.10
$683.50
$1038.64		 $504.21
$555.87
$610.61
$805.01		 $625.72
$677.38
$732.12
$926.52		 $747.23
$798.89
$853.63
$1048.03		 $312.86
$338.69
$366.06
$463.26		 $434.37
$460.20
$487.57
$584.77		 $555.88
$581.71
$609.08
$706.28		 $121.51

Plan: (POS) MyPriority POS RxPlus Silver 1400

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $1,400 : Family: $2,800
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		 $231.10
$262.30
$295.35
$412.74
$627.21		 $462.20
$524.60
$590.70
$825.48
$1254.42		 $608.95
$671.35
$737.45
$972.23		 $755.70
$818.10
$884.20
$1118.98		 $902.45
$964.85
$1030.95
$1265.73		 $377.85
$409.05
$442.10
$559.49		 $524.60
$555.80
$588.85
$706.24		 $671.35
$702.55
$735.60
$852.99		 $146.75

Plan: (POS) MyPriority POS HSA Bronze 6550

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $6,550 : Family: $13,100
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

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		 $168.94
$191.75
$215.91
$301.73
$458.50		 $337.88
$383.50
$431.82
$603.46
$917.00		 $445.16
$490.78
$539.10
$710.74		 $552.44
$598.06
$646.38
$818.02		 $659.72
$705.34
$753.66
$925.30		 $276.22
$299.03
$323.19
$409.01		 $383.50
$406.31
$430.47
$516.29		 $490.78
$513.59
$537.75
$623.57		 $107.28

Plan: (POS) MyPriority POS HSA Gold 1350

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $1,350 : Family: $2,700
Out of Pocket Maximum per year: Individual: $2,000 : Family: $4,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $278.24
$315.80
$355.59
$496.94
$755.14		 $556.48
$631.60
$711.18
$993.88
$1510.28		 $733.16
$808.28
$887.86
$1170.56		 $909.84
$984.96
$1064.54
$1347.24		 $1086.52
$1161.64
$1241.22
$1523.92		 $454.92
$492.48
$532.27
$673.62		 $631.60
$669.16
$708.95
$850.30		 $808.28
$845.84
$885.63
$1026.98		 $176.68

Plan: (POS) MyPriority POS Bronze 6450

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $6,450 : Family: $12,900
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		 $173.90
$197.38
$222.24
$310.59
$471.96		 $347.80
$394.76
$444.48
$621.18
$943.92		 $458.23
$505.19
$554.91
$731.61		 $568.66
$615.62
$665.34
$842.04		 $679.09
$726.05
$775.77
$952.47		 $284.33
$307.81
$332.67
$421.02		 $394.76
$418.24
$443.10
$531.45		 $505.19
$528.67
$553.53
$641.88		 $110.43

Plan: (POS) MyPriority POS Holistic Bronze 5200

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $5,200 : Family: $10,400
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
Bronze 21
30
40
50
60		 $182.05
$206.63
$232.66
$325.14
$494.08		 $364.10
$413.26
$465.32
$650.28
$988.16		 $479.70
$528.86
$580.92
$765.88		 $595.30
$644.46
$696.52
$881.48		 $710.90
$760.06
$812.12
$997.08		 $297.65
$322.23
$348.26
$440.74		 $413.25
$437.83
$463.86
$556.34		 $528.85
$553.43
$579.46
$671.94		 $115.60

Plan: (POS) MyPriority POS Holistic Silver 2000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $6,750 : Family: $13,500

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		 $221.30
$251.18
$282.82
$395.24
$600.61		 $442.60
$502.36
$565.64
$790.48
$1201.22		 $583.13
$642.89
$706.17
$931.01		 $723.66
$783.42
$846.70
$1071.54		 $864.19
$923.95
$987.23
$1212.07		 $361.83
$391.71
$423.35
$535.77		 $502.36
$532.24
$563.88
$676.30		 $642.89
$672.77
$704.41
$816.83		 $140.53
ADVERTISEMENT

Alliance Health and Life Insurance Company

Local: 1-313-872-8100 | Toll Free: 1-855-948-4427

Plan: (PPO) HAP Personal Alliance 1500 PPO

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-948-4427 - Provider Directory for This Plan: (Alliance Health and Life Insurance Company)

Deductible: Individual: $1,500 : Family: $3,000
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
Gold 21
30
40
50
60		 $366.95
$416.49
$468.96
$655.37
$995.90		 $733.90
$832.98
$937.92
$1310.74
$1991.80		 $966.91
$1065.99
$1170.93
$1543.75		 $1199.92
$1299.00
$1403.94
$1776.76		 $1432.93
$1532.01
$1636.95
$2009.77		 $599.96
$649.50
$701.97
$888.38		 $832.97
$882.51
$934.98
$1121.39		 $1065.98
$1115.52
$1167.99
$1354.40		 $233.01

Plan: (PPO) HAP Personal Alliance 3000 PPO

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-948-4427 - Provider Directory for This Plan: (Alliance Health and Life Insurance Company)

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		 $302.47
$343.30
$386.56
$540.21
$820.90		 $604.94
$686.60
$773.12
$1080.42
$1641.80		 $797.01
$878.67
$965.19
$1272.49		 $989.08
$1070.74
$1157.26
$1464.56		 $1181.15
$1262.81
$1349.33
$1656.63		 $494.54
$535.37
$578.63
$732.28		 $686.61
$727.44
$770.70
$924.35		 $878.68
$919.51
$962.77
$1116.42		 $192.07

Plan: (PPO) HAP Personal Alliance 5000 PPO (HSA)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-948-4427 - Provider Directory for This Plan: (Alliance Health and Life Insurance Company)

Deductible: Individual: $5,000 : Family: $10,000
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		 $216.78
$246.05
$277.04
$387.17
$588.34		 $433.56
$492.10
$554.08
$774.34
$1176.68		 $571.22
$629.76
$691.74
$912.00		 $708.88
$767.42
$829.40
$1049.66		 $846.54
$905.08
$967.06
$1187.32		 $354.44
$383.71
$414.70
$524.83		 $492.10
$521.37
$552.36
$662.49		 $629.76
$659.03
$690.02
$800.15		 $137.66

Plan: (PPO) HAP Personal Alliance 6850C PPO

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-948-4427 - Provider Directory for This Plan: (Alliance Health and Life Insurance Company)

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		 $188.29
$213.71
$240.63
$336.29
$511.02		 $376.58
$427.42
$481.26
$672.58
$1022.04		 $496.14
$546.98
$600.82
$792.14		 $615.70
$666.54
$720.38
$911.70		 $735.26
$786.10
$839.94
$1031.26		 $307.85
$333.27
$360.19
$455.85		 $427.41
$452.83
$479.75
$575.41		 $546.97
$572.39
$599.31
$694.97		 $119.56

Plan: (PPO) HAP Personal Alliance 2500 PPO

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-948-4427 - Provider Directory for This Plan: (Alliance Health and Life Insurance Company)

Deductible: Individual: $2,500 : Family: $5,000
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		 $309.32
$351.08
$395.31
$552.45
$839.49		 $618.64
$702.16
$790.62
$1104.90
$1678.98		 $815.06
$898.58
$987.04
$1301.32		 $1011.48
$1095.00
$1183.46
$1497.74		 $1207.90
$1291.42
$1379.88
$1694.16		 $505.74
$547.50
$591.73
$748.87		 $702.16
$743.92
$788.15
$945.29		 $898.58
$940.34
$984.57
$1141.71		 $196.42

Plan: (PPO) HAP Personal Alliance 4500 PPO

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-948-4427 - Provider Directory for This Plan: (Alliance Health and Life Insurance Company)

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
Bronze 21
30
40
50
60		 $259.84
$294.92
$332.08
$464.07
$705.21		 $519.68
$589.84
$664.16
$928.14
$1410.42		 $684.68
$754.84
$829.16
$1093.14		 $849.68
$919.84
$994.16
$1258.14		 $1014.68
$1084.84
$1159.16
$1423.14		 $424.84
$459.92
$497.08
$629.07		 $589.84
$624.92
$662.08
$794.07		 $754.84
$789.92
$827.08
$959.07		 $165.00

Plan: (PPO) HAP Personal Alliance 3500 PPO

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-948-4427 - Provider Directory for This Plan: (Alliance Health and Life Insurance Company)

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		 $287.47
$326.28
$367.39
$513.42
$780.19		 $574.94
$652.56
$734.78
$1026.84
$1560.38		 $757.48
$835.10
$917.32
$1209.38		 $940.02
$1017.64
$1099.86
$1391.92		 $1122.56
$1200.18
$1282.40
$1574.46		 $470.01
$508.82
$549.93
$695.96		 $652.55
$691.36
$732.47
$878.50		 $835.09
$873.90
$915.01
$1061.04		 $182.54

Plan: (PPO) HAP Personal Alliance 6850 PPO

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-948-4427 - Provider Directory for This Plan: (Alliance Health and Life Insurance Company)

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		 $248.06
$281.55
$317.02
$443.04
$673.23		 $496.12
$563.10
$634.04
$886.08
$1346.46		 $653.64
$720.62
$791.56
$1043.60		 $811.16
$878.14
$949.08
$1201.12		 $968.68
$1035.66
$1106.60
$1358.64		 $405.58
$439.07
$474.54
$600.56		 $563.10
$596.59
$632.06
$758.08		 $720.62
$754.11
$789.58
$915.60		 $157.52
ADVERTISEMENT

Blue Care Network of Michigan

Local: 1-800-662-6667 | Toll Free: 1-800-662-6667

TTY: 1-800-257-9980

Plan: (HMO) Blue Cross® Preferred Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-662-6667 - Provider Directory for This Plan: (Blue Care Network of Michigan)

Deductible: Individual: $1,650 : Family: $3,300
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		 $245.57
$278.72
$313.84
$438.59
$666.48		 $491.14
$557.44
$627.68
$877.18
$1332.96		 $647.08
$713.38
$783.62
$1033.12		 $803.02
$869.32
$939.56
$1189.06		 $958.96
$1025.26
$1095.50
$1345.00		 $401.51
$434.66
$469.78
$594.53		 $557.45
$590.60
$625.72
$750.47		 $713.39
$746.54
$781.66
$906.41		 $155.94

Plan: (HMO) Blue Cross® Preferred Gold

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-662-6667 - Provider Directory for This Plan: (Blue Care Network of Michigan)

Deductible: Individual: $250 : Family: $500
Out of Pocket Maximum per year: Individual: $5,100 : Family: $10,200

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		 $318.22
$361.18
$406.69
$568.34
$863.65		 $636.44
$722.36
$813.38
$1136.68
$1727.30		 $838.51
$924.43
$1015.45
$1338.75		 $1040.58
$1126.50
$1217.52
$1540.82		 $1242.65
$1328.57
$1419.59
$1742.89		 $520.29
$563.25
$608.76
$770.41		 $722.36
$765.32
$810.83
$972.48		 $924.43
$967.39
$1012.90
$1174.55		 $202.07

Plan: (HMO) Blue Cross® Preferred Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-662-6667 - Provider Directory for This Plan: (Blue Care Network of Michigan)

Deductible: Individual: $5,950 : Family: $11,900
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
Bronze 21
30
40
50
60		 $189.50
$215.08
$242.18
$338.45
$514.30		 $379.00
$430.16
$484.36
$676.90
$1028.60		 $499.33
$550.49
$604.69
$797.23		 $619.66
$670.82
$725.02
$917.56		 $739.99
$791.15
$845.35
$1037.89		 $309.83
$335.41
$362.51
$458.78		 $430.16
$455.74
$482.84
$579.11		 $550.49
$576.07
$603.17
$699.44		 $120.33

Plan: (HMO) Blue Cross® Preferred Silver Extra

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-662-6667 - Provider Directory for This Plan: (Blue Care Network of Michigan)

Deductible: Individual: $2,250 : Family: $4,500
Out of Pocket Maximum per year: Individual: $5,750 : Family: $11,500

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		 $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) Blue Cross® Preferred Gold Extra

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-662-6667 - Provider Directory for This Plan: (Blue Care Network of Michigan)

Deductible: Individual: $775 : Family: $1,550
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $329.93
$374.47
$421.65
$589.25
$895.43		 $659.86
$748.94
$843.30
$1178.50
$1790.86		 $869.37
$958.45
$1052.81
$1388.01		 $1078.88
$1167.96
$1262.32
$1597.52		 $1288.39
$1377.47
$1471.83
$1807.03		 $539.44
$583.98
$631.16
$798.76		 $748.95
$793.49
$840.67
$1008.27		 $958.46
$1003.00
$1050.18
$1217.78		 $209.51

†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 Clare County here.

 

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