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Providers for Zip Code 63957

LegalConsumer.com/obamacare

ObamacareByZipCode.com

Obamacare 2016 Marketplace Rates For Wayne County, Missouri

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 Wayne County, Missouri.

Obamacare Providers, Plans and 2016 Rates for Wayne County

Wayne County is in “Rating Area 10” of Missouri.

Currently, there are 2 providers offering 18 plans to Rating Area 10. †

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 Piedmont, MO area accept this insurance coverage as within the plan's "network".
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All Savers Insurance Company

Local: 1-877-760-3342 | Toll Free: 1-877-760-3342

Plan: (EPO) Silver Compass HSA 3000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-760-3342 - Provider Directory for This Plan: (All Savers Insurance Company)

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		 $272.22
$308.96
$347.88
$486.16
$738.77		 $544.44
$617.92
$695.76
$972.32
$1477.54		 $717.29
$790.77
$868.61
$1145.17		 $890.14
$963.62
$1041.46
$1318.02		 $1062.99
$1136.47
$1214.31
$1490.87		 $445.07
$481.81
$520.73
$659.01		 $617.92
$654.66
$693.58
$831.86		 $790.77
$827.51
$866.43
$1004.71		 $172.85

Plan: (EPO) Silver Compass 2000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-760-3342 - Provider Directory for This Plan: (All Savers Insurance Company)

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		 $285.64
$324.19
$365.03
$510.13
$775.19		 $571.28
$648.38
$730.06
$1020.26
$1550.38		 $752.65
$829.75
$911.43
$1201.63		 $934.02
$1011.12
$1092.80
$1383.00		 $1115.39
$1192.49
$1274.17
$1564.37		 $467.01
$505.56
$546.40
$691.50		 $648.38
$686.93
$727.77
$872.87		 $829.75
$868.30
$909.14
$1054.24		 $181.37

Plan: (EPO) Silver Compass 3500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-760-3342 - Provider Directory for This Plan: (All Savers 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		 $287.55
$326.36
$367.48
$513.55
$780.39		 $575.10
$652.72
$734.96
$1027.10
$1560.78		 $757.69
$835.31
$917.55
$1209.69		 $940.28
$1017.90
$1100.14
$1392.28		 $1122.87
$1200.49
$1282.73
$1574.87		 $470.14
$508.95
$550.07
$696.14		 $652.73
$691.54
$732.66
$878.73		 $835.32
$874.13
$915.25
$1061.32		 $182.59

Plan: (EPO) Silver Compass 4500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-760-3342 - Provider Directory for This Plan: (All Savers 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
Silver 21
30
40
50
60		 $294.13
$333.82
$375.88
$525.29
$798.23		 $588.26
$667.64
$751.76
$1050.58
$1596.46		 $775.02
$854.40
$938.52
$1237.34		 $961.78
$1041.16
$1125.28
$1424.10		 $1148.54
$1227.92
$1312.04
$1610.86		 $480.89
$520.58
$562.64
$712.05		 $667.65
$707.34
$749.40
$898.81		 $854.41
$894.10
$936.16
$1085.57		 $186.76

Plan: (EPO) Bronze Compass HSA 5500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-760-3342 - Provider Directory for This Plan: (All Savers Insurance Company)

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		 $237.44
$269.48
$303.43
$424.05
$644.38		 $474.88
$538.96
$606.86
$848.10
$1288.76		 $625.65
$689.73
$757.63
$998.87		 $776.42
$840.50
$908.40
$1149.64		 $927.19
$991.27
$1059.17
$1300.41		 $388.21
$420.25
$454.20
$574.82		 $538.98
$571.02
$604.97
$725.59		 $689.75
$721.79
$755.74
$876.36		 $150.77

Plan: (EPO) Bronze Compass 6500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-760-3342 - Provider Directory for This Plan: (All Savers Insurance Company)

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		 $250.31
$284.09
$319.88
$447.04
$679.31		 $500.62
$568.18
$639.76
$894.08
$1358.62		 $659.56
$727.12
$798.70
$1053.02		 $818.50
$886.06
$957.64
$1211.96		 $977.44
$1045.00
$1116.58
$1370.90		 $409.25
$443.03
$478.82
$605.98		 $568.19
$601.97
$637.76
$764.92		 $727.13
$760.91
$796.70
$923.86		 $158.94

Plan: (EPO) Gold Compass 500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-760-3342 - Provider Directory for This Plan: (All Savers Insurance Company)

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		 $326.17
$370.19
$416.83
$582.52
$885.19		 $652.34
$740.38
$833.66
$1165.04
$1770.38		 $859.45
$947.49
$1040.77
$1372.15		 $1066.56
$1154.60
$1247.88
$1579.26		 $1273.67
$1361.71
$1454.99
$1786.37		 $533.28
$577.30
$623.94
$789.63		 $740.39
$784.41
$831.05
$996.74		 $947.50
$991.52
$1038.16
$1203.85		 $207.11

Plan: (EPO) Gold Compass 0

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-760-3342 - Provider Directory for This Plan: (All Savers Insurance Company)

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		 $322.88
$366.46
$412.63
$576.65
$876.27		 $645.76
$732.92
$825.26
$1153.30
$1752.54		 $850.78
$937.94
$1030.28
$1358.32		 $1055.80
$1142.96
$1235.30
$1563.34		 $1260.82
$1347.98
$1440.32
$1768.36		 $527.90
$571.48
$617.65
$781.67		 $732.92
$776.50
$822.67
$986.69		 $937.94
$981.52
$1027.69
$1191.71		 $205.02
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Healthy Alliance Life Co(Anthem BCBS)

Local: 1-855-738-6677 | Toll Free: 1-855-738-6677

Plan: (PPO) Anthem Bronze Pathway X 5850 20

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6677 - Provider Directory for This Plan: (Healthy Alliance Life Co(Anthem BCBS))

Deductible: Individual: $5,850 : Family: $11,700
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		 $293.37
$332.97
$374.93
$523.96
$796.21		 $586.74
$665.94
$749.86
$1047.92
$1592.42		 $773.03
$852.23
$936.15
$1234.21		 $959.32
$1038.52
$1122.44
$1420.50		 $1145.61
$1224.81
$1308.73
$1606.79		 $479.66
$519.26
$561.22
$710.25		 $665.95
$705.55
$747.51
$896.54		 $852.24
$891.84
$933.80
$1082.83		 $186.29

Plan: (PPO) Anthem Bronze Pathway X 6050 25

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6677 - Provider Directory for This Plan: (Healthy Alliance Life Co(Anthem BCBS))

Deductible: Individual: $6,050 : Family: $12,100
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		 $286.91
$325.64
$366.67
$512.42
$778.67		 $573.82
$651.28
$733.34
$1024.84
$1557.34		 $756.01
$833.47
$915.53
$1207.03		 $938.20
$1015.66
$1097.72
$1389.22		 $1120.39
$1197.85
$1279.91
$1571.41		 $469.10
$507.83
$548.86
$694.61		 $651.29
$690.02
$731.05
$876.80		 $833.48
$872.21
$913.24
$1058.99		 $182.19

Plan: (PPO) Anthem Bronze Pathway X 0 for HSA

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6677 - Provider Directory for This Plan: (Healthy Alliance Life Co(Anthem BCBS))

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		 $285.11
$323.60
$364.37
$509.21
$773.79		 $570.22
$647.20
$728.74
$1018.42
$1547.58		 $751.26
$828.24
$909.78
$1199.46		 $932.30
$1009.28
$1090.82
$1380.50		 $1113.34
$1190.32
$1271.86
$1561.54		 $466.15
$504.64
$545.41
$690.25		 $647.19
$685.68
$726.45
$871.29		 $828.23
$866.72
$907.49
$1052.33		 $181.04

Plan: (PPO) Anthem Bronze Pathway X 20 for HSA

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6677 - Provider Directory for This Plan: (Healthy Alliance Life Co(Anthem BCBS))

Deductible: Individual: $4,650 : Family: $9,300
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		 $283.82
$322.14
$362.72
$506.90
$770.29		 $567.64
$644.28
$725.44
$1013.80
$1540.58		 $747.87
$824.51
$905.67
$1194.03		 $928.10
$1004.74
$1085.90
$1374.26		 $1108.33
$1184.97
$1266.13
$1554.49		 $464.05
$502.37
$542.95
$687.13		 $644.28
$682.60
$723.18
$867.36		 $824.51
$862.83
$903.41
$1047.59		 $180.23

Plan: (PPO) Anthem Bronze Pathway X 4350 20

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6677 - Provider Directory for This Plan: (Healthy Alliance Life Co(Anthem BCBS))

Deductible: Individual: $4,350 : Family: $8,700
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		 $287.77
$326.62
$367.77
$513.96
$781.01		 $575.54
$653.24
$735.54
$1027.92
$1562.02		 $758.27
$835.97
$918.27
$1210.65		 $941.00
$1018.70
$1101.00
$1393.38		 $1123.73
$1201.43
$1283.73
$1576.11		 $470.50
$509.35
$550.50
$696.69		 $653.23
$692.08
$733.23
$879.42		 $835.96
$874.81
$915.96
$1062.15		 $182.73

Plan: (PPO) Anthem Silver Pathway X 3750 0

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6677 - Provider Directory for This Plan: (Healthy Alliance Life Co(Anthem BCBS))

Deductible: Individual: $3,750 : Family: $7,500
Out of Pocket Maximum per year: Individual: $5,500 : Family: $11,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $342.51
$388.75
$437.73
$611.72
$929.57		 $685.02
$777.50
$875.46
$1223.44
$1859.14		 $902.51
$994.99
$1092.95
$1440.93		 $1120.00
$1212.48
$1310.44
$1658.42		 $1337.49
$1429.97
$1527.93
$1875.91		 $560.00
$606.24
$655.22
$829.21		 $777.49
$823.73
$872.71
$1046.70		 $994.98
$1041.22
$1090.20
$1264.19		 $217.49

Plan: (PPO) Anthem Silver Pathway X 1850 20

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6677 - Provider Directory for This Plan: (Healthy Alliance Life Co(Anthem BCBS))

Deductible: Individual: $1,850 : Family: $3,700
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
Silver 21
30
40
50
60		 $329.17
$373.61
$420.68
$587.90
$893.37		 $658.34
$747.22
$841.36
$1175.80
$1786.74		 $867.36
$956.24
$1050.38
$1384.82		 $1076.38
$1165.26
$1259.40
$1593.84		 $1285.40
$1374.28
$1468.42
$1802.86		 $538.19
$582.63
$629.70
$796.92		 $747.21
$791.65
$838.72
$1005.94		 $956.23
$1000.67
$1047.74
$1214.96		 $209.02

Plan: (PPO) Anthem Silver Pathway X 10 for HSA

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6677 - Provider Directory for This Plan: (Healthy Alliance Life Co(Anthem BCBS))

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		 $316.99
$359.78
$405.11
$566.14
$860.31		 $633.98
$719.56
$810.22
$1132.28
$1720.62		 $835.27
$920.85
$1011.51
$1333.57		 $1036.56
$1122.14
$1212.80
$1534.86		 $1237.85
$1323.43
$1414.09
$1736.15		 $518.28
$561.07
$606.40
$767.43		 $719.57
$762.36
$807.69
$968.72		 $920.86
$963.65
$1008.98
$1170.01		 $201.29

Plan: (PPO) Anthem Catastrophic Pathway X 6600 0

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6677 - Provider Directory for This Plan: (Healthy Alliance Life Co(Anthem BCBS))

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		 $254.73
$289.12
$325.54
$454.95
$691.34		 $509.46
$578.24
$651.08
$909.90
$1382.68		 $671.21
$739.99
$812.83
$1071.65		 $832.96
$901.74
$974.58
$1233.40		 $994.71
$1063.49
$1136.33
$1395.15		 $416.48
$450.87
$487.29
$616.70		 $578.23
$612.62
$649.04
$778.45		 $739.98
$774.37
$810.79
$940.20		 $161.75

Plan: (PPO) Anthem Gold Pathway X 1100 10

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6677 - Provider Directory for This Plan: (Healthy Alliance Life Co(Anthem BCBS))

Deductible: Individual: $1,100 : Family: $2,200
Out of Pocket Maximum per year: Individual: $6,200 : Family: $12,400

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $423.03
$480.14
$540.63
$755.53
$1148.10		 $846.06
$960.28
$1081.26
$1511.06
$2296.20		 $1114.68
$1228.90
$1349.88
$1779.68		 $1383.30
$1497.52
$1618.50
$2048.30		 $1651.92
$1766.14
$1887.12
$2316.92		 $691.65
$748.76
$809.25
$1024.15		 $960.27
$1017.38
$1077.87
$1292.77		 $1228.89
$1286.00
$1346.49
$1561.39		 $268.62

Plan: (PPO) Anthem Bronze Pathway X 40 for HSA

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6677 - Provider Directory for This Plan: (Healthy Alliance Life Co(Anthem BCBS))

Deductible: Individual: $5,000 : Family: $10,000
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		 $272.96
$309.81
$348.84
$487.51
$740.81		 $545.92
$619.62
$697.68
$975.02
$1481.62		 $719.25
$792.95
$871.01
$1148.35		 $892.58
$966.28
$1044.34
$1321.68		 $1065.91
$1139.61
$1217.67
$1495.01		 $446.29
$483.14
$522.17
$660.84		 $619.62
$656.47
$695.50
$834.17		 $792.95
$829.80
$868.83
$1007.50		 $173.33

Plan: (PPO) Anthem Bronze Pathway X 5450 30

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6677 - Provider Directory for This Plan: (Healthy Alliance Life Co(Anthem BCBS))

Deductible: Individual: $5,450 : Family: $10,900
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		 $273.76
$310.72
$349.87
$488.94
$742.98		 $547.52
$621.44
$699.74
$977.88
$1485.96		 $721.36
$795.28
$873.58
$1151.72		 $895.20
$969.12
$1047.42
$1325.56		 $1069.04
$1142.96
$1221.26
$1499.40		 $447.60
$484.56
$523.71
$662.78		 $621.44
$658.40
$697.55
$836.62		 $795.28
$832.24
$871.39
$1010.46		 $173.84

Plan: (PPO) Anthem Silver Pathway X 2900 25

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6677 - Provider Directory for This Plan: (Healthy Alliance Life Co(Anthem BCBS))

Deductible: Individual: $2,900 : Family: $5,800
Out of Pocket Maximum per year: Individual: $5,500 : Family: $11,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $307.57
$349.09
$393.07
$549.32
$834.74		 $615.14
$698.18
$786.14
$1098.64
$1669.48		 $810.45
$893.49
$981.45
$1293.95		 $1005.76
$1088.80
$1176.76
$1489.26		 $1201.07
$1284.11
$1372.07
$1684.57		 $502.88
$544.40
$588.38
$744.63		 $698.19
$739.71
$783.69
$939.94		 $893.50
$935.02
$979.00
$1135.25		 $195.31

Plan: (PPO) Anthem Bronze Pathway X 4950 50

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6677 - Provider Directory for This Plan: (Healthy Alliance Life Co(Anthem BCBS))

Deductible: Individual: $4,950 : Family: $9,900
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		 $267.56
$303.68
$341.94
$477.86
$726.16		 $535.12
$607.36
$683.88
$955.72
$1452.32		 $705.02
$777.26
$853.78
$1125.62		 $874.92
$947.16
$1023.68
$1295.52		 $1044.82
$1117.06
$1193.58
$1465.42		 $437.46
$473.58
$511.84
$647.76		 $607.36
$643.48
$681.74
$817.66		 $777.26
$813.38
$851.64
$987.56		 $169.90

Plan: (PPO) Anthem Silver Pathway X 2250 50

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6677 - Provider Directory for This Plan: (Healthy Alliance Life Co(Anthem BCBS))

Deductible: Individual: $2,250 : Family: $4,500
Out of Pocket Maximum per year: Individual: $6,650 : Family: $13,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $296.39
$336.40
$378.79
$529.35
$804.40		 $592.78
$672.80
$757.58
$1058.70
$1608.80		 $780.99
$861.01
$945.79
$1246.91		 $969.20
$1049.22
$1134.00
$1435.12		 $1157.41
$1237.43
$1322.21
$1623.33		 $484.60
$524.61
$567.00
$717.56		 $672.81
$712.82
$755.21
$905.77		 $861.02
$901.03
$943.42
$1093.98		 $188.21

Plan: (PPO) Anthem Blue Cross and Blue Shield Silver DirectAccess, a Multi-State Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6677 - Provider Directory for This Plan: (Healthy Alliance Life Co(Anthem BCBS))

Deductible: Individual: $1,750 : Family: $3,500
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		 $332.32
$377.18
$424.70
$593.52
$901.92		 $664.64
$754.36
$849.40
$1187.04
$1803.84		 $875.66
$965.38
$1060.42
$1398.06		 $1086.68
$1176.40
$1271.44
$1609.08		 $1297.70
$1387.42
$1482.46
$1820.10		 $543.34
$588.20
$635.72
$804.54		 $754.36
$799.22
$846.74
$1015.56		 $965.38
$1010.24
$1057.76
$1226.58		 $211.02

Plan: (PPO) Anthem Blue Cross and Blue Shield Gold DirectAccess, a Multi-State Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6677 - Provider Directory for This Plan: (Healthy Alliance Life Co(Anthem BCBS))

Deductible: Individual: $1,000 : Family: $2,000
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		 $426.05
$483.57
$544.49
$760.93
$1156.30		 $852.10
$967.14
$1088.98
$1521.86
$2312.60		 $1122.64
$1237.68
$1359.52
$1792.40		 $1393.18
$1508.22
$1630.06
$2062.94		 $1663.72
$1778.76
$1900.60
$2333.48		 $696.59
$754.11
$815.03
$1031.47		 $967.13
$1024.65
$1085.57
$1302.01		 $1237.67
$1295.19
$1356.11
$1572.55		 $270.54
ADVERTISEMENT

Coventry Health & Life Insurance Co.

Local: 1-855-449-2889 | Toll Free: 1-855-449-2889

TTY: 1-855-449-2889

Plan: (PPO) Coventry Gold $15 Copay

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Coventry Health & Life Insurance Co.)

Deductible: Individual: $1,400 : Family: $2,800
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		 $482.49
$547.63
$616.62
$861.73
$1309.48		 $964.98
$1095.26
$1233.24
$1723.46
$2618.96		 $1271.36
$1401.64
$1539.62
$2029.84		 $1577.74
$1708.02
$1846.00
$2336.22		 $1884.12
$2014.40
$2152.38
$2642.60		 $788.87
$854.01
$923.00
$1168.11		 $1095.25
$1160.39
$1229.38
$1474.49		 $1401.63
$1466.77
$1535.76
$1780.87		 $306.38

Plan: (PPO) Coventry Silver $15 Copay

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Coventry Health & Life Insurance Co.)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $6,250 : Family: $12,500

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		 $406.11
$460.94
$519.01
$725.31
$1102.18		 $812.22
$921.88
$1038.02
$1450.62
$2204.36		 $1070.10
$1179.76
$1295.90
$1708.50		 $1327.98
$1437.64
$1553.78
$1966.38		 $1585.86
$1695.52
$1811.66
$2224.26		 $663.99
$718.82
$776.89
$983.19		 $921.87
$976.70
$1034.77
$1241.07		 $1179.75
$1234.58
$1292.65
$1498.95		 $257.88

Plan: (PPO) Coventry Bronze $30 Copay

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Coventry Health & Life Insurance Co.)

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		 $316.66
$359.41
$404.70
$565.56
$859.43		 $633.32
$718.82
$809.40
$1131.12
$1718.86		 $834.40
$919.90
$1010.48
$1332.20		 $1035.48
$1120.98
$1211.56
$1533.28		 $1236.56
$1322.06
$1412.64
$1734.36		 $517.74
$560.49
$605.78
$766.64		 $718.82
$761.57
$806.86
$967.72		 $919.90
$962.65
$1007.94
$1168.80		 $201.08

Plan: (PPO) Coventry Bronze Deductible Only HSA Eligible

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Coventry Health & Life Insurance Co.)

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		 $320.84
$364.16
$410.04
$573.03
$870.77		 $641.68
$728.32
$820.08
$1146.06
$1741.54		 $845.42
$932.06
$1023.82
$1349.80		 $1049.16
$1135.80
$1227.56
$1553.54		 $1252.90
$1339.54
$1431.30
$1757.28		 $524.58
$567.90
$613.78
$776.77		 $728.32
$771.64
$817.52
$980.51		 $932.06
$975.38
$1021.26
$1184.25		 $203.74

†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 Wayne County here.

 

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