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 Sanders County, Montana.
Obamacare Providers, Plans and 2016 Rates for Sanders County
Sanders County is in “Rating Area 4” of Montana.
Currently, there are 3 providers offering 29 plans to Rating Area 4. †
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 Plains, MT area accept this insurance coverage as within the plan's "network".
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PacificSource Health PlansLocal: 1-406-442-6589 | Toll Free: 1-877-590-1596 TTY: 1-800-735-2900 |
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Plan: (PPO) PSN CatastrophicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-590-1596 - Provider Directory for This Plan: (PacificSource Health Plans)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Catastrophic | 21 30 40 50 60 |
$205.00 $232.00 $262.00 $366.00 $556.00 |
$410.00 $464.00 $524.00 $732.00 $1112.00 |
$540.00 $594.00 $654.00 $862.00 |
$670.00 $724.00 $784.00 $992.00 |
$800.00 $854.00 $914.00 $1122.00 |
$335.00 $362.00 $392.00 $496.00 |
$465.00 $492.00 $522.00 $626.00 |
$595.00 $622.00 $652.00 $756.00 |
$130.00 |
Plan: (PPO) SmartHealth Value Bronze 6450Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-590-1596 - Provider Directory for This Plan: (PacificSource Health Plans)
Deductible: Individual:
$6,450
: Family:
$12,900 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Bronze | 21 30 40 50 60 |
$212.00 $241.00 $271.00 $379.00 $576.00 |
$424.00 $482.00 $542.00 $758.00 $1152.00 |
$559.00 $617.00 $677.00 $893.00 |
$694.00 $752.00 $812.00 $1028.00 |
$829.00 $887.00 $947.00 $1163.00 |
$347.00 $376.00 $406.00 $514.00 |
$482.00 $511.00 $541.00 $649.00 |
$617.00 $646.00 $676.00 $784.00 |
$135.00 |
Plan: (PPO) SmartHealth Value Bronze 3500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-590-1596 - Provider Directory for This Plan: (PacificSource Health Plans)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Bronze | 21 30 40 50 60 |
$229.00 $260.00 $292.00 $408.00 $621.00 |
$458.00 $520.00 $584.00 $816.00 $1242.00 |
$603.00 $665.00 $729.00 $961.00 |
$748.00 $810.00 $874.00 $1106.00 |
$893.00 $955.00 $1019.00 $1251.00 |
$374.00 $405.00 $437.00 $553.00 |
$519.00 $550.00 $582.00 $698.00 |
$664.00 $695.00 $727.00 $843.00 |
$145.00 |
Plan: (PPO) SmartHealth Value Silver 3600Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-590-1596 - Provider Directory for This Plan: (PacificSource Health Plans)
Deductible: Individual:
$3,600
: Family:
$7,200 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Silver | 21 30 40 50 60 |
$266.00 $302.00 $340.00 $475.00 $721.00 |
$532.00 $604.00 $680.00 $950.00 $1442.00 |
$701.00 $773.00 $849.00 $1119.00 |
$870.00 $942.00 $1018.00 $1288.00 |
$1039.00 $1111.00 $1187.00 $1457.00 |
$435.00 $471.00 $509.00 $644.00 |
$604.00 $640.00 $678.00 $813.00 |
$773.00 $809.00 $847.00 $982.00 |
$169.00 |
Plan: (PPO) PSN Value Bronze 6450Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-590-1596 - Provider Directory for This Plan: (PacificSource Health Plans)
Deductible: Individual:
$6,450
: Family:
$12,900 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Bronze | 21 30 40 50 60 |
$229.00 $260.00 $293.00 $409.00 $622.00 |
$458.00 $520.00 $586.00 $818.00 $1244.00 |
$604.00 $666.00 $732.00 $964.00 |
$750.00 $812.00 $878.00 $1110.00 |
$896.00 $958.00 $1024.00 $1256.00 |
$375.00 $406.00 $439.00 $555.00 |
$521.00 $552.00 $585.00 $701.00 |
$667.00 $698.00 $731.00 $847.00 |
$146.00 |
Plan: (PPO) PSN Value Silver 3600Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-590-1596 - Provider Directory for This Plan: (PacificSource Health Plans)
Deductible: Individual:
$3,600
: Family:
$7,200 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Silver | 21 30 40 50 60 |
$287.00 $326.00 $367.00 $513.00 $779.00 |
$574.00 $652.00 $734.00 $1026.00 $1558.00 |
$756.00 $834.00 $916.00 $1208.00 |
$938.00 $1016.00 $1098.00 $1390.00 |
$1120.00 $1198.00 $1280.00 $1572.00 |
$469.00 $508.00 $549.00 $695.00 |
$651.00 $690.00 $731.00 $877.00 |
$833.00 $872.00 $913.00 $1059.00 |
$182.00 |
Plan: (PPO) PSN Value Bronze 3500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-590-1596 - Provider Directory for This Plan: (PacificSource Health Plans)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Bronze | 21 30 40 50 60 |
$247.00 $280.00 $316.00 $441.00 $670.00 |
$494.00 $560.00 $632.00 $882.00 $1340.00 |
$651.00 $717.00 $789.00 $1039.00 |
$808.00 $874.00 $946.00 $1196.00 |
$965.00 $1031.00 $1103.00 $1353.00 |
$404.00 $437.00 $473.00 $598.00 |
$561.00 $594.00 $630.00 $755.00 |
$718.00 $751.00 $787.00 $912.00 |
$157.00 |
Plan: (PPO) SmartHealth Balance Bronze 6850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-590-1596 - Provider Directory for This Plan: (PacificSource Health Plans)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Bronze | 21 30 40 50 60 |
$218.00 $247.00 $279.00 $389.00 $592.00 |
$436.00 $494.00 $558.00 $778.00 $1184.00 |
$574.00 $632.00 $696.00 $916.00 |
$712.00 $770.00 $834.00 $1054.00 |
$850.00 $908.00 $972.00 $1192.00 |
$356.00 $385.00 $417.00 $527.00 |
$494.00 $523.00 $555.00 $665.00 |
$632.00 $661.00 $693.00 $803.00 |
$138.00 |
Plan: (PPO) SmartHealth Balance Silver 2500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-590-1596 - Provider Directory for This Plan: (PacificSource Health Plans)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Silver | 21 30 40 50 60 |
$284.00 $323.00 $363.00 $508.00 $771.00 |
$568.00 $646.00 $726.00 $1016.00 $1542.00 |
$748.00 $826.00 $906.00 $1196.00 |
$928.00 $1006.00 $1086.00 $1376.00 |
$1108.00 $1186.00 $1266.00 $1556.00 |
$464.00 $503.00 $543.00 $688.00 |
$644.00 $683.00 $723.00 $868.00 |
$824.00 $863.00 $903.00 $1048.00 |
$180.00 |
Plan: (PPO) SmartHealth Balance Gold 1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-590-1596 - Provider Directory for This Plan: (PacificSource Health Plans)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Gold | 21 30 40 50 60 |
$332.00 $377.00 $425.00 $593.00 $902.00 |
$664.00 $754.00 $850.00 $1186.00 $1804.00 |
$875.00 $965.00 $1061.00 $1397.00 |
$1086.00 $1176.00 $1272.00 $1608.00 |
$1297.00 $1387.00 $1483.00 $1819.00 |
$543.00 $588.00 $636.00 $804.00 |
$754.00 $799.00 $847.00 $1015.00 |
$965.00 $1010.00 $1058.00 $1226.00 |
$211.00 |
Plan: (PPO) PSN Balance Silver 2500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-590-1596 - Provider Directory for This Plan: (PacificSource Health Plans)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Silver | 21 30 40 50 60 |
$307.00 $348.00 $392.00 $548.00 $833.00 |
$614.00 $696.00 $784.00 $1096.00 $1666.00 |
$809.00 $891.00 $979.00 $1291.00 |
$1004.00 $1086.00 $1174.00 $1486.00 |
$1199.00 $1281.00 $1369.00 $1681.00 |
$502.00 $543.00 $587.00 $743.00 |
$697.00 $738.00 $782.00 $938.00 |
$892.00 $933.00 $977.00 $1133.00 |
$195.00 |
Plan: (PPO) PSN Balance Bronze 6850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-590-1596 - Provider Directory for This Plan: (PacificSource Health Plans)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Bronze | 21 30 40 50 60 |
$235.00 $267.00 $301.00 $420.00 $639.00 |
$470.00 $534.00 $602.00 $840.00 $1278.00 |
$619.00 $683.00 $751.00 $989.00 |
$768.00 $832.00 $900.00 $1138.00 |
$917.00 $981.00 $1049.00 $1287.00 |
$384.00 $416.00 $450.00 $569.00 |
$533.00 $565.00 $599.00 $718.00 |
$682.00 $714.00 $748.00 $867.00 |
$149.00 |
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Blue Cross and Blue Shield of MontanaLocal: 1-855-258-8471 | Toll Free: 1-855-258-8471 TTY: 1-406-444-4212 |
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Plan: (PPO) Blue Preferred Bronze PPO? 006Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Bronze | 21 30 40 50 60 |
$204.48 $232.09 $261.33 $365.20 $554.96 |
$408.96 $464.18 $522.66 $730.40 $1109.92 |
$538.81 $594.03 $652.51 $860.25 |
$668.66 $723.88 $782.36 $990.10 |
$798.51 $853.73 $912.21 $1119.95 |
$334.33 $361.94 $391.18 $495.05 |
$464.18 $491.79 $521.03 $624.90 |
$594.03 $621.64 $650.88 $754.75 |
$129.85 |
Plan: (PPO) Blue Preferred Security PPO? 100Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Catastrophic | 21 30 40 50 60 |
$165.08 $187.37 $210.97 $294.83 $448.03 |
$330.16 $374.74 $421.94 $589.66 $896.06 |
$434.99 $479.57 $526.77 $694.49 |
$539.82 $584.40 $631.60 $799.32 |
$644.65 $689.23 $736.43 $904.15 |
$269.91 $292.20 $315.80 $399.66 |
$374.74 $397.03 $420.63 $504.49 |
$479.57 $501.86 $525.46 $609.32 |
$104.83 |
Plan: (PPO) Blue Preferred Silver PPO? 101 - Three $0 PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)
Deductible: Individual:
$3,000
: Family:
$6,000 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Silver | 21 30 40 50 60 |
$263.66 $299.26 $336.96 $470.90 $715.58 |
$527.32 $598.52 $673.92 $941.80 $1431.16 |
$694.75 $765.95 $841.35 $1109.23 |
$862.18 $933.38 $1008.78 $1276.66 |
$1029.61 $1100.81 $1176.21 $1444.09 |
$431.09 $466.69 $504.39 $638.33 |
$598.52 $634.12 $671.82 $805.76 |
$765.95 $801.55 $839.25 $973.19 |
$167.43 |
Plan: (PPO) Blue Preferred Bronze PPO? 102Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Bronze | 21 30 40 50 60 |
$204.87 $232.52 $261.82 $365.89 $556.01 |
$409.74 $465.04 $523.64 $731.78 $1112.02 |
$539.83 $595.13 $653.73 $861.87 |
$669.92 $725.22 $783.82 $991.96 |
$800.01 $855.31 $913.91 $1122.05 |
$334.96 $362.61 $391.91 $495.98 |
$465.05 $492.70 $522.00 $626.07 |
$595.14 $622.79 $652.09 $756.16 |
$130.09 |
Plan: (PPO) Blue Preferred Bronze PPO? 103Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Bronze | 21 30 40 50 60 |
$228.27 $259.09 $291.73 $407.69 $619.53 |
$456.54 $518.18 $583.46 $815.38 $1239.06 |
$601.49 $663.13 $728.41 $960.33 |
$746.44 $808.08 $873.36 $1105.28 |
$891.39 $953.03 $1018.31 $1250.23 |
$373.22 $404.04 $436.68 $552.64 |
$518.17 $548.99 $581.63 $697.59 |
$663.12 $693.94 $726.58 $842.54 |
$144.95 |
Plan: (PPO) Blue Preferred Gold PPO? 104Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Gold | 21 30 40 50 60 |
$326.39 $370.45 $417.12 $582.93 $885.81 |
$652.78 $740.90 $834.24 $1165.86 $1771.62 |
$860.04 $948.16 $1041.50 $1373.12 |
$1067.30 $1155.42 $1248.76 $1580.38 |
$1274.56 $1362.68 $1456.02 $1787.64 |
$533.65 $577.71 $624.38 $790.19 |
$740.91 $784.97 $831.64 $997.45 |
$948.17 $992.23 $1038.90 $1204.71 |
$207.26 |
Plan: (PPO) Blue Cross Blue Shield Premier? 101, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Gold | 21 30 40 50 60 |
$326.39 $370.45 $417.12 $582.93 $885.81 |
$652.78 $740.90 $834.24 $1165.86 $1771.62 |
$860.04 $948.16 $1041.50 $1373.12 |
$1067.30 $1155.42 $1248.76 $1580.38 |
$1274.56 $1362.68 $1456.02 $1787.64 |
$533.65 $577.71 $624.38 $790.19 |
$740.91 $784.97 $831.64 $997.45 |
$948.17 $992.23 $1038.90 $1204.71 |
$207.26 |
Plan: (PPO) Blue Cross Blue Shield Solution? 102, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)
Deductible: Individual:
$3,350
: Family:
$6,700 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Silver | 21 30 40 50 60 |
$256.85 $291.53 $328.26 $458.74 $697.10 |
$513.70 $583.06 $656.52 $917.48 $1394.20 |
$676.80 $746.16 $819.62 $1080.58 |
$839.90 $909.26 $982.72 $1243.68 |
$1003.00 $1072.36 $1145.82 $1406.78 |
$419.95 $454.63 $491.36 $621.84 |
$583.05 $617.73 $654.46 $784.94 |
$746.15 $780.83 $817.56 $948.04 |
$163.10 |
Plan: (PPO) Blue Cross Blue Shield Basic? 103, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)
Deductible: Individual:
$6,250
: Family:
$12,500 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Bronze | 21 30 40 50 60 |
$194.95 $221.27 $249.15 $348.19 $529.10 |
$389.90 $442.54 $498.30 $696.38 $1058.20 |
$513.70 $566.34 $622.10 $820.18 |
$637.50 $690.14 $745.90 $943.98 |
$761.30 $813.94 $869.70 $1067.78 |
$318.75 $345.07 $372.95 $471.99 |
$442.55 $468.87 $496.75 $595.79 |
$566.35 $592.67 $620.55 $719.59 |
$123.80 |
|
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Montana Health CooperativeLocal: 1-406-447-9510 | Toll Free: 1-855-488-0622 TTY: 1-855-488-0622 |
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Plan: (PPO) Access Care GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-488-0622 - Provider Directory for This Plan: (Montana Health Cooperative)
Deductible: Individual:
$750
: Family:
$1,500 Monthly Premiums: |
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| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Gold | 21 30 40 50 60 |
$373.32 $423.71 $477.10 $666.74 $1013.19 |
$746.64 $847.42 $954.20 $1333.48 $2026.38 |
$983.69 $1084.47 $1191.25 $1570.53 |
$1220.74 $1321.52 $1428.30 $1807.58 |
$1457.79 $1558.57 $1665.35 $2044.63 |
$610.37 $660.76 $714.15 $903.79 |
$847.42 $897.81 $951.20 $1140.84 |
$1084.47 $1134.86 $1188.25 $1377.89 |
$237.05 |
Plan: (PPO) Access Care SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-488-0622 - Provider Directory for This Plan: (Montana Health Cooperative)
Deductible: Individual:
$2,150
: Family:
$4,300 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 |
$277.86 $315.37 $355.10 $496.25 $754.11 |
$555.72 $630.74 $710.20 $992.50 $1508.22 |
$732.16 $807.18 $886.64 $1168.94 |
$908.60 $983.62 $1063.08 $1345.38 |
$1085.04 $1160.06 $1239.52 $1521.82 |
$454.30 $491.81 $531.54 $672.69 |
$630.74 $668.25 $707.98 $849.13 |
$807.18 $844.69 $884.42 $1025.57 |
$176.44 |
Plan: (PPO) Access Care BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-488-0622 - Provider Directory for This Plan: (Montana Health Cooperative)
Deductible: 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 |
| Bronze | 21 30 40 50 60 |
$214.41 $243.35 $274.01 $382.93 $581.90 |
$428.82 $486.70 $548.02 $765.86 $1163.80 |
$564.97 $622.85 $684.17 $902.01 |
$701.12 $759.00 $820.32 $1038.16 |
$837.27 $895.15 $956.47 $1174.31 |
$350.56 $379.50 $410.16 $519.08 |
$486.71 $515.65 $546.31 $655.23 |
$622.86 $651.80 $682.46 $791.38 |
$136.15 |
Plan: (PPO) Access Care Bronze PlusSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-488-0622 - Provider Directory for This Plan: (Montana Health Cooperative)
Deductible: 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 |
| Bronze | 21 30 40 50 60 |
$217.66 $247.04 $278.16 $388.74 $590.72 |
$435.32 $494.08 $556.32 $777.48 $1181.44 |
$573.53 $632.29 $694.53 $915.69 |
$711.74 $770.50 $832.74 $1053.90 |
$849.95 $908.71 $970.95 $1192.11 |
$355.87 $385.25 $416.37 $526.95 |
$494.08 $523.46 $554.58 $665.16 |
$632.29 $661.67 $692.79 $803.37 |
$138.21 |
Plan: (PPO) Connected Care GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-488-0622 - Provider Directory for This Plan: (Montana Health Cooperative)
Deductible: Individual:
$750
: Family:
$1,500 Monthly Premiums: |
||||||||||
| Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
| Gold | 21 30 40 50 60 |
$341.31 $387.38 $436.19 $609.57 $926.31 |
$682.62 $774.76 $872.38 $1219.14 $1852.62 |
$899.35 $991.49 $1089.11 $1435.87 |
$1116.08 $1208.22 $1305.84 $1652.60 |
$1332.81 $1424.95 $1522.57 $1869.33 |
$558.04 $604.11 $652.92 $826.30 |
$774.77 $820.84 $869.65 $1043.03 |
$991.50 $1037.57 $1086.38 $1259.76 |
$216.73 |
Plan: (PPO) Connected Care SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-488-0622 - Provider Directory for This Plan: (Montana Health Cooperative)
Deductible: Individual:
$2,150
: Family:
$4,300 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 |
$247.61 $281.03 $316.44 $442.23 $672.01 |
$495.22 $562.06 $632.88 $884.46 $1344.02 |
$652.45 $719.29 $790.11 $1041.69 |
$809.68 $876.52 $947.34 $1198.92 |
$966.91 $1033.75 $1104.57 $1356.15 |
$404.84 $438.26 $473.67 $599.46 |
$562.07 $595.49 $630.90 $756.69 |
$719.30 $752.72 $788.13 $913.92 |
$157.23 |
Plan: (PPO) Connected Care BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-488-0622 - Provider Directory for This Plan: (Montana Health Cooperative)
Deductible: Individual:
$4,200
: Family:
$8,400 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 |
| Bronze | 21 30 40 50 60 |
$197.87 $224.58 $252.87 $353.39 $537.01 |
$395.74 $449.16 $505.74 $706.78 $1074.02 |
$521.38 $574.80 $631.38 $832.42 |
$647.02 $700.44 $757.02 $958.06 |
$772.66 $826.08 $882.66 $1083.70 |
$323.51 $350.22 $378.51 $479.03 |
$449.15 $475.86 $504.15 $604.67 |
$574.79 $601.50 $629.79 $730.31 |
$125.64 |
Plan: (PPO) Connected Care Gold PlusSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-488-0622 - Provider Directory for This Plan: (Montana Health Cooperative)
Deductible: Individual:
$2,350
: Family:
$4,700 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 |
$331.94 $376.75 $424.21 $592.84 $900.88 |
$663.88 $753.50 $848.42 $1185.68 $1801.76 |
$874.66 $964.28 $1059.20 $1396.46 |
$1085.44 $1175.06 $1269.98 $1607.24 |
$1296.22 $1385.84 $1480.76 $1818.02 |
$542.72 $587.53 $634.99 $803.62 |
$753.50 $798.31 $845.77 $1014.40 |
$964.28 $1009.09 $1056.55 $1225.18 |
$210.78 |
Plan: (PPO) Connected Care Silver PlusSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-488-0622 - Provider Directory for This Plan: (Montana Health Cooperative)
Deductible: Individual:
$4,100
: Family:
$8,200 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 |
$248.63 $282.19 $317.74 $444.05 $674.78 |
$497.26 $564.38 $635.48 $888.10 $1349.56 |
$655.14 $722.26 $793.36 $1045.98 |
$813.02 $880.14 $951.24 $1203.86 |
$970.90 $1038.02 $1109.12 $1361.74 |
$406.51 $440.07 $475.62 $601.93 |
$564.39 $597.95 $633.50 $759.81 |
$722.27 $755.83 $791.38 $917.69 |
$157.88 |
Plan: (PPO) Connected Care Bronze PlusSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-488-0622 - Provider Directory for This Plan: (Montana Health Cooperative)
Deductible: Individual:
$4,200
: Family:
$8,400 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 |
| Bronze | 21 30 40 50 60 |
$200.37 $227.41 $256.07 $357.86 $543.80 |
$400.74 $454.82 $512.14 $715.72 $1087.60 |
$527.97 $582.05 $639.37 $842.95 |
$655.20 $709.28 $766.60 $970.18 |
$782.43 $836.51 $893.83 $1097.41 |
$327.60 $354.64 $383.30 $485.09 |
$454.83 $481.87 $510.53 $612.32 |
$582.06 $609.10 $637.76 $739.55 |
$127.23 |
Plan: (PPO) Access Care CatastrophicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-488-0622 - Provider Directory for This Plan: (Montana Health Cooperative)
Deductible: 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 |
$166.78 $189.29 $213.14 $297.86 $452.64 |
$333.56 $378.58 $426.28 $595.72 $905.28 |
$439.46 $484.48 $532.18 $701.62 |
$545.36 $590.38 $638.08 $807.52 |
$651.26 $696.28 $743.98 $913.42 |
$272.68 $295.19 $319.04 $403.76 |
$378.58 $401.09 $424.94 $509.66 |
$484.48 $506.99 $530.84 $615.56 |
$105.90 |
†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 Sanders County here.