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 Grafton County, New Hampshire.
Obamacare Providers, Plans and 2016 Rates for Grafton County
Grafton County is in “Rating Area 1” of New Hampshire.
Currently, there are 1 providers offering 13 plans to Rating Area 1. †
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 Hanover, NH area accept this insurance coverage as within the plan's "network".
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Maine Community Health OptionsLocal: 1-603-573-9540 | Toll Free: 1-855-624-6463 |
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Plan: (PPO) Community Safe HarborSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-624-6463 - Provider Directory for This Plan: (Maine Community Health Options)
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 |
$177.38 $201.31 $226.68 $316.78 $481.38 |
$354.76 $402.62 $453.36 $633.56 $962.76 |
$467.39 $515.25 $565.99 $746.19 |
$580.02 $627.88 $678.62 $858.82 |
$692.65 $740.51 $791.25 $971.45 |
$290.01 $313.94 $339.31 $429.41 |
$402.64 $426.57 $451.94 $542.04 |
$515.27 $539.20 $564.57 $654.67 |
$112.63 |
Plan: (PPO) Community OptionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-624-6463 - Provider Directory for This Plan: (Maine Community Health Options)
Deductible: Individual:
$5,500
: Family:
$11,000 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 |
$235.24 $266.99 $300.62 $420.12 $638.41 |
$470.48 $533.98 $601.24 $840.24 $1276.82 |
$619.85 $683.35 $750.61 $989.61 |
$769.22 $832.72 $899.98 $1138.98 |
$918.59 $982.09 $1049.35 $1288.35 |
$384.61 $416.36 $449.99 $569.49 |
$533.98 $565.73 $599.36 $718.86 |
$683.35 $715.10 $748.73 $868.23 |
$149.37 |
Plan: (PPO) Community ChoiceSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-624-6463 - Provider Directory for This Plan: (Maine Community Health Options)
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 |
$289.54 $328.62 $370.02 $517.10 $785.78 |
$579.08 $657.24 $740.04 $1034.20 $1571.56 |
$762.93 $841.09 $923.89 $1218.05 |
$946.78 $1024.94 $1107.74 $1401.90 |
$1130.63 $1208.79 $1291.59 $1585.75 |
$473.39 $512.47 $553.87 $700.95 |
$657.24 $696.32 $737.72 $884.80 |
$841.09 $880.17 $921.57 $1068.65 |
$183.85 |
Plan: (PPO) Community PreferredSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-624-6463 - Provider Directory for This Plan: (Maine Community Health Options)
Deductible: Individual:
$2,450
: Family:
$4,900 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 |
Silver | 21 30 40 50 60 |
$307.24 $348.71 $392.64 $548.71 $833.82 |
$614.48 $697.42 $785.28 $1097.42 $1667.64 |
$809.57 $892.51 $980.37 $1292.51 |
$1004.66 $1087.60 $1175.46 $1487.60 |
$1199.75 $1282.69 $1370.55 $1682.69 |
$502.33 $543.80 $587.73 $743.80 |
$697.42 $738.89 $782.82 $938.89 |
$892.51 $933.98 $977.91 $1133.98 |
$195.09 |
Plan: (PPO) Community ValueSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-624-6463 - Provider Directory for This Plan: (Maine Community Health Options)
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 |
$278.49 $316.07 $355.90 $497.37 $755.79 |
$556.98 $632.14 $711.80 $994.74 $1511.58 |
$733.81 $808.97 $888.63 $1171.57 |
$910.64 $985.80 $1065.46 $1348.40 |
$1087.47 $1162.63 $1242.29 $1525.23 |
$455.32 $492.90 $532.73 $674.20 |
$632.15 $669.73 $709.56 $851.03 |
$808.98 $846.56 $886.39 $1027.86 |
$176.83 |
Plan: (PPO) Community AdvantageSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-624-6463 - Provider Directory for This Plan: (Maine Community Health Options)
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 |
$358.47 $406.85 $458.11 $640.21 $972.86 |
$716.94 $813.70 $916.22 $1280.42 $1945.72 |
$944.56 $1041.32 $1143.84 $1508.04 |
$1172.18 $1268.94 $1371.46 $1735.66 |
$1399.80 $1496.56 $1599.08 $1963.28 |
$586.09 $634.47 $685.73 $867.83 |
$813.71 $862.09 $913.35 $1095.45 |
$1041.33 $1089.71 $1140.97 $1323.07 |
$227.62 |
Plan: (PPO) Community Option HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-624-6463 - Provider Directory for This Plan: (Maine Community Health Options)
Deductible: Individual:
$5,000
: Family:
$10,000 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 |
$238.82 $271.05 $305.20 $426.51 $648.13 |
$477.64 $542.10 $610.40 $853.02 $1296.26 |
$629.28 $693.74 $762.04 $1004.66 |
$780.92 $845.38 $913.68 $1156.30 |
$932.56 $997.02 $1065.32 $1307.94 |
$390.46 $422.69 $456.84 $578.15 |
$542.10 $574.33 $608.48 $729.79 |
$693.74 $725.97 $760.12 $881.43 |
$151.64 |
Plan: (PPO) Community AssistSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-624-6463 - Provider Directory for This Plan: (Maine Community Health Options)
Deductible: Individual:
$2,400
: Family:
$4,800 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 |
$298.71 $339.02 $381.74 $533.48 $810.67 |
$597.42 $678.04 $763.48 $1066.96 $1621.34 |
$787.09 $867.71 $953.15 $1256.63 |
$976.76 $1057.38 $1142.82 $1446.30 |
$1166.43 $1247.05 $1332.49 $1635.97 |
$488.38 $528.69 $571.41 $723.15 |
$678.05 $718.36 $761.08 $912.82 |
$867.72 $908.03 $950.75 $1102.49 |
$189.67 |
Plan: (PPO) Community AlignSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-624-6463 - Provider Directory for This Plan: (Maine Community Health Options)
Deductible: Individual:
$5,500
: Family:
$11,000 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 |
$251.81 $285.79 $321.80 $449.71 $683.39 |
$503.62 $571.58 $643.60 $899.42 $1366.78 |
$663.51 $731.47 $803.49 $1059.31 |
$823.40 $891.36 $963.38 $1219.20 |
$983.29 $1051.25 $1123.27 $1379.09 |
$411.70 $445.68 $481.69 $609.60 |
$571.59 $605.57 $641.58 $769.49 |
$731.48 $765.46 $801.47 $929.38 |
$159.89 |
Plan: (PPO) Community AdvanceSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-624-6463 - Provider Directory for This Plan: (Maine Community Health Options)
Deductible: Individual:
$2,450
: Family:
$4,900 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 |
Silver | 21 30 40 50 60 |
$327.38 $371.56 $418.38 $584.68 $888.48 |
$654.76 $743.12 $836.76 $1169.36 $1776.96 |
$862.64 $951.00 $1044.64 $1377.24 |
$1070.52 $1158.88 $1252.52 $1585.12 |
$1278.40 $1366.76 $1460.40 $1793.00 |
$535.26 $579.44 $626.26 $792.56 |
$743.14 $787.32 $834.14 $1000.44 |
$951.02 $995.20 $1042.02 $1208.32 |
$207.88 |
Plan: (PPO) Community CompleteSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-624-6463 - Provider Directory for This Plan: (Maine Community Health Options)
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 |
$295.06 $334.88 $377.07 $526.96 $800.77 |
$590.12 $669.76 $754.14 $1053.92 $1601.54 |
$777.48 $857.12 $941.50 $1241.28 |
$964.84 $1044.48 $1128.86 $1428.64 |
$1152.20 $1231.84 $1316.22 $1616.00 |
$482.42 $522.24 $564.43 $714.32 |
$669.78 $709.60 $751.79 $901.68 |
$857.14 $896.96 $939.15 $1089.04 |
$187.36 |
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Harvard Pilgrim Health Care of NELocal: 1-877-907-4742 | Toll Free: 1-877-907-4742 TTY: 1-800-637-8257 |
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Plan: (HMO) ElevateHealth Gold HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-907-4742 - Provider Directory for This Plan: (Harvard Pilgrim Health Care of NE)
Deductible: Individual:
$1,250
: Family:
$2,500 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 |
$329.11 $373.54 $420.60 $587.79 $893.20 |
$658.22 $747.08 $841.20 $1175.58 $1786.40 |
$867.20 $956.06 $1050.18 $1384.56 |
$1076.18 $1165.04 $1259.16 $1593.54 |
$1285.16 $1374.02 $1468.14 $1802.52 |
$538.09 $582.52 $629.58 $796.77 |
$747.07 $791.50 $838.56 $1005.75 |
$956.05 $1000.48 $1047.54 $1214.73 |
$208.98 |
Plan: (HMO) Harvard Pilgrim ElevateHealth Gold HSA HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-907-4742 - Provider Directory for This Plan: (Harvard Pilgrim Health Care of NE)
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 |
$289.97 $329.12 $370.58 $517.89 $786.98 |
$579.94 $658.24 $741.16 $1035.78 $1573.96 |
$764.07 $842.37 $925.29 $1219.91 |
$948.20 $1026.50 $1109.42 $1404.04 |
$1132.33 $1210.63 $1293.55 $1588.17 |
$474.10 $513.25 $554.71 $702.02 |
$658.23 $697.38 $738.84 $886.15 |
$842.36 $881.51 $922.97 $1070.28 |
$184.13 |
Plan: (HMO) Harvard Pilgrim ElevateHealth Silver HSA HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-907-4742 - Provider Directory for This Plan: (Harvard Pilgrim Health Care of NE)
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 |
$226.25 $256.79 $289.15 $404.08 $614.04 |
$452.50 $513.58 $578.30 $808.16 $1228.08 |
$596.17 $657.25 $721.97 $951.83 |
$739.84 $800.92 $865.64 $1095.50 |
$883.51 $944.59 $1009.31 $1239.17 |
$369.92 $400.46 $432.82 $547.75 |
$513.59 $544.13 $576.49 $691.42 |
$657.26 $687.80 $720.16 $835.09 |
$143.67 |
Plan: (HMO) ElevateHealth Silver HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-907-4742 - Provider Directory for This Plan: (Harvard Pilgrim Health Care of NE)
Deductible: Individual:
$3,400
: Family:
$6,800 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 |
$263.41 $298.97 $336.64 $470.46 $714.90 |
$526.82 $597.94 $673.28 $940.92 $1429.80 |
$694.09 $765.21 $840.55 $1108.19 |
$861.36 $932.48 $1007.82 $1275.46 |
$1028.63 $1099.75 $1175.09 $1442.73 |
$430.68 $466.24 $503.91 $637.73 |
$597.95 $633.51 $671.18 $805.00 |
$765.22 $800.78 $838.45 $972.27 |
$167.27 |
Plan: (HMO) Harvard Pilgrim ElevateHealth Bronze HSA HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-907-4742 - Provider Directory for This Plan: (Harvard Pilgrim Health Care of NE)
Deductible: Individual:
$6,300
: Family:
$12,600 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 |
$190.65 $216.38 $243.65 $340.50 $517.42 |
$381.30 $432.76 $487.30 $681.00 $1034.84 |
$502.36 $553.82 $608.36 $802.06 |
$623.42 $674.88 $729.42 $923.12 |
$744.48 $795.94 $850.48 $1044.18 |
$311.71 $337.44 $364.71 $461.56 |
$432.77 $458.50 $485.77 $582.62 |
$553.83 $579.56 $606.83 $703.68 |
$121.06 |
Plan: (HMO) ElevateHealth Bronze HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-907-4742 - Provider Directory for This Plan: (Harvard Pilgrim Health Care of NE)
Deductible: Individual:
$6,600
: Family:
$13,200 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 |
Bronze | 21 30 40 50 60 |
$175.11 $198.75 $223.79 $312.74 $475.24 |
$350.22 $397.50 $447.58 $625.48 $950.48 |
$461.41 $508.69 $558.77 $736.67 |
$572.60 $619.88 $669.96 $847.86 |
$683.79 $731.07 $781.15 $959.05 |
$286.30 $309.94 $334.98 $423.93 |
$397.49 $421.13 $446.17 $535.12 |
$508.68 $532.32 $557.36 $646.31 |
$111.19 |
Plan: (HMO) New Hampshire Network Silver HMO PremiumSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-907-4742 - Provider Directory for This Plan: (Harvard Pilgrim Health Care of NE)
Deductible: Individual:
$2,400
: Family:
$4,800 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 |
$290.54 $329.77 $371.32 $518.91 $788.54 |
$581.08 $659.54 $742.64 $1037.82 $1577.08 |
$765.58 $844.04 $927.14 $1222.32 |
$950.08 $1028.54 $1111.64 $1406.82 |
$1134.58 $1213.04 $1296.14 $1591.32 |
$475.04 $514.27 $555.82 $703.41 |
$659.54 $698.77 $740.32 $887.91 |
$844.04 $883.27 $924.82 $1072.41 |
$184.50 |
Plan: (HMO) Harvard Pilgrim New Hampshire Network HMO GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-907-4742 - Provider Directory for This Plan: (Harvard Pilgrim Health Care of NE)
Deductible: Individual:
$1,000
: Family:
$2,000 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 |
$347.20 $394.07 $443.72 $620.09 $942.29 |
$694.40 $788.14 $887.44 $1240.18 $1884.58 |
$914.87 $1008.61 $1107.91 $1460.65 |
$1135.34 $1229.08 $1328.38 $1681.12 |
$1355.81 $1449.55 $1548.85 $1901.59 |
$567.67 $614.54 $664.19 $840.56 |
$788.14 $835.01 $884.66 $1061.03 |
$1008.61 $1055.48 $1105.13 $1281.50 |
$220.47 |
Plan: (HMO) New Hampshire Network Bronze HSA HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-907-4742 - Provider Directory for This Plan: (Harvard Pilgrim Health Care of NE)
Deductible: Individual:
$4,500
: Family:
$9,000 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 |
$204.78 $232.43 $261.71 $365.74 $555.78 |
$409.56 $464.86 $523.42 $731.48 $1111.56 |
$539.60 $594.90 $653.46 $861.52 |
$669.64 $724.94 $783.50 $991.56 |
$799.68 $854.98 $913.54 $1121.60 |
$334.82 $362.47 $391.75 $495.78 |
$464.86 $492.51 $521.79 $625.82 |
$594.90 $622.55 $651.83 $755.86 |
$130.04 |
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|
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Minuteman Health, IncLocal: 1-857-265-3201 | Toll Free: 1-855-644-1776 |
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Plan: (HMO) MyDoc HMO PlatinumSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-644-1776 - Provider Directory for This Plan: (Minuteman Health, Inc)
Deductible: Individual:
$0
: Family:
$0 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 |
Platinum | 21 30 40 50 60 |
$281.88 $319.93 $360.24 $503.43 $765.02 |
$563.76 $639.86 $720.48 $1006.86 $1530.04 |
$742.75 $818.85 $899.47 $1185.85 |
$921.74 $997.84 $1078.46 $1364.84 |
$1100.73 $1176.83 $1257.45 $1543.83 |
$460.87 $498.92 $539.23 $682.42 |
$639.86 $677.91 $718.22 $861.41 |
$818.85 $856.90 $897.21 $1040.40 |
$178.99 |
Plan: (HMO) MyDoc HMO Gold Basic 1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-644-1776 - Provider Directory for This Plan: (Minuteman Health, Inc)
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 |
$252.19 $286.23 $322.29 $450.41 $684.44 |
$504.38 $572.46 $644.58 $900.82 $1368.88 |
$664.52 $732.60 $804.72 $1060.96 |
$824.66 $892.74 $964.86 $1221.10 |
$984.80 $1052.88 $1125.00 $1381.24 |
$412.33 $446.37 $482.43 $610.55 |
$572.47 $606.51 $642.57 $770.69 |
$732.61 $766.65 $802.71 $930.83 |
$160.14 |
Plan: (HMO) MyDoc HMO Silver CareSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-644-1776 - Provider Directory for This Plan: (Minuteman Health, Inc)
Deductible: 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 |
Silver | 21 30 40 50 60 |
$204.04 $231.58 $260.76 $364.41 $553.76 |
$408.08 $463.16 $521.52 $728.82 $1107.52 |
$537.64 $592.72 $651.08 $858.38 |
$667.20 $722.28 $780.64 $987.94 |
$796.76 $851.84 $910.20 $1117.50 |
$333.60 $361.14 $390.32 $493.97 |
$463.16 $490.70 $519.88 $623.53 |
$592.72 $620.26 $649.44 $753.09 |
$129.56 |
Plan: (HMO) MyDoc HMO Silver Assistance ASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-644-1776 - Provider Directory for This Plan: (Minuteman Health, Inc)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$203.41 $230.87 $259.95 $363.29 $552.05 |
$406.82 $461.74 $519.90 $726.58 $1104.10 |
$535.98 $590.90 $649.06 $855.74 |
$665.14 $720.06 $778.22 $984.90 |
$794.30 $849.22 $907.38 $1114.06 |
$332.57 $360.03 $389.11 $492.45 |
$461.73 $489.19 $518.27 $621.61 |
$590.89 $618.35 $647.43 $750.77 |
$129.16 |
Plan: (HMO) MyDoc HMO Bronze Value 3750Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-644-1776 - Provider Directory for This Plan: (Minuteman Health, Inc)
Deductible: Individual:
$3,750
: Family:
$7,500 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 |
$174.37 $197.90 $222.84 $311.42 $473.24 |
$348.74 $395.80 $445.68 $622.84 $946.48 |
$459.46 $506.52 $556.40 $733.56 |
$570.18 $617.24 $667.12 $844.28 |
$680.90 $727.96 $777.84 $955.00 |
$285.09 $308.62 $333.56 $422.14 |
$395.81 $419.34 $444.28 $532.86 |
$506.53 $530.06 $555.00 $643.58 |
$110.72 |
Plan: (HMO) MyDoc HMO Bronze Basic 4500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-644-1776 - Provider Directory for This Plan: (Minuteman Health, Inc)
Deductible: Individual:
$4,500
: Family:
$9,000 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 |
$162.89 $184.88 $208.17 $290.92 $442.08 |
$325.78 $369.76 $416.34 $581.84 $884.16 |
$429.21 $473.19 $519.77 $685.27 |
$532.64 $576.62 $623.20 $788.70 |
$636.07 $680.05 $726.63 $892.13 |
$266.32 $288.31 $311.60 $394.35 |
$369.75 $391.74 $415.03 $497.78 |
$473.18 $495.17 $518.46 $601.21 |
$103.43 |
Plan: (HMO) MyDoc HMO Bronze HSA 5800Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-644-1776 - Provider Directory for This Plan: (Minuteman Health, Inc)
Deductible: 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 |
Bronze | 21 30 40 50 60 |
$157.04 $178.24 $200.69 $280.47 $426.20 |
$314.08 $356.48 $401.38 $560.94 $852.40 |
$413.80 $456.20 $501.10 $660.66 |
$513.52 $555.92 $600.82 $760.38 |
$613.24 $655.64 $700.54 $860.10 |
$256.76 $277.96 $300.41 $380.19 |
$356.48 $377.68 $400.13 $479.91 |
$456.20 $477.40 $499.85 $579.63 |
$99.72 |
Plan: (HMO) MyDoc HMO Bronze 6300Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-644-1776 - Provider Directory for This Plan: (Minuteman Health, Inc)
Deductible: Individual:
$6,300
: Family:
$12,600 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 |
Bronze | 21 30 40 50 60 |
$156.97 $178.16 $200.60 $280.34 $426.01 |
$313.94 $356.32 $401.20 $560.68 $852.02 |
$413.61 $455.99 $500.87 $660.35 |
$513.28 $555.66 $600.54 $760.02 |
$612.95 $655.33 $700.21 $859.69 |
$256.64 $277.83 $300.27 $380.01 |
$356.31 $377.50 $399.94 $479.68 |
$455.98 $477.17 $499.61 $579.35 |
$99.67 |
Plan: (HMO) MyDoc HMO Simple CareSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-644-1776 - Provider Directory for This Plan: (Minuteman Health, Inc)
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 |
$111.97 $127.08 $143.09 $199.97 $303.88 |
$223.94 $254.16 $286.18 $399.94 $607.76 |
$295.04 $325.26 $357.28 $471.04 |
$366.14 $396.36 $428.38 $542.14 |
$437.24 $467.46 $499.48 $613.24 |
$183.07 $198.18 $214.19 $271.07 |
$254.17 $269.28 $285.29 $342.17 |
$325.27 $340.38 $356.39 $413.27 |
$71.10 |
ADVERTISEMENT
|
||||||||||
Celtic Insurance CompanyLocal: 1-312-332-5401 | Toll Free: 1-800-779-7989 |
||||||||||
Plan: (EPO) Ambetter Secure Care 1 (2016) with 3 Free PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-779-7989 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$1,000
: Family:
$2,000 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 |
$340.38 $386.32 $434.99 $607.90 $923.77 |
$680.76 $772.64 $869.98 $1215.80 $1847.54 |
$896.90 $988.78 $1086.12 $1431.94 |
$1113.04 $1204.92 $1302.26 $1648.08 |
$1329.18 $1421.06 $1518.40 $1864.22 |
$556.52 $602.46 $651.13 $824.04 |
$772.66 $818.60 $867.27 $1040.18 |
$988.80 $1034.74 $1083.41 $1256.32 |
$216.14 |
Plan: (EPO) Ambetter Balanced Care 8 (2016)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-779-7989 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$316.34 $359.03 $404.27 $564.97 $858.52 |
$632.68 $718.06 $808.54 $1129.94 $1717.04 |
$833.55 $918.93 $1009.41 $1330.81 |
$1034.42 $1119.80 $1210.28 $1531.68 |
$1235.29 $1320.67 $1411.15 $1732.55 |
$517.21 $559.90 $605.14 $765.84 |
$718.08 $760.77 $806.01 $966.71 |
$918.95 $961.64 $1006.88 $1167.58 |
$200.87 |
ADVERTISEMENT
|
||||||||||
Matthew Thornton Hlth Plan(Anthem BCBS)Local: 1-855-748-1804 | Toll Free: 1-855-748-1804 |
||||||||||
Plan: (HMO) Anthem Bronze Pathway X Enhanced HMO 25 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1804 - Provider Directory for This Plan: (Matthew Thornton Hlth Plan(Anthem BCBS))
Deductible: Individual:
$4,500
: Family:
$9,000 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 |
$199.93 $226.92 $255.51 $357.07 $542.61 |
$399.86 $453.84 $511.02 $714.14 $1085.22 |
$526.82 $580.80 $637.98 $841.10 |
$653.78 $707.76 $764.94 $968.06 |
$780.74 $834.72 $891.90 $1095.02 |
$326.89 $353.88 $382.47 $484.03 |
$453.85 $480.84 $509.43 $610.99 |
$580.81 $607.80 $636.39 $737.95 |
$126.96 |
Plan: (HMO) Anthem Bronze Pathway X Enhanced HMO 0 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1804 - Provider Directory for This Plan: (Matthew Thornton Hlth Plan(Anthem BCBS))
Deductible: Individual:
$5,700
: Family:
$11,400 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 |
$208.02 $236.10 $265.85 $371.52 $564.57 |
$416.04 $472.20 $531.70 $743.04 $1129.14 |
$548.13 $604.29 $663.79 $875.13 |
$680.22 $736.38 $795.88 $1007.22 |
$812.31 $868.47 $927.97 $1139.31 |
$340.11 $368.19 $397.94 $503.61 |
$472.20 $500.28 $530.03 $635.70 |
$604.29 $632.37 $662.12 $767.79 |
$132.09 |
Plan: (HMO) Anthem Bronze Pathway X Enhanced HMO 5400 20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1804 - Provider Directory for This Plan: (Matthew Thornton Hlth Plan(Anthem BCBS))
Deductible: Individual:
$5,400
: Family:
$10,800 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 |
$194.44 $220.69 $248.49 $347.27 $527.71 |
$388.88 $441.38 $496.98 $694.54 $1055.42 |
$512.35 $564.85 $620.45 $818.01 |
$635.82 $688.32 $743.92 $941.48 |
$759.29 $811.79 $867.39 $1064.95 |
$317.91 $344.16 $371.96 $470.74 |
$441.38 $467.63 $495.43 $594.21 |
$564.85 $591.10 $618.90 $717.68 |
$123.47 |
Plan: (HMO) Anthem Bronze Pathway X Enhanced HMO 5750 10Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1804 - Provider Directory for This Plan: (Matthew Thornton Hlth Plan(Anthem BCBS))
Deductible: 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 |
Bronze | 21 30 40 50 60 |
$197.15 $223.77 $251.96 $352.11 $535.07 |
$394.30 $447.54 $503.92 $704.22 $1070.14 |
$519.49 $572.73 $629.11 $829.41 |
$644.68 $697.92 $754.30 $954.60 |
$769.87 $823.11 $879.49 $1079.79 |
$322.34 $348.96 $377.15 $477.30 |
$447.53 $474.15 $502.34 $602.49 |
$572.72 $599.34 $627.53 $727.68 |
$125.19 |
Plan: (HMO) Anthem Silver Pathway X Enhanced HMO 10 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1804 - Provider Directory for This Plan: (Matthew Thornton Hlth Plan(Anthem BCBS))
Deductible: 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 |
Silver | 21 30 40 50 60 |
$226.94 $257.58 $290.03 $405.31 $615.92 |
$453.88 $515.16 $580.06 $810.62 $1231.84 |
$597.99 $659.27 $724.17 $954.73 |
$742.10 $803.38 $868.28 $1098.84 |
$886.21 $947.49 $1012.39 $1242.95 |
$371.05 $401.69 $434.14 $549.42 |
$515.16 $545.80 $578.25 $693.53 |
$659.27 $689.91 $722.36 $837.64 |
$144.11 |
Plan: (HMO) Anthem Silver Pathway X Enhanced HMO 4000 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1804 - Provider Directory for This Plan: (Matthew Thornton Hlth Plan(Anthem BCBS))
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$233.91 $265.49 $298.94 $417.76 $634.83 |
$467.82 $530.98 $597.88 $835.52 $1269.66 |
$616.35 $679.51 $746.41 $984.05 |
$764.88 $828.04 $894.94 $1132.58 |
$913.41 $976.57 $1043.47 $1281.11 |
$382.44 $414.02 $447.47 $566.29 |
$530.97 $562.55 $596.00 $714.82 |
$679.50 $711.08 $744.53 $863.35 |
$148.53 |
Plan: (HMO) Anthem Gold Pathway X Enhanced HMO 1000 10Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1804 - Provider Directory for This Plan: (Matthew Thornton Hlth Plan(Anthem BCBS))
Deductible: Individual:
$1,000
: Family:
$2,000 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 |
$293.49 $333.11 $375.08 $524.17 $796.53 |
$586.98 $666.22 $750.16 $1048.34 $1593.06 |
$773.35 $852.59 $936.53 $1234.71 |
$959.72 $1038.96 $1122.90 $1421.08 |
$1146.09 $1225.33 $1309.27 $1607.45 |
$479.86 $519.48 $561.45 $710.54 |
$666.23 $705.85 $747.82 $896.91 |
$852.60 $892.22 $934.19 $1083.28 |
$186.37 |
Plan: (HMO) Anthem Catastrophic Pathway X Enhanced HMO 6850 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1804 - Provider Directory for This Plan: (Matthew Thornton Hlth Plan(Anthem BCBS))
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 |
$151.78 $172.27 $193.97 $271.08 $411.93 |
$303.56 $344.54 $387.94 $542.16 $823.86 |
$399.94 $440.92 $484.32 $638.54 |
$496.32 $537.30 $580.70 $734.92 |
$592.70 $633.68 $677.08 $831.30 |
$248.16 $268.65 $290.35 $367.46 |
$344.54 $365.03 $386.73 $463.84 |
$440.92 $461.41 $483.11 $560.22 |
$96.38 |
Plan: (HMO) Anthem Silver Pathway X Enhanced HMO 4200 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1804 - Provider Directory for This Plan: (Matthew Thornton Hlth Plan(Anthem BCBS))
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 |
Silver | 21 30 40 50 60 |
$232.08 $263.41 $296.60 $414.49 $629.87 |
$464.16 $526.82 $593.20 $828.98 $1259.74 |
$611.53 $674.19 $740.57 $976.35 |
$758.90 $821.56 $887.94 $1123.72 |
$906.27 $968.93 $1035.31 $1271.09 |
$379.45 $410.78 $443.97 $561.86 |
$526.82 $558.15 $591.34 $709.23 |
$674.19 $705.52 $738.71 $856.60 |
$147.37 |
Plan: (HMO) Anthem Blue Cross and Blue Shield Silver DirectAccess, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1804 - Provider Directory for This Plan: (Matthew Thornton Hlth Plan(Anthem BCBS))
Deductible: 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 |
Silver | 21 30 40 50 60 |
$226.55 $257.13 $289.53 $404.62 $614.86 |
$453.10 $514.26 $579.06 $809.24 $1229.72 |
$596.96 $658.12 $722.92 $953.10 |
$740.82 $801.98 $866.78 $1096.96 |
$884.68 $945.84 $1010.64 $1240.82 |
$370.41 $400.99 $433.39 $548.48 |
$514.27 $544.85 $577.25 $692.34 |
$658.13 $688.71 $721.11 $836.20 |
$143.86 |
Plan: (HMO) Anthem Blue Cross and Blue Shield Gold DirectAccess, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1804 - Provider Directory for This Plan: (Matthew Thornton Hlth Plan(Anthem BCBS))
Deductible: Individual:
$1,000
: Family:
$2,000 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 |
$297.16 $337.28 $379.77 $530.73 $806.49 |
$594.32 $674.56 $759.54 $1061.46 $1612.98 |
$783.02 $863.26 $948.24 $1250.16 |
$971.72 $1051.96 $1136.94 $1438.86 |
$1160.42 $1240.66 $1325.64 $1627.56 |
$485.86 $525.98 $568.47 $719.43 |
$674.56 $714.68 $757.17 $908.13 |
$863.26 $903.38 $945.87 $1096.83 |
$188.70 |
†Source: Our summary of lowest costs and numbers of providers is based on a government report released September 25, 2013. For more detailed information about specific plans and providers, see HealthCare.gov.
‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Grafton County here.