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Providers for Zip Code 03820

LegalConsumer.com/obamacare

ObamacareByZipCode.com

Obamacare 2016 Marketplace Rates For Strafford County, New Hampshire

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 Strafford County, New Hampshire.

Obamacare Providers, Plans and 2016 Rates for Strafford County

Strafford 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 Dover, NH area accept this insurance coverage as within the plan's "network".
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Maine Community Health Options

Local: 1-603-573-9540 | Toll Free: 1-855-624-6463

Plan: (PPO) Community Safe Harbor

Summary 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
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		 $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 Option

Summary 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
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		 $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 Choice

Summary 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
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		 $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 Preferred

Summary 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
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		 $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 Value

Summary 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
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		 $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 Advantage

Summary 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
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
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 HSA

Summary 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
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		 $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 Assist

Summary 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
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		 $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 Align

Summary 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
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		 $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 Advance

Summary 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
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		 $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 Complete

Summary 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
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		 $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 NE

Local: 1-877-907-4742 | Toll Free: 1-877-907-4742

TTY: 1-800-637-8257

Plan: (HMO) ElevateHealth Gold HMO

Summary 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
Out of Pocket Maximum per year: Individual: $4,750 : Family: $9,500

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		 $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 HMO

Summary 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
Out of Pocket Maximum per year: 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
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 HMO

Summary 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
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		 $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 HMO

Summary 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
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		 $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 HMO

Summary 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
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		 $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 HMO

Summary 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
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		 $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 Premium

Summary 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
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		 $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 Gold

Summary 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
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		 $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 HMO

Summary 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
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		 $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
ADVERTISEMENT

Minuteman Health, Inc

Local: 1-857-265-3201 | Toll Free: 1-855-644-1776

Plan: (HMO) MyDoc HMO Platinum

Summary 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
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
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 1000

Summary 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
Out of Pocket Maximum per year: 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
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 Basic

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-644-1776 - Provider Directory for This Plan: (Minuteman Health, Inc)

Deductible: Individual: $2,000 : Family: $4,000
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		 $203.99
$231.52
$260.69
$364.32
$553.62		 $407.98
$463.04
$521.38
$728.64
$1107.24		 $537.51
$592.57
$650.91
$858.17		 $667.04
$722.10
$780.44
$987.70		 $796.57
$851.63
$909.97
$1117.23		 $333.52
$361.05
$390.22
$493.85		 $463.05
$490.58
$519.75
$623.38		 $592.58
$620.11
$649.28
$752.91		 $129.53

Plan: (HMO) MyDoc HMO Silver Care

Summary 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
Out of Pocket Maximum per year: Individual: $4,750 : Family: $9,500

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		 $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 A

Summary 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
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		 $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 3750

Summary 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
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		 $174.37
$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 4500

Summary 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
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		 $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 5800

Summary 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
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		 $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 Simple Care

Summary 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
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		 $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 Company

Local: 1-312-332-5401 | Toll Free: 1-800-779-7989

Plan: (EPO) Ambetter Secure Care 1 (2016) with 3 Free PCP Visits

Summary 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
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
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
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		 $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 HSA

Summary 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
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		 $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 HSA

Summary 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
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		 $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 20

Summary 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
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		 $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 10

Summary 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
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		 $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 HSA

Summary 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
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
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 0

Summary 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
Out of Pocket Maximum per year: 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
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 10

Summary 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
Out of Pocket Maximum per year: Individual: $4,050 : Family: $8,100

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
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 0

Summary 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
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		 $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 0

Summary 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
Out of Pocket Maximum per year: 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
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 Plan

Summary 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
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		 $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 Plan

Summary 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
Out of Pocket Maximum per year: Individual: $4,050 : Family: $8,100

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
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 Strafford County here.

 

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