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 Centre County, Pennsylvania.
Obamacare Providers, Plans and 2016 Rates for Centre County
Centre County is in “Rating Area 6” of Pennsylvania.
Currently, there are 10 providers offering 119 plans to Rating Area 6. †
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 State College, PA area accept this insurance coverage as within the plan's "network".
ADVERTISEMENT
|
||||||||||
UPMC Health Options, Inc.Local: 1-855-489-3494 | Toll Free: 1-855-489-3494 TTY: 1-800-361-2629 |
||||||||||
Plan: (PPO) UPMC Advantage Silver $0/$50 - Premium NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)
Deductible: Individual:
$0
: Family:
$0 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 |
$214.07 $242.97 $273.59 $382.33 $580.99 |
$428.14 $485.94 $547.18 $764.66 $1161.98 |
$564.08 $621.88 $683.12 $900.60 |
$700.02 $757.82 $819.06 $1036.54 |
$835.96 $893.76 $955.00 $1172.48 |
$350.01 $378.91 $409.53 $518.27 |
$485.95 $514.85 $545.47 $654.21 |
$621.89 $650.79 $681.41 $790.15 |
$135.94 |
Plan: (PPO) UPMC Advantage Silver $1750/$30 - Premium NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)
Deductible: Individual:
$1,750
: Family:
$3,500 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 |
$213.30 $242.10 $272.60 $380.96 $578.90 |
$426.60 $484.20 $545.20 $761.92 $1157.80 |
$562.05 $619.65 $680.65 $897.37 |
$697.50 $755.10 $816.10 $1032.82 |
$832.95 $890.55 $951.55 $1168.27 |
$348.75 $377.55 $408.05 $516.41 |
$484.20 $513.00 $543.50 $651.86 |
$619.65 $648.45 $678.95 $787.31 |
$135.45 |
Plan: (PPO) UPMC Advantage Silver $3,250/$10 - Premium NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)
Deductible: Individual:
$3,250
: Family:
$6,500 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 |
$209.85 $238.18 $268.19 $374.80 $569.54 |
$419.70 $476.36 $536.38 $749.60 $1139.08 |
$552.96 $609.62 $669.64 $882.86 |
$686.22 $742.88 $802.90 $1016.12 |
$819.48 $876.14 $936.16 $1149.38 |
$343.11 $371.44 $401.45 $508.06 |
$476.37 $504.70 $534.71 $641.32 |
$609.63 $637.96 $667.97 $774.58 |
$133.26 |
Plan: (PPO) UPMC Advantage Gold $750/$10 - Premium NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)
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 |
$250.58 $284.41 $320.25 $447.54 $680.08 |
$501.16 $568.82 $640.50 $895.08 $1360.16 |
$660.28 $727.94 $799.62 $1054.20 |
$819.40 $887.06 $958.74 $1213.32 |
$978.52 $1046.18 $1117.86 $1372.44 |
$409.70 $443.53 $479.37 $606.66 |
$568.82 $602.65 $638.49 $765.78 |
$727.94 $761.77 $797.61 $924.90 |
$159.12 |
Plan: (PPO) UPMC Advantage Platinum $250/$20 - Premium NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)
Deductible: Individual:
$250
: Family:
$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 |
Platinum | 21 30 40 50 60 |
$407.44 $462.45 $520.71 $727.69 $1105.80 |
$814.88 $924.90 $1041.42 $1455.38 $2211.60 |
$1073.61 $1183.63 $1300.15 $1714.11 |
$1332.34 $1442.36 $1558.88 $1972.84 |
$1591.07 $1701.09 $1817.61 $2231.57 |
$666.17 $721.18 $779.44 $986.42 |
$924.90 $979.91 $1038.17 $1245.15 |
$1183.63 $1238.64 $1296.90 $1503.88 |
$258.73 |
Plan: (PPO) UPMC Advantage Bronze $6,200/$35 - Premium NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)
Deductible: Individual:
$6,200
: Family:
$12,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$188.58 $214.04 $241.01 $336.81 $511.81 |
$377.16 $428.08 $482.02 $673.62 $1023.62 |
$496.91 $547.83 $601.77 $793.37 |
$616.66 $667.58 $721.52 $913.12 |
$736.41 $787.33 $841.27 $1032.87 |
$308.33 $333.79 $360.76 $456.56 |
$428.08 $453.54 $480.51 $576.31 |
$547.83 $573.29 $600.26 $696.06 |
$119.75 |
Plan: (PPO) UPMC Advantage Silver HSA $2,600/20% - Premium NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)
Deductible: Individual:
$2,600
: Family:
$5,200 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 |
$213.69 $242.54 $273.10 $381.66 $579.96 |
$427.38 $485.08 $546.20 $763.32 $1159.92 |
$563.08 $620.78 $681.90 $899.02 |
$698.78 $756.48 $817.60 $1034.72 |
$834.48 $892.18 $953.30 $1170.42 |
$349.39 $378.24 $408.80 $517.36 |
$485.09 $513.94 $544.50 $653.06 |
$620.79 $649.64 $680.20 $788.76 |
$135.70 |
Plan: (PPO) UPMC Advantage Catastrophic $6,850/$0 - Premium NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, 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 |
$164.06 $186.21 $209.67 $293.02 $445.26 |
$328.12 $372.42 $419.34 $586.04 $890.52 |
$432.30 $476.60 $523.52 $690.22 |
$536.48 $580.78 $627.70 $794.40 |
$640.66 $684.96 $731.88 $898.58 |
$268.24 $290.39 $313.85 $397.20 |
$372.42 $394.57 $418.03 $501.38 |
$476.60 $498.75 $522.21 $605.56 |
$104.18 |
ADVERTISEMENT
|
||||||||||
Geisinger Health PlanLocal: 1-800-447-4000 | Toll Free: 1-800-447-4000 TTY: 1-800-447-2833 |
||||||||||
Plan: (HMO) Geisinger Health Plan Marketplace Extra 10/50/500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-447-4000 - Provider Directory for This Plan: (Geisinger Health Plan)
Deductible: Individual:
$500
: Family:
$1,000 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 |
$280.29 $318.12 $358.20 $500.58 $760.68 |
$560.58 $636.24 $716.40 $1001.16 $1521.36 |
$738.56 $814.22 $894.38 $1179.14 |
$916.54 $992.20 $1072.36 $1357.12 |
$1094.52 $1170.18 $1250.34 $1535.10 |
$458.27 $496.10 $536.18 $678.56 |
$636.25 $674.08 $714.16 $856.54 |
$814.23 $852.06 $892.14 $1034.52 |
$177.98 |
Plan: (HMO) Geisinger Health Plan Marketplace Extra 10/50/2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-447-4000 - Provider Directory for This Plan: (Geisinger Health Plan)
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 |
$229.42 $260.39 $293.20 $409.74 $622.64 |
$458.84 $520.78 $586.40 $819.48 $1245.28 |
$604.52 $666.46 $732.08 $965.16 |
$750.20 $812.14 $877.76 $1110.84 |
$895.88 $957.82 $1023.44 $1256.52 |
$375.10 $406.07 $438.88 $555.42 |
$520.78 $551.75 $584.56 $701.10 |
$666.46 $697.43 $730.24 $846.78 |
$145.68 |
Plan: (HMO) Geisinger Health Plan Marketplace HMO 20/40/3000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-447-4000 - Provider Directory for This Plan: (Geisinger Health Plan)
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 |
Gold | 21 30 40 50 60 |
$282.71 $320.87 $361.29 $504.91 $767.26 |
$565.42 $641.74 $722.58 $1009.82 $1534.52 |
$744.94 $821.26 $902.10 $1189.34 |
$924.46 $1000.78 $1081.62 $1368.86 |
$1103.98 $1180.30 $1261.14 $1548.38 |
$462.23 $500.39 $540.81 $684.43 |
$641.75 $679.91 $720.33 $863.95 |
$821.27 $859.43 $899.85 $1043.47 |
$179.52 |
Plan: (POS) Geisinger Health Plan Marketplace POS 25/50/2500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-447-4000 - Provider Directory for This Plan: (Geisinger Health Plan)
Deductible: Individual:
$2,500
: Family:
$5,000 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 |
$245.77 $278.95 $314.09 $438.94 $667.01 |
$491.54 $557.90 $628.18 $877.88 $1334.02 |
$647.60 $713.96 $784.24 $1033.94 |
$803.66 $870.02 $940.30 $1190.00 |
$959.72 $1026.08 $1096.36 $1346.06 |
$401.83 $435.01 $470.15 $595.00 |
$557.89 $591.07 $626.21 $751.06 |
$713.95 $747.13 $782.27 $907.12 |
$156.06 |
Plan: (POS) Geisinger Health Plan Marketplace ValueSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-447-4000 - Provider Directory for This Plan: (Geisinger Health Plan)
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 |
$170.99 $194.07 $218.52 $305.38 $464.06 |
$341.98 $388.14 $437.04 $610.76 $928.12 |
$450.56 $496.72 $545.62 $719.34 |
$559.14 $605.30 $654.20 $827.92 |
$667.72 $713.88 $762.78 $936.50 |
$279.57 $302.65 $327.10 $413.96 |
$388.15 $411.23 $435.68 $522.54 |
$496.73 $519.81 $544.26 $631.12 |
$108.58 |
ADVERTISEMENT
|
||||||||||
Capital Advantage Assurance CompanyLocal: 1-800-730-7219 | Toll Free: 1-800-730-7219 TTY: 1-800-242-4816 |
||||||||||
Plan: (PPO) Healthy Benefits PPO 6300.50Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Capital Advantage Assurance Company)
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 |
$224.30 $254.57 $286.64 $400.58 $608.73 |
$448.60 $509.14 $573.28 $801.16 $1217.46 |
$591.02 $651.56 $715.70 $943.58 |
$733.44 $793.98 $858.12 $1086.00 |
$875.86 $936.40 $1000.54 $1228.42 |
$366.72 $396.99 $429.06 $543.00 |
$509.14 $539.41 $571.48 $685.42 |
$651.56 $681.83 $713.90 $827.84 |
$142.42 |
Plan: (PPO) Healthy Benefits PPO 4500.0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Capital Advantage Assurance Company)
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 |
Silver | 21 30 40 50 60 |
$266.36 $302.31 $340.40 $475.71 $722.89 |
$532.72 $604.62 $680.80 $951.42 $1445.78 |
$701.85 $773.75 $849.93 $1120.55 |
$870.98 $942.88 $1019.06 $1289.68 |
$1040.11 $1112.01 $1188.19 $1458.81 |
$435.49 $471.44 $509.53 $644.84 |
$604.62 $640.57 $678.66 $813.97 |
$773.75 $809.70 $847.79 $983.10 |
$169.13 |
Plan: (PPO) Healthy Benefits PPO 3500.0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Capital Advantage Assurance 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 |
$270.88 $307.44 $346.18 $483.78 $735.15 |
$541.76 $614.88 $692.36 $967.56 $1470.30 |
$713.76 $786.88 $864.36 $1139.56 |
$885.76 $958.88 $1036.36 $1311.56 |
$1057.76 $1130.88 $1208.36 $1483.56 |
$442.88 $479.44 $518.18 $655.78 |
$614.88 $651.44 $690.18 $827.78 |
$786.88 $823.44 $862.18 $999.78 |
$172.00 |
Plan: (PPO) Healthy Benefits PPO 2500.0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Capital Advantage Assurance Company)
Deductible: Individual:
$2,500
: Family:
$5,000 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 |
$275.68 $312.89 $352.31 $492.35 $748.18 |
$551.36 $625.78 $704.62 $984.70 $1496.36 |
$726.41 $800.83 $879.67 $1159.75 |
$901.46 $975.88 $1054.72 $1334.80 |
$1076.51 $1150.93 $1229.77 $1509.85 |
$450.73 $487.94 $527.36 $667.40 |
$625.78 $662.99 $702.41 $842.45 |
$800.83 $838.04 $877.46 $1017.50 |
$175.05 |
Plan: (PPO) Healthy Benefits PPO 1000.0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Capital Advantage Assurance 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 |
$331.29 $376.01 $423.39 $591.68 $899.12 |
$662.58 $752.02 $846.78 $1183.36 $1798.24 |
$872.94 $962.38 $1057.14 $1393.72 |
$1083.30 $1172.74 $1267.50 $1604.08 |
$1293.66 $1383.10 $1477.86 $1814.44 |
$541.65 $586.37 $633.75 $802.04 |
$752.01 $796.73 $844.11 $1012.40 |
$962.37 $1007.09 $1054.47 $1222.76 |
$210.36 |
Plan: (PPO) Healthy Benefits PPO 500.0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Capital Advantage Assurance Company)
Deductible: Individual:
$500
: Family:
$1,000 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 |
$341.17 $387.23 $436.01 $609.33 $925.94 |
$682.34 $774.46 $872.02 $1218.66 $1851.88 |
$898.98 $991.10 $1088.66 $1435.30 |
$1115.62 $1207.74 $1305.30 $1651.94 |
$1332.26 $1424.38 $1521.94 $1868.58 |
$557.81 $603.87 $652.65 $825.97 |
$774.45 $820.51 $869.29 $1042.61 |
$991.09 $1037.15 $1085.93 $1259.25 |
$216.64 |
Plan: (PPO) Healthy Benefits PPO 0.0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Capital Advantage Assurance Company)
Deductible: Individual:
$0
: Family:
$0 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 |
$290.64 $329.87 $371.43 $519.07 $788.79 |
$581.28 $659.74 $742.86 $1038.14 $1577.58 |
$765.83 $844.29 $927.41 $1222.69 |
$950.38 $1028.84 $1111.96 $1407.24 |
$1134.93 $1213.39 $1296.51 $1591.79 |
$475.19 $514.42 $555.98 $703.62 |
$659.74 $698.97 $740.53 $888.17 |
$844.29 $883.52 $925.08 $1072.72 |
$184.55 |
Plan: (PPO) Healthy Benefits PPO 0.0.10Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Capital Advantage Assurance Company)
Deductible: Individual:
$0
: Family:
$0 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 |
$429.54 $487.52 $548.94 $767.15 $1165.76 |
$859.08 $975.04 $1097.88 $1534.30 $2331.52 |
$1131.83 $1247.79 $1370.63 $1807.05 |
$1404.58 $1520.54 $1643.38 $2079.80 |
$1677.33 $1793.29 $1916.13 $2352.55 |
$702.29 $760.27 $821.69 $1039.90 |
$975.04 $1033.02 $1094.44 $1312.65 |
$1247.79 $1305.77 $1367.19 $1585.40 |
$272.75 |
Plan: (PPO) Healthy Benefits PPO HSA 3000.10Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Capital Advantage Assurance Company)
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 |
$262.97 $298.47 $336.07 $469.66 $713.70 |
$525.94 $596.94 $672.14 $939.32 $1427.40 |
$692.92 $763.92 $839.12 $1106.30 |
$859.90 $930.90 $1006.10 $1273.28 |
$1026.88 $1097.88 $1173.08 $1440.26 |
$429.95 $465.45 $503.05 $636.64 |
$596.93 $632.43 $670.03 $803.62 |
$763.91 $799.41 $837.01 $970.60 |
$166.98 |
Plan: (PPO) Healthy Benefits PPO 1500.30Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Capital Advantage Assurance Company)
Deductible: Individual:
$1,500
: Family:
$3,000 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 |
$285.56 $324.10 $364.94 $510.00 $775.00 |
$571.12 $648.20 $729.88 $1020.00 $1550.00 |
$752.44 $829.52 $911.20 $1201.32 |
$933.76 $1010.84 $1092.52 $1382.64 |
$1115.08 $1192.16 $1273.84 $1563.96 |
$466.88 $505.42 $546.26 $691.32 |
$648.20 $686.74 $727.58 $872.64 |
$829.52 $868.06 $908.90 $1053.96 |
$181.32 |
ADVERTISEMENT
|
||||||||||
Keystone Health Plan CentralLocal: 1-800-730-7219 | Toll Free: 1-800-730-7219 TTY: 1-800-669-7075 |
||||||||||
Plan: (HMO) BlueCross 750.0, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Keystone Health Plan Central)
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 |
$320.01 $363.20 $408.96 $571.52 $868.49 |
$640.02 $726.40 $817.92 $1143.04 $1736.98 |
$843.22 $929.60 $1021.12 $1346.24 |
$1046.42 $1132.80 $1224.32 $1549.44 |
$1249.62 $1336.00 $1427.52 $1752.64 |
$523.21 $566.40 $612.16 $774.72 |
$726.41 $769.60 $815.36 $977.92 |
$929.61 $972.80 $1018.56 $1181.12 |
$203.20 |
Plan: (HMO) BlueCross 0.50, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Keystone Health Plan Central)
Deductible: Individual:
$0
: Family:
$0 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 |
$267.63 $303.76 $342.03 $477.98 $726.35 |
$535.26 $607.52 $684.06 $955.96 $1452.70 |
$705.20 $777.46 $854.00 $1125.90 |
$875.14 $947.40 $1023.94 $1295.84 |
$1045.08 $1117.34 $1193.88 $1465.78 |
$437.57 $473.70 $511.97 $647.92 |
$607.51 $643.64 $681.91 $817.86 |
$777.45 $813.58 $851.85 $987.80 |
$169.94 |
Plan: (HMO) Healthy Benefits HMO 6850.0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Keystone Health Plan Central)
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 |
$129.48 $146.96 $165.47 $231.25 $351.41 |
$258.96 $293.92 $330.94 $462.50 $702.82 |
$341.18 $376.14 $413.16 $544.72 |
$423.40 $458.36 $495.38 $626.94 |
$505.62 $540.58 $577.60 $709.16 |
$211.70 $229.18 $247.69 $313.47 |
$293.92 $311.40 $329.91 $395.69 |
$376.14 $393.62 $412.13 $477.91 |
$82.22 |
Plan: (HMO) Healthy Benefits HMO 2500.0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Keystone Health Plan Central)
Deductible: Individual:
$2,500
: Family:
$5,000 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 |
$260.95 $296.18 $333.49 $466.05 $708.22 |
$521.90 $592.36 $666.98 $932.10 $1416.44 |
$687.60 $758.06 $832.68 $1097.80 |
$853.30 $923.76 $998.38 $1263.50 |
$1019.00 $1089.46 $1164.08 $1429.20 |
$426.65 $461.88 $499.19 $631.75 |
$592.35 $627.58 $664.89 $797.45 |
$758.05 $793.28 $830.59 $963.15 |
$165.70 |
Plan: (HMO) Healthy Benefits HMO 6300.50Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Keystone Health Plan Central)
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 |
$212.05 $240.67 $271.00 $378.72 $575.50 |
$424.10 $481.34 $542.00 $757.44 $1151.00 |
$558.75 $615.99 $676.65 $892.09 |
$693.40 $750.64 $811.30 $1026.74 |
$828.05 $885.29 $945.95 $1161.39 |
$346.70 $375.32 $405.65 $513.37 |
$481.35 $509.97 $540.30 $648.02 |
$616.00 $644.62 $674.95 $782.67 |
$134.65 |
Plan: (HMO) Healthy Benefits HMO 4500.0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Keystone Health Plan Central)
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 |
Silver | 21 30 40 50 60 |
$252.14 $286.17 $322.22 $450.30 $684.29 |
$504.28 $572.34 $644.44 $900.60 $1368.58 |
$664.38 $732.44 $804.54 $1060.70 |
$824.48 $892.54 $964.64 $1220.80 |
$984.58 $1052.64 $1124.74 $1380.90 |
$412.24 $446.27 $482.32 $610.40 |
$572.34 $606.37 $642.42 $770.50 |
$732.44 $766.47 $802.52 $930.60 |
$160.10 |
Plan: (HMO) Healthy Benefits HMO 3500.0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Keystone Health Plan Central)
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 |
$256.41 $291.02 $327.69 $457.94 $695.89 |
$512.82 $582.04 $655.38 $915.88 $1391.78 |
$675.63 $744.85 $818.19 $1078.69 |
$838.44 $907.66 $981.00 $1241.50 |
$1001.25 $1070.47 $1143.81 $1404.31 |
$419.22 $453.83 $490.50 $620.75 |
$582.03 $616.64 $653.31 $783.56 |
$744.84 $779.45 $816.12 $946.37 |
$162.81 |
Plan: (HMO) Healthy Benefits HMO 1000.0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Keystone Health Plan Central)
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 |
$313.59 $355.92 $400.77 $560.07 $851.09 |
$627.18 $711.84 $801.54 $1120.14 $1702.18 |
$826.31 $910.97 $1000.67 $1319.27 |
$1025.44 $1110.10 $1199.80 $1518.40 |
$1224.57 $1309.23 $1398.93 $1717.53 |
$512.72 $555.05 $599.90 $759.20 |
$711.85 $754.18 $799.03 $958.33 |
$910.98 $953.31 $998.16 $1157.46 |
$199.13 |
Plan: (HMO) Healthy Benefits HMO 500.0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Keystone Health Plan Central)
Deductible: Individual:
$500
: Family:
$1,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$322.95 $366.54 $412.72 $576.77 $876.47 |
$645.90 $733.08 $825.44 $1153.54 $1752.94 |
$850.96 $938.14 $1030.50 $1358.60 |
$1056.02 $1143.20 $1235.56 $1563.66 |
$1261.08 $1348.26 $1440.62 $1768.72 |
$528.01 $571.60 $617.78 $781.83 |
$733.07 $776.66 $822.84 $986.89 |
$938.13 $981.72 $1027.90 $1191.95 |
$205.06 |
Plan: (HMO) Healthy Benefits HMO 0.0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Keystone Health Plan Central)
Deductible: Individual:
$0
: Family:
$0 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 |
$275.12 $312.25 $351.59 $491.35 $746.65 |
$550.24 $624.50 $703.18 $982.70 $1493.30 |
$724.93 $799.19 $877.87 $1157.39 |
$899.62 $973.88 $1052.56 $1332.08 |
$1074.31 $1148.57 $1227.25 $1506.77 |
$449.81 $486.94 $526.28 $666.04 |
$624.50 $661.63 $700.97 $840.73 |
$799.19 $836.32 $875.66 $1015.42 |
$174.69 |
Plan: (HMO) Healthy Benefits HMO 0.0.10Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Keystone Health Plan Central)
Deductible: Individual:
$0
: Family:
$0 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 |
$406.58 $461.47 $519.61 $726.15 $1103.46 |
$813.16 $922.94 $1039.22 $1452.30 $2206.92 |
$1071.33 $1181.11 $1297.39 $1710.47 |
$1329.50 $1439.28 $1555.56 $1968.64 |
$1587.67 $1697.45 $1813.73 $2226.81 |
$664.75 $719.64 $777.78 $984.32 |
$922.92 $977.81 $1035.95 $1242.49 |
$1181.09 $1235.98 $1294.12 $1500.66 |
$258.17 |
Plan: (HMO) Healthy Benefits HMO 1500.30Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-730-7219 - Provider Directory for This Plan: (Keystone Health Plan Central)
Deductible: Individual:
$1,500
: Family:
$3,000 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 |
$270.31 $306.79 $345.44 $482.76 $733.60 |
$540.62 $613.58 $690.88 $965.52 $1467.20 |
$712.26 $785.22 $862.52 $1137.16 |
$883.90 $956.86 $1034.16 $1308.80 |
$1055.54 $1128.50 $1205.80 $1480.44 |
$441.95 $478.43 $517.08 $654.40 |
$613.59 $650.07 $688.72 $826.04 |
$785.23 $821.71 $860.36 $997.68 |
$171.64 |
ADVERTISEMENT
|
||||||||||
Aetna Health Inc. (a PA corp.)Local: 1-855-632-6273 | Toll Free: 1-855-632-6273 TTY: 1-855-632-6273 |
||||||||||
Plan: (HMO) Coventry Gold $10 Copay OAHMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-632-6273 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))
Deductible: Individual:
$1,400
: Family:
$2,800 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 |
Gold | 21 30 40 50 60 |
$306.18 $347.52 $391.30 $546.84 $830.98 |
$612.36 $695.04 $782.60 $1093.68 $1661.96 |
$806.79 $889.47 $977.03 $1288.11 |
$1001.22 $1083.90 $1171.46 $1482.54 |
$1195.65 $1278.33 $1365.89 $1676.97 |
$500.61 $541.95 $585.73 $741.27 |
$695.04 $736.38 $780.16 $935.70 |
$889.47 $930.81 $974.59 $1130.13 |
$194.43 |
Plan: (HMO) Coventry Silver $10 Copay OAHMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-632-6273 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))
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 |
$258.59 $293.49 $330.47 $461.83 $701.80 |
$517.18 $586.98 $660.94 $923.66 $1403.60 |
$681.38 $751.18 $825.14 $1087.86 |
$845.58 $915.38 $989.34 $1252.06 |
$1009.78 $1079.58 $1153.54 $1416.26 |
$422.79 $457.69 $494.67 $626.03 |
$586.99 $621.89 $658.87 $790.23 |
$751.19 $786.09 $823.07 $954.43 |
$164.20 |
Plan: (HMO) Coventry Bronze $15 Copay OAHMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-632-6273 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))
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 |
Bronze | 21 30 40 50 60 |
$212.36 $241.03 $271.40 $379.27 $576.34 |
$424.72 $482.06 $542.80 $758.54 $1152.68 |
$559.57 $616.91 $677.65 $893.39 |
$694.42 $751.76 $812.50 $1028.24 |
$829.27 $886.61 $947.35 $1163.09 |
$347.21 $375.88 $406.25 $514.12 |
$482.06 $510.73 $541.10 $648.97 |
$616.91 $645.58 $675.95 $783.82 |
$134.85 |
Plan: (HMO) Coventry Bronze Deductible Only HSA Eligible OAHMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-632-6273 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))
Deductible: 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 |
$199.88 $226.86 $255.44 $356.98 $542.47 |
$399.76 $453.72 $510.88 $713.96 $1084.94 |
$526.68 $580.64 $637.80 $840.88 |
$653.60 $707.56 $764.72 $967.80 |
$780.52 $834.48 $891.64 $1094.72 |
$326.80 $353.78 $382.36 $483.90 |
$453.72 $480.70 $509.28 $610.82 |
$580.64 $607.62 $636.20 $737.74 |
$126.92 |
ADVERTISEMENT
|
||||||||||
Highmark Health Insurance CompanyLocal: 1-877-959-2553 | Toll Free: 1-877-959-2553 TTY: 1-800-862-0709 |
||||||||||
Plan: (PPO) Blue Cross Blue Shield Shared Cost 3200, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-959-2553 - Provider Directory for This Plan: (Highmark Health Insurance Company)
Deductible: Individual:
$3,200
: Family:
$6,400 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 |
$279.72 $317.48 $357.48 $499.58 $759.16 |
$559.44 $634.96 $714.96 $999.16 $1518.32 |
$737.06 $812.58 $892.58 $1176.78 |
$914.68 $990.20 $1070.20 $1354.40 |
$1092.30 $1167.82 $1247.82 $1532.02 |
$457.34 $495.10 $535.10 $677.20 |
$634.96 $672.72 $712.72 $854.82 |
$812.58 $850.34 $890.34 $1032.44 |
$177.62 |
Plan: (PPO) Blue Cross Blue Shield Shared Cost 1500, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-959-2553 - Provider Directory for This Plan: (Highmark Health Insurance Company)
Deductible: Individual:
$1,500
: Family:
$3,000 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 |
$337.73 $383.32 $431.62 $603.19 $916.60 |
$675.46 $766.64 $863.24 $1206.38 $1833.20 |
$889.92 $981.10 $1077.70 $1420.84 |
$1104.38 $1195.56 $1292.16 $1635.30 |
$1318.84 $1410.02 $1506.62 $1849.76 |
$552.19 $597.78 $646.08 $817.65 |
$766.65 $812.24 $860.54 $1032.11 |
$981.11 $1026.70 $1075.00 $1246.57 |
$214.46 |
Plan: (PPO) Blue Shield Shared Cost 3200, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-959-2553 - Provider Directory for This Plan: (Highmark Health Insurance Company)
Deductible: Individual:
$3,200
: Family:
$6,400 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 |
$284.38 $322.77 $363.44 $507.90 $771.81 |
$568.76 $645.54 $726.88 $1015.80 $1543.62 |
$749.34 $826.12 $907.46 $1196.38 |
$929.92 $1006.70 $1088.04 $1376.96 |
$1110.50 $1187.28 $1268.62 $1557.54 |
$464.96 $503.35 $544.02 $688.48 |
$645.54 $683.93 $724.60 $869.06 |
$826.12 $864.51 $905.18 $1049.64 |
$180.58 |
Plan: (PPO) Blue Shield Shared Cost 1500, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-959-2553 - Provider Directory for This Plan: (Highmark Health Insurance Company)
Deductible: Individual:
$1,500
: Family:
$3,000 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 |
$343.36 $389.71 $438.81 $613.24 $931.88 |
$686.72 $779.42 $877.62 $1226.48 $1863.76 |
$904.75 $997.45 $1095.65 $1444.51 |
$1122.78 $1215.48 $1313.68 $1662.54 |
$1340.81 $1433.51 $1531.71 $1880.57 |
$561.39 $607.74 $656.84 $831.27 |
$779.42 $825.77 $874.87 $1049.30 |
$997.45 $1043.80 $1092.90 $1267.33 |
$218.03 |
Plan: (PPO) Shared Cost Blue PPO 6000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-959-2553 - Provider Directory for This Plan: (Highmark Health Insurance Company)
Deductible: 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 |
Bronze | 21 30 40 50 60 |
$232.65 $264.06 $297.33 $415.51 $631.41 |
$465.30 $528.12 $594.66 $831.02 $1262.82 |
$613.03 $675.85 $742.39 $978.75 |
$760.76 $823.58 $890.12 $1126.48 |
$908.49 $971.31 $1037.85 $1274.21 |
$380.38 $411.79 $445.06 $563.24 |
$528.11 $559.52 $592.79 $710.97 |
$675.84 $707.25 $740.52 $858.70 |
$147.73 |
Plan: (PPO) Health Savings Embedded Blue PPO 4500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-959-2553 - Provider Directory for This Plan: (Highmark Health Insurance Company)
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 |
$220.98 $250.81 $282.41 $394.67 $599.74 |
$441.96 $501.62 $564.82 $789.34 $1199.48 |
$582.28 $641.94 $705.14 $929.66 |
$722.60 $782.26 $845.46 $1069.98 |
$862.92 $922.58 $985.78 $1210.30 |
$361.30 $391.13 $422.73 $534.99 |
$501.62 $531.45 $563.05 $675.31 |
$641.94 $671.77 $703.37 $815.63 |
$140.32 |
Plan: (PPO) Health Savings Embedded Blue PPO 2700Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-959-2553 - Provider Directory for This Plan: (Highmark Health Insurance Company)
Deductible: Individual:
$2,700
: Family:
$5,400 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 |
$283.57 $321.85 $362.40 $506.46 $769.61 |
$567.14 $643.70 $724.80 $1012.92 $1539.22 |
$747.21 $823.77 $904.87 $1192.99 |
$927.28 $1003.84 $1084.94 $1373.06 |
$1107.35 $1183.91 $1265.01 $1553.13 |
$463.64 $501.92 $542.47 $686.53 |
$643.71 $681.99 $722.54 $866.60 |
$823.78 $862.06 $902.61 $1046.67 |
$180.07 |
Plan: (PPO) Health Savings Blue PPO 1400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-959-2553 - Provider Directory for This Plan: (Highmark Health Insurance Company)
Deductible: Individual:
$1,400
: Family:
$2,800 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 |
Gold | 21 30 40 50 60 |
$348.20 $395.21 $445.00 $621.89 $945.01 |
$696.40 $790.42 $890.00 $1243.78 $1890.02 |
$917.51 $1011.53 $1111.11 $1464.89 |
$1138.62 $1232.64 $1332.22 $1686.00 |
$1359.73 $1453.75 $1553.33 $1907.11 |
$569.31 $616.32 $666.11 $843.00 |
$790.42 $837.43 $887.22 $1064.11 |
$1011.53 $1058.54 $1108.33 $1285.22 |
$221.11 |
Plan: (PPO) Comprehensive Care Blue PPO 1500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-959-2553 - Provider Directory for This Plan: (Highmark Health Insurance Company)
Deductible: Individual:
$1,500
: Family:
$3,000 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 |
$285.37 $323.89 $364.70 $509.67 $774.49 |
$570.74 $647.78 $729.40 $1019.34 $1548.98 |
$751.95 $828.99 $910.61 $1200.55 |
$933.16 $1010.20 $1091.82 $1381.76 |
$1114.37 $1191.41 $1273.03 $1562.97 |
$466.58 $505.10 $545.91 $690.88 |
$647.79 $686.31 $727.12 $872.09 |
$829.00 $867.52 $908.33 $1053.30 |
$181.21 |
Plan: (PPO) Comprehensive Care Flex Blue PPO 500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-959-2553 - Provider Directory for This Plan: (Highmark Health Insurance Company)
Deductible: Individual:
$500
: Family:
$1,000 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 |
$428.16 $485.96 $547.19 $764.69 $1162.03 |
$856.32 $971.92 $1094.38 $1529.38 $2324.06 |
$1128.20 $1243.80 $1366.26 $1801.26 |
$1400.08 $1515.68 $1638.14 $2073.14 |
$1671.96 $1787.56 $1910.02 $2345.02 |
$700.04 $757.84 $819.07 $1036.57 |
$971.92 $1029.72 $1090.95 $1308.45 |
$1243.80 $1301.60 $1362.83 $1580.33 |
$271.88 |
Plan: (PPO) Shared Cost Blue PPO 6000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-959-2553 - Provider Directory for This Plan: (Highmark Health Insurance Company)
Deductible: 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 |
Bronze | 21 30 40 50 60 |
$236.02 $267.88 $301.63 $421.53 $640.56 |
$472.04 $535.76 $603.26 $843.06 $1281.12 |
$621.91 $685.63 $753.13 $992.93 |
$771.78 $835.50 $903.00 $1142.80 |
$921.65 $985.37 $1052.87 $1292.67 |
$385.89 $417.75 $451.50 $571.40 |
$535.76 $567.62 $601.37 $721.27 |
$685.63 $717.49 $751.24 $871.14 |
$149.87 |
Plan: (PPO) Health Savings Embedded Blue PPO 4500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-959-2553 - Provider Directory for This Plan: (Highmark Health Insurance Company)
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 |
$224.56 $254.88 $286.99 $401.06 $609.46 |
$449.12 $509.76 $573.98 $802.12 $1218.92 |
$591.72 $652.36 $716.58 $944.72 |
$734.32 $794.96 $859.18 $1087.32 |
$876.92 $937.56 $1001.78 $1229.92 |
$367.16 $397.48 $429.59 $543.66 |
$509.76 $540.08 $572.19 $686.26 |
$652.36 $682.68 $714.79 $828.86 |
$142.60 |
Plan: (PPO) Health Savings Embedded Blue PPO 2700Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-959-2553 - Provider Directory for This Plan: (Highmark Health Insurance Company)
Deductible: Individual:
$2,700
: Family:
$5,400 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 |
$288.60 $327.56 $368.83 $515.44 $783.26 |
$577.20 $655.12 $737.66 $1030.88 $1566.52 |
$760.46 $838.38 $920.92 $1214.14 |
$943.72 $1021.64 $1104.18 $1397.40 |
$1126.98 $1204.90 $1287.44 $1580.66 |
$471.86 $510.82 $552.09 $698.70 |
$655.12 $694.08 $735.35 $881.96 |
$838.38 $877.34 $918.61 $1065.22 |
$183.26 |
Plan: (PPO) Health Savings Blue PPO 1400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-959-2553 - Provider Directory for This Plan: (Highmark Health Insurance Company)
Deductible: Individual:
$1,400
: Family:
$2,800 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 |
Gold | 21 30 40 50 60 |
$353.86 $401.63 $452.23 $631.99 $960.38 |
$707.72 $803.26 $904.46 $1263.98 $1920.76 |
$932.42 $1027.96 $1129.16 $1488.68 |
$1157.12 $1252.66 $1353.86 $1713.38 |
$1381.82 $1477.36 $1578.56 $1938.08 |
$578.56 $626.33 $676.93 $856.69 |
$803.26 $851.03 $901.63 $1081.39 |
$1027.96 $1075.73 $1126.33 $1306.09 |
$224.70 |
ADVERTISEMENT
|
||||||||||
Geisinger Quality OptionsLocal: 1-800-631-1656 | Toll Free: 1-800-504-0443 TTY: 1-800-447-2833 |
||||||||||
Plan: (PPO) Geisinger Choice Markeptlace PPO 25/50/1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-504-0443 - Provider Directory for This Plan: (Geisinger Quality Options)
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 |
$301.53 $342.24 $385.35 $538.53 $818.35 |
$603.06 $684.48 $770.70 $1077.06 $1636.70 |
$794.53 $875.95 $962.17 $1268.53 |
$986.00 $1067.42 $1153.64 $1460.00 |
$1177.47 $1258.89 $1345.11 $1651.47 |
$493.00 $533.71 $576.82 $730.00 |
$684.47 $725.18 $768.29 $921.47 |
$875.94 $916.65 $959.76 $1112.94 |
$191.47 |
Plan: (PPO) Geisinger Choice Marketplace PPO 30/50/5000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-504-0443 - Provider Directory for This Plan: (Geisinger Quality Options)
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 |
Silver | 21 30 40 50 60 |
$244.18 $277.14 $312.06 $436.10 $662.69 |
$488.36 $554.28 $624.12 $872.20 $1325.38 |
$643.41 $709.33 $779.17 $1027.25 |
$798.46 $864.38 $934.22 $1182.30 |
$953.51 $1019.43 $1089.27 $1337.35 |
$399.23 $432.19 $467.11 $591.15 |
$554.28 $587.24 $622.16 $746.20 |
$709.33 $742.29 $777.21 $901.25 |
$155.05 |
†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 Centre County here.