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 Marion County, South Carolina.
Obamacare Providers, Plans and 2016 Rates for Marion County
Marion County is in “Rating Area 17” of South Carolina.
Currently, there are 3 providers offering 27 plans to Rating Area 17. †
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 Marion, SC area accept this insurance coverage as within the plan's "network".
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Blue Cross and Blue Shield of South CarolinaLocal: 1-855-404-6752 | Toll Free: 1-855-404-6752 TTY: 1-800-735-8583 |
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Plan: (EPO) BlueEssentials Gold 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Deductible: Individual:
$1,200
: Family:
$2,400 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 |
$328.12 $372.41 $419.33 $586.01 $890.51 |
$656.24 $744.82 $838.66 $1172.02 $1781.02 |
$864.59 $953.17 $1047.01 $1380.37 |
$1072.94 $1161.52 $1255.36 $1588.72 |
$1281.29 $1369.87 $1463.71 $1797.07 |
$536.47 $580.76 $627.68 $794.36 |
$744.82 $789.11 $836.03 $1002.71 |
$953.17 $997.46 $1044.38 $1211.06 |
$208.35 |
Plan: (EPO) BlueEssentials Silver 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Deductible: Individual:
$200
: Family:
$400 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 |
$279.80 $317.58 $357.59 $499.73 $759.38 |
$559.60 $635.16 $715.18 $999.46 $1518.76 |
$737.27 $812.83 $892.85 $1177.13 |
$914.94 $990.50 $1070.52 $1354.80 |
$1092.61 $1168.17 $1248.19 $1532.47 |
$457.47 $495.25 $535.26 $677.40 |
$635.14 $672.92 $712.93 $855.07 |
$812.81 $850.59 $890.60 $1032.74 |
$177.67 |
Plan: (EPO) BlueEssentials Silver 2Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Deductible: Individual:
$2,000
: Family:
$4,000 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 |
$260.25 $295.38 $332.60 $464.81 $706.32 |
$520.50 $590.76 $665.20 $929.62 $1412.64 |
$685.76 $756.02 $830.46 $1094.88 |
$851.02 $921.28 $995.72 $1260.14 |
$1016.28 $1086.54 $1160.98 $1425.40 |
$425.51 $460.64 $497.86 $630.07 |
$590.77 $625.90 $663.12 $795.33 |
$756.03 $791.16 $828.38 $960.59 |
$165.26 |
Plan: (EPO) BlueEssentials Silver 3Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
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 |
$270.20 $306.67 $345.31 $482.57 $733.31 |
$540.40 $613.34 $690.62 $965.14 $1466.62 |
$711.98 $784.92 $862.20 $1136.72 |
$883.56 $956.50 $1033.78 $1308.30 |
$1055.14 $1128.08 $1205.36 $1479.88 |
$441.78 $478.25 $516.89 $654.15 |
$613.36 $649.83 $688.47 $825.73 |
$784.94 $821.41 $860.05 $997.31 |
$171.58 |
Plan: (EPO) BlueEssentials Bronze 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$235.78 $267.61 $301.33 $421.11 $639.92 |
$471.56 $535.22 $602.66 $842.22 $1279.84 |
$621.28 $684.94 $752.38 $991.94 |
$771.00 $834.66 $902.10 $1141.66 |
$920.72 $984.38 $1051.82 $1291.38 |
$385.50 $417.33 $451.05 $570.83 |
$535.22 $567.05 $600.77 $720.55 |
$684.94 $716.77 $750.49 $870.27 |
$149.72 |
Plan: (EPO) BlueEssentials HD Bronze 2Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
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 |
$231.50 $262.75 $295.86 $413.46 $628.29 |
$463.00 $525.50 $591.72 $826.92 $1256.58 |
$610.00 $672.50 $738.72 $973.92 |
$757.00 $819.50 $885.72 $1120.92 |
$904.00 $966.50 $1032.72 $1267.92 |
$378.50 $409.75 $442.86 $560.46 |
$525.50 $556.75 $589.86 $707.46 |
$672.50 $703.75 $736.86 $854.46 |
$147.00 |
Plan: (EPO) BlueEssentials Gold 2Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Deductible: Individual:
$800
: Family:
$1,600 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 |
Gold | 21 30 40 50 60 |
$331.25 $375.97 $423.34 $591.62 $899.02 |
$662.50 $751.94 $846.68 $1183.24 $1798.04 |
$872.84 $962.28 $1057.02 $1393.58 |
$1083.18 $1172.62 $1267.36 $1603.92 |
$1293.52 $1382.96 $1477.70 $1814.26 |
$541.59 $586.31 $633.68 $801.96 |
$751.93 $796.65 $844.02 $1012.30 |
$962.27 $1006.99 $1054.36 $1222.64 |
$210.34 |
Plan: (EPO) BlueEssentials HD Gold 3Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Deductible: Individual:
$2,000
: Family:
$4,000 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 |
$335.72 $381.05 $429.05 $599.60 $911.15 |
$671.44 $762.10 $858.10 $1199.20 $1822.30 |
$884.62 $975.28 $1071.28 $1412.38 |
$1097.80 $1188.46 $1284.46 $1625.56 |
$1310.98 $1401.64 $1497.64 $1838.74 |
$548.90 $594.23 $642.23 $812.78 |
$762.08 $807.41 $855.41 $1025.96 |
$975.26 $1020.59 $1068.59 $1239.14 |
$213.18 |
Plan: (EPO) BlueEssentials Silver 4Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Deductible: Individual:
$2,200
: Family:
$4,400 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$266.16 $302.09 $340.15 $475.36 $722.36 |
$532.32 $604.18 $680.30 $950.72 $1444.72 |
$701.33 $773.19 $849.31 $1119.73 |
$870.34 $942.20 $1018.32 $1288.74 |
$1039.35 $1111.21 $1187.33 $1457.75 |
$435.17 $471.10 $509.16 $644.37 |
$604.18 $640.11 $678.17 $813.38 |
$773.19 $809.12 $847.18 $982.39 |
$169.01 |
Plan: (EPO) BlueEssentials HD Silver 5Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Deductible: Individual:
$2,300
: Family:
$4,600 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 |
Silver | 21 30 40 50 60 |
$270.81 $307.37 $346.09 $483.66 $734.97 |
$541.62 $614.74 $692.18 $967.32 $1469.94 |
$713.58 $786.70 $864.14 $1139.28 |
$885.54 $958.66 $1036.10 $1311.24 |
$1057.50 $1130.62 $1208.06 $1483.20 |
$442.77 $479.33 $518.05 $655.62 |
$614.73 $651.29 $690.01 $827.58 |
$786.69 $823.25 $861.97 $999.54 |
$171.96 |
Plan: (EPO) BlueEssentials HD Silver 6Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Deductible: Individual:
$3,600
: Family:
$7,200 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$271.77 $308.46 $347.32 $485.38 $737.58 |
$543.54 $616.92 $694.64 $970.76 $1475.16 |
$716.11 $789.49 $867.21 $1143.33 |
$888.68 $962.06 $1039.78 $1315.90 |
$1061.25 $1134.63 $1212.35 $1488.47 |
$444.34 $481.03 $519.89 $657.95 |
$616.91 $653.60 $692.46 $830.52 |
$789.48 $826.17 $865.03 $1003.09 |
$172.57 |
Plan: (EPO) BlueEssentials HD Bronze 3Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Deductible: Individual:
$4,750
: Family:
$9,500 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$240.57 $273.04 $307.44 $429.65 $652.89 |
$481.14 $546.08 $614.88 $859.30 $1305.78 |
$633.90 $698.84 $767.64 $1012.06 |
$786.66 $851.60 $920.40 $1164.82 |
$939.42 $1004.36 $1073.16 $1317.58 |
$393.33 $425.80 $460.20 $582.41 |
$546.09 $578.56 $612.96 $735.17 |
$698.85 $731.32 $765.72 $887.93 |
$152.76 |
Plan: (EPO) BlueEssentials HD Bronze 4Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Deductible: Individual:
$5,200
: Family:
$10,400 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 |
$237.41 $269.46 $303.41 $424.01 $644.33 |
$474.82 $538.92 $606.82 $848.02 $1288.66 |
$625.57 $689.67 $757.57 $998.77 |
$776.32 $840.42 $908.32 $1149.52 |
$927.07 $991.17 $1059.07 $1300.27 |
$388.16 $420.21 $454.16 $574.76 |
$538.91 $570.96 $604.91 $725.51 |
$689.66 $721.71 $755.66 $876.26 |
$150.75 |
Plan: (EPO) BlueEssentials HD Bronze 5Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Deductible: Individual:
$6,550
: Family:
$13,100 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 |
$234.34 $265.98 $299.49 $418.54 $636.01 |
$468.68 $531.96 $598.98 $837.08 $1272.02 |
$617.49 $680.77 $747.79 $985.89 |
$766.30 $829.58 $896.60 $1134.70 |
$915.11 $978.39 $1045.41 $1283.51 |
$383.15 $414.79 $448.30 $567.35 |
$531.96 $563.60 $597.11 $716.16 |
$680.77 $712.41 $745.92 $864.97 |
$148.81 |
Plan: (EPO) BlueEssentials Silver 7Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Deductible: Individual:
$6,200
: Family:
$12,400 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 |
$243.90 $276.82 $311.70 $435.60 $661.94 |
$487.80 $553.64 $623.40 $871.20 $1323.88 |
$642.68 $708.52 $778.28 $1026.08 |
$797.56 $863.40 $933.16 $1180.96 |
$952.44 $1018.28 $1088.04 $1335.84 |
$398.78 $431.70 $466.58 $590.48 |
$553.66 $586.58 $621.46 $745.36 |
$708.54 $741.46 $776.34 $900.24 |
$154.88 |
Plan: (EPO) BlueEssentials Silver 8Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
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 |
Silver | 21 30 40 50 60 |
$257.40 $292.15 $328.96 $459.72 $698.60 |
$514.80 $584.30 $657.92 $919.44 $1397.20 |
$678.25 $747.75 $821.37 $1082.89 |
$841.70 $911.20 $984.82 $1246.34 |
$1005.15 $1074.65 $1148.27 $1409.79 |
$420.85 $455.60 $492.41 $623.17 |
$584.30 $619.05 $655.86 $786.62 |
$747.75 $782.50 $819.31 $950.07 |
$163.45 |
Plan: (EPO) BlueEssentials Silver 9Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
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 |
Silver | 21 30 40 50 60 |
$253.15 $287.33 $323.53 $452.13 $687.05 |
$506.30 $574.66 $647.06 $904.26 $1374.10 |
$667.05 $735.41 $807.81 $1065.01 |
$827.80 $896.16 $968.56 $1225.76 |
$988.55 $1056.91 $1129.31 $1386.51 |
$413.90 $448.08 $484.28 $612.88 |
$574.65 $608.83 $645.03 $773.63 |
$735.40 $769.58 $805.78 $934.38 |
$160.75 |
Plan: (EPO) BlueEssentials Silver 10Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Deductible: Individual:
$6,700
: Family:
$13,400 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 |
$251.11 $285.01 $320.92 $448.49 $681.52 |
$502.22 $570.02 $641.84 $896.98 $1363.04 |
$661.68 $729.48 $801.30 $1056.44 |
$821.14 $888.94 $960.76 $1215.90 |
$980.60 $1048.40 $1120.22 $1375.36 |
$410.57 $444.47 $480.38 $607.95 |
$570.03 $603.93 $639.84 $767.41 |
$729.49 $763.39 $799.30 $926.87 |
$159.46 |
Plan: (EPO) BlueEssentials Silver 11Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$246.83 $280.15 $315.44 $440.83 $669.89 |
$493.66 $560.30 $630.88 $881.66 $1339.78 |
$650.40 $717.04 $787.62 $1038.40 |
$807.14 $873.78 $944.36 $1195.14 |
$963.88 $1030.52 $1101.10 $1351.88 |
$403.57 $436.89 $472.18 $597.57 |
$560.31 $593.63 $628.92 $754.31 |
$717.05 $750.37 $785.66 $911.05 |
$156.74 |
Plan: (EPO) BlueEssentials Silver 12Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Deductible: Individual:
$4,800
: Family:
$9,600 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 |
Silver | 21 30 40 50 60 |
$248.22 $281.73 $317.23 $443.33 $673.68 |
$496.44 $563.46 $634.46 $886.66 $1347.36 |
$654.06 $721.08 $792.08 $1044.28 |
$811.68 $878.70 $949.70 $1201.90 |
$969.30 $1036.32 $1107.32 $1359.52 |
$405.84 $439.35 $474.85 $600.95 |
$563.46 $596.97 $632.47 $758.57 |
$721.08 $754.59 $790.09 $916.19 |
$157.62 |
Plan: (EPO) BlueEssentials Catastrophic 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
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 |
$207.88 $235.94 $265.67 $371.27 $564.19 |
$415.76 $471.88 $531.34 $742.54 $1128.38 |
$547.76 $603.88 $663.34 $874.54 |
$679.76 $735.88 $795.34 $1006.54 |
$811.76 $867.88 $927.34 $1138.54 |
$339.88 $367.94 $397.67 $503.27 |
$471.88 $499.94 $529.67 $635.27 |
$603.88 $631.94 $661.67 $767.27 |
$132.00 |
Plan: (EPO) Blue Cross Blue Shield Gold 1, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
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 |
$330.79 $375.44 $422.74 $590.78 $897.75 |
$661.58 $750.88 $845.48 $1181.56 $1795.50 |
$871.63 $960.93 $1055.53 $1391.61 |
$1081.68 $1170.98 $1265.58 $1601.66 |
$1291.73 $1381.03 $1475.63 $1811.71 |
$540.84 $585.49 $632.79 $800.83 |
$750.89 $795.54 $842.84 $1010.88 |
$960.94 $1005.59 $1052.89 $1220.93 |
$210.05 |
Plan: (EPO) Blue Cross Blue Shield Silver 1, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-404-6752 - Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
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 |
$267.41 $303.51 $341.75 $477.60 $725.76 |
$534.82 $607.02 $683.50 $955.20 $1451.52 |
$704.63 $776.83 $853.31 $1125.01 |
$874.44 $946.64 $1023.12 $1294.82 |
$1044.25 $1116.45 $1192.93 $1464.63 |
$437.22 $473.32 $511.56 $647.41 |
$607.03 $643.13 $681.37 $817.22 |
$776.84 $812.94 $851.18 $987.03 |
$169.81 |
ADVERTISEMENT
|
||||||||||
BlueChoice HealthPlan of South Carolina, Inc.Local: 1-855-433-2132 | Toll Free: 1-855-433-2132 |
||||||||||
Plan: (EPO) Blue Option Bronze 5001 HDSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$235.20 $266.96 $300.59 $420.07 $638.34 |
$470.40 $533.92 $601.18 $840.14 $1276.68 |
$619.75 $683.27 $750.53 $989.49 |
$769.10 $832.62 $899.88 $1138.84 |
$918.45 $981.97 $1049.23 $1288.19 |
$384.55 $416.31 $449.94 $569.42 |
$533.90 $565.66 $599.29 $718.77 |
$683.25 $715.01 $748.64 $868.12 |
$149.35 |
Plan: (EPO) Blue Option Bronze 6750Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
Deductible: Individual:
$6,750
: Family:
$13,500 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 |
$233.56 $265.09 $298.49 $417.13 $633.88 |
$467.12 $530.18 $596.98 $834.26 $1267.76 |
$615.43 $678.49 $745.29 $982.57 |
$763.74 $826.80 $893.60 $1130.88 |
$912.05 $975.11 $1041.91 $1279.19 |
$381.87 $413.40 $446.80 $565.44 |
$530.18 $561.71 $595.11 $713.75 |
$678.49 $710.02 $743.42 $862.06 |
$148.31 |
Plan: (EPO) Blue Option CatastrophicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, 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 |
$206.57 $234.45 $263.99 $368.93 $560.62 |
$413.14 $468.90 $527.98 $737.86 $1121.24 |
$544.31 $600.07 $659.15 $869.03 |
$675.48 $731.24 $790.32 $1000.20 |
$806.65 $862.41 $921.49 $1131.37 |
$337.74 $365.62 $395.16 $500.10 |
$468.91 $496.79 $526.33 $631.27 |
$600.08 $627.96 $657.50 $762.44 |
$131.17 |
Plan: (EPO) Blue Option Silver 400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
Deductible: Individual:
$400
: Family:
$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 |
$269.92 $306.36 $344.95 $482.07 $732.56 |
$539.84 $612.72 $689.90 $964.14 $1465.12 |
$711.24 $784.12 $861.30 $1135.54 |
$882.64 $955.52 $1032.70 $1306.94 |
$1054.04 $1126.92 $1204.10 $1478.34 |
$441.32 $477.76 $516.35 $653.47 |
$612.72 $649.16 $687.75 $824.87 |
$784.12 $820.56 $859.15 $996.27 |
$171.40 |
Plan: (EPO) Blue Option Silver 2501 HDSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
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 |
$269.68 $306.09 $344.65 $481.65 $731.91 |
$539.36 $612.18 $689.30 $963.30 $1463.82 |
$710.61 $783.43 $860.55 $1134.55 |
$881.86 $954.68 $1031.80 $1305.80 |
$1053.11 $1125.93 $1203.05 $1477.05 |
$440.93 $477.34 $515.90 $652.90 |
$612.18 $648.59 $687.15 $824.15 |
$783.43 $819.84 $858.40 $995.40 |
$171.25 |
Plan: (EPO) Blue Option Silver 2502Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
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 |
$263.20 $298.73 $336.37 $470.08 $714.33 |
$526.40 $597.46 $672.74 $940.16 $1428.66 |
$693.53 $764.59 $839.87 $1107.29 |
$860.66 $931.72 $1007.00 $1274.42 |
$1027.79 $1098.85 $1174.13 $1441.55 |
$430.33 $465.86 $503.50 $637.21 |
$597.46 $632.99 $670.63 $804.34 |
$764.59 $800.12 $837.76 $971.47 |
$167.13 |
Plan: (EPO) Blue Option Silver 1750Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, 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 |
$268.28 $304.50 $342.86 $479.15 $728.12 |
$536.56 $609.00 $685.72 $958.30 $1456.24 |
$706.92 $779.36 $856.08 $1128.66 |
$877.28 $949.72 $1026.44 $1299.02 |
$1047.64 $1120.08 $1196.80 $1469.38 |
$438.64 $474.86 $513.22 $649.51 |
$609.00 $645.22 $683.58 $819.87 |
$779.36 $815.58 $853.94 $990.23 |
$170.36 |
Plan: (EPO) Blue Option Silver 1500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
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 |
$260.41 $295.56 $332.80 $465.09 $706.74 |
$520.82 $591.12 $665.60 $930.18 $1413.48 |
$686.18 $756.48 $830.96 $1095.54 |
$851.54 $921.84 $996.32 $1260.90 |
$1016.90 $1087.20 $1161.68 $1426.26 |
$425.77 $460.92 $498.16 $630.45 |
$591.13 $626.28 $663.52 $795.81 |
$756.49 $791.64 $828.88 $961.17 |
$165.36 |
Plan: (EPO) Blue Option Gold 1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
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 |
$337.90 $383.51 $431.83 $603.48 $917.05 |
$675.80 $767.02 $863.66 $1206.96 $1834.10 |
$890.36 $981.58 $1078.22 $1421.52 |
$1104.92 $1196.14 $1292.78 $1636.08 |
$1319.48 $1410.70 $1507.34 $1850.64 |
$552.46 $598.07 $646.39 $818.04 |
$767.02 $812.63 $860.95 $1032.60 |
$981.58 $1027.19 $1075.51 $1247.16 |
$214.56 |
Plan: (EPO) Blue Option Silver 3000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, 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 |
$259.97 $295.07 $332.24 $464.31 $705.56 |
$519.94 $590.14 $664.48 $928.62 $1411.12 |
$685.02 $755.22 $829.56 $1093.70 |
$850.10 $920.30 $994.64 $1258.78 |
$1015.18 $1085.38 $1159.72 $1423.86 |
$425.05 $460.15 $497.32 $629.39 |
$590.13 $625.23 $662.40 $794.47 |
$755.21 $790.31 $827.48 $959.55 |
$165.08 |
Plan: (EPO) Blue Option Silver 3500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, 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 |
$262.68 $298.15 $335.71 $469.15 $712.92 |
$525.36 $596.30 $671.42 $938.30 $1425.84 |
$692.16 $763.10 $838.22 $1105.10 |
$858.96 $929.90 $1005.02 $1271.90 |
$1025.76 $1096.70 $1171.82 $1438.70 |
$429.48 $464.95 $502.51 $635.95 |
$596.28 $631.75 $669.31 $802.75 |
$763.08 $798.55 $836.11 $969.55 |
$166.80 |
Plan: (EPO) Blue Option Silver 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
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 |
$262.49 $297.92 $335.46 $468.80 $712.39 |
$524.98 $595.84 $670.92 $937.60 $1424.78 |
$691.66 $762.52 $837.60 $1104.28 |
$858.34 $929.20 $1004.28 $1270.96 |
$1025.02 $1095.88 $1170.96 $1437.64 |
$429.17 $464.60 $502.14 $635.48 |
$595.85 $631.28 $668.82 $802.16 |
$762.53 $797.96 $835.50 $968.84 |
$166.68 |
Plan: (EPO) Blue Option Silver 6000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
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 |
Silver | 21 30 40 50 60 |
$248.02 $281.50 $316.97 $442.96 $673.12 |
$496.04 $563.00 $633.94 $885.92 $1346.24 |
$653.53 $720.49 $791.43 $1043.41 |
$811.02 $877.98 $948.92 $1200.90 |
$968.51 $1035.47 $1106.41 $1358.39 |
$405.51 $438.99 $474.46 $600.45 |
$563.00 $596.48 $631.95 $757.94 |
$720.49 $753.97 $789.44 $915.43 |
$157.49 |
Plan: (EPO) Blue Option Gold 1100Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
Deductible: Individual:
$1,100
: Family:
$2,200 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 |
Gold | 21 30 40 50 60 |
$336.26 $381.66 $429.74 $600.56 $912.61 |
$672.52 $763.32 $859.48 $1201.12 $1825.22 |
$886.05 $976.85 $1073.01 $1414.65 |
$1099.58 $1190.38 $1286.54 $1628.18 |
$1313.11 $1403.91 $1500.07 $1841.71 |
$549.79 $595.19 $643.27 $814.09 |
$763.32 $808.72 $856.80 $1027.62 |
$976.85 $1022.25 $1070.33 $1241.15 |
$213.53 |
Plan: (EPO) Blue Option Gold 800Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
Deductible: Individual:
$800
: Family:
$1,600 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 |
Gold | 21 30 40 50 60 |
$333.80 $378.86 $426.59 $596.16 $905.93 |
$667.60 $757.72 $853.18 $1192.32 $1811.86 |
$879.56 $969.68 $1065.14 $1404.28 |
$1091.52 $1181.64 $1277.10 $1616.24 |
$1303.48 $1393.60 $1489.06 $1828.20 |
$545.76 $590.82 $638.55 $808.12 |
$757.72 $802.78 $850.51 $1020.08 |
$969.68 $1014.74 $1062.47 $1232.04 |
$211.96 |
Plan: (EPO) Blue Option Gold 2000 HDSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
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 |
Gold | 21 30 40 50 60 |
$337.34 $382.88 $431.12 $602.48 $915.53 |
$674.68 $765.76 $862.24 $1204.96 $1831.06 |
$888.89 $979.97 $1076.45 $1419.17 |
$1103.10 $1194.18 $1290.66 $1633.38 |
$1317.31 $1408.39 $1504.87 $1847.59 |
$551.55 $597.09 $645.33 $816.69 |
$765.76 $811.30 $859.54 $1030.90 |
$979.97 $1025.51 $1073.75 $1245.11 |
$214.21 |
Plan: (EPO) Blue Option Bronze 4500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, 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 |
$235.71 $267.53 $301.24 $420.98 $639.72 |
$471.42 $535.06 $602.48 $841.96 $1279.44 |
$621.10 $684.74 $752.16 $991.64 |
$770.78 $834.42 $901.84 $1141.32 |
$920.46 $984.10 $1051.52 $1291.00 |
$385.39 $417.21 $450.92 $570.66 |
$535.07 $566.89 $600.60 $720.34 |
$684.75 $716.57 $750.28 $870.02 |
$149.68 |
Plan: (EPO) Blue Option Bronze 6250 HDSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
Deductible: Individual:
$6,250
: Family:
$12,500 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$237.30 $269.34 $303.28 $423.83 $644.05 |
$474.60 $538.68 $606.56 $847.66 $1288.10 |
$625.29 $689.37 $757.25 $998.35 |
$775.98 $840.06 $907.94 $1149.04 |
$926.67 $990.75 $1058.63 $1299.73 |
$387.99 $420.03 $453.97 $574.52 |
$538.68 $570.72 $604.66 $725.21 |
$689.37 $721.41 $755.35 $875.90 |
$150.69 |
Plan: (EPO) Blue Option Bronze 6850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, 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 |
Bronze | 21 30 40 50 60 |
$235.42 $267.20 $300.87 $420.46 $638.93 |
$470.84 $534.40 $601.74 $840.92 $1277.86 |
$620.33 $683.89 $751.23 $990.41 |
$769.82 $833.38 $900.72 $1139.90 |
$919.31 $982.87 $1050.21 $1289.39 |
$384.91 $416.69 $450.36 $569.95 |
$534.40 $566.18 $599.85 $719.44 |
$683.89 $715.67 $749.34 $868.93 |
$149.49 |
Plan: (EPO) Blue Option Silver 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
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 |
$266.63 $302.62 $340.75 $476.19 $723.62 |
$533.26 $605.24 $681.50 $952.38 $1447.24 |
$702.57 $774.55 $850.81 $1121.69 |
$871.88 $943.86 $1020.12 $1291.00 |
$1041.19 $1113.17 $1189.43 $1460.31 |
$435.94 $471.93 $510.06 $645.50 |
$605.25 $641.24 $679.37 $814.81 |
$774.56 $810.55 $848.68 $984.12 |
$169.31 |
Plan: (EPO) Blue Option Silver 3400 HDSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
Deductible: Individual:
$3,400
: Family:
$6,800 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 |
$275.58 $312.78 $352.19 $492.18 $747.92 |
$551.16 $625.56 $704.38 $984.36 $1495.84 |
$726.15 $800.55 $879.37 $1159.35 |
$901.14 $975.54 $1054.36 $1334.34 |
$1076.13 $1150.53 $1229.35 $1509.33 |
$450.57 $487.77 $527.18 $667.17 |
$625.56 $662.76 $702.17 $842.16 |
$800.55 $837.75 $877.16 $1017.15 |
$174.99 |
Plan: (EPO) Blue Option Silver 3650 HDSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
Deductible: Individual:
$3,650
: Family:
$7,300 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$271.43 $308.07 $346.89 $484.77 $736.66 |
$542.86 $616.14 $693.78 $969.54 $1473.32 |
$715.22 $788.50 $866.14 $1141.90 |
$887.58 $960.86 $1038.50 $1314.26 |
$1059.94 $1133.22 $1210.86 $1486.62 |
$443.79 $480.43 $519.25 $657.13 |
$616.15 $652.79 $691.61 $829.49 |
$788.51 $825.15 $863.97 $1001.85 |
$172.36 |
Plan: (EPO) Blue Option Silver 5001Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
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 |
$247.75 $281.19 $316.62 $442.48 $672.39 |
$495.50 $562.38 $633.24 $884.96 $1344.78 |
$652.82 $719.70 $790.56 $1042.28 |
$810.14 $877.02 $947.88 $1199.60 |
$967.46 $1034.34 $1105.20 $1356.92 |
$405.07 $438.51 $473.94 $599.80 |
$562.39 $595.83 $631.26 $757.12 |
$719.71 $753.15 $788.58 $914.44 |
$157.32 |
Plan: (EPO) Blue Option Silver 6001Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
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 |
Silver | 21 30 40 50 60 |
$250.99 $284.87 $320.76 $448.26 $681.18 |
$501.98 $569.74 $641.52 $896.52 $1362.36 |
$661.36 $729.12 $800.90 $1055.90 |
$820.74 $888.50 $960.28 $1215.28 |
$980.12 $1047.88 $1119.66 $1374.66 |
$410.37 $444.25 $480.14 $607.64 |
$569.75 $603.63 $639.52 $767.02 |
$729.13 $763.01 $798.90 $926.40 |
$159.38 |
Plan: (EPO) Blue Option Silver 6850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, 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 |
Silver | 21 30 40 50 60 |
$242.55 $275.30 $309.98 $433.20 $658.29 |
$485.10 $550.60 $619.96 $866.40 $1316.58 |
$639.12 $704.62 $773.98 $1020.42 |
$793.14 $858.64 $928.00 $1174.44 |
$947.16 $1012.66 $1082.02 $1328.46 |
$396.57 $429.32 $464.00 $587.22 |
$550.59 $583.34 $618.02 $741.24 |
$704.61 $737.36 $772.04 $895.26 |
$154.02 |
Plan: (EPO) Blue Option Gold 1004Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
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 |
$338.17 $383.82 $432.18 $603.96 $917.78 |
$676.34 $767.64 $864.36 $1207.92 $1835.56 |
$891.08 $982.38 $1079.10 $1422.66 |
$1105.82 $1197.12 $1293.84 $1637.40 |
$1320.56 $1411.86 $1508.58 $1852.14 |
$552.91 $598.56 $646.92 $818.70 |
$767.65 $813.30 $861.66 $1033.44 |
$982.39 $1028.04 $1076.40 $1248.18 |
$214.74 |
Plan: (EPO) Blue Option Gold 2001Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
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 |
Gold | 21 30 40 50 60 |
$318.43 $361.42 $406.95 $568.71 $864.21 |
$636.86 $722.84 $813.90 $1137.42 $1728.42 |
$839.06 $925.04 $1016.10 $1339.62 |
$1041.26 $1127.24 $1218.30 $1541.82 |
$1243.46 $1329.44 $1420.50 $1744.02 |
$520.63 $563.62 $609.15 $770.91 |
$722.83 $765.82 $811.35 $973.11 |
$925.03 $968.02 $1013.55 $1175.31 |
$202.20 |
Plan: (EPO) Blue Option Silver 6002Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
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 |
Silver | 21 30 40 50 60 |
$246.50 $279.77 $315.02 $440.24 $668.99 |
$493.00 $559.54 $630.04 $880.48 $1337.98 |
$649.52 $716.06 $786.56 $1037.00 |
$806.04 $872.58 $943.08 $1193.52 |
$962.56 $1029.10 $1099.60 $1350.04 |
$403.02 $436.29 $471.54 $596.76 |
$559.54 $592.81 $628.06 $753.28 |
$716.06 $749.33 $784.58 $909.80 |
$156.52 |
Plan: (EPO) Blue Option Silver 1250Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
Deductible: Individual:
$1,250
: Family:
$2,500 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 |
$267.46 $303.57 $341.82 $477.69 $725.90 |
$534.92 $607.14 $683.64 $955.38 $1451.80 |
$704.76 $776.98 $853.48 $1125.22 |
$874.60 $946.82 $1023.32 $1295.06 |
$1044.44 $1116.66 $1193.16 $1464.90 |
$437.30 $473.41 $511.66 $647.53 |
$607.14 $643.25 $681.50 $817.37 |
$776.98 $813.09 $851.34 $987.21 |
$169.84 |
Plan: (EPO) Blue Option Silver 3001Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, 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 |
$260.71 $295.90 $333.18 $465.62 $707.56 |
$521.42 $591.80 $666.36 $931.24 $1415.12 |
$686.97 $757.35 $831.91 $1096.79 |
$852.52 $922.90 $997.46 $1262.34 |
$1018.07 $1088.45 $1163.01 $1427.89 |
$426.26 $461.45 $498.73 $631.17 |
$591.81 $627.00 $664.28 $796.72 |
$757.36 $792.55 $829.83 $962.27 |
$165.55 |
Plan: (EPO) Blue Option Bronze 6500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-433-2132 - Provider Directory for This Plan: (BlueChoice HealthPlan of South Carolina, Inc.)
Deductible: Individual:
$6,500
: Family:
$13,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$231.14 $262.34 $295.39 $412.81 $627.30 |
$462.28 $524.68 $590.78 $825.62 $1254.60 |
$609.05 $671.45 $737.55 $972.39 |
$755.82 $818.22 $884.32 $1119.16 |
$902.59 $964.99 $1031.09 $1265.93 |
$377.91 $409.11 $442.16 $559.58 |
$524.68 $555.88 $588.93 $706.35 |
$671.45 $702.65 $735.70 $853.12 |
$146.77 |
ADVERTISEMENT
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||||||||||
Consumers' Choice Health Insurance CompanyLocal: 1-800-580-8736 | Toll Free: 1-800-580-8736 TTY: 1-800-545-8279 |
||||||||||
Plan: (EPO) Consumers' Choice Gold 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8736 - Provider Directory for This Plan: (Consumers' Choice Health Insurance Company)
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 |
$364.70 $413.93 $466.08 $651.34 $989.78 |
$729.40 $827.86 $932.16 $1302.68 $1979.56 |
$960.98 $1059.44 $1163.74 $1534.26 |
$1192.56 $1291.02 $1395.32 $1765.84 |
$1424.14 $1522.60 $1626.90 $1997.42 |
$596.28 $645.51 $697.66 $882.92 |
$827.86 $877.09 $929.24 $1114.50 |
$1059.44 $1108.67 $1160.82 $1346.08 |
$231.58 |
Plan: (EPO) Consumers' Choice Gold 2Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8736 - Provider Directory for This Plan: (Consumers' Choice Health 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 |
$352.55 $400.13 $450.55 $629.64 $956.80 |
$705.10 $800.26 $901.10 $1259.28 $1913.60 |
$928.96 $1024.12 $1124.96 $1483.14 |
$1152.82 $1247.98 $1348.82 $1707.00 |
$1376.68 $1471.84 $1572.68 $1930.86 |
$576.41 $623.99 $674.41 $853.50 |
$800.27 $847.85 $898.27 $1077.36 |
$1024.13 $1071.71 $1122.13 $1301.22 |
$223.86 |
Plan: (EPO) Consumers' Choice Silver 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8736 - Provider Directory for This Plan: (Consumers' Choice Health Insurance Company)
Deductible: Individual:
$2,750
: Family:
$5,500 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 |
$287.81 $326.65 $367.81 $514.01 $781.09 |
$575.62 $653.30 $735.62 $1028.02 $1562.18 |
$758.37 $836.05 $918.37 $1210.77 |
$941.12 $1018.80 $1101.12 $1393.52 |
$1123.87 $1201.55 $1283.87 $1576.27 |
$470.56 $509.40 $550.56 $696.76 |
$653.31 $692.15 $733.31 $879.51 |
$836.06 $874.90 $916.06 $1062.26 |
$182.75 |
Plan: (EPO) Consumers' Choice Silver 2Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8736 - Provider Directory for This Plan: (Consumers' Choice Health Insurance Company)
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 |
Silver | 21 30 40 50 60 |
$281.01 $318.93 $359.11 $501.86 $762.63 |
$562.02 $637.86 $718.22 $1003.72 $1525.26 |
$740.45 $816.29 $896.65 $1182.15 |
$918.88 $994.72 $1075.08 $1360.58 |
$1097.31 $1173.15 $1253.51 $1539.01 |
$459.44 $497.36 $537.54 $680.29 |
$637.87 $675.79 $715.97 $858.72 |
$816.30 $854.22 $894.40 $1037.15 |
$178.43 |
Plan: (EPO) Consumers' Choice Silver HDP 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8736 - Provider Directory for This Plan: (Consumers' Choice Health 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 |
$299.23 $339.61 $382.40 $534.40 $812.07 |
$598.46 $679.22 $764.80 $1068.80 $1624.14 |
$788.46 $869.22 $954.80 $1258.80 |
$978.46 $1059.22 $1144.80 $1448.80 |
$1168.46 $1249.22 $1334.80 $1638.80 |
$489.23 $529.61 $572.40 $724.40 |
$679.23 $719.61 $762.40 $914.40 |
$869.23 $909.61 $952.40 $1104.40 |
$190.00 |
Plan: (EPO) Consumers' Choice Bronze 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8736 - Provider Directory for This Plan: (Consumers' Choice Health Insurance Company)
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 |
$213.38 $242.18 $272.69 $381.09 $579.10 |
$426.76 $484.36 $545.38 $762.18 $1158.20 |
$562.25 $619.85 $680.87 $897.67 |
$697.74 $755.34 $816.36 $1033.16 |
$833.23 $890.83 $951.85 $1168.65 |
$348.87 $377.67 $408.18 $516.58 |
$484.36 $513.16 $543.67 $652.07 |
$619.85 $648.65 $679.16 $787.56 |
$135.49 |
Plan: (EPO) Consumers' Choice Bronze HDP 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8736 - Provider Directory for This Plan: (Consumers' Choice 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 |
$223.16 $253.28 $285.19 $398.55 $605.63 |
$446.32 $506.56 $570.38 $797.10 $1211.26 |
$588.02 $648.26 $712.08 $938.80 |
$729.72 $789.96 $853.78 $1080.50 |
$871.42 $931.66 $995.48 $1222.20 |
$364.86 $394.98 $426.89 $540.25 |
$506.56 $536.68 $568.59 $681.95 |
$648.26 $678.38 $710.29 $823.65 |
$141.70 |
Plan: (EPO) Consumers' Choice Value PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8736 - Provider Directory for This Plan: (Consumers' Choice Health Insurance Company)
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 |
$167.68 $190.30 $214.28 $299.46 $455.05 |
$335.36 $380.60 $428.56 $598.92 $910.10 |
$441.83 $487.07 $535.03 $705.39 |
$548.30 $593.54 $641.50 $811.86 |
$654.77 $700.01 $747.97 $918.33 |
$274.15 $296.77 $320.75 $405.93 |
$380.62 $403.24 $427.22 $512.40 |
$487.09 $509.71 $533.69 $618.87 |
$106.47 |
Plan: (EPO) Consumers' Choice Silver 10Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8736 - Provider Directory for This Plan: (Consumers' Choice Health Insurance Company)
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 |
$276.64 $313.97 $353.53 $494.06 $750.77 |
$553.28 $627.94 $707.06 $988.12 $1501.54 |
$728.94 $803.60 $882.72 $1163.78 |
$904.60 $979.26 $1058.38 $1339.44 |
$1080.26 $1154.92 $1234.04 $1515.10 |
$452.30 $489.63 $529.19 $669.72 |
$627.96 $665.29 $704.85 $845.38 |
$803.62 $840.95 $880.51 $1021.04 |
$175.66 |
Plan: (EPO) Consumers' Choice Silver 11Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8736 - Provider Directory for This Plan: (Consumers' Choice Health Insurance 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 |
$310.17 $352.03 $396.38 $553.94 $841.77 |
$620.34 $704.06 $792.76 $1107.88 $1683.54 |
$817.29 $901.01 $989.71 $1304.83 |
$1014.24 $1097.96 $1186.66 $1501.78 |
$1211.19 $1294.91 $1383.61 $1698.73 |
$507.12 $548.98 $593.33 $750.89 |
$704.07 $745.93 $790.28 $947.84 |
$901.02 $942.88 $987.23 $1144.79 |
$196.95 |
Plan: (EPO) Consumers' Choice Bronze 10Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8736 - Provider Directory for This Plan: (Consumers' Choice Health Insurance Company)
Deductible: Individual:
$6,600
: Family:
$13,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$209.59 $237.87 $267.84 $374.31 $568.80 |
$419.18 $475.74 $535.68 $748.62 $1137.60 |
$552.26 $608.82 $668.76 $881.70 |
$685.34 $741.90 $801.84 $1014.78 |
$818.42 $874.98 $934.92 $1147.86 |
$342.67 $370.95 $400.92 $507.39 |
$475.75 $504.03 $534.00 $640.47 |
$608.83 $637.11 $667.08 $773.55 |
$133.08 |
Plan: (EPO) CO-OPtions Consumers' Choice Silver 12, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8736 - Provider Directory for This Plan: (Consumers' Choice Health Insurance Company)
Deductible: Individual:
$3,400
: Family:
$6,800 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 |
$316.53 $359.25 $404.51 $565.31 $859.04 |
$633.06 $718.50 $809.02 $1130.62 $1718.08 |
$834.05 $919.49 $1010.01 $1331.61 |
$1035.04 $1120.48 $1211.00 $1532.60 |
$1236.03 $1321.47 $1411.99 $1733.59 |
$517.52 $560.24 $605.50 $766.30 |
$718.51 $761.23 $806.49 $967.29 |
$919.50 $962.22 $1007.48 $1168.28 |
$200.99 |
Plan: (EPO) CO-OPtions Consumers' Choice Gold 4, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8736 - Provider Directory for This Plan: (Consumers' Choice Health Insurance Company)
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 |
Gold | 21 30 40 50 60 |
$371.88 $422.07 $475.24 $664.15 $1009.24 |
$743.76 $844.14 $950.48 $1328.30 $2018.48 |
$979.89 $1080.27 $1186.61 $1564.43 |
$1216.02 $1316.40 $1422.74 $1800.56 |
$1452.15 $1552.53 $1658.87 $2036.69 |
$608.01 $658.20 $711.37 $900.28 |
$844.14 $894.33 $947.50 $1136.41 |
$1080.27 $1130.46 $1183.63 $1372.54 |
$236.13 |
Plan: (EPO) Consumers' Choice Silver 20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8736 - Provider Directory for This Plan: (Consumers' Choice Health Insurance Company)
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 |
Silver | 21 30 40 50 60 |
$277.19 $314.60 $354.24 $495.05 $752.27 |
$554.38 $629.20 $708.48 $990.10 $1504.54 |
$730.39 $805.21 $884.49 $1166.11 |
$906.40 $981.22 $1060.50 $1342.12 |
$1082.41 $1157.23 $1236.51 $1518.13 |
$453.20 $490.61 $530.25 $671.06 |
$629.21 $666.62 $706.26 $847.07 |
$805.22 $842.63 $882.27 $1023.08 |
$176.01 |
Plan: (EPO) Consumers' Choice Bronze 20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8736 - Provider Directory for This Plan: (Consumers' Choice Health Insurance Company)
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 |
$202.07 $229.34 $258.24 $360.88 $548.40 |
$404.14 $458.68 $516.48 $721.76 $1096.80 |
$532.45 $586.99 $644.79 $850.07 |
$660.76 $715.30 $773.10 $978.38 |
$789.07 $843.61 $901.41 $1106.69 |
$330.38 $357.65 $386.55 $489.19 |
$458.69 $485.96 $514.86 $617.50 |
$587.00 $614.27 $643.17 $745.81 |
$128.31 |
†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 Marion County here.