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 Charlotte County, Virginia.
Obamacare Providers, Plans and 2016 Rates for Charlotte County
Charlotte County is in “Rating Area 12” of Virginia.
Currently, there are 5 providers offering 68 plans to Rating Area 12. †
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 Keysville, VA area accept this insurance coverage as within the plan's "network".
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Piedmont Community HealthCare, Inc.Local: 1-434-947-4463 x1 | Toll Free: 1-800-400-7247 TTY: 1-877-295-1454 |
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Plan: (PPO) Catastrophic 6850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$193.51 $219.63 $247.31 $345.61 $525.19 |
$387.02 $439.26 $494.62 $691.22 $1050.38 |
$509.90 $562.14 $617.50 $814.10 |
$632.78 $685.02 $740.38 $936.98 |
$755.66 $807.90 $863.26 $1059.86 |
$316.39 $342.51 $370.19 $468.49 |
$439.27 $465.39 $493.07 $591.37 |
$562.15 $588.27 $615.95 $714.25 |
$122.88 |
Plan: (PPO) Gold Basic 750/40/60Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$750
: Family:
$1,500 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$326.35 $370.41 $417.08 $582.86 $885.71 |
$652.70 $740.82 $834.16 $1165.72 $1771.42 |
$859.93 $948.05 $1041.39 $1372.95 |
$1067.16 $1155.28 $1248.62 $1580.18 |
$1274.39 $1362.51 $1455.85 $1787.41 |
$533.58 $577.64 $624.31 $790.09 |
$740.81 $784.87 $831.54 $997.32 |
$948.04 $992.10 $1038.77 $1204.55 |
$207.23 |
Plan: (PPO) Gold Preferred 1000/35/50Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$326.89 $371.02 $417.77 $583.83 $887.18 |
$653.78 $742.04 $835.54 $1167.66 $1774.36 |
$861.36 $949.62 $1043.12 $1375.24 |
$1068.94 $1157.20 $1250.70 $1582.82 |
$1276.52 $1364.78 $1458.28 $1790.40 |
$534.47 $578.60 $625.35 $791.41 |
$742.05 $786.18 $832.93 $998.99 |
$949.63 $993.76 $1040.51 $1206.57 |
$207.58 |
Plan: (PPO) Silver Preferred 2500/35/60Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$272.37 $309.14 $348.09 $486.45 $739.21 |
$544.74 $618.28 $696.18 $972.90 $1478.42 |
$717.69 $791.23 $869.13 $1145.85 |
$890.64 $964.18 $1042.08 $1318.80 |
$1063.59 $1137.13 $1215.03 $1491.75 |
$445.32 $482.09 $521.04 $659.40 |
$618.27 $655.04 $693.99 $832.35 |
$791.22 $827.99 $866.94 $1005.30 |
$172.95 |
Plan: (PPO) Silver Preferred 3400/35/60Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$3,400
: Family:
$6,800 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$267.40 $303.50 $341.74 $477.58 $725.72 |
$534.80 $607.00 $683.48 $955.16 $1451.44 |
$704.60 $776.80 $853.28 $1124.96 |
$874.40 $946.60 $1023.08 $1294.76 |
$1044.20 $1116.40 $1192.88 $1464.56 |
$437.20 $473.30 $511.54 $647.38 |
$607.00 $643.10 $681.34 $817.18 |
$776.80 $812.90 $851.14 $986.98 |
$169.80 |
Plan: (PPO) Bronze 4850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$4,850
: Family:
$9,700 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$212.78 $241.51 $271.93 $380.03 $577.48 |
$425.56 $483.02 $543.86 $760.06 $1154.96 |
$560.68 $618.14 $678.98 $895.18 |
$695.80 $753.26 $814.10 $1030.30 |
$830.92 $888.38 $949.22 $1165.42 |
$347.90 $376.63 $407.05 $515.15 |
$483.02 $511.75 $542.17 $650.27 |
$618.14 $646.87 $677.29 $785.39 |
$135.12 |
Plan: (PPO) Bronze 5800Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$5,800
: Family:
$11,600 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 |
$207.90 $235.97 $265.70 $371.31 $564.24 |
$415.80 $471.94 $531.40 $742.62 $1128.48 |
$547.82 $603.96 $663.42 $874.64 |
$679.84 $735.98 $795.44 $1006.66 |
$811.86 $868.00 $927.46 $1138.68 |
$339.92 $367.99 $397.72 $503.33 |
$471.94 $500.01 $529.74 $635.35 |
$603.96 $632.03 $661.76 $767.37 |
$132.02 |
Plan: (PPO) Bronze HSA 4750Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
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 |
$214.10 $243.00 $273.62 $382.38 $581.07 |
$428.20 $486.00 $547.24 $764.76 $1162.14 |
$564.15 $621.95 $683.19 $900.71 |
$700.10 $757.90 $819.14 $1036.66 |
$836.05 $893.85 $955.09 $1172.61 |
$350.05 $378.95 $409.57 $518.33 |
$486.00 $514.90 $545.52 $654.28 |
$621.95 $650.85 $681.47 $790.23 |
$135.95 |
Plan: (PPO) Bronze HSA 5500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$213.58 $242.41 $272.96 $381.45 $579.66 |
$427.16 $484.82 $545.92 $762.90 $1159.32 |
$562.78 $620.44 $681.54 $898.52 |
$698.40 $756.06 $817.16 $1034.14 |
$834.02 $891.68 $952.78 $1169.76 |
$349.20 $378.03 $408.58 $517.07 |
$484.82 $513.65 $544.20 $652.69 |
$620.44 $649.27 $679.82 $788.31 |
$135.62 |
Plan: (PPO) Silver Basic 2250Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$2,250
: Family:
$4,500 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 |
Silver | 21 30 40 50 60 |
$258.26 $293.13 $330.06 $461.25 $700.92 |
$516.52 $586.26 $660.12 $922.50 $1401.84 |
$680.52 $750.26 $824.12 $1086.50 |
$844.52 $914.26 $988.12 $1250.50 |
$1008.52 $1078.26 $1152.12 $1414.50 |
$422.26 $457.13 $494.06 $625.25 |
$586.26 $621.13 $658.06 $789.25 |
$750.26 $785.13 $822.06 $953.25 |
$164.00 |
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Optima Health PlanLocal: 1-866-946-6034 | Toll Free: 1-866-946-6034 TTY: 1-800-225-7784 |
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Plan: (HMO) OptimaFit Gold 1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-946-6034 - Provider Directory for This Plan: (Optima Health Plan)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$380.57 $431.95 $486.37 $679.70 $1032.87 |
$761.14 $863.90 $972.74 $1359.40 $2065.74 |
$1002.80 $1105.56 $1214.40 $1601.06 |
$1244.46 $1347.22 $1456.06 $1842.72 |
$1486.12 $1588.88 $1697.72 $2084.38 |
$622.23 $673.61 $728.03 $921.36 |
$863.89 $915.27 $969.69 $1163.02 |
$1105.55 $1156.93 $1211.35 $1404.68 |
$241.66 |
Plan: (HMO) OptimaFit Silver 4000 20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-946-6034 - Provider Directory for This Plan: (Optima Health Plan)
Deductible: Individual:
$4,000
: Family:
$8,000 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 |
$292.38 $331.85 $373.66 $522.19 $793.52 |
$584.76 $663.70 $747.32 $1044.38 $1587.04 |
$770.42 $849.36 $932.98 $1230.04 |
$956.08 $1035.02 $1118.64 $1415.70 |
$1141.74 $1220.68 $1304.30 $1601.36 |
$478.04 $517.51 $559.32 $707.85 |
$663.70 $703.17 $744.98 $893.51 |
$849.36 $888.83 $930.64 $1079.17 |
$185.66 |
Plan: (HMO) OptimaFit Silver 2600 25 20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-946-6034 - Provider Directory for This Plan: (Optima Health Plan)
Deductible: Individual:
$2,600
: Family:
$5,200 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 |
$300.98 $341.62 $384.66 $537.55 $816.87 |
$601.96 $683.24 $769.32 $1075.10 $1633.74 |
$793.08 $874.36 $960.44 $1266.22 |
$984.20 $1065.48 $1151.56 $1457.34 |
$1175.32 $1256.60 $1342.68 $1648.46 |
$492.10 $532.74 $575.78 $728.67 |
$683.22 $723.86 $766.90 $919.79 |
$874.34 $914.98 $958.02 $1110.91 |
$191.12 |
Plan: (HMO) OptimaFit Bronze 6850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-946-6034 - Provider Directory for This Plan: (Optima Health Plan)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$250.56 $284.39 $320.22 $447.50 $680.02 |
$501.12 $568.78 $640.44 $895.00 $1360.04 |
$660.23 $727.89 $799.55 $1054.11 |
$819.34 $887.00 $958.66 $1213.22 |
$978.45 $1046.11 $1117.77 $1372.33 |
$409.67 $443.50 $479.33 $606.61 |
$568.78 $602.61 $638.44 $765.72 |
$727.89 $761.72 $797.55 $924.83 |
$159.11 |
Plan: (HMO) OptimaFit Bronze 6500 25Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-946-6034 - Provider Directory for This Plan: (Optima Health Plan)
Deductible: Individual:
$6,500
: Family:
$13,000 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 |
$242.54 $275.29 $309.97 $433.18 $658.27 |
$485.08 $550.58 $619.94 $866.36 $1316.54 |
$639.10 $704.60 $773.96 $1020.38 |
$793.12 $858.62 $927.98 $1174.40 |
$947.14 $1012.64 $1082.00 $1328.42 |
$396.56 $429.31 $463.99 $587.20 |
$550.58 $583.33 $618.01 $741.22 |
$704.60 $737.35 $772.03 $895.24 |
$154.02 |
Plan: (HMO) OptimaFit Bronze 4500 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-946-6034 - Provider Directory for This Plan: (Optima Health Plan)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$270.44 $306.95 $345.62 $483.00 $733.97 |
$540.88 $613.90 $691.24 $966.00 $1467.94 |
$712.61 $785.63 $862.97 $1137.73 |
$884.34 $957.36 $1034.70 $1309.46 |
$1056.07 $1129.09 $1206.43 $1481.19 |
$442.17 $478.68 $517.35 $654.73 |
$613.90 $650.41 $689.08 $826.46 |
$785.63 $822.14 $860.81 $998.19 |
$171.73 |
Plan: (HMO) OptimaFit Bronze 5000 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-946-6034 - Provider Directory for This Plan: (Optima Health Plan)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$264.08 $299.73 $337.50 $471.65 $716.72 |
$528.16 $599.46 $675.00 $943.30 $1433.44 |
$695.85 $767.15 $842.69 $1110.99 |
$863.54 $934.84 $1010.38 $1278.68 |
$1031.23 $1102.53 $1178.07 $1446.37 |
$431.77 $467.42 $505.19 $639.34 |
$599.46 $635.11 $672.88 $807.03 |
$767.15 $802.80 $840.57 $974.72 |
$167.69 |
Plan: (HMO) OptimaFit Bronze 5500 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-946-6034 - Provider Directory for This Plan: (Optima Health Plan)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$264.34 $300.03 $337.83 $472.12 $717.43 |
$528.68 $600.06 $675.66 $944.24 $1434.86 |
$696.54 $767.92 $843.52 $1112.10 |
$864.40 $935.78 $1011.38 $1279.96 |
$1032.26 $1103.64 $1179.24 $1447.82 |
$432.20 $467.89 $505.69 $639.98 |
$600.06 $635.75 $673.55 $807.84 |
$767.92 $803.61 $841.41 $975.70 |
$167.86 |
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Piedmont Community HealthCare HMO, Inc.Local: 1-434-947-4463 | Toll Free: 1-800-400-7247 |
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Plan: (HMO) Gold Preferred 750/30/50 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$750
: Family:
$1,500 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$304.80 $345.95 $389.53 $544.37 $827.23 |
$609.60 $691.90 $779.06 $1088.74 $1654.46 |
$803.15 $885.45 $972.61 $1282.29 |
$996.70 $1079.00 $1166.16 $1475.84 |
$1190.25 $1272.55 $1359.71 $1669.39 |
$498.35 $539.50 $583.08 $737.92 |
$691.90 $733.05 $776.63 $931.47 |
$885.45 $926.60 $970.18 $1125.02 |
$193.55 |
Plan: (HMO) Gold Preferred 1000/25/50 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, 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 |
$303.55 $344.53 $387.94 $542.14 $823.83 |
$607.10 $689.06 $775.88 $1084.28 $1647.66 |
$799.85 $881.81 $968.63 $1277.03 |
$992.60 $1074.56 $1161.38 $1469.78 |
$1185.35 $1267.31 $1354.13 $1662.53 |
$496.30 $537.28 $580.69 $734.89 |
$689.05 $730.03 $773.44 $927.64 |
$881.80 $922.78 $966.19 $1120.39 |
$192.75 |
Plan: (HMO) Silver Preferred 2800/35/60 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$2,800
: Family:
$5,600 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 |
$247.95 $281.42 $316.88 $442.84 $672.94 |
$495.90 $562.84 $633.76 $885.68 $1345.88 |
$653.35 $720.29 $791.21 $1043.13 |
$810.80 $877.74 $948.66 $1200.58 |
$968.25 $1035.19 $1106.11 $1358.03 |
$405.40 $438.87 $474.33 $600.29 |
$562.85 $596.32 $631.78 $757.74 |
$720.30 $753.77 $789.23 $915.19 |
$157.45 |
Plan: (HMO) Silver Preferred 3500/40/65 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$246.66 $279.96 $315.23 $440.53 $669.44 |
$493.32 $559.92 $630.46 $881.06 $1338.88 |
$649.95 $716.55 $787.09 $1037.69 |
$806.58 $873.18 $943.72 $1194.32 |
$963.21 $1029.81 $1100.35 $1350.95 |
$403.29 $436.59 $471.86 $597.16 |
$559.92 $593.22 $628.49 $753.79 |
$716.55 $749.85 $785.12 $910.42 |
$156.63 |
Plan: (HMO) Silver Basic 2250 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$2,250
: Family:
$4,500 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 |
$239.02 $271.29 $305.47 $426.89 $648.70 |
$478.04 $542.58 $610.94 $853.78 $1297.40 |
$629.82 $694.36 $762.72 $1005.56 |
$781.60 $846.14 $914.50 $1157.34 |
$933.38 $997.92 $1066.28 $1309.12 |
$390.80 $423.07 $457.25 $578.67 |
$542.58 $574.85 $609.03 $730.45 |
$694.36 $726.63 $760.81 $882.23 |
$151.78 |
Plan: (HMO) Bronze 4850 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$4,850
: Family:
$9,700 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 |
$195.61 $222.02 $249.99 $349.36 $530.89 |
$391.22 $444.04 $499.98 $698.72 $1061.78 |
$515.43 $568.25 $624.19 $822.93 |
$639.64 $692.46 $748.40 $947.14 |
$763.85 $816.67 $872.61 $1071.35 |
$319.82 $346.23 $374.20 $473.57 |
$444.03 $470.44 $498.41 $597.78 |
$568.24 $594.65 $622.62 $721.99 |
$124.21 |
Plan: (HMO) Bronze 5800 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$5,800
: Family:
$11,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$191.32 $217.15 $244.51 $341.70 $519.24 |
$382.64 $434.30 $489.02 $683.40 $1038.48 |
$504.13 $555.79 $610.51 $804.89 |
$625.62 $677.28 $732.00 $926.38 |
$747.11 $798.77 $853.49 $1047.87 |
$312.81 $338.64 $366.00 $463.19 |
$434.30 $460.13 $487.49 $584.68 |
$555.79 $581.62 $608.98 $706.17 |
$121.49 |
Plan: (HMO) Catastrophic 6850 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, 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 |
$181.01 $205.45 $231.33 $323.28 $491.26 |
$362.02 $410.90 $462.66 $646.56 $982.52 |
$476.96 $525.84 $577.60 $761.50 |
$591.90 $640.78 $692.54 $876.44 |
$706.84 $755.72 $807.48 $991.38 |
$295.95 $320.39 $346.27 $438.22 |
$410.89 $435.33 $461.21 $553.16 |
$525.83 $550.27 $576.15 $668.10 |
$114.94 |
Plan: (HMO) Bronze HSA 5000 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, 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 |
$195.79 $222.22 $250.22 $349.68 $531.37 |
$391.58 $444.44 $500.44 $699.36 $1062.74 |
$515.91 $568.77 $624.77 $823.69 |
$640.24 $693.10 $749.10 $948.02 |
$764.57 $817.43 $873.43 $1072.35 |
$320.12 $346.55 $374.55 $474.01 |
$444.45 $470.88 $498.88 $598.34 |
$568.78 $595.21 $623.21 $722.67 |
$124.33 |
Plan: (HMO) Bronze HSA 6000 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, 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 |
Bronze | 21 30 40 50 60 |
$194.24 $220.46 $248.24 $346.91 $527.17 |
$388.48 $440.92 $496.48 $693.82 $1054.34 |
$511.82 $564.26 $619.82 $817.16 |
$635.16 $687.60 $743.16 $940.50 |
$758.50 $810.94 $866.50 $1063.84 |
$317.58 $343.80 $371.58 $470.25 |
$440.92 $467.14 $494.92 $593.59 |
$564.26 $590.48 $618.26 $716.93 |
$123.34 |
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HealthKeepers, Inc.Local: 1-855-748-1810 | Toll Free: 1-855-748-1810 |
||||||||||
Plan: (HMO) Anthem HealthKeepers Catastrophic X 6850 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, 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 |
$168.99 $191.80 $215.97 $301.82 $458.64 |
$337.98 $383.60 $431.94 $603.64 $917.28 |
$445.29 $490.91 $539.25 $710.95 |
$552.60 $598.22 $646.56 $818.26 |
$659.91 $705.53 $753.87 $925.57 |
$276.30 $299.11 $323.28 $409.13 |
$383.61 $406.42 $430.59 $516.44 |
$490.92 $513.73 $537.90 $623.75 |
$107.31 |
Plan: (HMO) Anthem HealthKeepers Bronze X 15 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, 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 |
Bronze | 21 30 40 50 60 |
$209.87 $238.20 $268.21 $374.83 $569.59 |
$419.74 $476.40 $536.42 $749.66 $1139.18 |
$553.01 $609.67 $669.69 $882.93 |
$686.28 $742.94 $802.96 $1016.20 |
$819.55 $876.21 $936.23 $1149.47 |
$343.14 $371.47 $401.48 $508.10 |
$476.41 $504.74 $534.75 $641.37 |
$609.68 $638.01 $668.02 $774.64 |
$133.27 |
Plan: (HMO) Anthem HealthKeepers Bronze X 5500 25Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
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 |
Bronze | 21 30 40 50 60 |
$206.58 $234.47 $264.01 $368.95 $560.66 |
$413.16 $468.94 $528.02 $737.90 $1121.32 |
$544.34 $600.12 $659.20 $869.08 |
$675.52 $731.30 $790.38 $1000.26 |
$806.70 $862.48 $921.56 $1131.44 |
$337.76 $365.65 $395.19 $500.13 |
$468.94 $496.83 $526.37 $631.31 |
$600.12 $628.01 $657.55 $762.49 |
$131.18 |
Plan: (HMO) Anthem HealthKeepers Bronze X 4650 35Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$4,650
: Family:
$9,300 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 |
Bronze | 21 30 40 50 60 |
$208.65 $236.82 $266.65 $372.65 $566.28 |
$417.30 $473.64 $533.30 $745.30 $1132.56 |
$549.79 $606.13 $665.79 $877.79 |
$682.28 $738.62 $798.28 $1010.28 |
$814.77 $871.11 $930.77 $1142.77 |
$341.14 $369.31 $399.14 $505.14 |
$473.63 $501.80 $531.63 $637.63 |
$606.12 $634.29 $664.12 $770.12 |
$132.49 |
Plan: (HMO) Anthem HealthKeepers Bronze X 35 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, 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 |
Bronze | 21 30 40 50 60 |
$216.88 $246.16 $277.17 $387.35 $588.61 |
$433.76 $492.32 $554.34 $774.70 $1177.22 |
$571.48 $630.04 $692.06 $912.42 |
$709.20 $767.76 $829.78 $1050.14 |
$846.92 $905.48 $967.50 $1187.86 |
$354.60 $383.88 $414.89 $525.07 |
$492.32 $521.60 $552.61 $662.79 |
$630.04 $659.32 $690.33 $800.51 |
$137.72 |
Plan: (HMO) Anthem HealthKeepers Silver X 3350 15Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$3,350
: Family:
$6,700 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 |
$232.85 $264.28 $297.58 $415.87 $631.95 |
$465.70 $528.56 $595.16 $831.74 $1263.90 |
$613.56 $676.42 $743.02 $979.60 |
$761.42 $824.28 $890.88 $1127.46 |
$909.28 $972.14 $1038.74 $1275.32 |
$380.71 $412.14 $445.44 $563.73 |
$528.57 $560.00 $593.30 $711.59 |
$676.43 $707.86 $741.16 $859.45 |
$147.86 |
Plan: (HMO) Anthem HealthKeepers Silver X 2600 20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, 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 |
$238.80 $271.04 $305.19 $426.50 $648.10 |
$477.60 $542.08 $610.38 $853.00 $1296.20 |
$629.24 $693.72 $762.02 $1004.64 |
$780.88 $845.36 $913.66 $1156.28 |
$932.52 $997.00 $1065.30 $1307.92 |
$390.44 $422.68 $456.83 $578.14 |
$542.08 $574.32 $608.47 $729.78 |
$693.72 $725.96 $760.11 $881.42 |
$151.64 |
Plan: (HMO) Anthem HealthKeepers Silver X 2250 20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$2,250
: Family:
$4,500 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 |
$244.24 $277.21 $312.14 $436.21 $662.87 |
$488.48 $554.42 $624.28 $872.42 $1325.74 |
$643.57 $709.51 $779.37 $1027.51 |
$798.66 $864.60 $934.46 $1182.60 |
$953.75 $1019.69 $1089.55 $1337.69 |
$399.33 $432.30 $467.23 $591.30 |
$554.42 $587.39 $622.32 $746.39 |
$709.51 $742.48 $777.41 $901.48 |
$155.09 |
Plan: (HMO) Anthem HealthKeepers Bronze X 50 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$6,100
: Family:
$12,200 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 |
$202.22 $229.52 $258.44 $361.16 $548.83 |
$404.44 $459.04 $516.88 $722.32 $1097.66 |
$532.85 $587.45 $645.29 $850.73 |
$661.26 $715.86 $773.70 $979.14 |
$789.67 $844.27 $902.11 $1107.55 |
$330.63 $357.93 $386.85 $489.57 |
$459.04 $486.34 $515.26 $617.98 |
$587.45 $614.75 $643.67 $746.39 |
$128.41 |
Plan: (HMO) Anthem HealthKeepers Silver, a Blue Cross and Blue Shield Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$1,550
: Family:
$3,100 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$248.41 $281.95 $317.47 $443.66 $674.18 |
$496.82 $563.90 $634.94 $887.32 $1348.36 |
$654.56 $721.64 $792.68 $1045.06 |
$812.30 $879.38 $950.42 $1202.80 |
$970.04 $1037.12 $1108.16 $1360.54 |
$406.15 $439.69 $475.21 $601.40 |
$563.89 $597.43 $632.95 $759.14 |
$721.63 $755.17 $790.69 $916.88 |
$157.74 |
Plan: (HMO) Anthem HealthKeepers Gold, a Blue Cross and Blue Shield Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, 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 |
$308.04 $349.63 $393.68 $550.16 $836.02 |
$616.08 $699.26 $787.36 $1100.32 $1672.04 |
$811.69 $894.87 $982.97 $1295.93 |
$1007.30 $1090.48 $1178.58 $1491.54 |
$1202.91 $1286.09 $1374.19 $1687.15 |
$503.65 $545.24 $589.29 $745.77 |
$699.26 $740.85 $784.90 $941.38 |
$894.87 $936.46 $980.51 $1136.99 |
$195.61 |
Plan: (POS) Anthem HealthKeepers Bronze POS X 0 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$5,350
: Family:
$10,700 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 |
$224.50 $254.81 $286.91 $400.96 $609.29 |
$449.00 $509.62 $573.82 $801.92 $1218.58 |
$591.56 $652.18 $716.38 $944.48 |
$734.12 $794.74 $858.94 $1087.04 |
$876.68 $937.30 $1001.50 $1229.60 |
$367.06 $397.37 $429.47 $543.52 |
$509.62 $539.93 $572.03 $686.08 |
$652.18 $682.49 $714.59 $828.64 |
$142.56 |
Plan: (POS) Anthem HealthKeepers Bronze X POS 4100 30Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$4,100
: Family:
$8,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$224.09 $254.34 $286.39 $400.22 $608.18 |
$448.18 $508.68 $572.78 $800.44 $1216.36 |
$590.48 $650.98 $715.08 $942.74 |
$732.78 $793.28 $857.38 $1085.04 |
$875.08 $935.58 $999.68 $1227.34 |
$366.39 $396.64 $428.69 $542.52 |
$508.69 $538.94 $570.99 $684.82 |
$650.99 $681.24 $713.29 $827.12 |
$142.30 |
Plan: (POS) Anthem HealthKeepers Silver X POS 2000 20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, 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 |
$252.39 $286.46 $322.55 $450.77 $684.99 |
$504.78 $572.92 $645.10 $901.54 $1369.98 |
$665.05 $733.19 $805.37 $1061.81 |
$825.32 $893.46 $965.64 $1222.08 |
$985.59 $1053.73 $1125.91 $1382.35 |
$412.66 $446.73 $482.82 $611.04 |
$572.93 $607.00 $643.09 $771.31 |
$733.20 $767.27 $803.36 $931.58 |
$160.27 |
Plan: (POS) Anthem HealthKeepers Gold X POS 1100 15Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, 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 |
$312.75 $354.97 $399.69 $558.57 $848.80 |
$625.50 $709.94 $799.38 $1117.14 $1697.60 |
$824.10 $908.54 $997.98 $1315.74 |
$1022.70 $1107.14 $1196.58 $1514.34 |
$1221.30 $1305.74 $1395.18 $1712.94 |
$511.35 $553.57 $598.29 $757.17 |
$709.95 $752.17 $796.89 $955.77 |
$908.55 $950.77 $995.49 $1154.37 |
$198.60 |
†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 Charlotte County here.