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Providers for Zip Code 23040

LegalConsumer.com/obamacare

ObamacareByZipCode.com

Obamacare 2016 Marketplace Rates For Cumberland County, Virginia

Friday, April 19th, 2024


The health insurance rates listed below are for calendar year 2016.

2016 Rates and Providers

(click here for 2014)

(click here for 2015)

This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Cumberland County, Virginia.

Obamacare Providers, Plans and 2016 Rates for Cumberland County

Cumberland 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 Cumberland, 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

Plan: (PPO) Catastrophic 6850

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Catastrophic 21
30
40
50
60		 $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 750/40/60

Summary 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
Out of Pocket Maximum per year: 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
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 1000/35/50

Summary 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
Out of Pocket Maximum per year: 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
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 2500/35/60

Summary 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
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
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 3400/35/60

Summary 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
Out of Pocket Maximum per year: Individual: $5,400 : Family: $10,800

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $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 4850

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $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 5800

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $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 4750

Summary 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
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $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 5500

Summary 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
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $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 2250

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $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 Plan

Local: 1-866-946-6034 | Toll Free: 1-866-946-6034

TTY: 1-800-225-7784

Plan: (HMO) OptimaFit Gold 1200 Direct

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-946-6034 - Provider Directory for This Plan: (Optima Health Plan)

Deductible: Individual: $1,200 : Family: $2,400
Out of Pocket Maximum per year: Individual: $3,425 : Family: $6,850

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		 $368.32
$418.04
$470.71
$657.82
$999.62		 $736.64
$836.08
$941.42
$1315.64
$1999.24		 $970.52
$1069.96
$1175.30
$1549.52		 $1204.40
$1303.84
$1409.18
$1783.40		 $1438.28
$1537.72
$1643.06
$2017.28		 $602.20
$651.92
$704.59
$891.70		 $836.08
$885.80
$938.47
$1125.58		 $1069.96
$1119.68
$1172.35
$1359.46		 $233.88

Plan: (HMO) OptimaFit Silver 2600 25 20 Direct

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $298.58
$338.89
$381.58
$533.26
$810.34		 $597.16
$677.78
$763.16
$1066.52
$1620.68		 $786.76
$867.38
$952.76
$1256.12		 $976.36
$1056.98
$1142.36
$1445.72		 $1165.96
$1246.58
$1331.96
$1635.32		 $488.18
$528.49
$571.18
$722.86		 $677.78
$718.09
$760.78
$912.46		 $867.38
$907.69
$950.38
$1102.06		 $189.60

Plan: (HMO) OptimaFit Bronze 4500 HSA Direct

Summary 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
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $271.30
$307.92
$346.72
$484.54
$736.30		 $542.60
$615.84
$693.44
$969.08
$1472.60		 $714.87
$788.11
$865.71
$1141.35		 $887.14
$960.38
$1037.98
$1313.62		 $1059.41
$1132.65
$1210.25
$1485.89		 $443.57
$480.19
$518.99
$656.81		 $615.84
$652.46
$691.26
$829.08		 $788.11
$824.73
$863.53
$1001.35		 $172.27
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Piedmont Community HealthCare HMO, Inc.

Local: 1-434-947-4463 | Toll Free: 1-800-400-7247

Plan: (HMO) Gold Preferred 750/30/50 HMO

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $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 HMO

Summary 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
Out of Pocket Maximum per year: 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
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 HMO

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $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 HMO

Summary 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
Out of Pocket Maximum per year: 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		 $246.66
$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 HMO

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $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 HMO

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $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 HMO

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $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 HMO

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Catastrophic 21
30
40
50
60		 $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 HMO

Summary 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
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $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 HMO

Summary 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
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $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
ADVERTISEMENT

HealthKeepers, Inc.

Local: 1-855-748-1810 | Toll Free: 1-855-748-1810

Plan: (HMO) Anthem HealthKeepers Catastrophic X 6850 0

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Catastrophic 21
30
40
50
60		 $156.88
$178.06
$200.49
$280.19
$425.77		 $313.76
$356.12
$400.98
$560.38
$851.54		 $413.38
$455.74
$500.60
$660.00		 $513.00
$555.36
$600.22
$759.62		 $612.62
$654.98
$699.84
$859.24		 $256.50
$277.68
$300.11
$379.81		 $356.12
$377.30
$399.73
$479.43		 $455.74
$476.92
$499.35
$579.05		 $99.62

Plan: (HMO) Anthem HealthKeepers Bronze X 15 for HSA

Summary 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
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $194.82
$221.12
$248.98
$347.95
$528.74		 $389.64
$442.24
$497.96
$695.90
$1057.48		 $513.35
$565.95
$621.67
$819.61		 $637.06
$689.66
$745.38
$943.32		 $760.77
$813.37
$869.09
$1067.03		 $318.53
$344.83
$372.69
$471.66		 $442.24
$468.54
$496.40
$595.37		 $565.95
$592.25
$620.11
$719.08		 $123.71

Plan: (HMO) Anthem HealthKeepers Bronze X 5500 25

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $191.77
$217.66
$245.08
$342.50
$520.46		 $383.54
$435.32
$490.16
$685.00
$1040.92		 $505.31
$557.09
$611.93
$806.77		 $627.08
$678.86
$733.70
$928.54		 $748.85
$800.63
$855.47
$1050.31		 $313.54
$339.43
$366.85
$464.27		 $435.31
$461.20
$488.62
$586.04		 $557.08
$582.97
$610.39
$707.81		 $121.77

Plan: (HMO) Anthem HealthKeepers Bronze X 4650 35

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $193.70
$219.85
$247.55
$345.95
$525.70		 $387.40
$439.70
$495.10
$691.90
$1051.40		 $510.40
$562.70
$618.10
$814.90		 $633.40
$685.70
$741.10
$937.90		 $756.40
$808.70
$864.10
$1060.90		 $316.70
$342.85
$370.55
$468.95		 $439.70
$465.85
$493.55
$591.95		 $562.70
$588.85
$616.55
$714.95		 $123.00

Plan: (HMO) Anthem HealthKeepers Bronze X 4100 30

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $206.62
$234.51
$264.06
$369.02
$560.77		 $413.24
$469.02
$528.12
$738.04
$1121.54		 $544.44
$600.22
$659.32
$869.24		 $675.64
$731.42
$790.52
$1000.44		 $806.84
$862.62
$921.72
$1131.64		 $337.82
$365.71
$395.26
$500.22		 $469.02
$496.91
$526.46
$631.42		 $600.22
$628.11
$657.66
$762.62		 $131.20

Plan: (HMO) Anthem HealthKeepers Bronze X 35 for HSA

Summary 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
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $201.33
$228.51
$257.30
$359.58
$546.41		 $402.66
$457.02
$514.60
$719.16
$1092.82		 $530.50
$584.86
$642.44
$847.00		 $658.34
$712.70
$770.28
$974.84		 $786.18
$840.54
$898.12
$1102.68		 $329.17
$356.35
$385.14
$487.42		 $457.01
$484.19
$512.98
$615.26		 $584.85
$612.03
$640.82
$743.10		 $127.84

Plan: (HMO) Anthem HealthKeepers Silver X 3350 15

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $216.16
$245.34
$276.25
$386.06
$586.66		 $432.32
$490.68
$552.50
$772.12
$1173.32		 $569.58
$627.94
$689.76
$909.38		 $706.84
$765.20
$827.02
$1046.64		 $844.10
$902.46
$964.28
$1183.90		 $353.42
$382.60
$413.51
$523.32		 $490.68
$519.86
$550.77
$660.58		 $627.94
$657.12
$688.03
$797.84		 $137.26

Plan: (HMO) Anthem HealthKeepers Silver X 2600 20

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $221.68
$251.61
$283.31
$395.92
$601.64		 $443.36
$503.22
$566.62
$791.84
$1203.28		 $584.13
$643.99
$707.39
$932.61		 $724.90
$784.76
$848.16
$1073.38		 $865.67
$925.53
$988.93
$1214.15		 $362.45
$392.38
$424.08
$536.69		 $503.22
$533.15
$564.85
$677.46		 $643.99
$673.92
$705.62
$818.23		 $140.77

Plan: (HMO) Anthem HealthKeepers Silver X 2250 20

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $226.73
$257.34
$289.76
$404.94
$615.35		 $453.46
$514.68
$579.52
$809.88
$1230.70		 $597.43
$658.65
$723.49
$953.85		 $741.40
$802.62
$867.46
$1097.82		 $885.37
$946.59
$1011.43
$1241.79		 $370.70
$401.31
$433.73
$548.91		 $514.67
$545.28
$577.70
$692.88		 $658.64
$689.25
$721.67
$836.85		 $143.97

Plan: (HMO) Anthem HealthKeepers Silver X 2000 20

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $232.70
$264.11
$297.39
$415.60
$631.55		 $465.40
$528.22
$594.78
$831.20
$1263.10		 $613.16
$675.98
$742.54
$978.96		 $760.92
$823.74
$890.30
$1126.72		 $908.68
$971.50
$1038.06
$1274.48		 $380.46
$411.87
$445.15
$563.36		 $528.22
$559.63
$592.91
$711.12		 $675.98
$707.39
$740.67
$858.88		 $147.76

Plan: (HMO) Anthem HealthKeepers Gold X 1100 15

Summary 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
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $288.36
$327.29
$368.52
$515.01
$782.61		 $576.72
$654.58
$737.04
$1030.02
$1565.22		 $759.83
$837.69
$920.15
$1213.13		 $942.94
$1020.80
$1103.26
$1396.24		 $1126.05
$1203.91
$1286.37
$1579.35		 $471.47
$510.40
$551.63
$698.12		 $654.58
$693.51
$734.74
$881.23		 $837.69
$876.62
$917.85
$1064.34		 $183.11

Plan: (HMO) Anthem HealthKeepers Bronze X 50 for HSA

Summary 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
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $187.73
$213.07
$239.92
$335.29
$509.50		 $375.46
$426.14
$479.84
$670.58
$1019.00		 $494.67
$545.35
$599.05
$789.79		 $613.88
$664.56
$718.26
$909.00		 $733.09
$783.77
$837.47
$1028.21		 $306.94
$332.28
$359.13
$454.50		 $426.15
$451.49
$478.34
$573.71		 $545.36
$570.70
$597.55
$692.92		 $119.21

Plan: (HMO) Anthem HealthKeepers Bronze X 0 for HSA

Summary 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
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $206.99
$234.93
$264.53
$369.68
$561.77		 $413.98
$469.86
$529.06
$739.36
$1123.54		 $545.42
$601.30
$660.50
$870.80		 $676.86
$732.74
$791.94
$1002.24		 $808.30
$864.18
$923.38
$1133.68		 $338.43
$366.37
$395.97
$501.12		 $469.87
$497.81
$527.41
$632.56		 $601.31
$629.25
$658.85
$764.00		 $131.44

Plan: (HMO) Anthem HealthKeepers Silver, a Blue Cross and Blue Shield Multi-State Plan

Summary 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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $230.61
$261.74
$294.72
$411.87
$625.88		 $461.22
$523.48
$589.44
$823.74
$1251.76		 $607.66
$669.92
$735.88
$970.18		 $754.10
$816.36
$882.32
$1116.62		 $900.54
$962.80
$1028.76
$1263.06		 $377.05
$408.18
$441.16
$558.31		 $523.49
$554.62
$587.60
$704.75		 $669.93
$701.06
$734.04
$851.19		 $146.44

Plan: (HMO) Anthem HealthKeepers Gold, a Blue Cross and Blue Shield Multi-State Plan

Summary 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
Out of Pocket Maximum per year: Individual: $5,200 : Family: $10,400

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
Gold 21
30
40
50
60		 $285.96
$324.56
$365.46
$510.72
$776.10		 $571.92
$649.12
$730.92
$1021.44
$1552.20		 $753.50
$830.70
$912.50
$1203.02		 $935.08
$1012.28
$1094.08
$1384.60		 $1116.66
$1193.86
$1275.66
$1566.18		 $467.54
$506.14
$547.04
$692.30		 $649.12
$687.72
$728.62
$873.88		 $830.70
$869.30
$910.20
$1055.46		 $181.58

†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 Cumberland County here.

 

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