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Providers for Zip Code 82201

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ObamacareByZipCode.com

Obamacare 2016 Marketplace Rates For Platte County, Wyoming

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 Platte County, Wyoming.

Obamacare Providers, Plans and 2016 Rates for Platte County

Platte County is in “Rating Area 3” of Wyoming.

Currently, there are 2 providers offering 18 plans to Rating Area 3. †

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 Wheatland, WY area accept this insurance coverage as within the plan's "network".
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Blue Cross Blue Shield of Wyoming

Local: 1-307-634-1393 x2949 | Toll Free: 1-800-851-2227

TTY: 1-800-696-4710

Plan: (PPO) BlueSelect Gold Basic with Kid's Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $458.15
$520.00
$585.51
$818.25
$1243.41		 $916.30
$1040.00
$1171.02
$1636.50
$2486.82		 $1207.23
$1330.93
$1461.95
$1927.43		 $1498.16
$1621.86
$1752.88
$2218.36		 $1789.09
$1912.79
$2043.81
$2509.29		 $749.08
$810.93
$876.44
$1109.18		 $1040.01
$1101.86
$1167.37
$1400.11		 $1330.94
$1392.79
$1458.30
$1691.04		 $290.93

Plan: (PPO) BlueSelect Silver Basic with Kid's Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

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		 $396.61
$450.15
$506.87
$708.34
$1076.39		 $793.22
$900.30
$1013.74
$1416.68
$2152.78		 $1045.07
$1152.15
$1265.59
$1668.53		 $1296.92
$1404.00
$1517.44
$1920.38		 $1548.77
$1655.85
$1769.29
$2172.23		 $648.46
$702.00
$758.72
$960.19		 $900.31
$953.85
$1010.57
$1212.04		 $1152.16
$1205.70
$1262.42
$1463.89		 $251.85

Plan: (PPO) BlueSelect Bronze Basic with Kid's Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

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		 $343.71
$390.12
$439.27
$613.87
$932.83		 $687.42
$780.24
$878.54
$1227.74
$1865.66		 $905.68
$998.50
$1096.80
$1446.00		 $1123.94
$1216.76
$1315.06
$1664.26		 $1342.20
$1435.02
$1533.32
$1882.52		 $561.97
$608.38
$657.53
$832.13		 $780.23
$826.64
$875.79
$1050.39		 $998.49
$1044.90
$1094.05
$1268.65		 $218.26

Plan: (PPO) BlueSelect Bronze Core with Kid's Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $3,500 : Family: $6,000
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		 $334.00
$379.08
$426.84
$596.51
$906.45		 $668.00
$758.16
$853.68
$1193.02
$1812.90		 $880.09
$970.25
$1065.77
$1405.11		 $1092.18
$1182.34
$1277.86
$1617.20		 $1304.27
$1394.43
$1489.95
$1829.29		 $546.09
$591.17
$638.93
$808.60		 $758.18
$803.26
$851.02
$1020.69		 $970.27
$1015.35
$1063.11
$1232.78		 $212.09

Plan: (PPO) BlueSelect Catastrophic with Kid's Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

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		 $291.09
$330.38
$372.01
$519.88
$790.00		 $582.18
$660.76
$744.02
$1039.76
$1580.00		 $767.02
$845.60
$928.86
$1224.60		 $951.86
$1030.44
$1113.70
$1409.44		 $1136.70
$1215.28
$1298.54
$1594.28		 $475.93
$515.22
$556.85
$704.72		 $660.77
$700.06
$741.69
$889.56		 $845.61
$884.90
$926.53
$1074.40		 $184.84

Plan: (PPO) BlueSelect Gold Classic with Kid's Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $750 : Family: $1,500
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $461.78
$524.12
$590.15
$824.73
$1253.26		 $923.56
$1048.24
$1180.30
$1649.46
$2506.52		 $1216.79
$1341.47
$1473.53
$1942.69		 $1510.02
$1634.70
$1766.76
$2235.92		 $1803.25
$1927.93
$2059.99
$2529.15		 $755.01
$817.35
$883.38
$1117.96		 $1048.24
$1110.58
$1176.61
$1411.19		 $1341.47
$1403.81
$1469.84
$1704.42		 $293.23

Plan: (PPO) BlueSelect Gold Core with Kid's Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $1,550 : Family: $3,100
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
Gold 21
30
40
50
60		 $465.00
$527.78
$594.27
$830.49
$1262.01		 $930.00
$1055.56
$1188.54
$1660.98
$2524.02		 $1225.28
$1350.84
$1483.82
$1956.26		 $1520.56
$1646.12
$1779.10
$2251.54		 $1815.84
$1941.40
$2074.38
$2546.82		 $760.28
$823.06
$889.55
$1125.77		 $1055.56
$1118.34
$1184.83
$1421.05		 $1350.84
$1413.62
$1480.11
$1716.33		 $295.28

Plan: (PPO) BlueSelect Gold HealthPlus with Kid's Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $468.94
$532.25
$599.31
$837.53
$1272.71		 $937.88
$1064.50
$1198.62
$1675.06
$2545.42		 $1235.66
$1362.28
$1496.40
$1972.84		 $1533.44
$1660.06
$1794.18
$2270.62		 $1831.22
$1957.84
$2091.96
$2568.40		 $766.72
$830.03
$897.09
$1135.31		 $1064.50
$1127.81
$1194.87
$1433.09		 $1362.28
$1425.59
$1492.65
$1730.87		 $297.78

Plan: (PPO) BlueSelect Silver Classic with Kid's Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $393.97
$447.15
$503.49
$703.62
$1069.22		 $787.94
$894.30
$1006.98
$1407.24
$2138.44		 $1038.11
$1144.47
$1257.15
$1657.41		 $1288.28
$1394.64
$1507.32
$1907.58		 $1538.45
$1644.81
$1757.49
$2157.75		 $644.14
$697.32
$753.66
$953.79		 $894.31
$947.49
$1003.83
$1203.96		 $1144.48
$1197.66
$1254.00
$1454.13		 $250.17

Plan: (PPO) BlueSelect Silver Core with Kid's Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $2,000 : Family: $4,000
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
Silver 21
30
40
50
60		 $394.24
$447.46
$503.83
$704.10
$1069.95		 $788.48
$894.92
$1007.66
$1408.20
$2139.90		 $1038.82
$1145.26
$1258.00
$1658.54		 $1289.16
$1395.60
$1508.34
$1908.88		 $1539.50
$1645.94
$1758.68
$2159.22		 $644.58
$697.80
$754.17
$954.44		 $894.92
$948.14
$1004.51
$1204.78		 $1145.26
$1198.48
$1254.85
$1455.12		 $250.34

Plan: (PPO) BlueSelect Silver HealthPlus with Kid's Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: 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
Silver 21
30
40
50
60		 $395.49
$448.88
$505.44
$706.34
$1073.35		 $790.98
$897.76
$1010.88
$1412.68
$2146.70		 $1042.12
$1148.90
$1262.02
$1663.82		 $1293.26
$1400.04
$1513.16
$1914.96		 $1544.40
$1651.18
$1764.30
$2166.10		 $646.63
$700.02
$756.58
$957.48		 $897.77
$951.16
$1007.72
$1208.62		 $1148.91
$1202.30
$1258.86
$1459.76		 $251.14

Plan: (PPO) BlueSelect Silver ValueTwo with Kid's Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: 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
Silver 21
30
40
50
60		 $366.02
$415.43
$467.77
$653.71
$993.37		 $732.04
$830.86
$935.54
$1307.42
$1986.74		 $964.46
$1063.28
$1167.96
$1539.84		 $1196.88
$1295.70
$1400.38
$1772.26		 $1429.30
$1528.12
$1632.80
$2004.68		 $598.44
$647.85
$700.19
$886.13		 $830.86
$880.27
$932.61
$1118.55		 $1063.28
$1112.69
$1165.03
$1350.97		 $232.42

Plan: (PPO) BlueSelect Bronze Value with Kid's Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $325.66
$369.63
$416.20
$581.63
$883.85		 $651.32
$739.26
$832.40
$1163.26
$1767.70		 $858.12
$946.06
$1039.20
$1370.06		 $1064.92
$1152.86
$1246.00
$1576.86		 $1271.72
$1359.66
$1452.80
$1783.66		 $532.46
$576.43
$623.00
$788.43		 $739.26
$783.23
$829.80
$995.23		 $946.06
$990.03
$1036.60
$1202.03		 $206.80

Plan: (PPO) BlueSelect Bronze Classic with Kid'sDental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $332.38
$377.25
$424.78
$593.63
$902.08		 $664.76
$754.50
$849.56
$1187.26
$1804.16		 $875.82
$965.56
$1060.62
$1398.32		 $1086.88
$1176.62
$1271.68
$1609.38		 $1297.94
$1387.68
$1482.74
$1820.44		 $543.44
$588.31
$635.84
$804.69		 $754.50
$799.37
$846.90
$1015.75		 $965.56
$1010.43
$1057.96
$1226.81		 $211.06

Plan: (PPO) BlueSelect Silver ValueOne with Kid's Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $3,250 : Family: $6,500
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $387.34
$439.63
$495.02
$691.78
$1051.23		 $774.68
$879.26
$990.04
$1383.56
$2102.46		 $1020.64
$1125.22
$1236.00
$1629.52		 $1266.60
$1371.18
$1481.96
$1875.48		 $1512.56
$1617.14
$1727.92
$2121.44		 $633.30
$685.59
$740.98
$937.74		 $879.26
$931.55
$986.94
$1183.70		 $1125.22
$1177.51
$1232.90
$1429.66		 $245.96

Plan: (PPO) BlueSelect Gold Classic

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $750 : Family: $1,500
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $454.52
$515.88
$580.88
$811.77
$1233.56		 $909.04
$1031.76
$1161.76
$1623.54
$2467.12		 $1197.66
$1320.38
$1450.38
$1912.16		 $1486.28
$1609.00
$1739.00
$2200.78		 $1774.90
$1897.62
$2027.62
$2489.40		 $743.14
$804.50
$869.50
$1100.39		 $1031.76
$1093.12
$1158.12
$1389.01		 $1320.38
$1381.74
$1446.74
$1677.63		 $288.62

Plan: (PPO) BlueSelect Silver Classic

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $387.79
$440.14
$495.59
$692.58
$1052.44		 $775.58
$880.28
$991.18
$1385.16
$2104.88		 $1021.83
$1126.53
$1237.43
$1631.41		 $1268.08
$1372.78
$1483.68
$1877.66		 $1514.33
$1619.03
$1729.93
$2123.91		 $634.04
$686.39
$741.84
$938.83		 $880.29
$932.64
$988.09
$1185.08		 $1126.54
$1178.89
$1234.34
$1431.33		 $246.25

Plan: (PPO) BlueSelect Gold Core

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $1,550 : Family: $3,100
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
Gold 21
30
40
50
60		 $457.75
$519.54
$585.00
$817.53
$1242.32		 $915.50
$1039.08
$1170.00
$1635.06
$2484.64		 $1206.17
$1329.75
$1460.67
$1925.73		 $1496.84
$1620.42
$1751.34
$2216.40		 $1787.51
$1911.09
$2042.01
$2507.07		 $748.42
$810.21
$875.67
$1108.20		 $1039.09
$1100.88
$1166.34
$1398.87		 $1329.76
$1391.55
$1457.01
$1689.54		 $290.67

Plan: (PPO) BlueSelect Silver Core

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $2,000 : Family: $4,000
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
Silver 21
30
40
50
60		 $388.06
$440.44
$495.93
$693.06
$1053.17		 $776.12
$880.88
$991.86
$1386.12
$2106.34		 $1022.54
$1127.30
$1238.28
$1632.54		 $1268.96
$1373.72
$1484.70
$1878.96		 $1515.38
$1620.14
$1731.12
$2125.38		 $634.48
$686.86
$742.35
$939.48		 $880.90
$933.28
$988.77
$1185.90		 $1127.32
$1179.70
$1235.19
$1432.32		 $246.42

Plan: (PPO) BlueSelect Bronze Classic

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $327.19
$371.36
$418.14
$584.35
$887.98		 $654.38
$742.72
$836.28
$1168.70
$1775.96		 $862.15
$950.49
$1044.05
$1376.47		 $1069.92
$1158.26
$1251.82
$1584.24		 $1277.69
$1366.03
$1459.59
$1792.01		 $534.96
$579.13
$625.91
$792.12		 $742.73
$786.90
$833.68
$999.89		 $950.50
$994.67
$1041.45
$1207.66		 $207.77

Plan: (PPO) BlueSelect Bronze Core

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $3,500 : Family: $6,000
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		 $328.76
$373.14
$420.15
$587.15
$892.23		 $657.52
$746.28
$840.30
$1174.30
$1784.46		 $866.28
$955.04
$1049.06
$1383.06		 $1075.04
$1163.80
$1257.82
$1591.82		 $1283.80
$1372.56
$1466.58
$1800.58		 $537.52
$581.90
$628.91
$795.91		 $746.28
$790.66
$837.67
$1004.67		 $955.04
$999.42
$1046.43
$1213.43		 $208.76

Plan: (PPO) BlueSelect Gold HealthPlus

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $461.60
$523.91
$589.92
$824.41
$1252.77		 $923.20
$1047.82
$1179.84
$1648.82
$2505.54		 $1216.32
$1340.94
$1472.96
$1941.94		 $1509.44
$1634.06
$1766.08
$2235.06		 $1802.56
$1927.18
$2059.20
$2528.18		 $754.72
$817.03
$883.04
$1117.53		 $1047.84
$1110.15
$1176.16
$1410.65		 $1340.96
$1403.27
$1469.28
$1703.77		 $293.12

Plan: (PPO) BlueSelect Silver HealthPlus

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: 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
Silver 21
30
40
50
60		 $389.31
$441.87
$497.54
$695.30
$1056.58		 $778.62
$883.74
$995.08
$1390.60
$2113.16		 $1025.83
$1130.95
$1242.29
$1637.81		 $1273.04
$1378.16
$1489.50
$1885.02		 $1520.25
$1625.37
$1736.71
$2132.23		 $636.52
$689.08
$744.75
$942.51		 $883.73
$936.29
$991.96
$1189.72		 $1130.94
$1183.50
$1239.17
$1436.93		 $247.21

Plan: (PPO) BlueSelect Silver ValueTwo

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: 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
Silver 21
30
40
50
60		 $360.29
$408.92
$460.44
$643.47
$977.81		 $720.58
$817.84
$920.88
$1286.94
$1955.62		 $949.36
$1046.62
$1149.66
$1515.72		 $1178.14
$1275.40
$1378.44
$1744.50		 $1406.92
$1504.18
$1607.22
$1973.28		 $589.07
$637.70
$689.22
$872.25		 $817.85
$866.48
$918.00
$1101.03		 $1046.63
$1095.26
$1146.78
$1329.81		 $228.78

Plan: (PPO) BlueSelect Bronze Value

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $320.56
$363.83
$409.67
$572.51
$869.99		 $641.12
$727.66
$819.34
$1145.02
$1739.98		 $844.68
$931.22
$1022.90
$1348.58		 $1048.24
$1134.78
$1226.46
$1552.14		 $1251.80
$1338.34
$1430.02
$1755.70		 $524.12
$567.39
$613.23
$776.07		 $727.68
$770.95
$816.79
$979.63		 $931.24
$974.51
$1020.35
$1183.19		 $203.56

Plan: (PPO) BlueSelect Gold Basic

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $450.98
$511.87
$576.36
$805.45
$1223.96		 $901.96
$1023.74
$1152.72
$1610.90
$2447.92		 $1188.34
$1310.12
$1439.10
$1897.28		 $1474.72
$1596.50
$1725.48
$2183.66		 $1761.10
$1882.88
$2011.86
$2470.04		 $737.36
$798.25
$862.74
$1091.83		 $1023.74
$1084.63
$1149.12
$1378.21		 $1310.12
$1371.01
$1435.50
$1664.59		 $286.38

Plan: (PPO) BlueSelect Silver Basic

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

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		 $390.38
$443.09
$498.91
$697.22
$1059.49		 $780.76
$886.18
$997.82
$1394.44
$2118.98		 $1028.66
$1134.08
$1245.72
$1642.34		 $1276.56
$1381.98
$1493.62
$1890.24		 $1524.46
$1629.88
$1741.52
$2138.14		 $638.28
$690.99
$746.81
$945.12		 $886.18
$938.89
$994.71
$1193.02		 $1134.08
$1186.79
$1242.61
$1440.92		 $247.90

Plan: (PPO) BlueSelect Bronze Basic

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

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		 $338.30
$383.96
$432.34
$604.19
$918.12		 $676.60
$767.92
$864.68
$1208.38
$1836.24		 $891.42
$982.74
$1079.50
$1423.20		 $1106.24
$1197.56
$1294.32
$1638.02		 $1321.06
$1412.38
$1509.14
$1852.84		 $553.12
$598.78
$647.16
$819.01		 $767.94
$813.60
$861.98
$1033.83		 $982.76
$1028.42
$1076.80
$1248.65		 $214.82

Plan: (PPO) BlueSelect Catastrophic

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

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		 $286.52
$325.20
$366.17
$511.72
$777.60		 $573.04
$650.40
$732.34
$1023.44
$1555.20		 $754.98
$832.34
$914.28
$1205.38		 $936.92
$1014.28
$1096.22
$1387.32		 $1118.86
$1196.22
$1278.16
$1569.26		 $468.46
$507.14
$548.11
$693.66		 $650.40
$689.08
$730.05
$875.60		 $832.34
$871.02
$911.99
$1057.54		 $181.94

Plan: (PPO) BlueSelect Silver ValueOne

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-851-2227 - Provider Directory for This Plan: (Blue Cross Blue Shield of Wyoming)

Deductible: Individual: $3,250 : Family: $6,500
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $381.25
$432.72
$487.23
$680.90
$1034.70		 $762.50
$865.44
$974.46
$1361.80
$2069.40		 $1004.59
$1107.53
$1216.55
$1603.89		 $1246.68
$1349.62
$1458.64
$1845.98		 $1488.77
$1591.71
$1700.73
$2088.07		 $623.34
$674.81
$729.32
$922.99		 $865.43
$916.90
$971.41
$1165.08		 $1107.52
$1158.99
$1213.50
$1407.17		 $242.09

†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 Platte County here.

 

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