Providers for Zip Code 60409

ADVERTISEMENT

Obamacare Providers, Plans and 2017 Rates for Cook County

The health insurance rates listed below are for calendar year 2017.

2017 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Calumet City, IL.

Currently, there are 39 plans offered in Cook County.

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:

  • 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)

 

Note: If you are over 65, you qualify for Medicare. Click here to see listings of 2017 Medicare Advantage plans for Cook County

 

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 Calumet City, IL area accept this insurance coverage as within the plan's "network".

‡Source: HealthCare.gov has released sample rates for all counties in those states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Cook County here.

ADVERTISEMENT

Blue Cross Blue Shield of Illinois

Local: 1-800-538-8833 | Toll Free: 1-800-538-8833

TTY: 1-800-526-0844

Plan: (HMO) Blue Precision Bronze HMO? 103

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $7,100 : Family: $14,300
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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		 $281.34
$319.33
$359.56
$502.48
$763.57		 $562.68
$638.66
$719.12
$1004.96
$1527.14		 $741.33
$817.31
$897.77
$1183.61		 $919.98
$995.96
$1076.42
$1362.26		 $1098.63
$1174.61
$1255.07
$1540.91		 $459.99
$497.98
$538.21
$681.13		 $638.64
$676.63
$716.86
$859.78		 $817.29
$855.28
$895.51
$1038.43		 $178.65

Plan: (PPO) Blue Choice Preferred Bronze PPO? 107 - One $0 PCP Visit

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $6,750 : Family: $14,300
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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		 $305.93
$347.23
$390.97
$546.39
$830.29		 $611.86
$694.46
$781.94
$1092.78
$1660.58		 $806.12
$888.72
$976.20
$1287.04		 $1000.38
$1082.98
$1170.46
$1481.30		 $1194.64
$1277.24
$1364.72
$1675.56		 $500.19
$541.49
$585.23
$740.65		 $694.45
$735.75
$779.49
$934.91		 $888.71
$930.01
$973.75
$1129.17		 $194.26
ADVERTISEMENT

Celtic Insurance Company

Local: 1-855-745-5507 | Toll Free: 1-855-745-5507

TTY: 1-866-565-8576

Plan: (HMO) Ambetter Secure Care 1 (2017) with 3 Free PCP Visits: Sinai / IlliniCare Health Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-745-5507 - Provider Directory for This Plan: (Celtic Insurance Company)

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		 $325.07
$368.95
$415.43
$580.56
$882.22		 $650.14
$737.90
$830.86
$1161.12
$1764.44		 $856.56
$944.32
$1037.28
$1367.54		 $1062.98
$1150.74
$1243.70
$1573.96		 $1269.40
$1357.16
$1450.12
$1780.38		 $531.49
$575.37
$621.85
$786.98		 $737.91
$781.79
$828.27
$993.40		 $944.33
$988.21
$1034.69
$1199.82		 $206.42

Plan: (HMO) Ambetter Balanced Care 1 (2017): Sinai / IlliniCare Health Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-745-5507 - Provider Directory for This Plan: (Celtic Insurance Company)

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
Silver 21
30
40
50
60		 $231.38
$262.61
$295.70
$413.23
$627.95		 $462.76
$525.22
$591.40
$826.46
$1255.90		 $609.68
$672.14
$738.32
$973.38		 $756.60
$819.06
$885.24
$1120.30		 $903.52
$965.98
$1032.16
$1267.22		 $378.30
$409.53
$442.62
$560.15		 $525.22
$556.45
$589.54
$707.07		 $672.14
$703.37
$736.46
$853.99		 $146.92

Plan: (HMO) Ambetter Balanced Care 2 (2017): Sinai / IlliniCare Health Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-745-5507 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $6,500 : Family: $13,000
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
Silver 21
30
40
50
60		 $227.96
$258.73
$291.33
$407.13
$618.67		 $455.92
$517.46
$582.66
$814.26
$1237.34		 $600.67
$662.21
$727.41
$959.01		 $745.42
$806.96
$872.16
$1103.76		 $890.17
$951.71
$1016.91
$1248.51		 $372.71
$403.48
$436.08
$551.88		 $517.46
$548.23
$580.83
$696.63		 $662.21
$692.98
$725.58
$841.38		 $144.75

Plan: (HMO) Ambetter Balanced Care 3 (2017): Sinai / IlliniCare Health Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-745-5507 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $3,000 : Family: $6,000
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
Silver 21
30
40
50
60		 $239.13
$271.41
$305.60
$427.08
$648.98		 $478.26
$542.82
$611.20
$854.16
$1297.96		 $630.10
$694.66
$763.04
$1006.00		 $781.94
$846.50
$914.88
$1157.84		 $933.78
$998.34
$1066.72
$1309.68		 $390.97
$423.25
$457.44
$578.92		 $542.81
$575.09
$609.28
$730.76		 $694.65
$726.93
$761.12
$882.60		 $151.84

Plan: (HMO) Ambetter Balanced Care 12 Standardized (2017): Sinai / IlliniCare Health Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-745-5507 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $256.91
$291.59
$328.32
$458.83
$697.24		 $513.82
$583.18
$656.64
$917.66
$1394.48		 $676.95
$746.31
$819.77
$1080.79		 $840.08
$909.44
$982.90
$1243.92		 $1003.21
$1072.57
$1146.03
$1407.05		 $420.04
$454.72
$491.45
$621.96		 $583.17
$617.85
$654.58
$785.09		 $746.30
$780.98
$817.71
$948.22		 $163.13

Plan: (HMO) Ambetter Balanced Care 4 (2017): Sinai / IlliniCare Health Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-745-5507 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $7,050 : Family: $14,100
Out of Pocket Maximum per year: Individual: $7,050 : Family: $14,100

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		 $221.13
$250.97
$282.59
$394.91
$600.11		 $442.26
$501.94
$565.18
$789.82
$1200.22		 $582.67
$642.35
$705.59
$930.23		 $723.08
$782.76
$846.00
$1070.64		 $863.49
$923.17
$986.41
$1211.05		 $361.54
$391.38
$423.00
$535.32		 $501.95
$531.79
$563.41
$675.73		 $642.36
$672.20
$703.82
$816.14		 $140.41

Plan: (HMO) Ambetter Balanced Care 1 (2017) + Vision + Adult Dental: Sinai / IlliniCare Health Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-745-5507 - Provider Directory for This Plan: (Celtic Insurance Company)

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
Silver 21
30
40
50
60		 $243.68
$276.56
$311.41
$435.19
$661.32		 $487.36
$553.12
$622.82
$870.38
$1322.64		 $642.09
$707.85
$777.55
$1025.11		 $796.82
$862.58
$932.28
$1179.84		 $951.55
$1017.31
$1087.01
$1334.57		 $398.41
$431.29
$466.14
$589.92		 $553.14
$586.02
$620.87
$744.65		 $707.87
$740.75
$775.60
$899.38		 $154.73

Plan: (HMO) Ambetter Balanced Care 2 (2017) + Vision + Adult Dental: Sinai / IlliniCare Health Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-745-5507 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $6,500 : Family: $13,000
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
Silver 21
30
40
50
60		 $240.08
$272.48
$306.81
$428.76
$651.55		 $480.16
$544.96
$613.62
$857.52
$1303.10		 $632.60
$697.40
$766.06
$1009.96		 $785.04
$849.84
$918.50
$1162.40		 $937.48
$1002.28
$1070.94
$1314.84		 $392.52
$424.92
$459.25
$581.20		 $544.96
$577.36
$611.69
$733.64		 $697.40
$729.80
$764.13
$886.08		 $152.44

Plan: (HMO) Ambetter Balanced Care 3 (2017) + Vision + Adult Dental: Sinai / IlliniCare Health Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-745-5507 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $3,000 : Family: $6,000
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
Silver 21
30
40
50
60		 $251.84
$285.83
$321.84
$449.77
$683.47		 $503.68
$571.66
$643.68
$899.54
$1366.94		 $663.59
$731.57
$803.59
$1059.45		 $823.50
$891.48
$963.50
$1219.36		 $983.41
$1051.39
$1123.41
$1379.27		 $411.75
$445.74
$481.75
$609.68		 $571.66
$605.65
$641.66
$769.59		 $731.57
$765.56
$801.57
$929.50		 $159.91
ADVERTISEMENT

Blue Cross Blue Shield of Illinois

Local: 1-800-538-8833 | Toll Free: 1-800-538-8833

TTY: 1-800-526-0844

Plan: (HMO) Blue Precision Gold HMO? 101

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $1,750 : Family: $5,250
Out of Pocket Maximum per year: Individual: $3,500 : Family: $10,500

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		 $394.61
$447.88
$504.31
$704.77
$1070.97		 $789.22
$895.76
$1008.62
$1409.54
$2141.94		 $1039.80
$1146.34
$1259.20
$1660.12		 $1290.38
$1396.92
$1509.78
$1910.70		 $1540.96
$1647.50
$1760.36
$2161.28		 $645.19
$698.46
$754.89
$955.35		 $895.77
$949.04
$1005.47
$1205.93		 $1146.35
$1199.62
$1256.05
$1456.51		 $250.58

Plan: (HMO) Blue Precision Silver HMO? 102

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $2,600 : Family: $7,800
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $323.30
$366.94
$413.17
$577.41
$877.42		 $646.60
$733.88
$826.34
$1154.82
$1754.84		 $851.89
$939.17
$1031.63
$1360.11		 $1057.18
$1144.46
$1236.92
$1565.40		 $1262.47
$1349.75
$1442.21
$1770.69		 $528.59
$572.23
$618.46
$782.70		 $733.88
$777.52
$823.75
$987.99		 $939.17
$982.81
$1029.04
$1193.28		 $205.29

Plan: (HMO) Blue Precision Silver HMO? 106

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $5,500 : Family: $14,300
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $311.13
$353.13
$397.62
$555.67
$844.40		 $622.26
$706.26
$795.24
$1111.34
$1688.80		 $819.82
$903.82
$992.80
$1308.90		 $1017.38
$1101.38
$1190.36
$1506.46		 $1214.94
$1298.94
$1387.92
$1704.02		 $508.69
$550.69
$595.18
$753.23		 $706.25
$748.25
$792.74
$950.79		 $903.81
$945.81
$990.30
$1148.35		 $197.56

Plan: (HMO) BlueCare Direct Gold? 101 with Advocate

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $1,750 : Family: $5,250
Out of Pocket Maximum per year: Individual: $3,500 : Family: $10,500

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		 $355.15
$403.09
$453.88
$634.30
$963.87		 $710.30
$806.18
$907.76
$1268.60
$1927.74		 $935.82
$1031.70
$1133.28
$1494.12		 $1161.34
$1257.22
$1358.80
$1719.64		 $1386.86
$1482.74
$1584.32
$1945.16		 $580.67
$628.61
$679.40
$859.82		 $806.19
$854.13
$904.92
$1085.34		 $1031.71
$1079.65
$1130.44
$1310.86		 $225.52

Plan: (HMO) BlueCare Direct Silver? 102 with Advocate

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $2,600 : Family: $7,800
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $290.97
$330.25
$371.85
$519.66
$789.68		 $581.94
$660.50
$743.70
$1039.32
$1579.36		 $766.70
$845.26
$928.46
$1224.08		 $951.46
$1030.02
$1113.22
$1408.84		 $1136.22
$1214.78
$1297.98
$1593.60		 $475.73
$515.01
$556.61
$704.42		 $660.49
$699.77
$741.37
$889.18		 $845.25
$884.53
$926.13
$1073.94		 $184.76

Plan: (HMO) BlueCare Direct Bronze? 103 with Advocate

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $7,100 : Family: $14,300
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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		 $253.21
$287.39
$323.60
$452.23
$687.21		 $506.42
$574.78
$647.20
$904.46
$1374.42		 $667.21
$735.57
$807.99
$1065.25		 $828.00
$896.36
$968.78
$1226.04		 $988.79
$1057.15
$1129.57
$1386.83		 $414.00
$448.18
$484.39
$613.02		 $574.79
$608.97
$645.18
$773.81		 $735.58
$769.76
$805.97
$934.60		 $160.79

Plan: (PPO) Blue Choice Preferred Security PPO? 100

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $7,150 : Family: $14,300
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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
Catastrophic 21
30
40
50
60		 $300.87
$341.48
$384.51
$537.35
$816.55		 $601.74
$682.96
$769.02
$1074.70
$1633.10		 $792.79
$874.01
$960.07
$1265.75		 $983.84
$1065.06
$1151.12
$1456.80		 $1174.89
$1256.11
$1342.17
$1647.85		 $491.92
$532.53
$575.56
$728.40		 $682.97
$723.58
$766.61
$919.45		 $874.02
$914.63
$957.66
$1110.50		 $191.05

Plan: (HMO) BlueCare Direct Silver? 104 with Advocate

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $5,500 : Family: $14,300
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $280.01
$317.81
$357.86
$500.10
$759.96		 $560.02
$635.62
$715.72
$1000.20
$1519.92		 $737.83
$813.43
$893.53
$1178.01		 $915.64
$991.24
$1071.34
$1355.82		 $1093.45
$1169.05
$1249.15
$1533.63		 $457.82
$495.62
$535.67
$677.91		 $635.63
$673.43
$713.48
$855.72		 $813.44
$851.24
$891.29
$1033.53		 $177.81

Plan: (PPO) Blue Cross Blue Shield Premier? 101, a Multi-State Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $1,750 : Family: $5,250
Out of Pocket Maximum per year: Individual: $3,300 : Family: $9,900

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		 $463.31
$525.86
$592.11
$827.47
$1257.43		 $926.62
$1051.72
$1184.22
$1654.94
$2514.86		 $1220.82
$1345.92
$1478.42
$1949.14		 $1515.02
$1640.12
$1772.62
$2243.34		 $1809.22
$1934.32
$2066.82
$2537.54		 $757.51
$820.06
$886.31
$1121.67		 $1051.71
$1114.26
$1180.51
$1415.87		 $1345.91
$1408.46
$1474.71
$1710.07		 $294.20

Plan: (PPO) Blue Cross Blue Shield Solution? 102, a Multi-State Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $3,750 : Family: $11,250
Out of Pocket Maximum per year: Individual: $6,500 : 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		 $388.08
$440.47
$495.96
$693.11
$1053.24		 $776.16
$880.94
$991.92
$1386.22
$2106.48		 $1022.59
$1127.37
$1238.35
$1632.65		 $1269.02
$1373.80
$1484.78
$1879.08		 $1515.45
$1620.23
$1731.21
$2125.51		 $634.51
$686.90
$742.39
$939.54		 $880.94
$933.33
$988.82
$1185.97		 $1127.37
$1179.76
$1235.25
$1432.40		 $246.43

Plan: (PPO) Blue Cross Blue Shield Basic? 103, a Multi-State Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $6,250 : Family: $14,300
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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		 $306.61
$348.01
$391.85
$547.61
$832.15		 $613.22
$696.02
$783.70
$1095.22
$1664.30		 $807.92
$890.72
$978.40
$1289.92		 $1002.62
$1085.42
$1173.10
$1484.62		 $1197.32
$1280.12
$1367.80
$1679.32		 $501.31
$542.71
$586.55
$742.31		 $696.01
$737.41
$781.25
$937.01		 $890.71
$932.11
$975.95
$1131.71		 $194.70

Plan: (PPO) Blue Choice Preferred Silver PPO? 102

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $3,000 : Family: $9,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $389.70
$442.31
$498.04
$696.01
$1057.65		 $779.40
$884.62
$996.08
$1392.02
$2115.30		 $1026.86
$1132.08
$1243.54
$1639.48		 $1274.32
$1379.54
$1491.00
$1886.94		 $1521.78
$1627.00
$1738.46
$2134.40		 $637.16
$689.77
$745.50
$943.47		 $884.62
$937.23
$992.96
$1190.93		 $1132.08
$1184.69
$1240.42
$1438.39		 $247.46

Plan: (PPO) Blue Choice Preferred Silver PPO? 103 - Three $0 PCP Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $3,250 : Family: $9,750
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		 $393.39
$446.50
$502.76
$702.60
$1067.67		 $786.78
$893.00
$1005.52
$1405.20
$2135.34		 $1036.58
$1142.80
$1255.32
$1655.00		 $1286.38
$1392.60
$1505.12
$1904.80		 $1536.18
$1642.40
$1754.92
$2154.60		 $643.19
$696.30
$752.56
$952.40		 $892.99
$946.10
$1002.36
$1202.20		 $1142.79
$1195.90
$1252.16
$1452.00		 $249.80

Plan: (PPO) Blue Choice Preferred Bronze PPO? 105

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $5,000 : Family: $13,100
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		 $323.78
$367.48
$413.78
$578.26
$878.73		 $647.56
$734.96
$827.56
$1156.52
$1757.46		 $853.16
$940.56
$1033.16
$1362.12		 $1058.76
$1146.16
$1238.76
$1567.72		 $1264.36
$1351.76
$1444.36
$1773.32		 $529.38
$573.08
$619.38
$783.86		 $734.98
$778.68
$824.98
$989.46		 $940.58
$984.28
$1030.58
$1195.06		 $205.60

Plan: (PPO) Blue Choice Preferred Bronze PPO? 106

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $6,500 : Family: $13,100
Out of Pocket Maximum per year: Individual: $6,500 : 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		 $330.51
$375.13
$422.39
$590.30
$897.01		 $661.02
$750.26
$844.78
$1180.60
$1794.02		 $870.90
$960.14
$1054.66
$1390.48		 $1080.78
$1170.02
$1264.54
$1600.36		 $1290.66
$1379.90
$1474.42
$1810.24		 $540.39
$585.01
$632.27
$800.18		 $750.27
$794.89
$842.15
$1010.06		 $960.15
$1004.77
$1052.03
$1219.94		 $209.88

Plan: (PPO) Blue Choice Preferred Bronze PPO? 108

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $7,000 : Family: $14,300
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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		 $293.81
$333.47
$375.49
$524.74
$797.39		 $587.62
$666.94
$750.98
$1049.48
$1594.78		 $774.19
$853.51
$937.55
$1236.05		 $960.76
$1040.08
$1124.12
$1422.62		 $1147.33
$1226.65
$1310.69
$1609.19		 $480.38
$520.04
$562.06
$711.31		 $666.95
$706.61
$748.63
$897.88		 $853.52
$893.18
$935.20
$1084.45		 $186.57

Plan: (PPO) Blue Choice Preferred Silver PPO? 109 - Standardized

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $394.76
$448.06
$504.51
$705.05
$1071.39		 $789.52
$896.12
$1009.02
$1410.10
$2142.78		 $1040.20
$1146.80
$1259.70
$1660.78		 $1290.88
$1397.48
$1510.38
$1911.46		 $1541.56
$1648.16
$1761.06
$2162.14		 $645.44
$698.74
$755.19
$955.73		 $896.12
$949.42
$1005.87
$1206.41		 $1146.80
$1200.10
$1256.55
$1457.09		 $250.68

Plan: (HMO) Blue FocusCare Gold? 101

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $1,750 : Family: $5,250
Out of Pocket Maximum per year: Individual: $3,500 : Family: $10,500

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		 $351.20
$398.61
$448.83
$627.24
$953.15		 $702.40
$797.22
$897.66
$1254.48
$1906.30		 $925.41
$1020.23
$1120.67
$1477.49		 $1148.42
$1243.24
$1343.68
$1700.50		 $1371.43
$1466.25
$1566.69
$1923.51		 $574.21
$621.62
$671.84
$850.25		 $797.22
$844.63
$894.85
$1073.26		 $1020.23
$1067.64
$1117.86
$1296.27		 $223.01

Plan: (HMO) Blue FocusCare Silver? 102

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $5,500 : Family: $14,300
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $275.48
$312.67
$352.06
$492.00
$747.65		 $550.96
$625.34
$704.12
$984.00
$1495.30		 $725.89
$800.27
$879.05
$1158.93		 $900.82
$975.20
$1053.98
$1333.86		 $1075.75
$1150.13
$1228.91
$1508.79		 $450.41
$487.60
$526.99
$666.93		 $625.34
$662.53
$701.92
$841.86		 $800.27
$837.46
$876.85
$1016.79		 $174.93

Plan: (HMO) Blue FocusCare Silver? 103

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $2,600 : Family: $7,800
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $290.10
$329.26
$370.74
$518.11
$787.32		 $580.20
$658.52
$741.48
$1036.22
$1574.64		 $764.41
$842.73
$925.69
$1220.43		 $948.62
$1026.94
$1109.90
$1404.64		 $1132.83
$1211.15
$1294.11
$1588.85		 $474.31
$513.47
$554.95
$702.32		 $658.52
$697.68
$739.16
$886.53		 $842.73
$881.89
$923.37
$1070.74		 $184.21

Plan: (HMO) Blue FocusCare Bronze? 104

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $7,100 : Family: $14,300
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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		 $255.29
$289.75
$326.26
$455.94
$692.85		 $510.58
$579.50
$652.52
$911.88
$1385.70		 $672.69
$741.61
$814.63
$1073.99		 $834.80
$903.72
$976.74
$1236.10		 $996.91
$1065.83
$1138.85
$1398.21		 $417.40
$451.86
$488.37
$618.05		 $579.51
$613.97
$650.48
$780.16		 $741.62
$776.08
$812.59
$942.27		 $162.11
ADVERTISEMENT

Cigna HealthCare of Illinois, Inc.

Local: 1-877-900-1237 | Toll Free: 1-877-900-1237

TTY: 1-800-676-3777

Plan: (HMO) Cigna Connect HSA 5500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna HealthCare of Illinois, Inc.)

Deductible: Individual: $5,500 : Family: $11,000
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		 $217.30
$246.64
$277.71
$388.10
$589.76		 $434.60
$493.28
$555.42
$776.20
$1179.52		 $572.59
$631.27
$693.41
$914.19		 $710.58
$769.26
$831.40
$1052.18		 $848.57
$907.25
$969.39
$1190.17		 $355.29
$384.63
$415.70
$526.09		 $493.28
$522.62
$553.69
$664.08		 $631.27
$660.61
$691.68
$802.07		 $137.99

Plan: (HMO) Cigna Connect 6250

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna HealthCare of Illinois, Inc.)

Deductible: Individual: $6,250 : Family: $12,500
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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		 $218.75
$248.28
$279.56
$390.69
$593.69		 $437.50
$496.56
$559.12
$781.38
$1187.38		 $576.41
$635.47
$698.03
$920.29		 $715.32
$774.38
$836.94
$1059.20		 $854.23
$913.29
$975.85
$1198.11		 $357.66
$387.19
$418.47
$529.60		 $496.57
$526.10
$557.38
$668.51		 $635.48
$665.01
$696.29
$807.42		 $138.91

Plan: (HMO) Cigna US-IL Connect 6650

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna HealthCare of Illinois, Inc.)

Deductible: Individual: $6,650 : Family: $13,300
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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		 $210.54
$238.97
$269.07
$376.03
$571.41		 $421.08
$477.94
$538.14
$752.06
$1142.82		 $554.78
$611.64
$671.84
$885.76		 $688.48
$745.34
$805.54
$1019.46		 $822.18
$879.04
$939.24
$1153.16		 $344.24
$372.67
$402.77
$509.73		 $477.94
$506.37
$536.47
$643.43		 $611.64
$640.07
$670.17
$777.13		 $133.70

Plan: (HMO) Cigna Connect 2750

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna HealthCare of Illinois, Inc.)

Deductible: Individual: $2,750 : Family: $5,500
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $263.13
$298.66
$336.29
$469.96
$714.15		 $526.26
$597.32
$672.58
$939.92
$1428.30		 $693.35
$764.41
$839.67
$1107.01		 $860.44
$931.50
$1006.76
$1274.10		 $1027.53
$1098.59
$1173.85
$1441.19		 $430.22
$465.75
$503.38
$637.05		 $597.31
$632.84
$670.47
$804.14		 $764.40
$799.93
$837.56
$971.23		 $167.09

Plan: (HMO) Cigna Connect 2500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna HealthCare of Illinois, Inc.)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $257.84
$292.65
$329.52
$460.50
$699.77		 $515.68
$585.30
$659.04
$921.00
$1399.54		 $679.41
$749.03
$822.77
$1084.73		 $843.14
$912.76
$986.50
$1248.46		 $1006.87
$1076.49
$1150.23
$1412.19		 $421.57
$456.38
$493.25
$624.23		 $585.30
$620.11
$656.98
$787.96		 $749.03
$783.84
$820.71
$951.69		 $163.73

Plan: (HMO) Cigna US-IL Connect 3500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna HealthCare of Illinois, Inc.)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $294.33
$334.06
$376.15
$525.67
$798.80		 $588.66
$668.12
$752.30
$1051.34
$1597.60		 $775.56
$855.02
$939.20
$1238.24		 $962.46
$1041.92
$1126.10
$1425.14		 $1149.36
$1228.82
$1313.00
$1612.04		 $481.23
$520.96
$563.05
$712.57		 $668.13
$707.86
$749.95
$899.47		 $855.03
$894.76
$936.85
$1086.37		 $186.90

Plan: (HMO) Cigna Connect 1200

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna HealthCare of Illinois, Inc.)

Deductible: Individual: $1,200 : Family: $2,400
Out of Pocket Maximum per year: Individual: $5,900 : Family: $11,800

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $340.10
$386.01
$434.65
$607.42
$923.03		 $680.20
$772.02
$869.30
$1214.84
$1846.06		 $896.16
$987.98
$1085.26
$1430.80		 $1112.12
$1203.94
$1301.22
$1646.76		 $1328.08
$1419.90
$1517.18
$1862.72		 $556.06
$601.97
$650.61
$823.38		 $772.02
$817.93
$866.57
$1039.34		 $987.98
$1033.89
$1082.53
$1255.30		 $215.96

 

Speak with a Health Insurance Expert 800-943-6832Ads by +HealthNetwork