Obamacare Providers, Plans and 2017 Rates for Coles 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 Charleston, IL.
Currently, there are 25 plans offered in Coles 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)
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 Charleston, 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 Coles County here.
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Health Alliance Medical Plans, Inc.Local: 1-866-247-3296 | Toll Free: 1-866-247-3296 TTY: 1-800-526-0844 |
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Plan: (HMO) HMO HSA 3250 Elite SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$3,250
: Family:
$6,500 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$324.68 $368.51 $414.94 $579.88 $881.19 |
$649.36 $737.02 $829.88 $1159.76 $1762.38 |
$855.53 $943.19 $1036.05 $1365.93 |
$1061.70 $1149.36 $1242.22 $1572.10 |
$1267.87 $1355.53 $1448.39 $1778.27 |
$530.85 $574.68 $621.11 $786.05 |
$737.02 $780.85 $827.28 $992.22 |
$943.19 $987.02 $1033.45 $1198.39 |
$206.17 |
Plan: (HMO) HMO 4000b Elite SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$334.59 $379.76 $427.60 $597.57 $908.07 |
$669.18 $759.52 $855.20 $1195.14 $1816.14 |
$881.64 $971.98 $1067.66 $1407.60 |
$1094.10 $1184.44 $1280.12 $1620.06 |
$1306.56 $1396.90 $1492.58 $1832.52 |
$547.05 $592.22 $640.06 $810.03 |
$759.51 $804.68 $852.52 $1022.49 |
$971.97 $1017.14 $1064.98 $1234.95 |
$212.46 |
Plan: (HMO) HMO 5000c Elite SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$311.76 $353.85 $398.43 $556.81 $846.13 |
$623.52 $707.70 $796.86 $1113.62 $1692.26 |
$821.49 $905.67 $994.83 $1311.59 |
$1019.46 $1103.64 $1192.80 $1509.56 |
$1217.43 $1301.61 $1390.77 $1707.53 |
$509.73 $551.82 $596.40 $754.78 |
$707.70 $749.79 $794.37 $952.75 |
$905.67 $947.76 $992.34 $1150.72 |
$197.97 |
Plan: (HMO) HMO 1500a Elite GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$403.53 $458.00 $515.71 $720.70 $1095.17 |
$807.06 $916.00 $1031.42 $1441.40 $2190.34 |
$1063.30 $1172.24 $1287.66 $1697.64 |
$1319.54 $1428.48 $1543.90 $1953.88 |
$1575.78 $1684.72 $1800.14 $2210.12 |
$659.77 $714.24 $771.95 $976.94 |
$916.01 $970.48 $1028.19 $1233.18 |
$1172.25 $1226.72 $1284.43 $1489.42 |
$256.24 |
Plan: (HMO) HMO 7150 Elite CatastrophicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$7,150
: Family:
$14,300 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$243.98 $276.91 $311.80 $435.74 $662.15 |
$487.96 $553.82 $623.60 $871.48 $1324.30 |
$642.88 $708.74 $778.52 $1026.40 |
$797.80 $863.66 $933.44 $1181.32 |
$952.72 $1018.58 $1088.36 $1336.24 |
$398.90 $431.83 $466.72 $590.66 |
$553.82 $586.75 $621.64 $745.58 |
$708.74 $741.67 $776.56 $900.50 |
$154.92 |
Plan: (HMO) HMO 3000b Elite SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$3,000
: Family:
$6,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$309.07 $350.79 $394.99 $551.99 $838.81 |
$618.14 $701.58 $789.98 $1103.98 $1677.62 |
$814.40 $897.84 $986.24 $1300.24 |
$1010.66 $1094.10 $1182.50 $1496.50 |
$1206.92 $1290.36 $1378.76 $1692.76 |
$505.33 $547.05 $591.25 $748.25 |
$701.59 $743.31 $787.51 $944.51 |
$897.85 $939.57 $983.77 $1140.77 |
$196.26 |
Plan: (POS) POS 6000b Elite SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$335.49 $380.78 $428.75 $599.18 $910.51 |
$670.98 $761.56 $857.50 $1198.36 $1821.02 |
$884.02 $974.60 $1070.54 $1411.40 |
$1097.06 $1187.64 $1283.58 $1624.44 |
$1310.10 $1400.68 $1496.62 $1837.48 |
$548.53 $593.82 $641.79 $812.22 |
$761.57 $806.86 $854.83 $1025.26 |
$974.61 $1019.90 $1067.87 $1238.30 |
$213.04 |
Plan: (HMO) HMO 4500 Elite SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$315.37 $357.95 $403.05 $563.25 $855.92 |
$630.74 $715.90 $806.10 $1126.50 $1711.84 |
$831.00 $916.16 $1006.36 $1326.76 |
$1031.26 $1116.42 $1206.62 $1527.02 |
$1231.52 $1316.68 $1406.88 $1727.28 |
$515.63 $558.21 $603.31 $763.51 |
$715.89 $758.47 $803.57 $963.77 |
$916.15 $958.73 $1003.83 $1164.03 |
$200.26 |
Plan: (HMO) HMO 3800 Elite BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$3,800
: Family:
$7,150 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$243.09 $275.91 $310.67 $434.16 $659.75 |
$486.18 $551.82 $621.34 $868.32 $1319.50 |
$640.54 $706.18 $775.70 $1022.68 |
$794.90 $860.54 $930.06 $1177.04 |
$949.26 $1014.90 $1084.42 $1331.40 |
$397.45 $430.27 $465.03 $588.52 |
$551.81 $584.63 $619.39 $742.88 |
$706.17 $738.99 $773.75 $897.24 |
$154.36 |
Plan: (HMO) HMO 4000d Elite BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$253.27 $287.46 $323.68 $452.33 $687.37 |
$506.54 $574.92 $647.36 $904.66 $1374.74 |
$667.36 $735.74 $808.18 $1065.48 |
$828.18 $896.56 $969.00 $1226.30 |
$989.00 $1057.38 $1129.82 $1387.12 |
$414.09 $448.28 $484.50 $613.15 |
$574.91 $609.10 $645.32 $773.97 |
$735.73 $769.92 $806.14 $934.79 |
$160.82 |
Plan: (HMO) HMO 6650 Elite BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$6,650
: Family:
$13,300 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$244.17 $277.13 $312.05 $436.09 $662.68 |
$488.34 $554.26 $624.10 $872.18 $1325.36 |
$643.39 $709.31 $779.15 $1027.23 |
$798.44 $864.36 $934.20 $1182.28 |
$953.49 $1019.41 $1089.25 $1337.33 |
$399.22 $432.18 $467.10 $591.14 |
$554.27 $587.23 $622.15 $746.19 |
$709.32 $742.28 $777.20 $901.24 |
$155.05 |
Plan: (HMO) HMO 3500 Elite SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$321.68 $365.10 $411.10 $574.52 $873.03 |
$643.36 $730.20 $822.20 $1149.04 $1746.06 |
$847.63 $934.47 $1026.47 $1353.31 |
$1051.90 $1138.74 $1230.74 $1557.58 |
$1256.17 $1343.01 $1435.01 $1761.85 |
$525.95 $569.37 $615.37 $778.79 |
$730.22 $773.64 $819.64 $983.06 |
$934.49 $977.91 $1023.91 $1187.33 |
$204.27 |
Plan: (POS) POS 5000a Elite BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$5,000
: Family:
$12,700 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$273.68 $310.63 $349.76 $488.79 $742.77 |
$547.36 $621.26 $699.52 $977.58 $1485.54 |
$721.15 $795.05 $873.31 $1151.37 |
$894.94 $968.84 $1047.10 $1325.16 |
$1068.73 $1142.63 $1220.89 $1498.95 |
$447.47 $484.42 $523.55 $662.58 |
$621.26 $658.21 $697.34 $836.37 |
$795.05 $832.00 $871.13 $1010.16 |
$173.79 |
Plan: (POS) POS 6650 Elite BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$6,650
: Family:
$13,300 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$264.03 $299.67 $337.43 $471.55 $716.57 |
$528.06 $599.34 $674.86 $943.10 $1433.14 |
$695.72 $767.00 $842.52 $1110.76 |
$863.38 $934.66 $1010.18 $1278.42 |
$1031.04 $1102.32 $1177.84 $1446.08 |
$431.69 $467.33 $505.09 $639.21 |
$599.35 $634.99 $672.75 $806.87 |
$767.01 $802.65 $840.41 $974.53 |
$167.66 |
Plan: (POS) POS 3500 Elite SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$340.89 $386.91 $435.66 $608.83 $925.18 |
$681.78 $773.82 $871.32 $1217.66 $1850.36 |
$898.25 $990.29 $1087.79 $1434.13 |
$1114.72 $1206.76 $1304.26 $1650.60 |
$1331.19 $1423.23 $1520.73 $1867.07 |
$557.36 $603.38 $652.13 $825.30 |
$773.83 $819.85 $868.60 $1041.77 |
$990.30 $1036.32 $1085.07 $1258.24 |
$216.47 |
ADVERTISEMENT
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Blue Cross Blue Shield of IllinoisLocal: 1-800-538-8833 | Toll Free: 1-800-538-8833 TTY: 1-800-526-0844 |
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Plan: (PPO) Blue Cross Blue Shield Premier? 101, a Multi-State PlanSummary 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 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$473.76 $537.71 $605.46 $846.13 $1285.77 |
$947.52 $1075.42 $1210.92 $1692.26 $2571.54 |
$1248.35 $1376.25 $1511.75 $1993.09 |
$1549.18 $1677.08 $1812.58 $2293.92 |
$1850.01 $1977.91 $2113.41 $2594.75 |
$774.59 $838.54 $906.29 $1146.96 |
$1075.42 $1139.37 $1207.12 $1447.79 |
$1376.25 $1440.20 $1507.95 $1748.62 |
$300.83 |
Plan: (PPO) Blue Cross Blue Shield Solution? 102, a Multi-State PlanSummary 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 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$396.83 $450.40 $507.14 $708.73 $1076.99 |
$793.66 $900.80 $1014.28 $1417.46 $2153.98 |
$1045.65 $1152.79 $1266.27 $1669.45 |
$1297.64 $1404.78 $1518.26 $1921.44 |
$1549.63 $1656.77 $1770.25 $2173.43 |
$648.82 $702.39 $759.13 $960.72 |
$900.81 $954.38 $1011.12 $1212.71 |
$1152.80 $1206.37 $1263.11 $1464.70 |
$251.99 |
Plan: (PPO) Blue Cross Blue Shield Basic? 103, a Multi-State PlanSummary 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 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$313.53 $355.85 $400.69 $559.96 $850.91 |
$627.06 $711.70 $801.38 $1119.92 $1701.82 |
$826.15 $910.79 $1000.47 $1319.01 |
$1025.24 $1109.88 $1199.56 $1518.10 |
$1224.33 $1308.97 $1398.65 $1717.19 |
$512.62 $554.94 $599.78 $759.05 |
$711.71 $754.03 $798.87 $958.14 |
$910.80 $953.12 $997.96 $1157.23 |
$199.09 |
Plan: (PPO) Blue Choice Preferred Security PPO? 100Summary 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 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 |
$307.65 $349.18 $393.18 $549.46 $834.96 |
$615.30 $698.36 $786.36 $1098.92 $1669.92 |
$810.66 $893.72 $981.72 $1294.28 |
$1006.02 $1089.08 $1177.08 $1489.64 |
$1201.38 $1284.44 $1372.44 $1685.00 |
$503.01 $544.54 $588.54 $744.82 |
$698.37 $739.90 $783.90 $940.18 |
$893.73 $935.26 $979.26 $1135.54 |
$195.36 |
Plan: (PPO) Blue Choice Preferred Silver PPO? 102Summary 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 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 |
$398.49 $452.28 $509.27 $711.70 $1081.50 |
$796.98 $904.56 $1018.54 $1423.40 $2163.00 |
$1050.02 $1157.60 $1271.58 $1676.44 |
$1303.06 $1410.64 $1524.62 $1929.48 |
$1556.10 $1663.68 $1777.66 $2182.52 |
$651.53 $705.32 $762.31 $964.74 |
$904.57 $958.36 $1015.35 $1217.78 |
$1157.61 $1211.40 $1268.39 $1470.82 |
$253.04 |
Plan: (PPO) Blue Choice Preferred Silver PPO? 103 - Three $0 PCP VisitsSummary 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 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 |
$402.26 $456.57 $514.09 $718.44 $1091.74 |
$804.52 $913.14 $1028.18 $1436.88 $2183.48 |
$1059.96 $1168.58 $1283.62 $1692.32 |
$1315.40 $1424.02 $1539.06 $1947.76 |
$1570.84 $1679.46 $1794.50 $2203.20 |
$657.70 $712.01 $769.53 $973.88 |
$913.14 $967.45 $1024.97 $1229.32 |
$1168.58 $1222.89 $1280.41 $1484.76 |
$255.44 |
Plan: (PPO) Blue Choice Preferred Bronze PPO? 105Summary 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 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 |
$331.07 $375.77 $423.11 $591.30 $898.54 |
$662.14 $751.54 $846.22 $1182.60 $1797.08 |
$872.37 $961.77 $1056.45 $1392.83 |
$1082.60 $1172.00 $1266.68 $1603.06 |
$1292.83 $1382.23 $1476.91 $1813.29 |
$541.30 $586.00 $633.34 $801.53 |
$751.53 $796.23 $843.57 $1011.76 |
$961.76 $1006.46 $1053.80 $1221.99 |
$210.23 |
Plan: (PPO) Blue Choice Preferred Bronze PPO? 106Summary 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 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 |
$337.96 $383.59 $431.92 $603.60 $917.23 |
$675.92 $767.18 $863.84 $1207.20 $1834.46 |
$890.53 $981.79 $1078.45 $1421.81 |
$1105.14 $1196.40 $1293.06 $1636.42 |
$1319.75 $1411.01 $1507.67 $1851.03 |
$552.57 $598.20 $646.53 $818.21 |
$767.18 $812.81 $861.14 $1032.82 |
$981.79 $1027.42 $1075.75 $1247.43 |
$214.61 |
Plan: (PPO) Blue Choice Preferred Bronze PPO? 107 - One $0 PCP VisitSummary 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 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 |
$312.82 $355.05 $399.79 $558.70 $849.00 |
$625.64 $710.10 $799.58 $1117.40 $1698.00 |
$824.28 $908.74 $998.22 $1316.04 |
$1022.92 $1107.38 $1196.86 $1514.68 |
$1221.56 $1306.02 $1395.50 $1713.32 |
$511.46 $553.69 $598.43 $757.34 |
$710.10 $752.33 $797.07 $955.98 |
$908.74 $950.97 $995.71 $1154.62 |
$198.64 |
Plan: (PPO) Blue Choice Preferred Silver PPO? 109 - StandardizedSummary 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 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 |
$403.66 $458.16 $515.88 $720.94 $1095.54 |
$807.32 $916.32 $1031.76 $1441.88 $2191.08 |
$1063.65 $1172.65 $1288.09 $1698.21 |
$1319.98 $1428.98 $1544.42 $1954.54 |
$1576.31 $1685.31 $1800.75 $2210.87 |
$659.99 $714.49 $772.21 $977.27 |
$916.32 $970.82 $1028.54 $1233.60 |
$1172.65 $1227.15 $1284.87 $1489.93 |
$256.33 |