Obamacare Providers, Plans and 2017 Rates for Charlotte 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 Charlotte Court House, VA.
Currently, there are 39 plans offered in Charlotte 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 Charlotte Court House, VA 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 Charlotte County here.
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Piedmont Community HealthCare, Inc.Local: 1-434-947-4463 x1 | Toll Free: 1-800-400-7247 TTY: 1-877-295-1454 |
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Plan: (PPO) Gold Preferred 1250/35/50Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$1,250
: Family:
$2,500 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$380.07 $431.38 $485.73 $678.81 $1031.51 |
$760.14 $862.76 $971.46 $1357.62 $2063.02 |
$1001.48 $1104.10 $1212.80 $1598.96 |
$1242.82 $1345.44 $1454.14 $1840.30 |
$1484.16 $1586.78 $1695.48 $2081.64 |
$621.41 $672.72 $727.07 $920.15 |
$862.75 $914.06 $968.41 $1161.49 |
$1104.09 $1155.40 $1209.75 $1402.83 |
$241.34 |
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Piedmont Community HealthCare HMO, Inc.Local: 1-434-947-4463 | Toll Free: 1-800-400-7247 TTY: 1-877-295-1454 |
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Plan: (HMO) Gold Preferred 1200/25/50 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$1,200
: Family:
$2,400 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 |
$341.77 $387.91 $436.78 $610.40 $927.56 |
$683.54 $775.82 $873.56 $1220.80 $1855.12 |
$900.56 $992.84 $1090.58 $1437.82 |
$1117.58 $1209.86 $1307.60 $1654.84 |
$1334.60 $1426.88 $1524.62 $1871.86 |
$558.79 $604.93 $653.80 $827.42 |
$775.81 $821.95 $870.82 $1044.44 |
$992.83 $1038.97 $1087.84 $1261.46 |
$217.02 |
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Piedmont Community HealthCare, Inc.Local: 1-434-947-4463 x1 | Toll Free: 1-800-400-7247 TTY: 1-877-295-1454 |
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Plan: (PPO) Catastrophic 7150Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, 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 |
$203.52 $231.00 $260.10 $363.49 $552.35 |
$407.04 $462.00 $520.20 $726.98 $1104.70 |
$536.28 $591.24 $649.44 $856.22 |
$665.52 $720.48 $778.68 $985.46 |
$794.76 $849.72 $907.92 $1114.70 |
$332.76 $360.24 $389.34 $492.73 |
$462.00 $489.48 $518.58 $621.97 |
$591.24 $618.72 $647.82 $751.21 |
$129.24 |
Plan: (PPO) Gold Preferred 950/35/60Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$950
: Family:
$1,900 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 |
$381.07 $432.51 $487.01 $680.59 $1034.22 |
$762.14 $865.02 $974.02 $1361.18 $2068.44 |
$1004.12 $1107.00 $1216.00 $1603.16 |
$1246.10 $1348.98 $1457.98 $1845.14 |
$1488.08 $1590.96 $1699.96 $2087.12 |
$623.05 $674.49 $728.99 $922.57 |
$865.03 $916.47 $970.97 $1164.55 |
$1107.01 $1158.45 $1212.95 $1406.53 |
$241.98 |
Plan: (PPO) Silver Preferred 2900/40/60Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$2,900
: Family:
$5,800 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$321.16 $364.52 $410.44 $573.59 $871.63 |
$642.32 $729.04 $820.88 $1147.18 $1743.26 |
$846.26 $932.98 $1024.82 $1351.12 |
$1050.20 $1136.92 $1228.76 $1555.06 |
$1254.14 $1340.86 $1432.70 $1759.00 |
$525.10 $568.46 $614.38 $777.53 |
$729.04 $772.40 $818.32 $981.47 |
$932.98 $976.34 $1022.26 $1185.41 |
$203.94 |
Plan: (PPO) Silver Preferred 3800/40/60Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$3,800
: Family:
$7,600 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$317.48 $360.34 $405.74 $567.02 $861.64 |
$634.96 $720.68 $811.48 $1134.04 $1723.28 |
$836.56 $922.28 $1013.08 $1335.64 |
$1038.16 $1123.88 $1214.68 $1537.24 |
$1239.76 $1325.48 $1416.28 $1738.84 |
$519.08 $561.94 $607.34 $768.62 |
$720.68 $763.54 $808.94 $970.22 |
$922.28 $965.14 $1010.54 $1171.82 |
$201.60 |
Plan: (PPO) Bronze 5250Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$5,250
: Family:
$10,500 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$258.62 $293.53 $330.52 $461.90 $701.89 |
$517.24 $587.06 $661.04 $923.80 $1403.78 |
$681.46 $751.28 $825.26 $1088.02 |
$845.68 $915.50 $989.48 $1252.24 |
$1009.90 $1079.72 $1153.70 $1416.46 |
$422.84 $457.75 $494.74 $626.12 |
$587.06 $621.97 $658.96 $790.34 |
$751.28 $786.19 $823.18 $954.56 |
$164.22 |
Plan: (PPO) Bronze 6200Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$6,200
: Family:
$12,400 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 |
$251.29 $285.21 $321.15 $448.80 $682.00 |
$502.58 $570.42 $642.30 $897.60 $1364.00 |
$662.15 $729.99 $801.87 $1057.17 |
$821.72 $889.56 $961.44 $1216.74 |
$981.29 $1049.13 $1121.01 $1376.31 |
$410.86 $444.78 $480.72 $608.37 |
$570.43 $604.35 $640.29 $767.94 |
$730.00 $763.92 $799.86 $927.51 |
$159.57 |
Plan: (PPO) Bronze HSA 5000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$261.03 $296.27 $333.60 $466.20 $708.44 |
$522.06 $592.54 $667.20 $932.40 $1416.88 |
$687.81 $758.29 $832.95 $1098.15 |
$853.56 $924.04 $998.70 $1263.90 |
$1019.31 $1089.79 $1164.45 $1429.65 |
$426.78 $462.02 $499.35 $631.95 |
$592.53 $627.77 $665.10 $797.70 |
$758.28 $793.52 $830.85 $963.45 |
$165.75 |
Plan: (PPO) Bronze HSA 6000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$6,000
: 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 |
Bronze | 21 30 40 50 60 |
$260.55 $295.72 $332.98 $465.34 $707.13 |
$521.10 $591.44 $665.96 $930.68 $1414.26 |
$686.55 $756.89 $831.41 $1096.13 |
$852.00 $922.34 $996.86 $1261.58 |
$1017.45 $1087.79 $1162.31 $1427.03 |
$426.00 $461.17 $498.43 $630.79 |
$591.45 $626.62 $663.88 $796.24 |
$756.90 $792.07 $829.33 $961.69 |
$165.45 |
Plan: (PPO) Silver Basic 2450Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$2,450
: Family:
$4,900 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 |
$311.46 $353.51 $398.05 $556.27 $845.30 |
$622.92 $707.02 $796.10 $1112.54 $1690.60 |
$820.70 $904.80 $993.88 $1310.32 |
$1018.48 $1102.58 $1191.66 $1508.10 |
$1216.26 $1300.36 $1389.44 $1705.88 |
$509.24 $551.29 $595.83 $754.05 |
$707.02 $749.07 $793.61 $951.83 |
$904.80 $946.85 $991.39 $1149.61 |
$197.78 |
Plan: (PPO) Silver Standard 3500/30/65Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$3,500
: 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 |
$319.68 $362.84 $408.55 $570.95 $867.61 |
$639.36 $725.68 $817.10 $1141.90 $1735.22 |
$842.36 $928.68 $1020.10 $1344.90 |
$1045.36 $1131.68 $1223.10 $1547.90 |
$1248.36 $1334.68 $1426.10 $1750.90 |
$522.68 $565.84 $611.55 $773.95 |
$725.68 $768.84 $814.55 $976.95 |
$928.68 $971.84 $1017.55 $1179.95 |
$203.00 |
Plan: (PPO) Bronze Standard 6650Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare, Inc.)
Deductible: Individual:
$6,650
: 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 |
$244.97 $278.04 $313.07 $437.52 $664.85 |
$489.94 $556.08 $626.14 $875.04 $1329.70 |
$645.50 $711.64 $781.70 $1030.60 |
$801.06 $867.20 $937.26 $1186.16 |
$956.62 $1022.76 $1092.82 $1341.72 |
$400.53 $433.60 $468.63 $593.08 |
$556.09 $589.16 $624.19 $748.64 |
$711.65 $744.72 $779.75 $904.20 |
$155.56 |
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Piedmont Community HealthCare HMO, Inc.Local: 1-434-947-4463 | Toll Free: 1-800-400-7247 TTY: 1-877-295-1454 |
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Plan: (HMO) Gold Preferred 950/30/50 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$950
: Family:
$1,900 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 |
$342.32 $388.53 $437.48 $611.38 $929.06 |
$684.64 $777.06 $874.96 $1222.76 $1858.12 |
$902.01 $994.43 $1092.33 $1440.13 |
$1119.38 $1211.80 $1309.70 $1657.50 |
$1336.75 $1429.17 $1527.07 $1874.87 |
$559.69 $605.90 $654.85 $828.75 |
$777.06 $823.27 $872.22 $1046.12 |
$994.43 $1040.64 $1089.59 $1263.49 |
$217.37 |
Plan: (HMO) Silver Preferred 3200/35/60 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$3,200
: Family:
$6,400 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 |
$287.31 $326.10 $367.18 $513.14 $779.76 |
$574.62 $652.20 $734.36 $1026.28 $1559.52 |
$757.06 $834.64 $916.80 $1208.72 |
$939.50 $1017.08 $1099.24 $1391.16 |
$1121.94 $1199.52 $1281.68 $1573.60 |
$469.75 $508.54 $549.62 $695.58 |
$652.19 $690.98 $732.06 $878.02 |
$834.63 $873.42 $914.50 $1060.46 |
$182.44 |
Plan: (HMO) Silver Preferred 3800/40/65 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$3,800
: Family:
$7,600 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$285.94 $324.54 $365.43 $510.69 $776.04 |
$571.88 $649.08 $730.86 $1021.38 $1552.08 |
$753.45 $830.65 $912.43 $1202.95 |
$935.02 $1012.22 $1094.00 $1384.52 |
$1116.59 $1193.79 $1275.57 $1566.09 |
$467.51 $506.11 $547.00 $692.26 |
$649.08 $687.68 $728.57 $873.83 |
$830.65 $869.25 $910.14 $1055.40 |
$181.57 |
Plan: (HMO) Silver Basic 2500 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$279.64 $317.39 $357.38 $499.44 $758.94 |
$559.28 $634.78 $714.76 $998.88 $1517.88 |
$736.85 $812.35 $892.33 $1176.45 |
$914.42 $989.92 $1069.90 $1354.02 |
$1091.99 $1167.49 $1247.47 $1531.59 |
$457.21 $494.96 $534.95 $677.01 |
$634.78 $672.53 $712.52 $854.58 |
$812.35 $850.10 $890.09 $1032.15 |
$177.57 |
Plan: (HMO) Bronze 5250 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$5,250
: 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 |
Bronze | 21 30 40 50 60 |
$234.05 $265.65 $299.12 $418.01 $635.21 |
$468.10 $531.30 $598.24 $836.02 $1270.42 |
$616.72 $679.92 $746.86 $984.64 |
$765.34 $828.54 $895.48 $1133.26 |
$913.96 $977.16 $1044.10 $1281.88 |
$382.67 $414.27 $447.74 $566.63 |
$531.29 $562.89 $596.36 $715.25 |
$679.91 $711.51 $744.98 $863.87 |
$148.62 |
Plan: (HMO) Bronze 6200 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$6,200
: Family:
$12,400 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 |
Bronze | 21 30 40 50 60 |
$227.55 $258.27 $290.81 $406.40 $617.57 |
$455.10 $516.54 $581.62 $812.80 $1235.14 |
$599.59 $661.03 $726.11 $957.29 |
$744.08 $805.52 $870.60 $1101.78 |
$888.57 $950.01 $1015.09 $1246.27 |
$372.04 $402.76 $435.30 $550.89 |
$516.53 $547.25 $579.79 $695.38 |
$661.02 $691.74 $724.28 $839.87 |
$144.49 |
Plan: (HMO) Catastrophic 7150 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$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 |
$185.06 $210.04 $236.51 $330.52 $502.25 |
$370.12 $420.08 $473.02 $661.04 $1004.50 |
$487.63 $537.59 $590.53 $778.55 |
$605.14 $655.10 $708.04 $896.06 |
$722.65 $772.61 $825.55 $1013.57 |
$302.57 $327.55 $354.02 $448.03 |
$420.08 $445.06 $471.53 $565.54 |
$537.59 $562.57 $589.04 $683.05 |
$117.51 |
Plan: (HMO) Bronze HSA 5000 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$234.97 $266.69 $300.29 $419.66 $637.71 |
$469.94 $533.38 $600.58 $839.32 $1275.42 |
$619.15 $682.59 $749.79 $988.53 |
$768.36 $831.80 $899.00 $1137.74 |
$917.57 $981.01 $1048.21 $1286.95 |
$384.18 $415.90 $449.50 $568.87 |
$533.39 $565.11 $598.71 $718.08 |
$682.60 $714.32 $747.92 $867.29 |
$149.21 |
Plan: (HMO) Bronze HSA 6000 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$234.49 $266.15 $299.68 $418.80 $636.41 |
$468.98 $532.30 $599.36 $837.60 $1272.82 |
$617.88 $681.20 $748.26 $986.50 |
$766.78 $830.10 $897.16 $1135.40 |
$915.68 $979.00 $1046.06 $1284.30 |
$383.39 $415.05 $448.58 $567.70 |
$532.29 $563.95 $597.48 $716.60 |
$681.19 $712.85 $746.38 $865.50 |
$148.90 |
Plan: (HMO) Silver Standard 3500/30/65 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
||||||||||
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 |
$288.74 $327.72 $369.01 $515.69 $783.64 |
$577.48 $655.44 $738.02 $1031.38 $1567.28 |
$760.83 $838.79 $921.37 $1214.73 |
$944.18 $1022.14 $1104.72 $1398.08 |
$1127.53 $1205.49 $1288.07 $1581.43 |
$472.09 $511.07 $552.36 $699.04 |
$655.44 $694.42 $735.71 $882.39 |
$838.79 $877.77 $919.06 $1065.74 |
$183.35 |
Plan: (HMO) Bronze Standard 6650 HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-400-7247 - Provider Directory for This Plan: (Piedmont Community HealthCare HMO, Inc.)
Deductible: Individual:
$6,650
: Family:
$13,300 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 |
$221.78 $251.72 $283.43 $396.10 $601.91 |
$443.56 $503.44 $566.86 $792.20 $1203.82 |
$584.39 $644.27 $707.69 $933.03 |
$725.22 $785.10 $848.52 $1073.86 |
$866.05 $925.93 $989.35 $1214.69 |
$362.61 $392.55 $424.26 $536.93 |
$503.44 $533.38 $565.09 $677.76 |
$644.27 $674.21 $705.92 $818.59 |
$140.83 |
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||||||||||
HealthKeepers, Inc.Local: 1-855-748-1810 | Toll Free: 1-855-748-1810 |
||||||||||
Plan: (HMO) Anthem HealthKeepers Catastrophic X 7150Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
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 |
$190.18 $215.85 $243.05 $339.66 $516.15 |
$380.36 $431.70 $486.10 $679.32 $1032.30 |
$501.12 $552.46 $606.86 $800.08 |
$621.88 $673.22 $727.62 $920.84 |
$742.64 $793.98 $848.38 $1041.60 |
$310.94 $336.61 $363.81 $460.42 |
$431.70 $457.37 $484.57 $581.18 |
$552.46 $578.13 $605.33 $701.94 |
$120.76 |
Plan: (HMO) Anthem HealthKeepers Bronze X 6200 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$6,200
: Family:
$12,400 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 |
Bronze | 21 30 40 50 60 |
$237.83 $269.94 $303.95 $424.76 $645.47 |
$475.66 $539.88 $607.90 $849.52 $1290.94 |
$626.68 $690.90 $758.92 $1000.54 |
$777.70 $841.92 $909.94 $1151.56 |
$928.72 $992.94 $1060.96 $1302.58 |
$388.85 $420.96 $454.97 $575.78 |
$539.87 $571.98 $605.99 $726.80 |
$690.89 $723.00 $757.01 $877.82 |
$151.02 |
Plan: (HMO) Anthem HealthKeepers Bronze X 5900Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: 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 |
Bronze | 21 30 40 50 60 |
$232.62 $264.02 $297.29 $415.46 $631.33 |
$465.24 $528.04 $594.58 $830.92 $1262.66 |
$612.95 $675.75 $742.29 $978.63 |
$760.66 $823.46 $890.00 $1126.34 |
$908.37 $971.17 $1037.71 $1274.05 |
$380.33 $411.73 $445.00 $563.17 |
$528.04 $559.44 $592.71 $710.88 |
$675.75 $707.15 $740.42 $858.59 |
$147.71 |
Plan: (HMO) Anthem HealthKeepers Bronze X 5150Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$5,150
: Family:
$10,300 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 |
$236.16 $268.04 $301.81 $421.78 $640.94 |
$472.32 $536.08 $603.62 $843.56 $1281.88 |
$622.28 $686.04 $753.58 $993.52 |
$772.24 $836.00 $903.54 $1143.48 |
$922.20 $985.96 $1053.50 $1293.44 |
$386.12 $418.00 $451.77 $571.74 |
$536.08 $567.96 $601.73 $721.70 |
$686.04 $717.92 $751.69 $871.66 |
$149.96 |
Plan: (HMO) Anthem HealthKeepers Bronze X 4900 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$4,900
: Family:
$9,800 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 |
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) Anthem HealthKeepers Silver X 3500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
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 |
$268.41 $304.65 $343.03 $479.38 $728.46 |
$536.82 $609.30 $686.06 $958.76 $1456.92 |
$707.26 $779.74 $856.50 $1129.20 |
$877.70 $950.18 $1026.94 $1299.64 |
$1048.14 $1120.62 $1197.38 $1470.08 |
$438.85 $475.09 $513.47 $649.82 |
$609.29 $645.53 $683.91 $820.26 |
$779.73 $815.97 $854.35 $990.70 |
$170.44 |
Plan: (HMO) Anthem HealthKeepers Silver X 2800Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$2,800
: Family:
$5,600 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 |
Silver | 21 30 40 50 60 |
$276.15 $313.43 $352.92 $493.20 $749.47 |
$552.30 $626.86 $705.84 $986.40 $1498.94 |
$727.66 $802.22 $881.20 $1161.76 |
$903.02 $977.58 $1056.56 $1337.12 |
$1078.38 $1152.94 $1231.92 $1512.48 |
$451.51 $488.79 $528.28 $668.56 |
$626.87 $664.15 $703.64 $843.92 |
$802.23 $839.51 $879.00 $1019.28 |
$175.36 |
Plan: (HMO) Anthem HealthKeepers Gold X 1300Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$1,300
: Family:
$3,900 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 |
$369.20 $419.04 $471.84 $659.39 $1002.01 |
$738.40 $838.08 $943.68 $1318.78 $2004.02 |
$972.84 $1072.52 $1178.12 $1553.22 |
$1207.28 $1306.96 $1412.56 $1787.66 |
$1441.72 $1541.40 $1647.00 $2022.10 |
$603.64 $653.48 $706.28 $893.83 |
$838.08 $887.92 $940.72 $1128.27 |
$1072.52 $1122.36 $1175.16 $1362.71 |
$234.44 |
Plan: (HMO) Anthem HealthKeepers Bronze X 6350Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: 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 |
Bronze | 21 30 40 50 60 |
$229.79 $260.81 $293.67 $410.40 $623.65 |
$459.58 $521.62 $587.34 $820.80 $1247.30 |
$605.50 $667.54 $733.26 $966.72 |
$751.42 $813.46 $879.18 $1112.64 |
$897.34 $959.38 $1025.10 $1258.56 |
$375.71 $406.73 $439.59 $556.32 |
$521.63 $552.65 $585.51 $702.24 |
$667.55 $698.57 $731.43 $848.16 |
$145.92 |
Plan: (HMO) Anthem HealthKeepers Silver X 5000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$257.15 $291.87 $328.64 $459.27 $697.91 |
$514.30 $583.74 $657.28 $918.54 $1395.82 |
$677.59 $747.03 $820.57 $1081.83 |
$840.88 $910.32 $983.86 $1245.12 |
$1004.17 $1073.61 $1147.15 $1408.41 |
$420.44 $455.16 $491.93 $622.56 |
$583.73 $618.45 $655.22 $785.85 |
$747.02 $781.74 $818.51 $949.14 |
$163.29 |
Plan: (HMO) Anthem HealthKeepers Silver, a Blue Cross and Blue Shield Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$1,800
: Family:
$3,600 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 |
Silver | 21 30 40 50 60 |
$289.15 $328.19 $369.53 $516.42 $784.75 |
$578.30 $656.38 $739.06 $1032.84 $1569.50 |
$761.91 $839.99 $922.67 $1216.45 |
$945.52 $1023.60 $1106.28 $1400.06 |
$1129.13 $1207.21 $1289.89 $1583.67 |
$472.76 $511.80 $553.14 $700.03 |
$656.37 $695.41 $736.75 $883.64 |
$839.98 $879.02 $920.36 $1067.25 |
$183.61 |
Plan: (HMO) Anthem HealthKeepers Gold, a Blue Cross and Blue Shield Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$1,000
: Family:
$3,000 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 |
$370.42 $420.43 $473.40 $661.57 $1005.32 |
$740.84 $840.86 $946.80 $1323.14 $2010.64 |
$976.06 $1076.08 $1182.02 $1558.36 |
$1211.28 $1311.30 $1417.24 $1793.58 |
$1446.50 $1546.52 $1652.46 $2028.80 |
$605.64 $655.65 $708.62 $896.79 |
$840.86 $890.87 $943.84 $1132.01 |
$1076.08 $1126.09 $1179.06 $1367.23 |
$235.22 |
Plan: (POS) Anthem HealthKeepers Bronze X POS 5750 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$5,750
: Family:
$11,500 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 |
Bronze | 21 30 40 50 60 |
$247.12 $280.48 $315.82 $441.36 $670.68 |
$494.24 $560.96 $631.64 $882.72 $1341.36 |
$651.16 $717.88 $788.56 $1039.64 |
$808.08 $874.80 $945.48 $1196.56 |
$965.00 $1031.72 $1102.40 $1353.48 |
$404.04 $437.40 $472.74 $598.28 |
$560.96 $594.32 $629.66 $755.20 |
$717.88 $751.24 $786.58 $912.12 |
$156.92 |
Plan: (POS) Anthem HealthKeepers Bronze X POS 4500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: 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 |
Bronze | 21 30 40 50 60 |
$249.03 $282.65 $318.26 $444.77 $675.87 |
$498.06 $565.30 $636.52 $889.54 $1351.74 |
$656.19 $723.43 $794.65 $1047.67 |
$814.32 $881.56 $952.78 $1205.80 |
$972.45 $1039.69 $1110.91 $1363.93 |
$407.16 $440.78 $476.39 $602.90 |
$565.29 $598.91 $634.52 $761.03 |
$723.42 $757.04 $792.65 $919.16 |
$158.13 |
Plan: (POS) Anthem HealthKeepers Silver X POS 2300Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$2,300
: Family:
$4,600 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 |
Silver | 21 30 40 50 60 |
$289.17 $328.21 $369.56 $516.46 $784.81 |
$578.34 $656.42 $739.12 $1032.92 $1569.62 |
$761.96 $840.04 $922.74 $1216.54 |
$945.58 $1023.66 $1106.36 $1400.16 |
$1129.20 $1207.28 $1289.98 $1583.78 |
$472.79 $511.83 $553.18 $700.08 |
$656.41 $695.45 $736.80 $883.70 |
$840.03 $879.07 $920.42 $1067.32 |
$183.62 |