Obamacare Providers, Plans and 2017 Rates for Bergen 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 Fair Lawn, NJ.
Currently, there are 21 plans offered in Bergen 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 Fair Lawn, NJ 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 Bergen County here.
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Horizon Healthcare Services, Inc.Local: 1-866-260-3852 | Toll Free: 1-866-260-3852 TTY: 1-800-852-7899 |
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Plan: (EPO) OMNIA GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-260-3852 - Provider Directory for This Plan: (Horizon Healthcare Services, Inc.)
Deductible: Individual:
$0
: Family:
$0 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 |
$473.97 $537.96 $605.73 $846.51 $1286.35 |
$947.94 $1075.92 $1211.46 $1693.02 $2572.70 |
$1248.91 $1376.89 $1512.43 $1993.99 |
$1549.88 $1677.86 $1813.40 $2294.96 |
$1850.85 $1978.83 $2114.37 $2595.93 |
$774.94 $838.93 $906.70 $1147.48 |
$1075.91 $1139.90 $1207.67 $1448.45 |
$1376.88 $1440.87 $1508.64 $1749.42 |
$300.97 |
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AmeriHealth Ins Company of New JerseyLocal: 1-844-937-2448 | Toll Free: 1-844-937-2448 TTY: 1-888-857-4816 |
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Plan: (EPO) IHC Gold EPO Regional Preferred $30/$50/80% CoinsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)
Deductible: Individual:
$1,000
: Family:
$2,000 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 |
$668.89 $759.19 $854.84 $1194.64 $1815.37 |
$1337.78 $1518.38 $1709.68 $2389.28 $3630.74 |
$1762.53 $1943.13 $2134.43 $2814.03 |
$2187.28 $2367.88 $2559.18 $3238.78 |
$2612.03 $2792.63 $2983.93 $3663.53 |
$1093.64 $1183.94 $1279.59 $1619.39 |
$1518.39 $1608.69 $1704.34 $2044.14 |
$1943.14 $2033.44 $2129.09 $2468.89 |
$424.75 |
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AmeriHealth HMO, Inc.Local: 1-844-937-2448 | Toll Free: 1-844-937-2448 TTY: 1-888-857-4816 |
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Plan: (HMO) IHC Silver HMO Local Value $50/$75Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth 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 |
$280.07 $317.88 $357.93 $500.20 $760.11 |
$560.14 $635.76 $715.86 $1000.40 $1520.22 |
$737.98 $813.60 $893.70 $1178.24 |
$915.82 $991.44 $1071.54 $1356.08 |
$1093.66 $1169.28 $1249.38 $1533.92 |
$457.91 $495.72 $535.77 $678.04 |
$635.75 $673.56 $713.61 $855.88 |
$813.59 $851.40 $891.45 $1033.72 |
$177.84 |
Plan: (HMO) IHC Gold HMO Local Value $15/$30Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth HMO, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 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 |
$526.44 $597.51 $672.79 $940.22 $1428.76 |
$1052.88 $1195.02 $1345.58 $1880.44 $2857.52 |
$1387.17 $1529.31 $1679.87 $2214.73 |
$1721.46 $1863.60 $2014.16 $2549.02 |
$2055.75 $2197.89 $2348.45 $2883.31 |
$860.73 $931.80 $1007.08 $1274.51 |
$1195.02 $1266.09 $1341.37 $1608.80 |
$1529.31 $1600.38 $1675.66 $1943.09 |
$334.29 |
Plan: (HMO) IHC Silver HMO Regional Preferred $50/$75Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth 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 |
$349.63 $396.83 $446.83 $624.44 $948.90 |
$699.26 $793.66 $893.66 $1248.88 $1897.80 |
$921.28 $1015.68 $1115.68 $1470.90 |
$1143.30 $1237.70 $1337.70 $1692.92 |
$1365.32 $1459.72 $1559.72 $1914.94 |
$571.65 $618.85 $668.85 $846.46 |
$793.67 $840.87 $890.87 $1068.48 |
$1015.69 $1062.89 $1112.89 $1290.50 |
$222.02 |
Plan: (HMO) IHC Gold HMO Regional Preferred $15/$30Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth HMO, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 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 |
$595.97 $676.43 $761.65 $1064.40 $1617.46 |
$1191.94 $1352.86 $1523.30 $2128.80 $3234.92 |
$1570.38 $1731.30 $1901.74 $2507.24 |
$1948.82 $2109.74 $2280.18 $2885.68 |
$2327.26 $2488.18 $2658.62 $3264.12 |
$974.41 $1054.87 $1140.09 $1442.84 |
$1352.85 $1433.31 $1518.53 $1821.28 |
$1731.29 $1811.75 $1896.97 $2199.72 |
$378.44 |
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Horizon Healthcare Services, Inc.Local: 1-866-260-3852 | Toll Free: 1-866-260-3852 TTY: 1-800-852-7899 |
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Plan: (EPO) Horizon Advantage EPO SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-260-3852 - Provider Directory for This Plan: (Horizon Healthcare Services, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 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 |
$371.90 $422.11 $475.29 $664.22 $1009.34 |
$743.80 $844.22 $950.58 $1328.44 $2018.68 |
$979.96 $1080.38 $1186.74 $1564.60 |
$1216.12 $1316.54 $1422.90 $1800.76 |
$1452.28 $1552.70 $1659.06 $2036.92 |
$608.06 $658.27 $711.45 $900.38 |
$844.22 $894.43 $947.61 $1136.54 |
$1080.38 $1130.59 $1183.77 $1372.70 |
$236.16 |
Plan: (EPO) Horizon Advantage EPO BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-260-3852 - Provider Directory for This Plan: (Horizon Healthcare Services, 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 |
Bronze | 21 30 40 50 60 |
$330.83 $375.49 $422.80 $590.86 $897.86 |
$661.66 $750.98 $845.60 $1181.72 $1795.72 |
$871.73 $961.05 $1055.67 $1391.79 |
$1081.80 $1171.12 $1265.74 $1601.86 |
$1291.87 $1381.19 $1475.81 $1811.93 |
$540.90 $585.56 $632.87 $800.93 |
$750.97 $795.63 $842.94 $1011.00 |
$961.04 $1005.70 $1053.01 $1221.07 |
$210.07 |
Plan: (EPO) Horizon Advantage EPO EssentialsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-260-3852 - Provider Directory for This Plan: (Horizon Healthcare Services, 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 |
$214.63 $243.61 $274.30 $383.33 $582.51 |
$429.26 $487.22 $548.60 $766.66 $1165.02 |
$565.55 $623.51 $684.89 $902.95 |
$701.84 $759.80 $821.18 $1039.24 |
$838.13 $896.09 $957.47 $1175.53 |
$350.92 $379.90 $410.59 $519.62 |
$487.21 $516.19 $546.88 $655.91 |
$623.50 $652.48 $683.17 $792.20 |
$136.29 |
Plan: (EPO) OMNIA BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-260-3852 - Provider Directory for This Plan: (Horizon Healthcare Services, 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 |
Bronze | 21 30 40 50 60 |
$240.23 $272.66 $307.01 $429.04 $651.97 |
$480.46 $545.32 $614.02 $858.08 $1303.94 |
$633.00 $697.86 $766.56 $1010.62 |
$785.54 $850.40 $919.10 $1163.16 |
$938.08 $1002.94 $1071.64 $1315.70 |
$392.77 $425.20 $459.55 $581.58 |
$545.31 $577.74 $612.09 $734.12 |
$697.85 $730.28 $764.63 $886.66 |
$152.54 |
Plan: (EPO) OMNIA SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-260-3852 - Provider Directory for This Plan: (Horizon Healthcare Services, Inc.)
Deductible: Individual:
$900
: Family:
$1,800 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 |
$310.65 $352.59 $397.01 $554.82 $843.11 |
$621.30 $705.18 $794.02 $1109.64 $1686.22 |
$818.56 $902.44 $991.28 $1306.90 |
$1015.82 $1099.70 $1188.54 $1504.16 |
$1213.08 $1296.96 $1385.80 $1701.42 |
$507.91 $549.85 $594.27 $752.08 |
$705.17 $747.11 $791.53 $949.34 |
$902.43 $944.37 $988.79 $1146.60 |
$197.26 |
Plan: (EPO) OMNIA Silver HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-260-3852 - Provider Directory for This Plan: (Horizon Healthcare Services, 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 |
Silver | 21 30 40 50 60 |
$275.98 $313.24 $352.70 $492.90 $749.01 |
$551.96 $626.48 $705.40 $985.80 $1498.02 |
$727.21 $801.73 $880.65 $1161.05 |
$902.46 $976.98 $1055.90 $1336.30 |
$1077.71 $1152.23 $1231.15 $1511.55 |
$451.23 $488.49 $527.95 $668.15 |
$626.48 $663.74 $703.20 $843.40 |
$801.73 $838.99 $878.45 $1018.65 |
$175.25 |
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AmeriHealth Ins Company of New JerseyLocal: 1-844-937-2448 | Toll Free: 1-844-937-2448 TTY: 1-888-857-4816 |
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Plan: (EPO) IHC Bronze EPO H.S.A Local Value $50/$75Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)
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 |
Bronze | 21 30 40 50 60 |
$274.94 $312.06 $351.38 $491.05 $746.20 |
$549.88 $624.12 $702.76 $982.10 $1492.40 |
$724.47 $798.71 $877.35 $1156.69 |
$899.06 $973.30 $1051.94 $1331.28 |
$1073.65 $1147.89 $1226.53 $1505.87 |
$449.53 $486.65 $525.97 $665.64 |
$624.12 $661.24 $700.56 $840.23 |
$798.71 $835.83 $875.15 $1014.82 |
$174.59 |
Plan: (EPO) IHC Bronze EPO H.S.A Regional Preferred $50/$75Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)
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 |
Bronze | 21 30 40 50 60 |
$305.47 $346.71 $390.40 $545.58 $829.06 |
$610.94 $693.42 $780.80 $1091.16 $1658.12 |
$804.92 $887.40 $974.78 $1285.14 |
$998.90 $1081.38 $1168.76 $1479.12 |
$1192.88 $1275.36 $1362.74 $1673.10 |
$499.45 $540.69 $584.38 $739.56 |
$693.43 $734.67 $778.36 $933.54 |
$887.41 $928.65 $972.34 $1127.52 |
$193.98 |
Plan: (EPO) IHC Bronze EPO Tier 1 Advantage $50/$75Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)
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 |
Bronze | 21 30 40 50 60 |
$237.38 $269.42 $303.37 $423.96 $644.24 |
$474.76 $538.84 $606.74 $847.92 $1288.48 |
$625.49 $689.57 $757.47 $998.65 |
$776.22 $840.30 $908.20 $1149.38 |
$926.95 $991.03 $1058.93 $1300.11 |
$388.11 $420.15 $454.10 $574.69 |
$538.84 $570.88 $604.83 $725.42 |
$689.57 $721.61 $755.56 $876.15 |
$150.73 |
Plan: (EPO) IHC Silver EPO H.S.A Local Value $50/$75Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)
Deductible: Individual:
$1,800
: Family:
$3,600 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 |
$335.39 $380.67 $428.63 $599.00 $910.24 |
$670.78 $761.34 $857.26 $1198.00 $1820.48 |
$883.75 $974.31 $1070.23 $1410.97 |
$1096.72 $1187.28 $1283.20 $1623.94 |
$1309.69 $1400.25 $1496.17 $1836.91 |
$548.36 $593.64 $641.60 $811.97 |
$761.33 $806.61 $854.57 $1024.94 |
$974.30 $1019.58 $1067.54 $1237.91 |
$212.97 |
Plan: (EPO) IHC Silver EPO H.S.A. Tier 1 Advantage $50/$75Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)
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 |
Silver | 21 30 40 50 60 |
$264.88 $300.64 $338.52 $473.08 $718.89 |
$529.76 $601.28 $677.04 $946.16 $1437.78 |
$697.96 $769.48 $845.24 $1114.36 |
$866.16 $937.68 $1013.44 $1282.56 |
$1034.36 $1105.88 $1181.64 $1450.76 |
$433.08 $468.84 $506.72 $641.28 |
$601.28 $637.04 $674.92 $809.48 |
$769.48 $805.24 $843.12 $977.68 |
$168.20 |
Plan: (EPO) IHC Gold EPO H.S.A Local Value 80%/80%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)
Deductible: Individual:
$1,300
: Family:
$2,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$598.12 $678.87 $764.40 $1068.25 $1623.31 |
$1196.24 $1357.74 $1528.80 $2136.50 $3246.62 |
$1576.05 $1737.55 $1908.61 $2516.31 |
$1955.86 $2117.36 $2288.42 $2896.12 |
$2335.67 $2497.17 $2668.23 $3275.93 |
$977.93 $1058.68 $1144.21 $1448.06 |
$1357.74 $1438.49 $1524.02 $1827.87 |
$1737.55 $1818.30 $1903.83 $2207.68 |
$379.81 |
Plan: (EPO) IHC Local Value Simple SaverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)
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 |
$245.23 $278.34 $313.41 $437.98 $665.56 |
$490.46 $556.68 $626.82 $875.96 $1331.12 |
$646.18 $712.40 $782.54 $1031.68 |
$801.90 $868.12 $938.26 $1187.40 |
$957.62 $1023.84 $1093.98 $1343.12 |
$400.95 $434.06 $469.13 $593.70 |
$556.67 $589.78 $624.85 $749.42 |
$712.39 $745.50 $780.57 $905.14 |
$155.72 |
Plan: (EPO) IHC Regional Preferred Simple SaverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)
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 |
$269.29 $305.65 $344.15 $480.95 $730.86 |
$538.58 $611.30 $688.30 $961.90 $1461.72 |
$709.58 $782.30 $859.30 $1132.90 |
$880.58 $953.30 $1030.30 $1303.90 |
$1051.58 $1124.30 $1201.30 $1474.90 |
$440.29 $476.65 $515.15 $651.95 |
$611.29 $647.65 $686.15 $822.95 |
$782.29 $818.65 $857.15 $993.95 |
$171.00 |
Plan: (EPO) IHC Silver EPO Regional Preferred $25/$50Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)
Deductible: Individual:
$2,500
: Family:
$5,000 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 |
$393.57 $446.70 $502.98 $702.92 $1068.15 |
$787.14 $893.40 $1005.96 $1405.84 $2136.30 |
$1037.06 $1143.32 $1255.88 $1655.76 |
$1286.98 $1393.24 $1505.80 $1905.68 |
$1536.90 $1643.16 $1755.72 $2155.60 |
$643.49 $696.62 $752.90 $952.84 |
$893.41 $946.54 $1002.82 $1202.76 |
$1143.33 $1196.46 $1252.74 $1452.68 |
$249.92 |