Obamacare Providers, Plans and 2017 Rates for Lincoln 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 Lincoln County, Arkansas.
Currently, there are 26 plans offered in Lincoln 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 Star City, AR 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 Lincoln County here.
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QualChoice Life & Health Insurance Company, Inc.Local: 1-501-228-7111 x7006 | Toll Free: 1-800-235-7111 TTY: 1-501-219-5188 |
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Plan: (PPO) Gold 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-235-7111 - Provider Directory for This Plan: (QualChoice Life & Health Insurance Company, 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 |
$311.16 $353.17 $397.66 $555.73 $844.49 |
$622.32 $706.34 $795.32 $1111.46 $1688.98 |
$819.91 $903.93 $992.91 $1309.05 |
$1017.50 $1101.52 $1190.50 $1506.64 |
$1215.09 $1299.11 $1388.09 $1704.23 |
$508.75 $550.76 $595.25 $753.32 |
$706.34 $748.35 $792.84 $950.91 |
$903.93 $945.94 $990.43 $1148.50 |
$197.59 |
Plan: (PPO) Silver 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-235-7111 - Provider Directory for This Plan: (QualChoice Life & Health Insurance Company, 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 |
$295.38 $335.25 $377.49 $527.54 $801.65 |
$590.76 $670.50 $754.98 $1055.08 $1603.30 |
$778.32 $858.06 $942.54 $1242.64 |
$965.88 $1045.62 $1130.10 $1430.20 |
$1153.44 $1233.18 $1317.66 $1617.76 |
$482.94 $522.81 $565.05 $715.10 |
$670.50 $710.37 $752.61 $902.66 |
$858.06 $897.93 $940.17 $1090.22 |
$187.56 |
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Celtic Insurance CompanyLocal: 1-877-617-0390 | Toll Free: 1-877-617-0390 TTY: 1-877-617-0392 |
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Plan: (PPO) Ambetter Secure Care 2 (2017) with 3 Free PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-617-0390 - Provider Directory for This Plan: (Celtic Insurance Company)
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 |
$289.72 $328.82 $370.25 $517.43 $786.28 |
$579.44 $657.64 $740.50 $1034.86 $1572.56 |
$763.41 $841.61 $924.47 $1218.83 |
$947.38 $1025.58 $1108.44 $1402.80 |
$1131.35 $1209.55 $1292.41 $1586.77 |
$473.69 $512.79 $554.22 $701.40 |
$657.66 $696.76 $738.19 $885.37 |
$841.63 $880.73 $922.16 $1069.34 |
$183.97 |
Plan: (PPO) Ambetter Essential Care 6 (2017)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-617-0390 - Provider Directory for This Plan: (Celtic Insurance Company)
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 |
$202.78 $230.15 $259.14 $362.15 $550.33 |
$405.56 $460.30 $518.28 $724.30 $1100.66 |
$534.32 $589.06 $647.04 $853.06 |
$663.08 $717.82 $775.80 $981.82 |
$791.84 $846.58 $904.56 $1110.58 |
$331.54 $358.91 $387.90 $490.91 |
$460.30 $487.67 $516.66 $619.67 |
$589.06 $616.43 $645.42 $748.43 |
$128.76 |
Plan: (PPO) Ambetter Balanced Care 7 (2017)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-617-0390 - Provider Directory for This Plan: (Celtic Insurance Company)
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 |
$257.99 $292.81 $329.70 $460.76 $700.16 |
$515.98 $585.62 $659.40 $921.52 $1400.32 |
$679.80 $749.44 $823.22 $1085.34 |
$843.62 $913.26 $987.04 $1249.16 |
$1007.44 $1077.08 $1150.86 $1412.98 |
$421.81 $456.63 $493.52 $624.58 |
$585.63 $620.45 $657.34 $788.40 |
$749.45 $784.27 $821.16 $952.22 |
$163.82 |
Plan: (PPO) Ambetter Balanced Care 6 (2017)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-617-0390 - Provider Directory for This Plan: (Celtic Insurance Company)
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 |
$223.42 $253.57 $285.52 $399.01 $606.34 |
$446.84 $507.14 $571.04 $798.02 $1212.68 |
$588.71 $649.01 $712.91 $939.89 |
$730.58 $790.88 $854.78 $1081.76 |
$872.45 $932.75 $996.65 $1223.63 |
$365.29 $395.44 $427.39 $540.88 |
$507.16 $537.31 $569.26 $682.75 |
$649.03 $679.18 $711.13 $824.62 |
$141.87 |
Plan: (PPO) Ambetter Essential Care 6 (2017) + Vision + Adult DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-617-0390 - Provider Directory for This Plan: (Celtic Insurance Company)
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 |
$218.02 $247.44 $278.62 $389.37 $591.69 |
$436.04 $494.88 $557.24 $778.74 $1183.38 |
$574.48 $633.32 $695.68 $917.18 |
$712.92 $771.76 $834.12 $1055.62 |
$851.36 $910.20 $972.56 $1194.06 |
$356.46 $385.88 $417.06 $527.81 |
$494.90 $524.32 $555.50 $666.25 |
$633.34 $662.76 $693.94 $804.69 |
$138.44 |
Plan: (PPO) Ambetter Balanced Care 7 (2017) + Vision + Adult DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-617-0390 - Provider Directory for This Plan: (Celtic Insurance Company)
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 |
$277.38 $314.81 $354.48 $495.38 $752.78 |
$554.76 $629.62 $708.96 $990.76 $1505.56 |
$730.89 $805.75 $885.09 $1166.89 |
$907.02 $981.88 $1061.22 $1343.02 |
$1083.15 $1158.01 $1237.35 $1519.15 |
$453.51 $490.94 $530.61 $671.51 |
$629.64 $667.07 $706.74 $847.64 |
$805.77 $843.20 $882.87 $1023.77 |
$176.13 |
Plan: (PPO) Ambetter Balanced Care 6 (2017) + Vision + Adult DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-617-0390 - Provider Directory for This Plan: (Celtic Insurance Company)
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 |
$240.21 $272.63 $306.98 $429.00 $651.91 |
$480.42 $545.26 $613.96 $858.00 $1303.82 |
$632.95 $697.79 $766.49 $1010.53 |
$785.48 $850.32 $919.02 $1163.06 |
$938.01 $1002.85 $1071.55 $1315.59 |
$392.74 $425.16 $459.51 $581.53 |
$545.27 $577.69 $612.04 $734.06 |
$697.80 $730.22 $764.57 $886.59 |
$152.53 |
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QCA Health Plan, Inc.Local: 1-501-228-7111 x7006 | Toll Free: 1-800-235-7111 TTY: 1-501-219-5188 |
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Plan: (POS) Bronze Classic Saver 5000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-235-7111 - Provider Directory for This Plan: (QCA Health Plan, 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 |
$222.32 $252.33 $284.12 $397.06 $603.37 |
$444.64 $504.66 $568.24 $794.12 $1206.74 |
$585.81 $645.83 $709.41 $935.29 |
$726.98 $787.00 $850.58 $1076.46 |
$868.15 $928.17 $991.75 $1217.63 |
$363.49 $393.50 $425.29 $538.23 |
$504.66 $534.67 $566.46 $679.40 |
$645.83 $675.84 $707.63 $820.57 |
$141.17 |
Plan: (POS) Silver Classic 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-235-7111 - Provider Directory for This Plan: (QCA Health Plan, 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 |
$295.38 $335.25 $377.49 $527.54 $801.65 |
$590.76 $670.50 $754.98 $1055.08 $1603.30 |
$778.32 $858.06 $942.54 $1242.64 |
$965.88 $1045.62 $1130.10 $1430.20 |
$1153.44 $1233.18 $1317.66 $1617.76 |
$482.94 $522.81 $565.05 $715.10 |
$670.50 $710.37 $752.61 $902.66 |
$858.06 $897.93 $940.17 $1090.22 |
$187.56 |
Plan: (POS) CatastrophicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-235-7111 - Provider Directory for This Plan: (QCA Health Plan, 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 |
$144.18 $163.65 $184.27 $257.51 $391.31 |
$288.36 $327.30 $368.54 $515.02 $782.62 |
$379.92 $418.86 $460.10 $606.58 |
$471.48 $510.42 $551.66 $698.14 |
$563.04 $601.98 $643.22 $789.70 |
$235.74 $255.21 $275.83 $349.07 |
$327.30 $346.77 $367.39 $440.63 |
$418.86 $438.33 $458.95 $532.19 |
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Plan: (POS) Gold Classic 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-235-7111 - Provider Directory for This Plan: (QCA Health Plan, 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 |
$311.16 $353.17 $397.66 $555.73 $844.49 |
$622.32 $706.34 $795.32 $1111.46 $1688.98 |
$819.91 $903.93 $992.91 $1309.05 |
$1017.50 $1101.52 $1190.50 $1506.64 |
$1215.09 $1299.11 $1388.09 $1704.23 |
$508.75 $550.76 $595.25 $753.32 |
$706.34 $748.35 $792.84 $950.91 |
$903.93 $945.94 $990.43 $1148.50 |
$197.59 |
Plan: (POS) Silver Classic Saver 3500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-235-7111 - Provider Directory for This Plan: (QCA Health Plan, 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 |
$273.62 $310.56 $349.69 $488.69 $742.61 |
$547.24 $621.12 $699.38 $977.38 $1485.22 |
$720.99 $794.87 $873.13 $1151.13 |
$894.74 $968.62 $1046.88 $1324.88 |
$1068.49 $1142.37 $1220.63 $1498.63 |
$447.37 $484.31 $523.44 $662.44 |
$621.12 $658.06 $697.19 $836.19 |
$794.87 $831.81 $870.94 $1009.94 |
$173.75 |
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USAble Mutual Insurance CompanyLocal: 1-800-800-4298 | Toll Free: 1-800-800-4298 TTY: 1-800-800-4298 |
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Plan: (PPO) Gold 500 with PCP/Rx CopaysSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)
Deductible: Individual:
$500
: Family:
$1,000 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 |
$327.86 $372.12 $419.01 $585.56 $889.81 |
$655.72 $744.24 $838.02 $1171.12 $1779.62 |
$863.91 $952.43 $1046.21 $1379.31 |
$1072.10 $1160.62 $1254.40 $1587.50 |
$1280.29 $1368.81 $1462.59 $1795.69 |
$536.05 $580.31 $627.20 $793.75 |
$744.24 $788.50 $835.39 $1001.94 |
$952.43 $996.69 $1043.58 $1210.13 |
$208.19 |
Plan: (PPO) Gold 1000 with PCP/Specialist/Rx CopaysSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)
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 |
$313.48 $355.80 $400.63 $559.88 $850.78 |
$626.96 $711.60 $801.26 $1119.76 $1701.56 |
$826.02 $910.66 $1000.32 $1318.82 |
$1025.08 $1109.72 $1199.38 $1517.88 |
$1224.14 $1308.78 $1398.44 $1716.94 |
$512.54 $554.86 $599.69 $758.94 |
$711.60 $753.92 $798.75 $958.00 |
$910.66 $952.98 $997.81 $1157.06 |
$199.06 |
Plan: (PPO) Silver 1500 with PCP/Rx CopaysSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)
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 |
$261.53 $296.84 $334.24 $467.09 $709.79 |
$523.06 $593.68 $668.48 $934.18 $1419.58 |
$689.13 $759.75 $834.55 $1100.25 |
$855.20 $925.82 $1000.62 $1266.32 |
$1021.27 $1091.89 $1166.69 $1432.39 |
$427.60 $462.91 $500.31 $633.16 |
$593.67 $628.98 $666.38 $799.23 |
$759.74 $795.05 $832.45 $965.30 |
$166.07 |
Plan: (PPO) Silver 3500 with PCP/Specialist/Rx CopaysSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)
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 |
$268.52 $304.77 $343.17 $479.58 $728.76 |
$537.04 $609.54 $686.34 $959.16 $1457.52 |
$707.55 $780.05 $856.85 $1129.67 |
$878.06 $950.56 $1027.36 $1300.18 |
$1048.57 $1121.07 $1197.87 $1470.69 |
$439.03 $475.28 $513.68 $650.09 |
$609.54 $645.79 $684.19 $820.60 |
$780.05 $816.30 $854.70 $991.11 |
$170.51 |
Plan: (PPO) Silver 2500 with PCP/Rx CopaysSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)
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 |
$259.30 $294.31 $331.39 $463.11 $703.74 |
$518.60 $588.62 $662.78 $926.22 $1407.48 |
$683.26 $753.28 $827.44 $1090.88 |
$847.92 $917.94 $992.10 $1255.54 |
$1012.58 $1082.60 $1156.76 $1420.20 |
$423.96 $458.97 $496.05 $627.77 |
$588.62 $623.63 $660.71 $792.43 |
$753.28 $788.29 $825.37 $957.09 |
$164.66 |
Plan: (PPO) Silver 3600 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)
Deductible: Individual:
$3,600
: Family:
$7,200 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 |
$251.12 $285.02 $320.93 $448.50 $681.54 |
$502.24 $570.04 $641.86 $897.00 $1363.08 |
$661.70 $729.50 $801.32 $1056.46 |
$821.16 $888.96 $960.78 $1215.92 |
$980.62 $1048.42 $1120.24 $1375.38 |
$410.58 $444.48 $480.39 $607.96 |
$570.04 $603.94 $639.85 $767.42 |
$729.50 $763.40 $799.31 $926.88 |
$159.46 |
Plan: (PPO) Bronze 6350 PCP/Rx CopaysSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)
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 |
$220.69 $250.48 $282.04 $394.15 $598.95 |
$441.38 $500.96 $564.08 $788.30 $1197.90 |
$581.52 $641.10 $704.22 $928.44 |
$721.66 $781.24 $844.36 $1068.58 |
$861.80 $921.38 $984.50 $1208.72 |
$360.83 $390.62 $422.18 $534.29 |
$500.97 $530.76 $562.32 $674.43 |
$641.11 $670.90 $702.46 $814.57 |
$140.14 |
Plan: (PPO) Bronze 6400 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)
Deductible: Individual:
$6,400
: Family:
$12,800 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 |
$207.43 $235.43 $265.10 $370.47 $562.97 |
$414.86 $470.86 $530.20 $740.94 $1125.94 |
$546.58 $602.58 $661.92 $872.66 |
$678.30 $734.30 $793.64 $1004.38 |
$810.02 $866.02 $925.36 $1136.10 |
$339.15 $367.15 $396.82 $502.19 |
$470.87 $498.87 $528.54 $633.91 |
$602.59 $630.59 $660.26 $765.63 |
$131.72 |
Plan: (PPO) CatastrophicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)
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 |
$199.71 $226.67 $255.23 $356.68 $542.01 |
$399.42 $453.34 $510.46 $713.36 $1084.02 |
$526.24 $580.16 $637.28 $840.18 |
$653.06 $706.98 $764.10 $967.00 |
$779.88 $833.80 $890.92 $1093.82 |
$326.53 $353.49 $382.05 $483.50 |
$453.35 $480.31 $508.87 $610.32 |
$580.17 $607.13 $635.69 $737.14 |
$126.82 |
Plan: (PPO) Blue Cross Blue Shield Gold 500, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)
Deductible: Individual:
$500
: Family:
$1,000 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 |
$328.26 $372.58 $419.52 $586.27 $890.90 |
$656.52 $745.16 $839.04 $1172.54 $1781.80 |
$864.97 $953.61 $1047.49 $1380.99 |
$1073.42 $1162.06 $1255.94 $1589.44 |
$1281.87 $1370.51 $1464.39 $1797.89 |
$536.71 $581.03 $627.97 $794.72 |
$745.16 $789.48 $836.42 $1003.17 |
$953.61 $997.93 $1044.87 $1211.62 |
$208.45 |
Plan: (PPO) Blue Cross Blue Shield Silver 3000, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)
Deductible: Individual:
$3,000
: Family:
$6,000 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 |
$290.11 $329.27 $370.76 $518.14 $787.36 |
$580.22 $658.54 $741.52 $1036.28 $1574.72 |
$764.44 $842.76 $925.74 $1220.50 |
$948.66 $1026.98 $1109.96 $1404.72 |
$1132.88 $1211.20 $1294.18 $1588.94 |
$474.33 $513.49 $554.98 $702.36 |
$658.55 $697.71 $739.20 $886.58 |
$842.77 $881.93 $923.42 $1070.80 |
$184.22 |
Plan: (PPO) Blue Cross Blue Shield Bronze 6200, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)
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 |
$223.17 $253.30 $285.21 $398.58 $605.68 |
$446.34 $506.60 $570.42 $797.16 $1211.36 |
$588.05 $648.31 $712.13 $938.87 |
$729.76 $790.02 $853.84 $1080.58 |
$871.47 $931.73 $995.55 $1222.29 |
$364.88 $395.01 $426.92 $540.29 |
$506.59 $536.72 $568.63 $682.00 |
$648.30 $678.43 $710.34 $823.71 |
$141.71 |