Providers for Zip Code 33311

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Obamacare Providers, Plans and 2017 Rates for Broward 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 Broward County, Florida.

Currently, there are 61 plans offered in Broward County.

Below, you’ll find a summary of plans and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must complete an application at HealthCare.gov or contact the provider directly.

 

The table below shows premiums for the following scenarios:

  • Individual
  • Couple
  • Couple with 1 2 or 3 children
  • Individual with 1 2 or 3 children
  • A child alone

Each scenario is covered for age

  • Age 21, 30, 40, 50
  • Age 60 (Individual and Couple only)

 

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

 

For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:

  • a summary of plan benefits and costs,
  • a plan brochure, and
  • a "Provider Directory" -- where you can find out which doctors and hospitals in the Fort Lauderdale, FL 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 Broward County here.

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Blue Cross and Blue Shield of Florida

Local: 1-800-352-2583 | Toll Free: 1-800-352-2583

TTY: 1-800-955-8771

Plan: (EPO) BlueOptions Silver 1423

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $5,950 : Family: $11,900
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $431.94
$490.25
$552.02
$771.44
$1172.29		 $863.88
$980.50
$1104.04
$1542.88
$2344.58		 $1138.16
$1254.78
$1378.32
$1817.16		 $1412.44
$1529.06
$1652.60
$2091.44		 $1686.72
$1803.34
$1926.88
$2365.72		 $706.22
$764.53
$826.30
$1045.72		 $980.50
$1038.81
$1100.58
$1320.00		 $1254.78
$1313.09
$1374.86
$1594.28		 $274.28

Plan: (EPO) BlueOptions Bronze 1419

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $351.31
$398.74
$448.97
$627.44
$953.46		 $702.62
$797.48
$897.94
$1254.88
$1906.92		 $925.70
$1020.56
$1121.02
$1477.96		 $1148.78
$1243.64
$1344.10
$1701.04		 $1371.86
$1466.72
$1567.18
$1924.12		 $574.39
$621.82
$672.05
$850.52		 $797.47
$844.90
$895.13
$1073.60		 $1020.55
$1067.98
$1118.21
$1296.68		 $223.08

Plan: (EPO) BlueOptions Gold 1708S

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $1,250 : Family: $2,500
Out of Pocket Maximum per year: Individual: $4,750 : Family: $9,500

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $586.76
$665.97
$749.88
$1047.95
$1592.47		 $1173.52
$1331.94
$1499.76
$2095.90
$3184.94		 $1546.11
$1704.53
$1872.35
$2468.49		 $1918.70
$2077.12
$2244.94
$2841.08		 $2291.29
$2449.71
$2617.53
$3213.67		 $959.35
$1038.56
$1122.47
$1420.54		 $1331.94
$1411.15
$1495.06
$1793.13		 $1704.53
$1783.74
$1867.65
$2165.72		 $372.59

Plan: (EPO) BlueOptions Silver 1431

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $467.16
$530.23
$597.03
$834.35
$1267.87		 $934.32
$1060.46
$1194.06
$1668.70
$2535.74		 $1230.97
$1357.11
$1490.71
$1965.35		 $1527.62
$1653.76
$1787.36
$2262.00		 $1824.27
$1950.41
$2084.01
$2558.65		 $763.81
$826.88
$893.68
$1131.00		 $1060.46
$1123.53
$1190.33
$1427.65		 $1357.11
$1420.18
$1486.98
$1724.30		 $296.65

Plan: (EPO) BlueOptions Platinum 1418

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $800 : Family: $1,600
Out of Pocket Maximum per year: 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
Platinum 21
30
40
50
60		 $683.47
$775.74
$873.47
$1220.68
$1854.94		 $1366.94
$1551.48
$1746.94
$2441.36
$3709.88		 $1800.94
$1985.48
$2180.94
$2875.36		 $2234.94
$2419.48
$2614.94
$3309.36		 $2668.94
$2853.48
$3048.94
$3743.36		 $1117.47
$1209.74
$1307.47
$1654.68		 $1551.47
$1643.74
$1741.47
$2088.68		 $1985.47
$2077.74
$2175.47
$2522.68		 $434.00

Plan: (EPO) BlueOptions Platinum Premier 1418V

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $800 : Family: $1,600
Out of Pocket Maximum per year: 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
Platinum 21
30
40
50
60		 $710.88
$806.85
$908.50
$1269.63
$1929.33		 $1421.76
$1613.70
$1817.00
$2539.26
$3858.66		 $1873.17
$2065.11
$2268.41
$2990.67		 $2324.58
$2516.52
$2719.82
$3442.08		 $2775.99
$2967.93
$3171.23
$3893.49		 $1162.29
$1258.26
$1359.91
$1721.04		 $1613.70
$1709.67
$1811.32
$2172.45		 $2065.11
$2161.08
$2262.73
$2623.86		 $451.41

Plan: (EPO) BlueOptions Bronze 1416

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $6,900 : Family: $13,800
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $380.42
$431.78
$486.18
$679.43
$1032.46		 $760.84
$863.56
$972.36
$1358.86
$2064.92		 $1002.41
$1105.13
$1213.93
$1600.43		 $1243.98
$1346.70
$1455.50
$1842.00		 $1485.55
$1588.27
$1697.07
$2083.57		 $621.99
$673.35
$727.75
$921.00		 $863.56
$914.92
$969.32
$1162.57		 $1105.13
$1156.49
$1210.89
$1404.14		 $241.57

Plan: (EPO) BlueOptions Platinum 1424

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $2,000 : Family: $4,000

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
Platinum 21
30
40
50
60		 $704.67
$799.80
$900.57
$1258.54
$1912.47		 $1409.34
$1599.60
$1801.14
$2517.08
$3824.94		 $1856.81
$2047.07
$2248.61
$2964.55		 $2304.28
$2494.54
$2696.08
$3412.02		 $2751.75
$2942.01
$3143.55
$3859.49		 $1152.14
$1247.27
$1348.04
$1706.01		 $1599.61
$1694.74
$1795.51
$2153.48		 $2047.08
$2142.21
$2242.98
$2600.95		 $447.47

Plan: (EPO) BlueSelect Bronze 1449

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $6,900 : Family: $13,800
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $281.35
$319.33
$359.57
$502.49
$763.58		 $562.70
$638.66
$719.14
$1004.98
$1527.16		 $741.36
$817.32
$897.80
$1183.64		 $920.02
$995.98
$1076.46
$1362.30		 $1098.68
$1174.64
$1255.12
$1540.96		 $460.01
$497.99
$538.23
$681.15		 $638.67
$676.65
$716.89
$859.81		 $817.33
$855.31
$895.55
$1038.47		 $178.66

Plan: (EPO) BlueOptions Silver 1410

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $6,500 : Family: $13,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $409.49
$464.77
$523.33
$731.35
$1111.36		 $818.98
$929.54
$1046.66
$1462.70
$2222.72		 $1079.01
$1189.57
$1306.69
$1722.73		 $1339.04
$1449.60
$1566.72
$1982.76		 $1599.07
$1709.63
$1826.75
$2242.79		 $669.52
$724.80
$783.36
$991.38		 $929.55
$984.83
$1043.39
$1251.41		 $1189.58
$1244.86
$1303.42
$1511.44		 $260.03

Plan: (EPO) BlueOptions Gold 1505

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $603.15
$684.58
$770.83
$1077.23
$1636.95		 $1206.30
$1369.16
$1541.66
$2154.46
$3273.90		 $1589.30
$1752.16
$1924.66
$2537.46		 $1972.30
$2135.16
$2307.66
$2920.46		 $2355.30
$2518.16
$2690.66
$3303.46		 $986.15
$1067.58
$1153.83
$1460.23		 $1369.15
$1450.58
$1536.83
$1843.23		 $1752.15
$1833.58
$1919.83
$2226.23		 $383.00

Plan: (EPO) BlueOptions Bronze (HSA) 1705

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $6,350 : Family: $12,700
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $361.68
$410.51
$462.23
$645.96
$981.60		 $723.36
$821.02
$924.46
$1291.92
$1963.20		 $953.03
$1050.69
$1154.13
$1521.59		 $1182.70
$1280.36
$1383.80
$1751.26		 $1412.37
$1510.03
$1613.47
$1980.93		 $591.35
$640.18
$691.90
$875.63		 $821.02
$869.85
$921.57
$1105.30		 $1050.69
$1099.52
$1151.24
$1334.97		 $229.67

Plan: (EPO) BlueOptions Silver 1706S

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $453.66
$514.90
$579.78
$810.24
$1231.23		 $907.32
$1029.80
$1159.56
$1620.48
$2462.46		 $1195.39
$1317.87
$1447.63
$1908.55		 $1483.46
$1605.94
$1735.70
$2196.62		 $1771.53
$1894.01
$2023.77
$2484.69		 $741.73
$802.97
$867.85
$1098.31		 $1029.80
$1091.04
$1155.92
$1386.38		 $1317.87
$1379.11
$1443.99
$1674.45		 $288.07

Plan: (EPO) BlueOptions Bronze 1707S

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $355.76
$403.79
$454.66
$635.39
$965.53		 $711.52
$807.58
$909.32
$1270.78
$1931.06		 $937.43
$1033.49
$1135.23
$1496.69		 $1163.34
$1259.40
$1361.14
$1722.60		 $1389.25
$1485.31
$1587.05
$1948.51		 $581.67
$629.70
$680.57
$861.30		 $807.58
$855.61
$906.48
$1087.21		 $1033.49
$1081.52
$1132.39
$1313.12		 $225.91

Plan: (EPO) BlueSelect Silver 1456

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $5,950 : Family: $11,900
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $323.77
$367.48
$413.78
$578.25
$878.71		 $647.54
$734.96
$827.56
$1156.50
$1757.42		 $853.13
$940.55
$1033.15
$1362.09		 $1058.72
$1146.14
$1238.74
$1567.68		 $1264.31
$1351.73
$1444.33
$1773.27		 $529.36
$573.07
$619.37
$783.84		 $734.95
$778.66
$824.96
$989.43		 $940.54
$984.25
$1030.55
$1195.02		 $205.59

Plan: (EPO) BlueSelect Bronze 1452

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $257.11
$291.82
$328.59
$459.20
$697.80		 $514.22
$583.64
$657.18
$918.40
$1395.60		 $677.48
$746.90
$820.44
$1081.66		 $840.74
$910.16
$983.70
$1244.92		 $1004.00
$1073.42
$1146.96
$1408.18		 $420.37
$455.08
$491.85
$622.46		 $583.63
$618.34
$655.11
$785.72		 $746.89
$781.60
$818.37
$948.98		 $163.26

Plan: (EPO) BlueSelect Silver 1464

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $355.88
$403.92
$454.81
$635.60
$965.86		 $711.76
$807.84
$909.62
$1271.20
$1931.72		 $937.74
$1033.82
$1135.60
$1497.18		 $1163.72
$1259.80
$1361.58
$1723.16		 $1389.70
$1485.78
$1587.56
$1949.14		 $581.86
$629.90
$680.79
$861.58		 $807.84
$855.88
$906.77
$1087.56		 $1033.82
$1081.86
$1132.75
$1313.54		 $225.98

Plan: (EPO) BlueSelect Platinum 1451

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $800 : Family: $1,600
Out of Pocket Maximum per year: 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
Platinum 21
30
40
50
60		 $502.71
$570.58
$642.46
$897.84
$1364.35		 $1005.42
$1141.16
$1284.92
$1795.68
$2728.70		 $1324.64
$1460.38
$1604.14
$2114.90		 $1643.86
$1779.60
$1923.36
$2434.12		 $1963.08
$2098.82
$2242.58
$2753.34		 $821.93
$889.80
$961.68
$1217.06		 $1141.15
$1209.02
$1280.90
$1536.28		 $1460.37
$1528.24
$1600.12
$1855.50		 $319.22

Plan: (EPO) BlueSelect Platinum Premier 1451V

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $800 : Family: $1,600
Out of Pocket Maximum per year: 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
Platinum 21
30
40
50
60		 $522.87
$593.46
$668.23
$933.85
$1419.07		 $1045.74
$1186.92
$1336.46
$1867.70
$2838.14		 $1377.76
$1518.94
$1668.48
$2199.72		 $1709.78
$1850.96
$2000.50
$2531.74		 $2041.80
$2182.98
$2332.52
$2863.76		 $854.89
$925.48
$1000.25
$1265.87		 $1186.91
$1257.50
$1332.27
$1597.89		 $1518.93
$1589.52
$1664.29
$1929.91		 $332.02

Plan: (EPO) BlueSelect Platinum 1457

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $2,000 : Family: $4,000

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
Platinum 21
30
40
50
60		 $519.49
$589.62
$663.91
$927.81
$1409.90		 $1038.98
$1179.24
$1327.82
$1855.62
$2819.80		 $1368.86
$1509.12
$1657.70
$2185.50		 $1698.74
$1839.00
$1987.58
$2515.38		 $2028.62
$2168.88
$2317.46
$2845.26		 $849.37
$919.50
$993.79
$1257.69		 $1179.25
$1249.38
$1323.67
$1587.57		 $1509.13
$1579.26
$1653.55
$1917.45		 $329.88

Plan: (EPO) BlueSelect Silver 1443

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $6,500 : Family: $13,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $306.14
$347.47
$391.25
$546.77
$830.86		 $612.28
$694.94
$782.50
$1093.54
$1661.72		 $806.68
$889.34
$976.90
$1287.94		 $1001.08
$1083.74
$1171.30
$1482.34		 $1195.48
$1278.14
$1365.70
$1676.74		 $500.54
$541.87
$585.65
$741.17		 $694.94
$736.27
$780.05
$935.57		 $889.34
$930.67
$974.45
$1129.97		 $194.40

Plan: (EPO) BlueSelect Gold 1535

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $463.56
$526.14
$592.43
$827.92
$1258.10		 $927.12
$1052.28
$1184.86
$1655.84
$2516.20		 $1221.48
$1346.64
$1479.22
$1950.20		 $1515.84
$1641.00
$1773.58
$2244.56		 $1810.20
$1935.36
$2067.94
$2538.92		 $757.92
$820.50
$886.79
$1122.28		 $1052.28
$1114.86
$1181.15
$1416.64		 $1346.64
$1409.22
$1475.51
$1711.00		 $294.36

Plan: (EPO) BlueSelect Bronze (HSA) 1735

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $6,350 : Family: $12,700
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $264.74
$300.48
$338.34
$472.83
$718.50		 $529.48
$600.96
$676.68
$945.66
$1437.00		 $697.59
$769.07
$844.79
$1113.77		 $865.70
$937.18
$1012.90
$1281.88		 $1033.81
$1105.29
$1181.01
$1449.99		 $432.85
$468.59
$506.45
$640.94		 $600.96
$636.70
$674.56
$809.05		 $769.07
$804.81
$842.67
$977.16		 $168.11

Plan: (EPO) BlueSelect Silver 1736S

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $345.43
$392.06
$441.46
$616.94
$937.50		 $690.86
$784.12
$882.92
$1233.88
$1875.00		 $910.21
$1003.47
$1102.27
$1453.23		 $1129.56
$1222.82
$1321.62
$1672.58		 $1348.91
$1442.17
$1540.97
$1891.93		 $564.78
$611.41
$660.81
$836.29		 $784.13
$830.76
$880.16
$1055.64		 $1003.48
$1050.11
$1099.51
$1274.99		 $219.35

Plan: (EPO) BlueSelect Bronze 1737S

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $262.75
$298.22
$335.79
$469.27
$713.10		 $525.50
$596.44
$671.58
$938.54
$1426.20		 $692.35
$763.29
$838.43
$1105.39		 $859.20
$930.14
$1005.28
$1272.24		 $1026.05
$1096.99
$1172.13
$1439.09		 $429.60
$465.07
$502.64
$636.12		 $596.45
$631.92
$669.49
$802.97		 $763.30
$798.77
$836.34
$969.82		 $166.85

Plan: (EPO) BlueSelect Gold 1738S

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)

Deductible: Individual: $1,250 : Family: $2,500
Out of Pocket Maximum per year: Individual: $4,750 : Family: $9,500

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $451.36
$512.29
$576.84
$806.13
$1224.99		 $902.72
$1024.58
$1153.68
$1612.26
$2449.98		 $1189.33
$1311.19
$1440.29
$1898.87		 $1475.94
$1597.80
$1726.90
$2185.48		 $1762.55
$1884.41
$2013.51
$2472.09		 $737.97
$798.90
$863.45
$1092.74		 $1024.58
$1085.51
$1150.06
$1379.35		 $1311.19
$1372.12
$1436.67
$1665.96		 $286.61
ADVERTISEMENT

Celtic Insurance Company

Local: 1-877-687-1169 | Toll Free: 1-877-687-1169

TTY: 1-800-955-8770

Plan: (EPO) Ambetter Secure Care 3 (2017) with 3 Free PCP Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $315.35
$357.91
$403.01
$563.20
$855.84		 $630.70
$715.82
$806.02
$1126.40
$1711.68		 $830.94
$916.06
$1006.26
$1326.64		 $1031.18
$1116.30
$1206.50
$1526.88		 $1231.42
$1316.54
$1406.74
$1727.12		 $515.59
$558.15
$603.25
$763.44		 $715.83
$758.39
$803.49
$963.68		 $916.07
$958.63
$1003.73
$1163.92		 $200.24

Plan: (EPO) Ambetter Balanced Care 1 (2017)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $241.27
$273.83
$308.32
$430.88
$654.77		 $482.54
$547.66
$616.64
$861.76
$1309.54		 $635.74
$700.86
$769.84
$1014.96		 $788.94
$854.06
$923.04
$1168.16		 $942.14
$1007.26
$1076.24
$1321.36		 $394.47
$427.03
$461.52
$584.08		 $547.67
$580.23
$614.72
$737.28		 $700.87
$733.43
$767.92
$890.48		 $153.20

Plan: (EPO) Ambetter Balanced Care 2 (2017)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $6,500 : Family: $13,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $237.47
$269.51
$303.47
$424.10
$644.46		 $474.94
$539.02
$606.94
$848.20
$1288.92		 $625.72
$689.80
$757.72
$998.98		 $776.50
$840.58
$908.50
$1149.76		 $927.28
$991.36
$1059.28
$1300.54		 $388.25
$420.29
$454.25
$574.88		 $539.03
$571.07
$605.03
$725.66		 $689.81
$721.85
$755.81
$876.44		 $150.78

Plan: (EPO) Ambetter Balanced Care 10 (2017)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $4,500 : Family: $9,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $254.09
$288.38
$324.71
$453.78
$689.57		 $508.18
$576.76
$649.42
$907.56
$1379.14		 $669.52
$738.10
$810.76
$1068.90		 $830.86
$899.44
$972.10
$1230.24		 $992.20
$1060.78
$1133.44
$1391.58		 $415.43
$449.72
$486.05
$615.12		 $576.77
$611.06
$647.39
$776.46		 $738.11
$772.40
$808.73
$937.80		 $161.34

Plan: (EPO) Ambetter Essential Care 1 (2017)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $6,800 : Family: $13,600
Out of Pocket Maximum per year: Individual: $6,800 : Family: $13,600

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
Bronze 21
30
40
50
60		 $216.10
$245.26
$276.16
$385.93
$586.46		 $432.20
$490.52
$552.32
$771.86
$1172.92		 $569.41
$627.73
$689.53
$909.07		 $706.62
$764.94
$826.74
$1046.28		 $843.83
$902.15
$963.95
$1183.49		 $353.31
$382.47
$413.37
$523.14		 $490.52
$519.68
$550.58
$660.35		 $627.73
$656.89
$687.79
$797.56		 $137.21

Plan: (EPO) Ambetter Balanced Care 3 (2017)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $253.38
$287.57
$323.80
$452.51
$687.64		 $506.76
$575.14
$647.60
$905.02
$1375.28		 $667.65
$736.03
$808.49
$1065.91		 $828.54
$896.92
$969.38
$1226.80		 $989.43
$1057.81
$1130.27
$1387.69		 $414.27
$448.46
$484.69
$613.40		 $575.16
$609.35
$645.58
$774.29		 $736.05
$770.24
$806.47
$935.18		 $160.89

Plan: (EPO) Ambetter Balanced Care 4 (2017)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $229.63
$260.62
$293.45
$410.10
$623.19		 $459.26
$521.24
$586.90
$820.20
$1246.38		 $605.07
$667.05
$732.71
$966.01		 $750.88
$812.86
$878.52
$1111.82		 $896.69
$958.67
$1024.33
$1257.63		 $375.44
$406.43
$439.26
$555.91		 $521.25
$552.24
$585.07
$701.72		 $667.06
$698.05
$730.88
$847.53		 $145.81

Plan: (EPO) Ambetter Balanced Care 12 (2017)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $257.65
$292.42
$329.26
$460.15
$699.24		 $515.30
$584.84
$658.52
$920.30
$1398.48		 $678.90
$748.44
$822.12
$1083.90		 $842.50
$912.04
$985.72
$1247.50		 $1006.10
$1075.64
$1149.32
$1411.10		 $421.25
$456.02
$492.86
$623.75		 $584.85
$619.62
$656.46
$787.35		 $748.45
$783.22
$820.06
$950.95		 $163.60

Plan: (EPO) Ambetter Balanced Care 1 (2017) + Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $245.69
$278.84
$313.98
$438.78
$666.77		 $491.38
$557.68
$627.96
$877.56
$1333.54		 $647.39
$713.69
$783.97
$1033.57		 $803.40
$869.70
$939.98
$1189.58		 $959.41
$1025.71
$1095.99
$1345.59		 $401.70
$434.85
$469.99
$594.79		 $557.71
$590.86
$626.00
$750.80		 $713.72
$746.87
$782.01
$906.81		 $156.01

Plan: (EPO) Ambetter Balanced Care 2 (2017) + Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $6,500 : Family: $13,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $241.82
$274.45
$309.03
$431.87
$656.27		 $483.64
$548.90
$618.06
$863.74
$1312.54		 $637.19
$702.45
$771.61
$1017.29		 $790.74
$856.00
$925.16
$1170.84		 $944.29
$1009.55
$1078.71
$1324.39		 $395.37
$428.00
$462.58
$585.42		 $548.92
$581.55
$616.13
$738.97		 $702.47
$735.10
$769.68
$892.52		 $153.55

Plan: (EPO) Ambetter Balanced Care 10 (2017) + Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $4,500 : Family: $9,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $258.75
$293.67
$330.66
$462.10
$702.21		 $517.50
$587.34
$661.32
$924.20
$1404.42		 $681.80
$751.64
$825.62
$1088.50		 $846.10
$915.94
$989.92
$1252.80		 $1010.40
$1080.24
$1154.22
$1417.10		 $423.05
$457.97
$494.96
$626.40		 $587.35
$622.27
$659.26
$790.70		 $751.65
$786.57
$823.56
$955.00		 $164.30

Plan: (EPO) Ambetter Essential Care 1 (2017) + Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $6,800 : Family: $13,600
Out of Pocket Maximum per year: Individual: $6,800 : Family: $13,600

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
Bronze 21
30
40
50
60		 $220.06
$249.75
$281.22
$393.00
$597.21		 $440.12
$499.50
$562.44
$786.00
$1194.42		 $579.85
$639.23
$702.17
$925.73		 $719.58
$778.96
$841.90
$1065.46		 $859.31
$918.69
$981.63
$1205.19		 $359.79
$389.48
$420.95
$532.73		 $499.52
$529.21
$560.68
$672.46		 $639.25
$668.94
$700.41
$812.19		 $139.73

Plan: (EPO) Ambetter Balanced Care 3 (2017) + Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $258.02
$292.84
$329.74
$460.81
$700.24		 $516.04
$585.68
$659.48
$921.62
$1400.48		 $679.88
$749.52
$823.32
$1085.46		 $843.72
$913.36
$987.16
$1249.30		 $1007.56
$1077.20
$1151.00
$1413.14		 $421.86
$456.68
$493.58
$624.65		 $585.70
$620.52
$657.42
$788.49		 $749.54
$784.36
$821.26
$952.33		 $163.84

Plan: (EPO) Ambetter Balanced Care 1 (2017) + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $254.45
$288.78
$325.17
$454.42
$690.54		 $508.90
$577.56
$650.34
$908.84
$1381.08		 $670.47
$739.13
$811.91
$1070.41		 $832.04
$900.70
$973.48
$1231.98		 $993.61
$1062.27
$1135.05
$1393.55		 $416.02
$450.35
$486.74
$615.99		 $577.59
$611.92
$648.31
$777.56		 $739.16
$773.49
$809.88
$939.13		 $161.57

Plan: (EPO) Ambetter Balanced Care 2 (2017) + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $6,500 : Family: $13,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $250.44
$284.24
$320.05
$447.26
$679.66		 $500.88
$568.48
$640.10
$894.52
$1359.32		 $659.90
$727.50
$799.12
$1053.54		 $818.92
$886.52
$958.14
$1212.56		 $977.94
$1045.54
$1117.16
$1371.58		 $409.46
$443.26
$479.07
$606.28		 $568.48
$602.28
$638.09
$765.30		 $727.50
$761.30
$797.11
$924.32		 $159.02

Plan: (EPO) Ambetter Balanced Care 10 (2017) + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $4,500 : Family: $9,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $267.97
$304.13
$342.45
$478.57
$727.24		 $535.94
$608.26
$684.90
$957.14
$1454.48		 $706.09
$778.41
$855.05
$1127.29		 $876.24
$948.56
$1025.20
$1297.44		 $1046.39
$1118.71
$1195.35
$1467.59		 $438.12
$474.28
$512.60
$648.72		 $608.27
$644.43
$682.75
$818.87		 $778.42
$814.58
$852.90
$989.02		 $170.15

Plan: (EPO) Ambetter Essential Care 1 (2017) + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $6,800 : Family: $13,600
Out of Pocket Maximum per year: Individual: $6,800 : Family: $13,600

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
Bronze 21
30
40
50
60		 $227.90
$258.65
$291.24
$407.01
$618.49		 $455.80
$517.30
$582.48
$814.02
$1236.98		 $600.51
$662.01
$727.19
$958.73		 $745.22
$806.72
$871.90
$1103.44		 $889.93
$951.43
$1016.61
$1248.15		 $372.61
$403.36
$435.95
$551.72		 $517.32
$548.07
$580.66
$696.43		 $662.03
$692.78
$725.37
$841.14		 $144.71

Plan: (EPO) Ambetter Balanced Care 3 (2017) + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $267.22
$303.28
$341.49
$477.23
$725.20		 $534.44
$606.56
$682.98
$954.46
$1450.40		 $704.12
$776.24
$852.66
$1124.14		 $873.80
$945.92
$1022.34
$1293.82		 $1043.48
$1115.60
$1192.02
$1463.50		 $436.90
$472.96
$511.17
$646.91		 $606.58
$642.64
$680.85
$816.59		 $776.26
$812.32
$850.53
$986.27		 $169.68
ADVERTISEMENT

Health Options, Inc.

Local: 1-800-352-2583 | Toll Free: 1-800-352-2583

TTY: 1-800-955-8771

Plan: (HMO) myBlue Bronze 1601

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.)

Deductible: Individual: $6,900 : Family: $13,800
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $235.71
$267.53
$301.24
$420.98
$639.72		 $471.42
$535.06
$602.48
$841.96
$1279.44		 $621.10
$684.74
$752.16
$991.64		 $770.78
$834.42
$901.84
$1141.32		 $920.46
$984.10
$1051.52
$1291.00		 $385.39
$417.21
$450.92
$570.66		 $535.07
$566.89
$600.60
$720.34		 $684.75
$716.57
$750.28
$870.02		 $149.68

Plan: (HMO) myBlue Bronze 1602

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $214.40
$243.34
$274.00
$382.92
$581.88		 $428.80
$486.68
$548.00
$765.84
$1163.76		 $564.94
$622.82
$684.14
$901.98		 $701.08
$758.96
$820.28
$1038.12		 $837.22
$895.10
$956.42
$1174.26		 $350.54
$379.48
$410.14
$519.06		 $486.68
$515.62
$546.28
$655.20		 $622.82
$651.76
$682.42
$791.34		 $136.14

Plan: (HMO) myBlue Silver 1603

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.)

Deductible: Individual: $5,950 : Family: $11,900
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $254.14
$288.45
$324.79
$453.89
$689.74		 $508.28
$576.90
$649.58
$907.78
$1379.48		 $669.66
$738.28
$810.96
$1069.16		 $831.04
$899.66
$972.34
$1230.54		 $992.42
$1061.04
$1133.72
$1391.92		 $415.52
$449.83
$486.17
$615.27		 $576.90
$611.21
$647.55
$776.65		 $738.28
$772.59
$808.93
$938.03		 $161.38

Plan: (HMO) myBlue Silver 1604

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.)

Deductible: Individual: $6,500 : Family: $13,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $238.55
$270.75
$304.87
$426.05
$647.42		 $477.10
$541.50
$609.74
$852.10
$1294.84		 $628.58
$692.98
$761.22
$1003.58		 $780.06
$844.46
$912.70
$1155.06		 $931.54
$995.94
$1064.18
$1306.54		 $390.03
$422.23
$456.35
$577.53		 $541.51
$573.71
$607.83
$729.01		 $692.99
$725.19
$759.31
$880.49		 $151.48

Plan: (HMO) myBlue Gold 1605

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.)

Deductible: Individual: $940 : Family: $1,880
Out of Pocket Maximum per year: Individual: $4,700 : Family: $9,400

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
Gold 21
30
40
50
60		 $308.98
$350.69
$394.88
$551.84
$838.57		 $617.96
$701.38
$789.76
$1103.68
$1677.14		 $814.16
$897.58
$985.96
$1299.88		 $1010.36
$1093.78
$1182.16
$1496.08		 $1206.56
$1289.98
$1378.36
$1692.28		 $505.18
$546.89
$591.08
$748.04		 $701.38
$743.09
$787.28
$944.24		 $897.58
$939.29
$983.48
$1140.44		 $196.20

Plan: (HMO) myBlue Silver 1710

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $279.97
$317.77
$357.80
$500.03
$759.84		 $559.94
$635.54
$715.60
$1000.06
$1519.68		 $737.72
$813.32
$893.38
$1177.84		 $915.50
$991.10
$1071.16
$1355.62		 $1093.28
$1168.88
$1248.94
$1533.40		 $457.75
$495.55
$535.58
$677.81		 $635.53
$673.33
$713.36
$855.59		 $813.31
$851.11
$891.14
$1033.37		 $177.78

Plan: (HMO) myBlue Bronze 1711S

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $218.03
$247.46
$278.64
$389.40
$591.73		 $436.06
$494.92
$557.28
$778.80
$1183.46		 $574.51
$633.37
$695.73
$917.25		 $712.96
$771.82
$834.18
$1055.70		 $851.41
$910.27
$972.63
$1194.15		 $356.48
$385.91
$417.09
$527.85		 $494.93
$524.36
$555.54
$666.30		 $633.38
$662.81
$693.99
$804.75		 $138.45

Plan: (HMO) myBlue Silver 1712S

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $267.65
$303.78
$342.06
$478.02
$726.40		 $535.30
$607.56
$684.12
$956.04
$1452.80		 $705.26
$777.52
$854.08
$1126.00		 $875.22
$947.48
$1024.04
$1295.96		 $1045.18
$1117.44
$1194.00
$1465.92		 $437.61
$473.74
$512.02
$647.98		 $607.57
$643.70
$681.98
$817.94		 $777.53
$813.66
$851.94
$987.90		 $169.96
ADVERTISEMENT

Humana Medical Plan, Inc.

Local: 1-877-720-4854 | Toll Free: 1-877-720-4854

TTY: 1-800-325-2028

Plan: (HMO) Humana Basic 7150/South Florida HUMx (HMOx)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Catastrophic 21
30
40
50
60		 $217.91
$247.33
$278.49
$389.19
$591.41		 $435.82
$494.66
$556.98
$778.38
$1182.82		 $574.19
$633.03
$695.35
$916.75		 $712.56
$771.40
$833.72
$1055.12		 $850.93
$909.77
$972.09
$1193.49		 $356.28
$385.70
$416.86
$527.56		 $494.65
$524.07
$555.23
$665.93		 $633.02
$662.44
$693.60
$804.30		 $138.37

Plan: (HMO) Humana Bronze 6550/South Florida HUMx (HMOx)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)

Deductible: Individual: $6,550 : Family: $13,100
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $283.20
$321.43
$361.93
$505.80
$768.60		 $566.40
$642.86
$723.86
$1011.60
$1537.20		 $746.23
$822.69
$903.69
$1191.43		 $926.06
$1002.52
$1083.52
$1371.26		 $1105.89
$1182.35
$1263.35
$1551.09		 $463.03
$501.26
$541.76
$685.63		 $642.86
$681.09
$721.59
$865.46		 $822.69
$860.92
$901.42
$1045.29		 $179.83

Plan: (HMO) Humana Bronze 6150/South Florida HUMx (HMOx)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $308.64
$350.31
$394.44
$551.23
$837.65		 $617.28
$700.62
$788.88
$1102.46
$1675.30		 $813.27
$896.61
$984.87
$1298.45		 $1009.26
$1092.60
$1180.86
$1494.44		 $1205.25
$1288.59
$1376.85
$1690.43		 $504.63
$546.30
$590.43
$747.22		 $700.62
$742.29
$786.42
$943.21		 $896.61
$938.28
$982.41
$1139.20		 $195.99

Plan: (HMO) Humana Silver 3550/South Florida HUMx (HMOx)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)

Deductible: Individual: $3,550 : Family: $7,100
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $345.85
$392.54
$442.00
$617.69
$938.64		 $691.70
$785.08
$884.00
$1235.38
$1877.28		 $911.31
$1004.69
$1103.61
$1454.99		 $1130.92
$1224.30
$1323.22
$1674.60		 $1350.53
$1443.91
$1542.83
$1894.21		 $565.46
$612.15
$661.61
$837.30		 $785.07
$831.76
$881.22
$1056.91		 $1004.68
$1051.37
$1100.83
$1276.52		 $219.61
ADVERTISEMENT

Molina Healthcare of Florida, Inc

Local: 1-888-560-5716 | Toll Free: 1-888-560-5716

TTY: 1-800-955-8771

Plan: (HMO) Molina Marketplace Gold

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-560-5716 - Provider Directory for This Plan: (Molina Healthcare of Florida, Inc)

Deductible: Individual: $1,025 : Family: $2,050
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $294.27
$333.99
$376.08
$525.56
$798.64		 $588.54
$667.98
$752.16
$1051.12
$1597.28		 $775.40
$854.84
$939.02
$1237.98		 $962.26
$1041.70
$1125.88
$1424.84		 $1149.12
$1228.56
$1312.74
$1611.70		 $481.13
$520.85
$562.94
$712.42		 $667.99
$707.71
$749.80
$899.28		 $854.85
$894.57
$936.66
$1086.14		 $186.86

Plan: (HMO) Molina Marketplace Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-560-5716 - Provider Directory for This Plan: (Molina Healthcare of Florida, Inc)

Deductible: Individual: $2,400 : Family: $4,800
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $252.54
$286.63
$322.74
$451.03
$685.39		 $505.08
$573.26
$645.48
$902.06
$1370.78		 $665.44
$733.62
$805.84
$1062.42		 $825.80
$893.98
$966.20
$1222.78		 $986.16
$1054.34
$1126.56
$1383.14		 $412.90
$446.99
$483.10
$611.39		 $573.26
$607.35
$643.46
$771.75		 $733.62
$767.71
$803.82
$932.11		 $160.36

Plan: (HMO) Molina Marketplace Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-560-5716 - Provider Directory for This Plan: (Molina Healthcare of Florida, Inc)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $218.35
$247.82
$279.05
$389.97
$592.59		 $436.70
$495.64
$558.10
$779.94
$1185.18		 $575.35
$634.29
$696.75
$918.59		 $714.00
$772.94
$835.40
$1057.24		 $852.65
$911.59
$974.05
$1195.89		 $357.00
$386.47
$417.70
$528.62		 $495.65
$525.12
$556.35
$667.27		 $634.30
$663.77
$695.00
$805.92		 $138.65

Plan: (HMO) Molina Marketplace Options Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-560-5716 - Provider Directory for This Plan: (Molina Healthcare of Florida, Inc)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $255.52
$290.02
$326.56
$456.36
$693.49		 $511.04
$580.04
$653.12
$912.72
$1386.98		 $673.30
$742.30
$815.38
$1074.98		 $835.56
$904.56
$977.64
$1237.24		 $997.82
$1066.82
$1139.90
$1399.50		 $417.78
$452.28
$488.82
$618.62		 $580.04
$614.54
$651.08
$780.88		 $742.30
$776.80
$813.34
$943.14		 $162.26

Plan: (HMO) Molina Marketplace Options Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-560-5716 - Provider Directory for This Plan: (Molina Healthcare of Florida, Inc)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $224.58
$254.90
$287.01
$401.10
$609.51		 $449.16
$509.80
$574.02
$802.20
$1219.02		 $591.77
$652.41
$716.63
$944.81		 $734.38
$795.02
$859.24
$1087.42		 $876.99
$937.63
$1001.85
$1230.03		 $367.19
$397.51
$429.62
$543.71		 $509.80
$540.12
$572.23
$686.32		 $652.41
$682.73
$714.84
$828.93		 $142.61

 

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