Obamacare Providers, Plans and 2017 Rates for Maui 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 Maui County, Hawaii.
Currently, there are 23 plans offered in Maui 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 Kihei, HI 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 Maui County here.
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Hawaii Medical Service AssociationLocal: 1-808-948-5555 | Toll Free: 1-800-620-4672 |
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Plan: (PPO) HMSA Platinum PPOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-620-4672 - Provider Directory for This Plan: (Hawaii Medical Service Association)
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 |
Platinum | 21 30 40 50 60 |
$430.74 $488.90 $550.49 $769.31 $1169.04 |
$861.48 $977.80 $1100.98 $1538.62 $2338.08 |
$1135.00 $1251.32 $1374.50 $1812.14 |
$1408.52 $1524.84 $1648.02 $2085.66 |
$1682.04 $1798.36 $1921.54 $2359.18 |
$704.26 $762.42 $824.01 $1042.83 |
$977.78 $1035.94 $1097.53 $1316.35 |
$1251.30 $1309.46 $1371.05 $1589.87 |
$273.52 |
Plan: (PPO) HMSA Catastrophic PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-620-4672 - Provider Directory for This Plan: (Hawaii Medical Service Association)
Deductible: Individual:
$7,150
: Family:
See Plan Brochure Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$203.72 $231.22 $260.35 $363.84 $552.90 |
$407.44 $462.44 $520.70 $727.68 $1105.80 |
$536.80 $591.80 $650.06 $857.04 |
$666.16 $721.16 $779.42 $986.40 |
$795.52 $850.52 $908.78 $1115.76 |
$333.08 $360.58 $389.71 $493.20 |
$462.44 $489.94 $519.07 $622.56 |
$591.80 $619.30 $648.43 $751.92 |
$129.36 |
Plan: (PPO) HMSA Gold PPOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-620-4672 - Provider Directory for This Plan: (Hawaii Medical Service Association)
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 |
$369.20 $419.04 $471.84 $659.40 $1002.02 |
$738.40 $838.08 $943.68 $1318.80 $2004.04 |
$972.84 $1072.52 $1178.12 $1553.24 |
$1207.28 $1306.96 $1412.56 $1787.68 |
$1441.72 $1541.40 $1647.00 $2022.12 |
$603.64 $653.48 $706.28 $893.84 |
$838.08 $887.92 $940.72 $1128.28 |
$1072.52 $1122.36 $1175.16 $1362.72 |
$234.44 |
Plan: (PPO) HMSA Gold PPO 1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-620-4672 - Provider Directory for This Plan: (Hawaii Medical Service Association)
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 |
$350.11 $397.38 $447.44 $625.30 $950.20 |
$700.22 $794.76 $894.88 $1250.60 $1900.40 |
$922.54 $1017.08 $1117.20 $1472.92 |
$1144.86 $1239.40 $1339.52 $1695.24 |
$1367.18 $1461.72 $1561.84 $1917.56 |
$572.43 $619.70 $669.76 $847.62 |
$794.75 $842.02 $892.08 $1069.94 |
$1017.07 $1064.34 $1114.40 $1292.26 |
$222.32 |
Plan: (HMO) HMSA Gold HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-620-4672 - Provider Directory for This Plan: (Hawaii Medical Service Association)
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 |
$341.46 $387.56 $436.38 $609.84 $926.72 |
$682.92 $775.12 $872.76 $1219.68 $1853.44 |
$899.75 $991.95 $1089.59 $1436.51 |
$1116.58 $1208.78 $1306.42 $1653.34 |
$1333.41 $1425.61 $1523.25 $1870.17 |
$558.29 $604.39 $653.21 $826.67 |
$775.12 $821.22 $870.04 $1043.50 |
$991.95 $1038.05 $1086.87 $1260.33 |
$216.83 |
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Kaiser Foundation Health Plan, Inc.Local: 1-800-570-8004 | Toll Free: 1-800-570-8004 TTY: 1-877-447-5990 |
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Plan: (HMO) KP Bronze I $50 - FitSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-570-8004 - Provider Directory for This Plan: (Kaiser Foundation Health Plan, Inc.)
Deductible: Individual:
$6,500
: Family:
$13,000 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 |
$214.27 $243.19 $273.83 $382.68 $581.52 |
$428.54 $486.38 $547.66 $765.36 $1163.04 |
$564.60 $622.44 $683.72 $901.42 |
$700.66 $758.50 $819.78 $1037.48 |
$836.72 $894.56 $955.84 $1173.54 |
$350.33 $379.25 $409.89 $518.74 |
$486.39 $515.31 $545.95 $654.80 |
$622.45 $651.37 $682.01 $790.86 |
$136.06 |
Plan: (HMO) KP Platinum $10 - ChiroAcuMassage - FitSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-570-8004 - Provider Directory for This Plan: (Kaiser Foundation Health Plan, 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 |
Platinum | 21 30 40 50 60 |
$358.74 $407.16 $458.46 $640.70 $973.61 |
$717.48 $814.32 $916.92 $1281.40 $1947.22 |
$945.28 $1042.12 $1144.72 $1509.20 |
$1173.08 $1269.92 $1372.52 $1737.00 |
$1400.88 $1497.72 $1600.32 $1964.80 |
$586.54 $634.96 $686.26 $868.50 |
$814.34 $862.76 $914.06 $1096.30 |
$1042.14 $1090.56 $1141.86 $1324.10 |
$227.80 |
Plan: (HMO) KP Gold I $20 - ChiroAcuMassage - FitSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-570-8004 - Provider Directory for This Plan: (Kaiser Foundation Health Plan, 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 |
$319.10 $362.18 $407.81 $569.92 $866.04 |
$638.20 $724.36 $815.62 $1139.84 $1732.08 |
$840.83 $926.99 $1018.25 $1342.47 |
$1043.46 $1129.62 $1220.88 $1545.10 |
$1246.09 $1332.25 $1423.51 $1747.73 |
$521.73 $564.81 $610.44 $772.55 |
$724.36 $767.44 $813.07 $975.18 |
$926.99 $970.07 $1015.70 $1177.81 |
$202.63 |
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Hawaii Medical Service AssociationLocal: 1-808-948-5555 | Toll Free: 1-800-620-4672 |
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Plan: (PPO) HMSA Silver PPO 1500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-620-4672 - Provider Directory for This Plan: (Hawaii Medical Service Association)
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 |
$298.75 $339.08 $381.80 $533.56 $810.80 |
$597.50 $678.16 $763.60 $1067.12 $1621.60 |
$787.20 $867.86 $953.30 $1256.82 |
$976.90 $1057.56 $1143.00 $1446.52 |
$1166.60 $1247.26 $1332.70 $1636.22 |
$488.45 $528.78 $571.50 $723.26 |
$678.15 $718.48 $761.20 $912.96 |
$867.85 $908.18 $950.90 $1102.66 |
$189.70 |
Plan: (PPO) HMSA Silver PPO 3500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-620-4672 - Provider Directory for This Plan: (Hawaii Medical Service Association)
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 |
$281.12 $319.07 $359.27 $502.08 $762.97 |
$562.24 $638.14 $718.54 $1004.16 $1525.94 |
$740.75 $816.65 $897.05 $1182.67 |
$919.26 $995.16 $1075.56 $1361.18 |
$1097.77 $1173.67 $1254.07 $1539.69 |
$459.63 $497.58 $537.78 $680.59 |
$638.14 $676.09 $716.29 $859.10 |
$816.65 $854.60 $894.80 $1037.61 |
$178.51 |
Plan: (PPO) HMSA Silver PPO 2500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-620-4672 - Provider Directory for This Plan: (Hawaii Medical Service Association)
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 |
$288.90 $327.91 $369.22 $515.98 $784.08 |
$577.80 $655.82 $738.44 $1031.96 $1568.16 |
$761.25 $839.27 $921.89 $1215.41 |
$944.70 $1022.72 $1105.34 $1398.86 |
$1128.15 $1206.17 $1288.79 $1582.31 |
$472.35 $511.36 $552.67 $699.43 |
$655.80 $694.81 $736.12 $882.88 |
$839.25 $878.26 $919.57 $1066.33 |
$183.45 |
Plan: (PPO) HMSA Bronze PPO 7150Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-620-4672 - Provider Directory for This Plan: (Hawaii Medical Service Association)
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 |
Bronze | 21 30 40 50 60 |
$252.31 $286.37 $322.45 $450.62 $684.76 |
$504.62 $572.74 $644.90 $901.24 $1369.52 |
$664.84 $732.96 $805.12 $1061.46 |
$825.06 $893.18 $965.34 $1221.68 |
$985.28 $1053.40 $1125.56 $1381.90 |
$412.53 $446.59 $482.67 $610.84 |
$572.75 $606.81 $642.89 $771.06 |
$732.97 $767.03 $803.11 $931.28 |
$160.22 |
Plan: (HMO) HMSA Platinum HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-620-4672 - Provider Directory for This Plan: (Hawaii Medical Service Association)
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 |
Platinum | 21 30 40 50 60 |
$422.38 $479.41 $539.81 $754.38 $1146.35 |
$844.76 $958.82 $1079.62 $1508.76 $2292.70 |
$1112.97 $1227.03 $1347.83 $1776.97 |
$1381.18 $1495.24 $1616.04 $2045.18 |
$1649.39 $1763.45 $1884.25 $2313.39 |
$690.59 $747.62 $808.02 $1022.59 |
$958.80 $1015.83 $1076.23 $1290.80 |
$1227.01 $1284.04 $1344.44 $1559.01 |
$268.21 |
Plan: (HMO) HMSA Silver HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-620-4672 - Provider Directory for This Plan: (Hawaii Medical Service Association)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$279.92 $317.71 $357.74 $499.94 $759.71 |
$559.84 $635.42 $715.48 $999.88 $1519.42 |
$737.59 $813.17 $893.23 $1177.63 |
$915.34 $990.92 $1070.98 $1355.38 |
$1093.09 $1168.67 $1248.73 $1533.13 |
$457.67 $495.46 $535.49 $677.69 |
$635.42 $673.21 $713.24 $855.44 |
$813.17 $850.96 $890.99 $1033.19 |
$177.75 |
Plan: (HMO) HMSA Bronze HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-620-4672 - Provider Directory for This Plan: (Hawaii Medical Service Association)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$232.45 $263.83 $297.07 $415.15 $630.86 |
$464.90 $527.66 $594.14 $830.30 $1261.72 |
$612.50 $675.26 $741.74 $977.90 |
$760.10 $822.86 $889.34 $1125.50 |
$907.70 $970.46 $1036.94 $1273.10 |
$380.05 $411.43 $444.67 $562.75 |
$527.65 $559.03 $592.27 $710.35 |
$675.25 $706.63 $739.87 $857.95 |
$147.60 |
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Kaiser Foundation Health Plan, Inc.Local: 1-800-570-8004 | Toll Free: 1-800-570-8004 TTY: 1-877-447-5990 |
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Plan: (HMO) KP Platinum $10 - FitSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-570-8004 - Provider Directory for This Plan: (Kaiser Foundation Health Plan, 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 |
Platinum | 21 30 40 50 60 |
$355.35 $403.33 $454.14 $634.66 $964.43 |
$710.70 $806.66 $908.28 $1269.32 $1928.86 |
$936.35 $1032.31 $1133.93 $1494.97 |
$1162.00 $1257.96 $1359.58 $1720.62 |
$1387.65 $1483.61 $1585.23 $1946.27 |
$581.00 $628.98 $679.79 $860.31 |
$806.65 $854.63 $905.44 $1085.96 |
$1032.30 $1080.28 $1131.09 $1311.61 |
$225.65 |
Plan: (HMO) KP Gold I $20 - FitSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-570-8004 - Provider Directory for This Plan: (Kaiser Foundation Health Plan, 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 |
$315.72 $358.34 $403.49 $563.87 $856.86 |
$631.44 $716.68 $806.98 $1127.74 $1713.72 |
$831.92 $917.16 $1007.46 $1328.22 |
$1032.40 $1117.64 $1207.94 $1528.70 |
$1232.88 $1318.12 $1408.42 $1729.18 |
$516.20 $558.82 $603.97 $764.35 |
$716.68 $759.30 $804.45 $964.83 |
$917.16 $959.78 $1004.93 $1165.31 |
$200.48 |
Plan: (HMO) KP Silver II $30 - FitSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-570-8004 - Provider Directory for This Plan: (Kaiser Foundation Health Plan, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$271.24 $307.86 $346.65 $484.44 $736.15 |
$542.48 $615.72 $693.30 $968.88 $1472.30 |
$714.72 $787.96 $865.54 $1141.12 |
$886.96 $960.20 $1037.78 $1313.36 |
$1059.20 $1132.44 $1210.02 $1485.60 |
$443.48 $480.10 $518.89 $656.68 |
$615.72 $652.34 $691.13 $828.92 |
$787.96 $824.58 $863.37 $1001.16 |
$172.24 |
Plan: (HMO) KP Silver II $30 - ChiroAcuMassage - FitSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-570-8004 - Provider Directory for This Plan: (Kaiser Foundation Health Plan, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$274.62 $311.70 $350.97 $490.48 $745.33 |
$549.24 $623.40 $701.94 $980.96 $1490.66 |
$723.63 $797.79 $876.33 $1155.35 |
$898.02 $972.18 $1050.72 $1329.74 |
$1072.41 $1146.57 $1225.11 $1504.13 |
$449.01 $486.09 $525.36 $664.87 |
$623.40 $660.48 $699.75 $839.26 |
$797.79 $834.87 $874.14 $1013.65 |
$174.39 |
Plan: (HMO) KP Bronze I $50 - ChiroAcuMassage - FitSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-570-8004 - Provider Directory for This Plan: (Kaiser Foundation Health Plan, Inc.)
Deductible: 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 |
Bronze | 21 30 40 50 60 |
$217.65 $247.03 $278.16 $388.72 $590.70 |
$435.30 $494.06 $556.32 $777.44 $1181.40 |
$573.51 $632.27 $694.53 $915.65 |
$711.72 $770.48 $832.74 $1053.86 |
$849.93 $908.69 $970.95 $1192.07 |
$355.86 $385.24 $416.37 $526.93 |
$494.07 $523.45 $554.58 $665.14 |
$632.28 $661.66 $692.79 $803.35 |
$138.21 |
Plan: (HMO) KP Gold III $20 - FitSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-570-8004 - Provider Directory for This Plan: (Kaiser Foundation Health Plan, Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 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 |
$296.81 $336.88 $379.32 $530.10 $805.54 |
$593.62 $673.76 $758.64 $1060.20 $1611.08 |
$782.09 $862.23 $947.11 $1248.67 |
$970.56 $1050.70 $1135.58 $1437.14 |
$1159.03 $1239.17 $1324.05 $1625.61 |
$485.28 $525.35 $567.79 $718.57 |
$673.75 $713.82 $756.26 $907.04 |
$862.22 $902.29 $944.73 $1095.51 |
$188.47 |
Plan: (HMO) KP Silver III $30 - FitSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-570-8004 - Provider Directory for This Plan: (Kaiser Foundation Health Plan, Inc.)
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 |
$254.51 $288.86 $325.26 $454.55 $690.73 |
$509.02 $577.72 $650.52 $909.10 $1381.46 |
$670.63 $739.33 $812.13 $1070.71 |
$832.24 $900.94 $973.74 $1232.32 |
$993.85 $1062.55 $1135.35 $1393.93 |
$416.12 $450.47 $486.87 $616.16 |
$577.73 $612.08 $648.48 $777.77 |
$739.34 $773.69 $810.09 $939.38 |
$161.61 |
Plan: (HMO) KP Bronze II 30% - FitSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-570-8004 - Provider Directory for This Plan: (Kaiser Foundation Health Plan, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$191.12 $216.92 $244.25 $341.34 $518.70 |
$382.24 $433.84 $488.50 $682.68 $1037.40 |
$503.60 $555.20 $609.86 $804.04 |
$624.96 $676.56 $731.22 $925.40 |
$746.32 $797.92 $852.58 $1046.76 |
$312.48 $338.28 $365.61 $462.70 |
$433.84 $459.64 $486.97 $584.06 |
$555.20 $581.00 $608.33 $705.42 |
$121.36 |