Providers for Zip Code 97470

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Obamacare Providers, Plans and 2017 Rates for Douglas 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 Douglas County, Oregon.

Currently, there are 22 plans offered in Douglas 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 Douglas 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 Roseburg, OR 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 Douglas County here.

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BridgeSpan Health Company

Local: 1-855-857-9943 | Toll Free: 1-855-857-9943

TTY: 1-800-735-2900

Plan: (PPO) BridgeSpan Standard Gold Plan RealValue

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-857-9943 - Provider Directory for This Plan: (BridgeSpan Health Company)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

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
$435.79
$494.63
$556.95
$778.33
$1182.75
$871.58
$989.26
$1113.90
$1556.66
$2365.50
$1148.31
$1265.99
$1390.63
$1833.39
$1425.04
$1542.72
$1667.36
$2110.12
$1701.77
$1819.45
$1944.09
$2386.85
$712.52
$771.36
$833.68
$1055.06
$989.25
$1048.09
$1110.41
$1331.79
$1265.98
$1324.82
$1387.14
$1608.52
$276.73
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ATRIO Health Plans

Local: 1-541-672-8620 | Toll Free: 1-877-672-8620

TTY: 1-800-735-2900

Plan: (PPO) ATRIO Oregon Standard Gold Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-672-8620 - Provider Directory for This Plan: (ATRIO Health Plans)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

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
$343.31
$389.66
$438.75
$613.15
$931.74
$686.62
$779.32
$877.50
$1226.30
$1863.48
$904.62
$997.32
$1095.50
$1444.30
$1122.62
$1215.32
$1313.50
$1662.30
$1340.62
$1433.32
$1531.50
$1880.30
$561.31
$607.66
$656.75
$831.15
$779.31
$825.66
$874.75
$1049.15
$997.31
$1043.66
$1092.75
$1267.15
$218.00

Plan: (PPO) ATRIO Oregon Standard Silver Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-672-8620 - Provider Directory for This Plan: (ATRIO Health Plans)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

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
$291.13
$330.43
$372.06
$519.96
$790.13
$582.26
$660.86
$744.12
$1039.92
$1580.26
$767.13
$845.73
$928.99
$1224.79
$952.00
$1030.60
$1113.86
$1409.66
$1136.87
$1215.47
$1298.73
$1594.53
$476.00
$515.30
$556.93
$704.83
$660.87
$700.17
$741.80
$889.70
$845.74
$885.04
$926.67
$1074.57
$184.87

Plan: (PPO) ATRIO Oregon Standard Bronze Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-672-8620 - Provider Directory for This Plan: (ATRIO Health Plans)

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
$228.87
$259.77
$292.50
$408.76
$621.15
$457.74
$519.54
$585.00
$817.52
$1242.30
$603.07
$664.87
$730.33
$962.85
$748.40
$810.20
$875.66
$1108.18
$893.73
$955.53
$1020.99
$1253.51
$374.20
$405.10
$437.83
$554.09
$519.53
$550.43
$583.16
$699.42
$664.86
$695.76
$728.49
$844.75
$145.33

Plan: (PPO) ATRIO Gold Premium 1000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-672-8620 - Provider Directory for This Plan: (ATRIO Health Plans)

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
$335.53
$380.83
$428.81
$599.26
$910.63
$671.06
$761.66
$857.62
$1198.52
$1821.26
$884.12
$974.72
$1070.68
$1411.58
$1097.18
$1187.78
$1283.74
$1624.64
$1310.24
$1400.84
$1496.80
$1837.70
$548.59
$593.89
$641.87
$812.32
$761.65
$806.95
$854.93
$1025.38
$974.71
$1020.01
$1067.99
$1238.44
$213.06

Plan: (PPO) ATRIO Silver Choice 2500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-672-8620 - Provider Directory for This Plan: (ATRIO Health Plans)

Deductible: Individual: $2,500 : Family: $5,000
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
$300.05
$340.56
$383.46
$535.89
$814.34
$600.10
$681.12
$766.92
$1071.78
$1628.68
$790.63
$871.65
$957.45
$1262.31
$981.16
$1062.18
$1147.98
$1452.84
$1171.69
$1252.71
$1338.51
$1643.37
$490.58
$531.09
$573.99
$726.42
$681.11
$721.62
$764.52
$916.95
$871.64
$912.15
$955.05
$1107.48
$190.53

Plan: (PPO) ATRIO Silver Choice 3030

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-672-8620 - Provider Directory for This Plan: (ATRIO Health Plans)

Deductible: Individual: $3,000 : Family: $6,000
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
$283.35
$321.60
$362.12
$506.06
$769.01
$566.70
$643.20
$724.24
$1012.12
$1538.02
$746.63
$823.13
$904.17
$1192.05
$926.56
$1003.06
$1084.10
$1371.98
$1106.49
$1182.99
$1264.03
$1551.91
$463.28
$501.53
$542.05
$685.99
$643.21
$681.46
$721.98
$865.92
$823.14
$861.39
$901.91
$1045.85
$179.93

Plan: (PPO) ATRIO Bronze 6350 HSA

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-672-8620 - Provider Directory for This Plan: (ATRIO Health Plans)

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
$244.21
$277.18
$312.10
$436.16
$662.79
$488.42
$554.36
$624.20
$872.32
$1325.58
$643.49
$709.43
$779.27
$1027.39
$798.56
$864.50
$934.34
$1182.46
$953.63
$1019.57
$1089.41
$1337.53
$399.28
$432.25
$467.17
$591.23
$554.35
$587.32
$622.24
$746.30
$709.42
$742.39
$777.31
$901.37
$155.07

Plan: (PPO) ATRIO Bronze Saver 6850

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-672-8620 - Provider Directory for This Plan: (ATRIO Health Plans)

Deductible: Individual: $6,850 : Family: $13,700
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

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
$241.23
$273.80
$308.29
$430.84
$654.70
$482.46
$547.60
$616.58
$861.68
$1309.40
$635.64
$700.78
$769.76
$1014.86
$788.82
$853.96
$922.94
$1168.04
$942.00
$1007.14
$1076.12
$1321.22
$394.41
$426.98
$461.47
$584.02
$547.59
$580.16
$614.65
$737.20
$700.77
$733.34
$767.83
$890.38
$153.18

Plan: (EPO) ATRIO Gold Pioneer

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-672-8620 - Provider Directory for This Plan: (ATRIO Health Plans)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

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
$325.23
$369.14
$415.64
$580.86
$882.67
$650.46
$738.28
$831.28
$1161.72
$1765.34
$856.98
$944.80
$1037.80
$1368.24
$1063.50
$1151.32
$1244.32
$1574.76
$1270.02
$1357.84
$1450.84
$1781.28
$531.75
$575.66
$622.16
$787.38
$738.27
$782.18
$828.68
$993.90
$944.79
$988.70
$1035.20
$1200.42
$206.52

Plan: (EPO) ATRIO Silver Pioneer

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-672-8620 - Provider Directory for This Plan: (ATRIO Health Plans)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

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
$275.11
$312.25
$351.59
$491.35
$746.65
$550.22
$624.50
$703.18
$982.70
$1493.30
$724.91
$799.19
$877.87
$1157.39
$899.60
$973.88
$1052.56
$1332.08
$1074.29
$1148.57
$1227.25
$1506.77
$449.80
$486.94
$526.28
$666.04
$624.49
$661.63
$700.97
$840.73
$799.18
$836.32
$875.66
$1015.42
$174.69

Plan: (EPO) ATRIO Bronze Pioneer

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-672-8620 - Provider Directory for This Plan: (ATRIO Health Plans)

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
$215.83
$244.97
$275.83
$385.47
$585.76
$431.66
$489.94
$551.66
$770.94
$1171.52
$568.71
$626.99
$688.71
$907.99
$705.76
$764.04
$825.76
$1045.04
$842.81
$901.09
$962.81
$1182.09
$352.88
$382.02
$412.88
$522.52
$489.93
$519.07
$549.93
$659.57
$626.98
$656.12
$686.98
$796.62
$137.05
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Providence Health Plan

Local: 1-503-574-5000 | Toll Free: 1-800-878-4445

TTY: 1-888-244-6642

Plan: (EPO) Providence Oregon Standard Silver Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-878-4445 - Provider Directory for This Plan: (Providence Health Plan)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

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
$348.00
$395.00
$444.00
$621.00
$944.00
$696.00
$790.00
$888.00
$1242.00
$1888.00
$917.00
$1011.00
$1109.00
$1463.00
$1138.00
$1232.00
$1330.00
$1684.00
$1359.00
$1453.00
$1551.00
$1905.00
$569.00
$616.00
$665.00
$842.00
$790.00
$837.00
$886.00
$1063.00
$1011.00
$1058.00
$1107.00
$1284.00
$221.00

Plan: (EPO) Providence Oregon Standard Gold Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-878-4445 - Provider Directory for This Plan: (Providence Health Plan)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

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
$422.00
$478.00
$539.00
$753.00
$1144.00
$844.00
$956.00
$1078.00
$1506.00
$2288.00
$1112.00
$1224.00
$1346.00
$1774.00
$1380.00
$1492.00
$1614.00
$2042.00
$1648.00
$1760.00
$1882.00
$2310.00
$690.00
$746.00
$807.00
$1021.00
$958.00
$1014.00
$1075.00
$1289.00
$1226.00
$1282.00
$1343.00
$1557.00
$268.00

Plan: (EPO) Providence Oregon Standard Bronze Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-878-4445 - Provider Directory for This Plan: (Providence Health Plan)

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
$284.00
$322.00
$362.00
$506.00
$769.00
$568.00
$644.00
$724.00
$1012.00
$1538.00
$748.00
$824.00
$904.00
$1192.00
$928.00
$1004.00
$1084.00
$1372.00
$1108.00
$1184.00
$1264.00
$1552.00
$464.00
$502.00
$542.00
$686.00
$644.00
$682.00
$722.00
$866.00
$824.00
$862.00
$902.00
$1046.00
$180.00
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BridgeSpan Health Company

Local: 1-855-857-9943 | Toll Free: 1-855-857-9943

TTY: 1-800-735-2900

Plan: (PPO) BridgeSpan Standard Silver Plan RealValue

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-857-9943 - Provider Directory for This Plan: (BridgeSpan Health Company)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

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
$347.80
$394.75
$444.48
$621.16
$943.92
$695.60
$789.50
$888.96
$1242.32
$1887.84
$916.45
$1010.35
$1109.81
$1463.17
$1137.30
$1231.20
$1330.66
$1684.02
$1358.15
$1452.05
$1551.51
$1904.87
$568.65
$615.60
$665.33
$842.01
$789.50
$836.45
$886.18
$1062.86
$1010.35
$1057.30
$1107.03
$1283.71
$220.85

Plan: (PPO) BridgeSpan Standard Bronze Plan RealValue

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-857-9943 - Provider Directory for This Plan: (BridgeSpan Health Company)

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
$283.75
$322.06
$362.63
$506.78
$770.10
$567.50
$644.12
$725.26
$1013.56
$1540.20
$747.68
$824.30
$905.44
$1193.74
$927.86
$1004.48
$1085.62
$1373.92
$1108.04
$1184.66
$1265.80
$1554.10
$463.93
$502.24
$542.81
$686.96
$644.11
$682.42
$722.99
$867.14
$824.29
$862.60
$903.17
$1047.32
$180.18

Plan: (PPO) Silver HDHP 3000 RealValue

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-857-9943 - Provider Directory for This Plan: (BridgeSpan Health Company)

Deductible: Individual: $3,000 : Family: $6,000
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
Silver 21
30
40
50
60
$308.63
$350.30
$394.43
$551.22
$837.63
$617.26
$700.60
$788.86
$1102.44
$1675.26
$813.24
$896.58
$984.84
$1298.42
$1009.22
$1092.56
$1180.82
$1494.40
$1205.20
$1288.54
$1376.80
$1690.38
$504.61
$546.28
$590.41
$747.20
$700.59
$742.26
$786.39
$943.18
$896.57
$938.24
$982.37
$1139.16
$195.98

Plan: (PPO) Bronze HDHP 6000 RealValue

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-857-9943 - Provider Directory for This Plan: (BridgeSpan Health Company)

Deductible: Individual: $6,000 : Family: $12,000
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
$257.28
$292.01
$328.80
$459.50
$698.26
$514.56
$584.02
$657.60
$919.00
$1396.52
$677.93
$747.39
$820.97
$1082.37
$841.30
$910.76
$984.34
$1245.74
$1004.67
$1074.13
$1147.71
$1409.11
$420.65
$455.38
$492.17
$622.87
$584.02
$618.75
$655.54
$786.24
$747.39
$782.12
$818.91
$949.61
$163.37

Plan: (PPO) Silver Essential 4000 RealValue

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-857-9943 - Provider Directory for This Plan: (BridgeSpan Health Company)

Deductible: Individual: $4,000 : Family: $8,000
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
$321.88
$365.33
$411.36
$574.88
$873.59
$643.76
$730.66
$822.72
$1149.76
$1747.18
$848.15
$935.05
$1027.11
$1354.15
$1052.54
$1139.44
$1231.50
$1558.54
$1256.93
$1343.83
$1435.89
$1762.93
$526.27
$569.72
$615.75
$779.27
$730.66
$774.11
$820.14
$983.66
$935.05
$978.50
$1024.53
$1188.05
$204.39

Plan: (PPO) Bronze Essential 7150 RealValue

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-857-9943 - Provider Directory for This Plan: (BridgeSpan Health Company)

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
$288.84
$327.83
$369.13
$515.86
$783.91
$577.68
$655.66
$738.26
$1031.72
$1567.82
$761.09
$839.07
$921.67
$1215.13
$944.50
$1022.48
$1105.08
$1398.54
$1127.91
$1205.89
$1288.49
$1581.95
$472.25
$511.24
$552.54
$699.27
$655.66
$694.65
$735.95
$882.68
$839.07
$878.06
$919.36
$1066.09
$183.41

Plan: (EPO) Bronze Essential 7150 EPO RealValue

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-857-9943 - Provider Directory for This Plan: (BridgeSpan Health Company)

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
$286.88
$325.61
$366.63
$512.37
$778.59
$573.76
$651.22
$733.26
$1024.74
$1557.18
$755.93
$833.39
$915.43
$1206.91
$938.10
$1015.56
$1097.60
$1389.08
$1120.27
$1197.73
$1279.77
$1571.25
$469.05
$507.78
$548.80
$694.54
$651.22
$689.95
$730.97
$876.71
$833.39
$872.12
$913.14
$1058.88
$182.17

 

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