Obamacare Providers, Plans and 2017 Rates for Weber 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 Weber County, Utah.
Currently, there are 27 plans offered in Weber 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 Ogden, UT 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 Weber County here.
ADVERTISEMENT
|
||||||||||
Molina Healthcare of UtahLocal: 1-801-858-0400 | Toll Free: 1-888-858-3973 |
||||||||||
Plan: (HMO) Molina Marketplace Gold PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-858-3973 - Provider Directory for This Plan: (Molina Healthcare of Utah)
Deductible: Individual:
$1,025
: Family:
$2,050 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 |
$300.40 $417.55 $444.29 $638.95 $901.19 |
$600.80 $835.10 $888.58 $1277.90 $1802.38 |
$839.02 $1073.32 $1126.80 $1516.12 |
$1077.24 $1311.54 $1365.02 $1754.34 |
$1315.46 $1549.76 $1603.24 $1992.56 |
$538.62 $655.77 $682.51 $877.17 |
$776.84 $893.99 $920.73 $1115.39 |
$1015.06 $1132.21 $1158.95 $1353.61 |
$238.22 |
ADVERTISEMENT
|
||||||||||
SelectHealthLocal: 1-801-442-5038 | Toll Free: 1-800-538-5038 |
||||||||||
Plan: (HMO) Select Med Preference Gold 1000 w/ no deductible for office visitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
Deductible: Individual:
$1,000
: Family:
$2,500 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 |
$387.78 $539.01 $573.53 $824.81 $1163.30 |
$775.56 $1078.02 $1147.06 $1649.62 $2326.60 |
$1083.07 $1385.53 $1454.57 $1957.13 |
$1390.58 $1693.04 $1762.08 $2264.64 |
$1698.09 $2000.55 $2069.59 $2572.15 |
$695.29 $846.52 $881.04 $1132.32 |
$1002.80 $1154.03 $1188.55 $1439.83 |
$1310.31 $1461.54 $1496.06 $1747.34 |
$307.51 |
ADVERTISEMENT
|
||||||||||
Molina Healthcare of UtahLocal: 1-801-858-0400 | Toll Free: 1-888-858-3973 |
||||||||||
Plan: (HMO) Molina Marketplace Silver PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-858-3973 - Provider Directory for This Plan: (Molina Healthcare of Utah)
Deductible: Individual:
$2,400
: Family:
$4,800 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$201.44 $280.00 $297.93 $428.46 $604.31 |
$402.88 $560.00 $595.86 $856.92 $1208.62 |
$562.62 $719.74 $755.60 $1016.66 |
$722.36 $879.48 $915.34 $1176.40 |
$882.10 $1039.22 $1075.08 $1336.14 |
$361.18 $439.74 $457.67 $588.20 |
$520.92 $599.48 $617.41 $747.94 |
$680.66 $759.22 $777.15 $907.68 |
$159.74 |
Plan: (HMO) Molina Marketplace Bronze PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-858-3973 - Provider Directory for This Plan: (Molina Healthcare of Utah)
Deductible: Individual:
$6,650
: Family:
$13,300 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 |
$157.56 $219.01 $233.03 $335.13 $472.68 |
$315.12 $438.02 $466.06 $670.26 $945.36 |
$440.07 $562.97 $591.01 $795.21 |
$565.02 $687.92 $715.96 $920.16 |
$689.97 $812.87 $840.91 $1045.11 |
$282.51 $343.96 $357.98 $460.08 |
$407.46 $468.91 $482.93 $585.03 |
$532.41 $593.86 $607.88 $709.98 |
$124.95 |
Plan: (HMO) Molina Marketplace Options Silver PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-858-3973 - Provider Directory for This Plan: (Molina Healthcare of Utah)
Deductible: Individual:
$3,500
: Family:
$7,000 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 |
$202.41 $281.36 $299.37 $430.54 $607.23 |
$404.82 $562.72 $598.74 $861.08 $1214.46 |
$565.33 $723.23 $759.25 $1021.59 |
$725.84 $883.74 $919.76 $1182.10 |
$886.35 $1044.25 $1080.27 $1342.61 |
$362.92 $441.87 $459.88 $591.05 |
$523.43 $602.38 $620.39 $751.56 |
$683.94 $762.89 $780.90 $912.07 |
$160.51 |
Plan: (HMO) Molina Marketplace Options Bronze PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-858-3973 - Provider Directory for This Plan: (Molina Healthcare of Utah)
Deductible: Individual:
$6,650
: Family:
$13,300 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 |
$162.11 $225.33 $239.75 $344.80 $486.32 |
$324.22 $450.66 $479.50 $689.60 $972.64 |
$452.77 $579.21 $608.05 $818.15 |
$581.32 $707.76 $736.60 $946.70 |
$709.87 $836.31 $865.15 $1075.25 |
$290.66 $353.88 $368.30 $473.35 |
$419.21 $482.43 $496.85 $601.90 |
$547.76 $610.98 $625.40 $730.45 |
$128.55 |
ADVERTISEMENT
|
||||||||||
University of Utah Health Insurance PlansLocal: 1-801-587-6480 x1 | Toll Free: 1-888-271-5870 TTY: 1-800-346-4128 |
||||||||||
Plan: (EPO) Healthy Premier Gold CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-271-5870 - Provider Directory for This Plan: (University of Utah Health Insurance Plans)
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 |
$414.42 $576.05 $612.93 $881.47 $1243.26 |
$828.84 $1152.10 $1225.86 $1762.94 $2486.52 |
$1157.48 $1480.74 $1554.50 $2091.58 |
$1486.12 $1809.38 $1883.14 $2420.22 |
$1814.76 $2138.02 $2211.78 $2748.86 |
$743.06 $904.69 $941.57 $1210.11 |
$1071.70 $1233.33 $1270.21 $1538.75 |
$1400.34 $1561.97 $1598.85 $1867.39 |
$328.64 |
Plan: (EPO) Healthy Premier Silver CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-271-5870 - Provider Directory for This Plan: (University of Utah Health Insurance Plans)
Deductible: Individual:
$3,500
: Family:
$7,000 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 |
$270.97 $376.65 $400.76 $576.35 $812.91 |
$541.94 $753.30 $801.52 $1152.70 $1625.82 |
$756.82 $968.18 $1016.40 $1367.58 |
$971.70 $1183.06 $1231.28 $1582.46 |
$1186.58 $1397.94 $1446.16 $1797.34 |
$485.85 $591.53 $615.64 $791.23 |
$700.73 $806.41 $830.52 $1006.11 |
$915.61 $1021.29 $1045.40 $1220.99 |
$214.88 |
Plan: (EPO) Healthy Premier Bronze HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-271-5870 - Provider Directory for This Plan: (University of Utah Health Insurance Plans)
Deductible: 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 |
$198.09 $275.35 $292.98 $421.34 $594.27 |
$396.18 $550.70 $585.96 $842.68 $1188.54 |
$553.27 $707.79 $743.05 $999.77 |
$710.36 $864.88 $900.14 $1156.86 |
$867.45 $1021.97 $1057.23 $1313.95 |
$355.18 $432.44 $450.07 $578.43 |
$512.27 $589.53 $607.16 $735.52 |
$669.36 $746.62 $764.25 $892.61 |
$157.09 |
Plan: (EPO) Healthy Premier Bronze w/3 Copays before DeductibleSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-271-5870 - Provider Directory for This Plan: (University of Utah Health Insurance Plans)
Deductible: Individual:
$6,000
: Family:
$12,000 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 |
$199.99 $277.99 $295.79 $425.39 $599.97 |
$399.98 $555.98 $591.58 $850.78 $1199.94 |
$558.57 $714.57 $750.17 $1009.37 |
$717.16 $873.16 $908.76 $1167.96 |
$875.75 $1031.75 $1067.35 $1326.55 |
$358.58 $436.58 $454.38 $583.98 |
$517.17 $595.17 $612.97 $742.57 |
$675.76 $753.76 $771.56 $901.16 |
$158.59 |
ADVERTISEMENT
|
||||||||||
SelectHealthLocal: 1-801-442-5038 | Toll Free: 1-800-538-5038 |
||||||||||
Plan: (HMO) Select Med Preference Silver 1500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
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 |
$250.10 $347.64 $369.90 $531.96 $750.28 |
$500.20 $695.28 $739.80 $1063.92 $1500.56 |
$698.53 $893.61 $938.13 $1262.25 |
$896.86 $1091.94 $1136.46 $1460.58 |
$1095.19 $1290.27 $1334.79 $1658.91 |
$448.43 $545.97 $568.23 $730.29 |
$646.76 $744.30 $766.56 $928.62 |
$845.09 $942.63 $964.89 $1126.95 |
$198.33 |
Plan: (HMO) Select Med Preference Bronze 6350 w/limited office visit waiverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
Deductible: Individual:
$6,350
: Family:
$12,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$208.83 $290.28 $308.86 $444.19 $626.48 |
$417.66 $580.56 $617.72 $888.38 $1252.96 |
$583.26 $746.16 $783.32 $1053.98 |
$748.86 $911.76 $948.92 $1219.58 |
$914.46 $1077.36 $1114.52 $1385.18 |
$374.43 $455.88 $474.46 $609.79 |
$540.03 $621.48 $640.06 $775.39 |
$705.63 $787.08 $805.66 $940.99 |
$165.60 |
Plan: (HMO) Select Med Preference Silver 3800 Copay PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
Deductible: Individual:
$3,800
: Family:
$7,600 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 |
Silver | 21 30 40 50 60 |
$278.72 $387.42 $412.23 $592.84 $836.15 |
$557.44 $774.84 $824.46 $1185.68 $1672.30 |
$778.47 $995.87 $1045.49 $1406.71 |
$999.50 $1216.90 $1266.52 $1627.74 |
$1220.53 $1437.93 $1487.55 $1848.77 |
$499.75 $608.45 $633.26 $813.87 |
$720.78 $829.48 $854.29 $1034.90 |
$941.81 $1050.51 $1075.32 $1255.93 |
$221.03 |
Plan: (HMO) Select Med HealthSave Bronze 5750 (HSA Qualified)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
Deductible: Individual:
$5,750
: Family:
$11,500 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 |
Bronze | 21 30 40 50 60 |
$202.94 $282.09 $300.14 $431.65 $608.80 |
$405.88 $564.18 $600.28 $863.30 $1217.60 |
$566.81 $725.11 $761.21 $1024.23 |
$727.74 $886.04 $922.14 $1185.16 |
$888.67 $1046.97 $1083.07 $1346.09 |
$363.87 $443.02 $461.07 $592.58 |
$524.80 $603.95 $622.00 $753.51 |
$685.73 $764.88 $782.93 $914.44 |
$160.93 |
Plan: (HMO) Select Med Millennial 7150 (Catastrophic Plan)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
Deductible: Individual:
$7,150
: Family:
$14,300 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$177.25 $246.38 $262.16 $377.02 $531.74 |
$354.50 $492.76 $524.32 $754.04 $1063.48 |
$495.06 $633.32 $664.88 $894.60 |
$635.62 $773.88 $805.44 $1035.16 |
$776.18 $914.44 $946.00 $1175.72 |
$317.81 $386.94 $402.72 $517.58 |
$458.37 $527.50 $543.28 $658.14 |
$598.93 $668.06 $683.84 $798.70 |
$140.56 |
Plan: (HMO) Select Med HealthSave Silver 2500 (HSA Qualified)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
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 |
$270.73 $376.31 $400.40 $575.84 $812.16 |
$541.46 $752.62 $800.80 $1151.68 $1624.32 |
$756.14 $967.30 $1015.48 $1366.36 |
$970.82 $1181.98 $1230.16 $1581.04 |
$1185.50 $1396.66 $1444.84 $1795.72 |
$485.41 $590.99 $615.08 $790.52 |
$700.09 $805.67 $829.76 $1005.20 |
$914.77 $1020.35 $1044.44 $1219.88 |
$214.68 |
Plan: (HMO) Select Value Preference Gold 1000 w/ no deductible for office visitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
Deductible: Individual:
$1,000
: Family:
$2,500 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 |
$343.18 $477.02 $507.57 $729.96 $1029.52 |
$686.36 $954.04 $1015.14 $1459.92 $2059.04 |
$958.51 $1226.19 $1287.29 $1732.07 |
$1230.66 $1498.34 $1559.44 $2004.22 |
$1502.81 $1770.49 $1831.59 $2276.37 |
$615.33 $749.17 $779.72 $1002.11 |
$887.48 $1021.32 $1051.87 $1274.26 |
$1159.63 $1293.47 $1324.02 $1546.41 |
$272.15 |
Plan: (HMO) Select Value Preference Silver 1500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
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 |
$221.34 $307.66 $327.36 $470.78 $664.00 |
$442.68 $615.32 $654.72 $941.56 $1328.00 |
$618.20 $790.84 $830.24 $1117.08 |
$793.72 $966.36 $1005.76 $1292.60 |
$969.24 $1141.88 $1181.28 $1468.12 |
$396.86 $483.18 $502.88 $646.30 |
$572.38 $658.70 $678.40 $821.82 |
$747.90 $834.22 $853.92 $997.34 |
$175.52 |
Plan: (HMO) Select Value Preference Bronze 6350 w/limited office visit waiverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
Deductible: Individual:
$6,350
: Family:
$12,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$184.82 $256.90 $273.34 $393.11 $554.43 |
$369.64 $513.80 $546.68 $786.22 $1108.86 |
$516.20 $660.36 $693.24 $932.78 |
$662.76 $806.92 $839.80 $1079.34 |
$809.32 $953.48 $986.36 $1225.90 |
$331.38 $403.46 $419.90 $539.67 |
$477.94 $550.02 $566.46 $686.23 |
$624.50 $696.58 $713.02 $832.79 |
$146.56 |
Plan: (HMO) Select Value Preference Silver 3800 Copay PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
Deductible: Individual:
$3,800
: Family:
$7,600 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 |
Silver | 21 30 40 50 60 |
$246.67 $342.87 $364.82 $524.66 $739.99 |
$493.34 $685.74 $729.64 $1049.32 $1479.98 |
$688.95 $881.35 $925.25 $1244.93 |
$884.56 $1076.96 $1120.86 $1440.54 |
$1080.17 $1272.57 $1316.47 $1636.15 |
$442.28 $538.48 $560.43 $720.27 |
$637.89 $734.09 $756.04 $915.88 |
$833.50 $929.70 $951.65 $1111.49 |
$195.61 |
Plan: (HMO) Select Value HealthSave Bronze 5750 (HSA Qualified)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
Deductible: Individual:
$5,750
: Family:
$11,500 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 |
Bronze | 21 30 40 50 60 |
$179.60 $249.65 $265.63 $382.01 $538.78 |
$359.20 $499.30 $531.26 $764.02 $1077.56 |
$501.62 $641.72 $673.68 $906.44 |
$644.04 $784.14 $816.10 $1048.86 |
$786.46 $926.56 $958.52 $1191.28 |
$322.02 $392.07 $408.05 $524.43 |
$464.44 $534.49 $550.47 $666.85 |
$606.86 $676.91 $692.89 $809.27 |
$142.42 |
Plan: (HMO) Select Value HealthSave Silver 2500 (HSA Qualified)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
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 |
$239.59 $333.04 $354.36 $509.62 $718.76 |
$479.18 $666.08 $708.72 $1019.24 $1437.52 |
$669.18 $856.08 $898.72 $1209.24 |
$859.18 $1046.08 $1088.72 $1399.24 |
$1049.18 $1236.08 $1278.72 $1589.24 |
$429.59 $523.04 $544.36 $699.62 |
$619.59 $713.04 $734.36 $889.62 |
$809.59 $903.04 $924.36 $1079.62 |
$190.00 |
Plan: (HMO) Select Value Millennial 7150 (Catastrophic PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
Deductible: Individual:
$7,150
: Family:
$14,300 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$156.87 $218.05 $232.01 $333.66 $470.59 |
$313.74 $436.10 $464.02 $667.32 $941.18 |
$438.14 $560.50 $588.42 $791.72 |
$562.54 $684.90 $712.82 $916.12 |
$686.94 $809.30 $837.22 $1040.52 |
$281.27 $342.45 $356.41 $458.06 |
$405.67 $466.85 $480.81 $582.46 |
$530.07 $591.25 $605.21 $706.86 |
$124.40 |
Plan: (HMO) Select Med Preference Benchmark Silver 1500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
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 |
$246.31 $342.36 $364.29 $523.89 $738.90 |
$492.62 $684.72 $728.58 $1047.78 $1477.80 |
$687.94 $880.04 $923.90 $1243.10 |
$883.26 $1075.36 $1119.22 $1438.42 |
$1078.58 $1270.68 $1314.54 $1633.74 |
$441.63 $537.68 $559.61 $719.21 |
$636.95 $733.00 $754.93 $914.53 |
$832.27 $928.32 $950.25 $1109.85 |
$195.32 |
Plan: (HMO) Select Value Preference Benchmark Silver 1500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
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 |
$217.98 $302.99 $322.39 $463.64 $653.93 |
$435.96 $605.98 $644.78 $927.28 $1307.86 |
$608.82 $778.84 $817.64 $1100.14 |
$781.68 $951.70 $990.50 $1273.00 |
$954.54 $1124.56 $1163.36 $1445.86 |
$390.84 $475.85 $495.25 $636.50 |
$563.70 $648.71 $668.11 $809.36 |
$736.56 $821.57 $840.97 $982.22 |
$172.86 |
Plan: (HMO) Select Med Preference Benchmark Bronze 5700Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
Deductible: Individual:
$5,700
: Family:
$11,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$196.63 $273.31 $290.81 $418.23 $589.86 |
$393.26 $546.62 $581.62 $836.46 $1179.72 |
$549.18 $702.54 $737.54 $992.38 |
$705.10 $858.46 $893.46 $1148.30 |
$861.02 $1014.38 $1049.38 $1304.22 |
$352.55 $429.23 $446.73 $574.15 |
$508.47 $585.15 $602.65 $730.07 |
$664.39 $741.07 $758.57 $885.99 |
$155.92 |
Plan: (HMO) Select Value Preference Benchmark Bronze 5700Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)
Deductible: Individual:
$5,700
: Family:
$11,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$174.02 $241.88 $257.37 $370.13 $522.03 |
$348.04 $483.76 $514.74 $740.26 $1044.06 |
$486.03 $621.75 $652.73 $878.25 |
$624.02 $759.74 $790.72 $1016.24 |
$762.01 $897.73 $928.71 $1154.23 |
$312.01 $379.87 $395.36 $508.12 |
$450.00 $517.86 $533.35 $646.11 |
$587.99 $655.85 $671.34 $784.10 |
$137.99 |