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Providers for Zip Code 46143

Obamacare 2018 Marketplace Rates For Johnson County, Indiana

Tuesday, April 16th, 2024


The health insurance rates listed below are for calendar year 2018.

2018 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

(click here for 2017)

This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Johnson County, Indiana.

Obamacare Providers, Plans and 2018 Rates for Johnson County

Johnson County is in “Rating Area 13” of Indiana.

Currently, there are 33 plans offered in Rating Area 13.

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 for:

  • 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 Greenwood, IN area accept this insurance coverage as within the plan's "network".
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CareSource Indiana, Inc.

Local: 1-800-479-9502 | Toll Free: 1-877-806-9284

Plan: (HMO) CareSource HSA Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $4,000 : Family: $8,000
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
$275.55
$312.75
$352.15
$492.13
$747.83
$551.10
$625.50
$704.30
$984.26
$1,495.66
$761.89
$836.29
$915.09
$1,195.05
$972.68
$1,047.08
$1,125.88
$1,405.84
$1,183.47
$1,257.87
$1,336.67
$1,616.63
$486.34
$523.54
$562.94
$702.92
$697.13
$734.33
$773.73
$913.71
$907.92
$945.12
$984.52
$1,124.50
$210.79

Plan: (HMO) CareSource Low Premium Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $6,150 : Family: $12,300
Out of Pocket Maximum per year: Individual: $7,300 : Family: $14,600

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
$287.57
$326.39
$367.51
$513.59
$780.45
$575.14
$652.78
$735.02
$1,027.18
$1,560.90
$795.13
$872.77
$955.01
$1,247.17
$1,015.12
$1,092.76
$1,175.00
$1,467.16
$1,235.11
$1,312.75
$1,394.99
$1,687.15
$507.56
$546.38
$587.50
$733.58
$727.55
$766.37
$807.49
$953.57
$947.54
$986.36
$1,027.48
$1,173.56
$219.99

Plan: (HMO) CareSource Gold

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $1,500 : Family: $3,000
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
$393.27
$446.36
$502.59
$702.37
$1,067.32
$786.54
$892.72
$1,005.18
$1,404.74
$2,134.64
$1,087.39
$1,193.57
$1,306.03
$1,705.59
$1,388.24
$1,494.42
$1,606.88
$2,006.44
$1,689.09
$1,795.27
$1,907.73
$2,307.29
$694.12
$747.21
$803.44
$1,003.22
$994.97
$1,048.06
$1,104.29
$1,304.07
$1,295.82
$1,348.91
$1,405.14
$1,604.92
$300.85

Plan: (HMO) CareSource Hoosier Choice Gold

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $1,500 : Family: $3,000
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
$413.12
$468.89
$527.96
$737.82
$1,121.20
$826.24
$937.78
$1,055.92
$1,475.64
$2,242.40
$1,142.27
$1,253.81
$1,371.95
$1,791.67
$1,458.30
$1,569.84
$1,687.98
$2,107.70
$1,774.33
$1,885.87
$2,004.01
$2,423.73
$729.15
$784.92
$843.99
$1,053.85
$1,045.18
$1,100.95
$1,160.02
$1,369.88
$1,361.21
$1,416.98
$1,476.05
$1,685.91
$316.03

Plan: (HMO) CareSource Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $3,900 : Family: $7,800
Out of Pocket Maximum per year: Individual: $7,300 : Family: $14,600

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
$304.89
$346.04
$389.64
$544.52
$827.45
$609.78
$692.08
$779.28
$1,089.04
$1,654.90
$843.01
$925.31
$1,012.51
$1,322.27
$1,076.24
$1,158.54
$1,245.74
$1,555.50
$1,309.47
$1,391.77
$1,478.97
$1,788.73
$538.12
$579.27
$622.87
$777.75
$771.35
$812.50
$856.10
$1,010.98
$1,004.58
$1,045.73
$1,089.33
$1,244.21
$233.23

Plan: (HMO) CareSource Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $7,250 : Family: $14,500
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

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
$253.39
$287.60
$323.83
$452.55
$687.70
$506.78
$575.20
$647.66
$905.10
$1,375.40
$700.62
$769.04
$841.50
$1,098.94
$894.46
$962.88
$1,035.34
$1,292.78
$1,088.30
$1,156.72
$1,229.18
$1,486.62
$447.23
$481.44
$517.67
$646.39
$641.07
$675.28
$711.51
$840.23
$834.91
$869.12
$905.35
$1,034.07
$193.84

Plan: (HMO) CareSource Hoosier Choice Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $3,900 : Family: $7,800
Out of Pocket Maximum per year: Individual: $7,300 : Family: $14,600

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
$320.26
$363.49
$409.29
$571.98
$869.18
$640.52
$726.98
$818.58
$1,143.96
$1,738.36
$885.52
$971.98
$1,063.58
$1,388.96
$1,130.52
$1,216.98
$1,308.58
$1,633.96
$1,375.52
$1,461.98
$1,553.58
$1,878.96
$565.26
$608.49
$654.29
$816.98
$810.26
$853.49
$899.29
$1,061.98
$1,055.26
$1,098.49
$1,144.29
$1,306.98
$245.00

Plan: (HMO) CareSource Hoosier Choice Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $7,250 : Family: $14,500
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

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
$266.17
$302.10
$340.16
$475.38
$722.38
$532.34
$604.20
$680.32
$950.76
$1,444.76
$735.96
$807.82
$883.94
$1,154.38
$939.58
$1,011.44
$1,087.56
$1,358.00
$1,143.20
$1,215.06
$1,291.18
$1,561.62
$469.79
$505.72
$543.78
$679.00
$673.41
$709.34
$747.40
$882.62
$877.03
$912.96
$951.02
$1,086.24
$203.62

Plan: (HMO) CareSource Low Premium Silver Dental and Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $6,150 : Family: $12,300
Out of Pocket Maximum per year: Individual: $7,300 : Family: $14,600

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
$304.93
$346.09
$389.69
$544.60
$827.57
$609.86
$692.18
$779.38
$1,089.20
$1,655.14
$843.13
$925.45
$1,012.65
$1,322.47
$1,076.40
$1,158.72
$1,245.92
$1,555.74
$1,309.67
$1,391.99
$1,479.19
$1,789.01
$538.20
$579.36
$622.96
$777.87
$771.47
$812.63
$856.23
$1,011.14
$1,004.74
$1,045.90
$1,089.50
$1,244.41
$233.27

Plan: (HMO) CareSource Gold Dental and Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $1,500 : Family: $3,000
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
$410.63
$466.06
$524.78
$733.38
$1,114.44
$821.26
$932.12
$1,049.56
$1,466.76
$2,228.88
$1,135.39
$1,246.25
$1,363.69
$1,780.89
$1,449.52
$1,560.38
$1,677.82
$2,095.02
$1,763.65
$1,874.51
$1,991.95
$2,409.15
$724.76
$780.19
$838.91
$1,047.51
$1,038.89
$1,094.32
$1,153.04
$1,361.64
$1,353.02
$1,408.45
$1,467.17
$1,675.77
$314.13

Plan: (HMO) CareSource Hoosier Choice Gold Dental and Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $1,500 : Family: $3,000
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
$431.26
$489.48
$551.15
$770.23
$1,170.44
$862.52
$978.96
$1,102.30
$1,540.46
$2,340.88
$1,192.43
$1,308.87
$1,432.21
$1,870.37
$1,522.34
$1,638.78
$1,762.12
$2,200.28
$1,852.25
$1,968.69
$2,092.03
$2,530.19
$761.17
$819.39
$881.06
$1,100.14
$1,091.08
$1,149.30
$1,210.97
$1,430.05
$1,420.99
$1,479.21
$1,540.88
$1,759.96
$329.91

Plan: (HMO) CareSource Silver Dental and Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $3,900 : Family: $7,800
Out of Pocket Maximum per year: Individual: $7,300 : Family: $14,600

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
$322.24
$365.73
$411.81
$575.51
$874.54
$644.48
$731.46
$823.62
$1,151.02
$1,749.08
$890.99
$977.97
$1,070.13
$1,397.53
$1,137.50
$1,224.48
$1,316.64
$1,644.04
$1,384.01
$1,470.99
$1,563.15
$1,890.55
$568.75
$612.24
$658.32
$822.02
$815.26
$858.75
$904.83
$1,068.53
$1,061.77
$1,105.26
$1,151.34
$1,315.04
$246.51

Plan: (HMO) CareSource Bronze Dental and Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $7,250 : Family: $14,500
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

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
$270.74
$307.29
$346.00
$483.54
$734.79
$541.48
$614.58
$692.00
$967.08
$1,469.58
$748.60
$821.70
$899.12
$1,174.20
$955.72
$1,028.82
$1,106.24
$1,381.32
$1,162.84
$1,235.94
$1,313.36
$1,588.44
$477.86
$514.41
$553.12
$690.66
$684.98
$721.53
$760.24
$897.78
$892.10
$928.65
$967.36
$1,104.90
$207.12

Plan: (HMO) CareSource Hoosier Choice Silver Dental and Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $3,900 : Family: $7,800
Out of Pocket Maximum per year: Individual: $7,300 : Family: $14,600

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
$338.41
$384.09
$432.48
$604.39
$918.43
$676.82
$768.18
$864.96
$1,208.78
$1,836.86
$935.70
$1,027.06
$1,123.84
$1,467.66
$1,194.58
$1,285.94
$1,382.72
$1,726.54
$1,453.46
$1,544.82
$1,641.60
$1,985.42
$597.29
$642.97
$691.36
$863.27
$856.17
$901.85
$950.24
$1,122.15
$1,115.05
$1,160.73
$1,209.12
$1,381.03
$258.88

Plan: (HMO) CareSource Hoosier Choice Bronze Dental and Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $7,250 : Family: $14,500
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

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
$284.31
$322.68
$363.34
$507.76
$771.60
$568.62
$645.36
$726.68
$1,015.52
$1,543.20
$786.11
$862.85
$944.17
$1,233.01
$1,003.60
$1,080.34
$1,161.66
$1,450.50
$1,221.09
$1,297.83
$1,379.15
$1,667.99
$501.80
$540.17
$580.83
$725.25
$719.29
$757.66
$798.32
$942.74
$936.78
$975.15
$1,015.81
$1,160.23
$217.49

Plan: (HMO) CareSource Federal Simple Choice Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

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
$313.53
$355.86
$400.69
$559.97
$850.92
$627.06
$711.72
$801.38
$1,119.94
$1,701.84
$866.91
$951.57
$1,041.23
$1,359.79
$1,106.76
$1,191.42
$1,281.08
$1,599.64
$1,346.61
$1,431.27
$1,520.93
$1,839.49
$553.38
$595.71
$640.54
$799.82
$793.23
$835.56
$880.39
$1,039.67
$1,033.08
$1,075.41
$1,120.24
$1,279.52
$239.85

Plan: (HMO) CareSource Federal Simple Choice Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $6,650 : Family: $13,300
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

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
Expanded Bronze 21
30
40
50
60
$286.63
$325.33
$366.31
$511.92
$777.92
$573.26
$650.66
$732.62
$1,023.84
$1,555.84
$792.53
$869.93
$951.89
$1,243.11
$1,011.80
$1,089.20
$1,171.16
$1,462.38
$1,231.07
$1,308.47
$1,390.43
$1,681.65
$505.90
$544.60
$585.58
$731.19
$725.17
$763.87
$804.85
$950.46
$944.44
$983.14
$1,024.12
$1,169.73
$219.27

Plan: (HMO) CareSource Federal Simple Choice Silver Dental and Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

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
$330.90
$375.56
$422.88
$590.97
$898.04
$661.80
$751.12
$845.76
$1,181.94
$1,796.08
$914.93
$1,004.25
$1,098.89
$1,435.07
$1,168.06
$1,257.38
$1,352.02
$1,688.20
$1,421.19
$1,510.51
$1,605.15
$1,941.33
$584.03
$628.69
$676.01
$844.10
$837.16
$881.82
$929.14
$1,097.23
$1,090.29
$1,134.95
$1,182.27
$1,350.36
$253.13

Plan: (HMO) CareSource Federal Simple Choice Bronze Dental and Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)

Deductible: Individual: $6,650 : Family: $13,300
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

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
Expanded Bronze 21
30
40
50
60
$303.98
$345.02
$388.49
$542.91
$825.00
$607.96
$690.04
$776.98
$1,085.82
$1,650.00
$840.51
$922.59
$1,009.53
$1,318.37
$1,073.06
$1,155.14
$1,242.08
$1,550.92
$1,305.61
$1,387.69
$1,474.63
$1,783.47
$536.53
$577.57
$621.04
$775.46
$769.08
$810.12
$853.59
$1,008.01
$1,001.63
$1,042.67
$1,086.14
$1,240.56
$232.55
ADVERTISEMENT

Celtic Insurance Company

Local: 1-877-687-1182 | Toll Free: 1-877-687-1182

TTY: 1-877-941-9232

Plan: (EPO) Ambetter Secure Care 1 (2018) with 3 Free PCP Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1182 - 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
$454.47
$515.81
$580.80
$811.67
$1,233.40
$908.94
$1,031.62
$1,161.60
$1,623.34
$2,466.80
$1,256.60
$1,379.28
$1,509.26
$1,971.00
$1,604.26
$1,726.94
$1,856.92
$2,318.66
$1,951.92
$2,074.60
$2,204.58
$2,666.32
$802.13
$863.47
$928.46
$1,159.33
$1,149.79
$1,211.13
$1,276.12
$1,506.99
$1,497.45
$1,558.79
$1,623.78
$1,854.65
$347.66

Plan: (EPO) Ambetter Balanced Care 1 (2018)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1182 - 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
$347.08
$393.92
$443.55
$619.86
$941.94
$694.16
$787.84
$887.10
$1,239.72
$1,883.88
$959.67
$1,053.35
$1,152.61
$1,505.23
$1,225.18
$1,318.86
$1,418.12
$1,770.74
$1,490.69
$1,584.37
$1,683.63
$2,036.25
$612.59
$659.43
$709.06
$885.37
$878.10
$924.94
$974.57
$1,150.88
$1,143.61
$1,190.45
$1,240.08
$1,416.39
$265.51

Plan: (EPO) Ambetter Balanced Care 2 (2018)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1182 - 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
$340.94
$386.96
$435.71
$608.90
$925.29
$681.88
$773.92
$871.42
$1,217.80
$1,850.58
$942.69
$1,034.73
$1,132.23
$1,478.61
$1,203.50
$1,295.54
$1,393.04
$1,739.42
$1,464.31
$1,556.35
$1,653.85
$2,000.23
$601.75
$647.77
$696.52
$869.71
$862.56
$908.58
$957.33
$1,130.52
$1,123.37
$1,169.39
$1,218.14
$1,391.33
$260.81

Plan: (EPO) Ambetter Balanced Care 10 (2018)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1182 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,700 : Family: $13,400

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
Silver 21
30
40
50
60
$363.44
$412.50
$464.47
$649.09
$986.35
$726.88
$825.00
$928.94
$1,298.18
$1,972.70
$1,004.91
$1,103.03
$1,206.97
$1,576.21
$1,282.94
$1,381.06
$1,485.00
$1,854.24
$1,560.97
$1,659.09
$1,763.03
$2,132.27
$641.47
$690.53
$742.50
$927.12
$919.50
$968.56
$1,020.53
$1,205.15
$1,197.53
$1,246.59
$1,298.56
$1,483.18
$278.03

Plan: (EPO) Ambetter Balanced Care 4 (2018)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1182 - 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
$330.03
$374.57
$421.77
$589.42
$895.68
$660.06
$749.14
$843.54
$1,178.84
$1,791.36
$912.53
$1,001.61
$1,096.01
$1,431.31
$1,165.00
$1,254.08
$1,348.48
$1,683.78
$1,417.47
$1,506.55
$1,600.95
$1,936.25
$582.50
$627.04
$674.24
$841.89
$834.97
$879.51
$926.71
$1,094.36
$1,087.44
$1,131.98
$1,179.18
$1,346.83
$252.47

Plan: (EPO) Ambetter Balanced Care 12 (2018)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1182 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

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
$369.24
$419.07
$471.87
$659.44
$1,002.08
$738.48
$838.14
$943.74
$1,318.88
$2,004.16
$1,020.94
$1,120.60
$1,226.20
$1,601.34
$1,303.40
$1,403.06
$1,508.66
$1,883.80
$1,585.86
$1,685.52
$1,791.12
$2,166.26
$651.70
$701.53
$754.33
$941.90
$934.16
$983.99
$1,036.79
$1,224.36
$1,216.62
$1,266.45
$1,319.25
$1,506.82
$282.46

Plan: (EPO) Ambetter Essential Care 2 HSA (2018)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1182 - Provider Directory for This Plan: (Celtic Insurance Company)

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
$320.14
$363.35
$409.13
$571.76
$868.84
$640.28
$726.70
$818.26
$1,143.52
$1,737.68
$885.18
$971.60
$1,063.16
$1,388.42
$1,130.08
$1,216.50
$1,308.06
$1,633.32
$1,374.98
$1,461.40
$1,552.96
$1,878.22
$565.04
$608.25
$654.03
$816.66
$809.94
$853.15
$898.93
$1,061.56
$1,054.84
$1,098.05
$1,143.83
$1,306.46
$244.90

Plan: (EPO) Ambetter Balanced Care 5 (2018)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1182 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $7,350 : Family: $14,700
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

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
$322.53
$366.06
$412.18
$576.02
$875.32
$645.06
$732.12
$824.36
$1,152.04
$1,750.64
$891.79
$978.85
$1,071.09
$1,398.77
$1,138.52
$1,225.58
$1,317.82
$1,645.50
$1,385.25
$1,472.31
$1,564.55
$1,892.23
$569.26
$612.79
$658.91
$822.75
$815.99
$859.52
$905.64
$1,069.48
$1,062.72
$1,106.25
$1,152.37
$1,316.21
$246.73

Plan: (EPO) Ambetter Balanced Care 1 (2018) + Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1182 - 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
$351.83
$399.31
$449.62
$628.34
$954.83
$703.66
$798.62
$899.24
$1,256.68
$1,909.66
$972.80
$1,067.76
$1,168.38
$1,525.82
$1,241.94
$1,336.90
$1,437.52
$1,794.96
$1,511.08
$1,606.04
$1,706.66
$2,064.10
$620.97
$668.45
$718.76
$897.48
$890.11
$937.59
$987.90
$1,166.62
$1,159.25
$1,206.73
$1,257.04
$1,435.76
$269.14

Plan: (EPO) Ambetter Balanced Care 2 (2018) + Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1182 - 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
$345.61
$392.25
$441.67
$617.23
$937.95
$691.22
$784.50
$883.34
$1,234.46
$1,875.90
$955.60
$1,048.88
$1,147.72
$1,498.84
$1,219.98
$1,313.26
$1,412.10
$1,763.22
$1,484.36
$1,577.64
$1,676.48
$2,027.60
$609.99
$656.63
$706.05
$881.61
$874.37
$921.01
$970.43
$1,145.99
$1,138.75
$1,185.39
$1,234.81
$1,410.37
$264.38

Plan: (EPO) Ambetter Balanced Care 10 (2018) + Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1182 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,700 : Family: $13,400

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
Silver 21
30
40
50
60
$368.41
$418.14
$470.82
$657.97
$999.85
$736.82
$836.28
$941.64
$1,315.94
$1,999.70
$1,018.65
$1,118.11
$1,223.47
$1,597.77
$1,300.48
$1,399.94
$1,505.30
$1,879.60
$1,582.31
$1,681.77
$1,787.13
$2,161.43
$650.24
$699.97
$752.65
$939.80
$932.07
$981.80
$1,034.48
$1,221.63
$1,213.90
$1,263.63
$1,316.31
$1,503.46
$281.83

Plan: (EPO) Ambetter Balanced Care 1 (2018) + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1182 - 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
$370.36
$420.35
$473.31
$661.45
$1,005.14
$740.72
$840.70
$946.62
$1,322.90
$2,010.28
$1,024.04
$1,124.02
$1,229.94
$1,606.22
$1,307.36
$1,407.34
$1,513.26
$1,889.54
$1,590.68
$1,690.66
$1,796.58
$2,172.86
$653.68
$703.67
$756.63
$944.77
$937.00
$986.99
$1,039.95
$1,228.09
$1,220.32
$1,270.31
$1,323.27
$1,511.41
$283.32

Plan: (EPO) Ambetter Balanced Care 2 (2018) + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1182 - 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
$363.81
$412.92
$464.94
$649.75
$987.37
$727.62
$825.84
$929.88
$1,299.50
$1,974.74
$1,005.93
$1,104.15
$1,208.19
$1,577.81
$1,284.24
$1,382.46
$1,486.50
$1,856.12
$1,562.55
$1,660.77
$1,764.81
$2,134.43
$642.12
$691.23
$743.25
$928.06
$920.43
$969.54
$1,021.56
$1,206.37
$1,198.74
$1,247.85
$1,299.87
$1,484.68
$278.31

Plan: (EPO) Ambetter Balanced Care 10 (2018) + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1182 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,700 : Family: $13,400

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
Silver 21
30
40
50
60
$387.83
$440.17
$495.63
$692.64
$1,052.53
$775.66
$880.34
$991.26
$1,385.28
$2,105.06
$1,072.34
$1,177.02
$1,287.94
$1,681.96
$1,369.02
$1,473.70
$1,584.62
$1,978.64
$1,665.70
$1,770.38
$1,881.30
$2,275.32
$684.51
$736.85
$792.31
$989.32
$981.19
$1,033.53
$1,088.99
$1,286.00
$1,277.87
$1,330.21
$1,385.67
$1,582.68
$296.68

‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Johnson County here.

 

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