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Providers for Zip Code 84404

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Obamacare 2018 Marketplace Rates For Weber County, Utah

Friday, April 19th, 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 Weber County, Utah.

Obamacare Providers, Plans and 2018 Rates for Weber County

Weber County is in “Rating Area 2” of Utah.

Currently, there are 28 plans offered in Rating Area 2.

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 Ogden, UT area accept this insurance coverage as within the plan's "network".
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University of Utah Health Insurance Plans

Local: 1-801-587-6480 x1 | Toll Free: 1-888-271-5870

TTY: 1-800-346-4128

Plan: (EPO) Healthy Premier Gold Copay

Summary 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: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $7,000 : Family: $14,000

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		 $466.37
$648.25
$689.76
$991.97
$1,399.11		 $932.74
$1,296.50
$1,379.52
$1,983.94
$2,798.22		 $1,302.57
$1,666.33
$1,749.35
$2,353.77		 $1,672.40
$2,036.16
$2,119.18
$2,723.60		 $2,042.23
$2,405.99
$2,489.01
$3,093.43		 $836.20
$1,018.08
$1,059.59
$1,361.80		 $1,206.03
$1,387.91
$1,429.42
$1,731.63		 $1,575.86
$1,757.74
$1,799.25
$2,101.46		 $369.83

Plan: (EPO) Healthy Premier Silver Copay

Summary 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: $4,500 : Family: $9,000
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		 $417.44
$580.24
$617.40
$887.90
$1,252.32		 $834.88
$1,160.48
$1,234.80
$1,775.80
$2,504.64		 $1,165.91
$1,491.51
$1,565.83
$2,106.83		 $1,496.94
$1,822.54
$1,896.86
$2,437.86		 $1,827.97
$2,153.57
$2,227.89
$2,768.89		 $748.47
$911.27
$948.43
$1,218.93		 $1,079.50
$1,242.30
$1,279.46
$1,549.96		 $1,410.53
$1,573.33
$1,610.49
$1,880.99		 $331.03

Plan: (EPO) Healthy Premier Bronze HSA

Summary 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: $6,650 : Family: $13,300
Out of Pocket Maximum per year: 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		 $265.09
$368.47
$392.07
$563.84
$795.27		 $530.18
$736.94
$784.14
$1,127.68
$1,590.54		 $740.40
$947.16
$994.36
$1,337.90		 $950.62
$1,157.38
$1,204.58
$1,548.12		 $1,160.84
$1,367.60
$1,414.80
$1,758.34		 $475.31
$578.69
$602.29
$774.06		 $685.53
$788.91
$812.51
$984.28		 $895.75
$999.13
$1,022.73
$1,194.50		 $210.22

Plan: (EPO) Healthy Premier Bronze w/3 Copays before Deductible

Summary 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
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		 $262.41
$364.74
$388.10
$558.14
$787.22		 $524.82
$729.48
$776.20
$1,116.28
$1,574.44		 $732.91
$937.57
$984.29
$1,324.37		 $941.00
$1,145.66
$1,192.38
$1,532.46		 $1,149.09
$1,353.75
$1,400.47
$1,740.55		 $470.50
$572.83
$596.19
$766.23		 $678.59
$780.92
$804.28
$974.32		 $886.68
$989.01
$1,012.37
$1,182.41		 $208.09
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SelectHealth

Local: 1-801-442-5038 | Toll Free: 1-800-538-5038

Plan: (HMO) Select Med Silver 1800

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

Deductible: Individual: $1,800 : Family: $3,600
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		 $407.87
$566.94
$603.24
$867.55
$1,223.59		 $815.74
$1,133.88
$1,206.48
$1,735.10
$2,447.18		 $1,139.18
$1,457.32
$1,529.92
$2,058.54		 $1,462.62
$1,780.76
$1,853.36
$2,381.98		 $1,786.06
$2,104.20
$2,176.80
$2,705.42		 $731.31
$890.38
$926.68
$1,190.99		 $1,054.75
$1,213.82
$1,250.12
$1,514.43		 $1,378.19
$1,537.26
$1,573.56
$1,837.87		 $323.44

Plan: (HMO) Select Med Gold 1500 - no deductible for office visits

Summary 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
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $481.85
$669.78
$712.66
$1,024.90
$1,445.52		 $963.70
$1,339.56
$1,425.32
$2,049.80
$2,891.04		 $1,345.81
$1,721.67
$1,807.43
$2,431.91		 $1,727.92
$2,103.78
$2,189.54
$2,814.02		 $2,110.03
$2,485.89
$2,571.65
$3,196.13		 $863.96
$1,051.89
$1,094.77
$1,407.01		 $1,246.07
$1,434.00
$1,476.88
$1,789.12		 $1,628.18
$1,816.11
$1,858.99
$2,171.23		 $382.11

Plan: (HMO) Select Med Bronze 6700 - limited office visit waiver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

Deductible: Individual: $6,700 : Family: $13,400
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		 $244.62
$340.02
$361.80
$520.31
$733.85		 $489.24
$680.04
$723.60
$1,040.62
$1,467.70		 $683.23
$874.03
$917.59
$1,234.61		 $877.22
$1,068.02
$1,111.58
$1,428.60		 $1,071.21
$1,262.01
$1,305.57
$1,622.59		 $438.61
$534.01
$555.79
$714.30		 $632.60
$728.00
$749.78
$908.29		 $826.59
$921.99
$943.77
$1,102.28		 $193.99

Plan: (HMO) Select Med Silver 4000 Copay Plan - no deductible for office visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

Deductible: Individual: $4,000 : Family: $8,000
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		 $432.03
$600.53
$638.98
$918.94
$1,296.06		 $864.06
$1,201.06
$1,277.96
$1,837.88
$2,592.12		 $1,206.66
$1,543.66
$1,620.56
$2,180.48		 $1,549.26
$1,886.26
$1,963.16
$2,523.08		 $1,891.86
$2,228.86
$2,305.76
$2,865.68		 $774.63
$943.13
$981.58
$1,261.54		 $1,117.23
$1,285.73
$1,324.18
$1,604.14		 $1,459.83
$1,628.33
$1,666.78
$1,946.74		 $342.60

Plan: (HMO) Select Med HealthSave Bronze 6650 (HSA Qualified)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

Deductible: Individual: $6,650 : Family: $13,300
Out of Pocket Maximum per year: 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		 $236.74
$329.07
$350.14
$503.54
$710.19		 $473.48
$658.14
$700.28
$1,007.08
$1,420.38		 $661.21
$845.87
$888.01
$1,194.81		 $848.94
$1,033.60
$1,075.74
$1,382.54		 $1,036.67
$1,221.33
$1,263.47
$1,570.27		 $424.47
$516.80
$537.87
$691.27		 $612.20
$704.53
$725.60
$879.00		 $799.93
$892.26
$913.33
$1,066.73		 $187.73

Plan: (HMO) Select Med Catastrophic 7350

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

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
Catastrophic 21
30
40
50
60		 $207.63
$288.61
$307.09
$441.63
$622.88		 $415.26
$577.22
$614.18
$883.26
$1,245.76		 $579.91
$741.87
$778.83
$1,047.91		 $744.56
$906.52
$943.48
$1,212.56		 $909.21
$1,071.17
$1,108.13
$1,377.21		 $372.28
$453.26
$471.74
$606.28		 $536.93
$617.91
$636.39
$770.93		 $701.58
$782.56
$801.04
$935.58		 $164.65

Plan: (HMO) Select Med HealthSave Silver 3100 (HSA Qualified)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

Deductible: Individual: $3,100 : Family: $6,200
Out of Pocket Maximum per year: 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
Silver 21
30
40
50
60		 $430.56
$598.47
$636.79
$915.79
$1,291.63		 $861.12
$1,196.94
$1,273.58
$1,831.58
$2,583.26		 $1,202.56
$1,538.38
$1,615.02
$2,173.02		 $1,544.00
$1,879.82
$1,956.46
$2,514.46		 $1,885.44
$2,221.26
$2,297.90
$2,855.90		 $772.00
$939.91
$978.23
$1,257.23		 $1,113.44
$1,281.35
$1,319.67
$1,598.67		 $1,454.88
$1,622.79
$1,661.11
$1,940.11		 $341.44

Plan: (HMO) Select Value Gold 1500 - no deductible for office visits

Summary 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
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $426.44
$592.75
$630.71
$907.04
$1,279.28		 $852.88
$1,185.50
$1,261.42
$1,814.08
$2,558.56		 $1,191.05
$1,523.67
$1,599.59
$2,152.25		 $1,529.22
$1,861.84
$1,937.76
$2,490.42		 $1,867.39
$2,200.01
$2,275.93
$2,828.59		 $764.61
$930.92
$968.88
$1,245.21		 $1,102.78
$1,269.09
$1,307.05
$1,583.38		 $1,440.95
$1,607.26
$1,645.22
$1,921.55		 $338.17

Plan: (HMO) Select Value Silver 1800

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

Deductible: Individual: $1,800 : Family: $3,600
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		 $360.97
$501.74
$533.87
$767.78
$1,082.88		 $721.94
$1,003.48
$1,067.74
$1,535.56
$2,165.76		 $1,008.18
$1,289.72
$1,353.98
$1,821.80		 $1,294.42
$1,575.96
$1,640.22
$2,108.04		 $1,580.66
$1,862.20
$1,926.46
$2,394.28		 $647.21
$787.98
$820.11
$1,054.02		 $933.45
$1,074.22
$1,106.35
$1,340.26		 $1,219.69
$1,360.46
$1,392.59
$1,626.50		 $286.24

Plan: (HMO) Select Value Bronze 6700 - limited office visit waiver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

Deductible: Individual: $6,700 : Family: $13,400
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		 $216.49
$300.92
$320.19
$460.47
$649.46		 $432.98
$601.84
$640.38
$920.94
$1,298.92		 $604.66
$773.52
$812.06
$1,092.62		 $776.34
$945.20
$983.74
$1,264.30		 $948.02
$1,116.88
$1,155.42
$1,435.98		 $388.17
$472.60
$491.87
$632.15		 $559.85
$644.28
$663.55
$803.83		 $731.53
$815.96
$835.23
$975.51		 $171.68

Plan: (HMO) Select Value Silver 4000 Copay Plan - no deductible for office visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

Deductible: Individual: $4,000 : Family: $8,000
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		 $382.35
$531.47
$565.50
$813.26
$1,147.01		 $764.70
$1,062.94
$1,131.00
$1,626.52
$2,294.02		 $1,067.90
$1,366.14
$1,434.20
$1,929.72		 $1,371.10
$1,669.34
$1,737.40
$2,232.92		 $1,674.30
$1,972.54
$2,040.60
$2,536.12		 $685.55
$834.67
$868.70
$1,116.46		 $988.75
$1,137.87
$1,171.90
$1,419.66		 $1,291.95
$1,441.07
$1,475.10
$1,722.86		 $303.20

Plan: (HMO) Select Med Benchmark Bronze 6350

Summary 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
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		 $231.30
$321.51
$342.10
$491.98
$693.88		 $462.60
$643.02
$684.20
$983.96
$1,387.76		 $646.02
$826.44
$867.62
$1,167.38		 $829.44
$1,009.86
$1,051.04
$1,350.80		 $1,012.86
$1,193.28
$1,234.46
$1,534.22		 $414.72
$504.93
$525.52
$675.40		 $598.14
$688.35
$708.94
$858.82		 $781.56
$871.77
$892.36
$1,042.24		 $183.42

Plan: (HMO) Select Value HealthSave Bronze 6650 (HSA qualified) – Rewards

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

Deductible: Individual: $6,650 : Family: $13,300
Out of Pocket Maximum per year: 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		 $209.51
$291.23
$309.87
$445.63
$628.52		 $419.02
$582.46
$619.74
$891.26
$1,257.04		 $585.16
$748.60
$785.88
$1,057.40		 $751.30
$914.74
$952.02
$1,223.54		 $917.44
$1,080.88
$1,118.16
$1,389.68		 $375.65
$457.37
$476.01
$611.77		 $541.79
$623.51
$642.15
$777.91		 $707.93
$789.65
$808.29
$944.05		 $166.14

Plan: (HMO) Select Value HealthSave Silver 3100 (HSA Qualified)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

Deductible: Individual: $3,100 : Family: $6,200
Out of Pocket Maximum per year: 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
Silver 21
30
40
50
60		 $381.04
$529.65
$563.56
$810.48
$1,143.09		 $762.08
$1,059.30
$1,127.12
$1,620.96
$2,286.18		 $1,064.25
$1,361.47
$1,429.29
$1,923.13		 $1,366.42
$1,663.64
$1,731.46
$2,225.30		 $1,668.59
$1,965.81
$2,033.63
$2,527.47		 $683.21
$831.82
$865.73
$1,112.65		 $985.38
$1,133.99
$1,167.90
$1,414.82		 $1,287.55
$1,436.16
$1,470.07
$1,716.99		 $302.17

Plan: (HMO) Select Value Catastrophic 7350

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

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
Catastrophic 21
30
40
50
60		 $183.76
$255.42
$271.77
$390.84
$551.25		 $367.52
$510.84
$543.54
$781.68
$1,102.50		 $513.24
$656.56
$689.26
$927.40		 $658.96
$802.28
$834.98
$1,073.12		 $804.68
$948.00
$980.70
$1,218.84		 $329.48
$401.14
$417.49
$536.56		 $475.20
$546.86
$563.21
$682.28		 $620.92
$692.58
$708.93
$828.00		 $145.72

Plan: (HMO) Select Value Silver 2500 - no deductible for office visits

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
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		 $381.04
$529.65
$563.56
$810.48
$1,143.09		 $762.08
$1,059.30
$1,127.12
$1,620.96
$2,286.18		 $1,064.25
$1,361.47
$1,429.29
$1,923.13		 $1,366.42
$1,663.64
$1,731.46
$2,225.30		 $1,668.59
$1,965.81
$2,033.63
$2,527.47		 $683.21
$831.82
$865.73
$1,112.65		 $985.38
$1,133.99
$1,167.90
$1,414.82		 $1,287.55
$1,436.16
$1,470.07
$1,716.99		 $302.17

Plan: (HMO) Select Med Silver 2500 - no deductible for office visits

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
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		 $430.56
$598.47
$636.79
$915.79
$1,291.63		 $861.12
$1,196.94
$1,273.58
$1,831.58
$2,583.26		 $1,202.56
$1,538.38
$1,615.02
$2,173.02		 $1,544.00
$1,879.82
$1,956.46
$2,514.46		 $1,885.44
$2,221.26
$2,297.90
$2,855.90		 $772.00
$939.91
$978.23
$1,257.23		 $1,113.44
$1,281.35
$1,319.67
$1,598.67		 $1,454.88
$1,622.79
$1,661.11
$1,940.11		 $341.44

Plan: (HMO) Select Value HealthSave Expanded Bronze 3175 (HSA Qualified)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

Deductible: Individual: $3,175 : Family: $6,350
Out of Pocket Maximum per year: 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
Expanded Bronze 21
30
40
50
60		 $283.71
$394.35
$419.60
$603.44
$851.09		 $567.42
$788.70
$839.20
$1,206.88
$1,702.18		 $792.40
$1,013.68
$1,064.18
$1,431.86		 $1,017.38
$1,238.66
$1,289.16
$1,656.84		 $1,242.36
$1,463.64
$1,514.14
$1,881.82		 $508.69
$619.33
$644.58
$828.42		 $733.67
$844.31
$869.56
$1,053.40		 $958.65
$1,069.29
$1,094.54
$1,278.38		 $224.98

Plan: (HMO) Select Med HealthSave Expanded Bronze 3175 (HSA Qualified)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

Deductible: Individual: $3,175 : Family: $6,350
Out of Pocket Maximum per year: 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
Expanded Bronze 21
30
40
50
60		 $320.57
$445.59
$474.13
$681.86
$961.68		 $641.14
$891.18
$948.26
$1,363.72
$1,923.36		 $895.35
$1,145.39
$1,202.47
$1,617.93		 $1,149.56
$1,399.60
$1,456.68
$1,872.14		 $1,403.77
$1,653.81
$1,710.89
$2,126.35		 $574.78
$699.80
$728.34
$936.07		 $828.99
$954.01
$982.55
$1,190.28		 $1,083.20
$1,208.22
$1,236.76
$1,444.49		 $254.21

Plan: (HMO) Select Value Expanded Bronze 4600 Copay Plan - limited office visit waiver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

Deductible: Individual: $4,600 : Family: $9,200
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		 $266.69
$370.70
$394.43
$567.25
$800.04		 $533.38
$741.40
$788.86
$1,134.50
$1,600.08		 $744.86
$952.88
$1,000.34
$1,345.98		 $956.34
$1,164.36
$1,211.82
$1,557.46		 $1,167.82
$1,375.84
$1,423.30
$1,768.94		 $478.17
$582.18
$605.91
$778.73		 $689.65
$793.66
$817.39
$990.21		 $901.13
$1,005.14
$1,028.87
$1,201.69		 $211.48

Plan: (HMO) Select Med Expanded Bronze 4600 Copay Plan - limited office visit waiver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

Deductible: Individual: $4,600 : Family: $9,200
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		 $301.34
$418.87
$445.69
$640.96
$904.00		 $602.68
$837.74
$891.38
$1,281.92
$1,808.00		 $841.64
$1,076.70
$1,130.34
$1,520.88		 $1,080.60
$1,315.66
$1,369.30
$1,759.84		 $1,319.56
$1,554.62
$1,608.26
$1,998.80		 $540.30
$657.83
$684.65
$879.92		 $779.26
$896.79
$923.61
$1,118.88		 $1,018.22
$1,135.75
$1,162.57
$1,357.84		 $238.96

Plan: (HMO) Select Value Benchmark Bronze 6350

Summary 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
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		 $204.70
$284.54
$302.76
$435.40
$614.09		 $409.40
$569.08
$605.52
$870.80
$1,228.18		 $571.73
$731.41
$767.85
$1,033.13		 $734.06
$893.74
$930.18
$1,195.46		 $896.39
$1,056.07
$1,092.51
$1,357.79		 $367.03
$446.87
$465.09
$597.73		 $529.36
$609.20
$627.42
$760.06		 $691.69
$771.53
$789.75
$922.39		 $162.33

Plan: (HMO) Select Value Benchmark Expanded Bronze 2450

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

Deductible: Individual: $2,450 : Family: $4,900
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		 $260.99
$362.78
$386.01
$555.12
$782.95		 $521.98
$725.56
$772.02
$1,110.24
$1,565.90		 $728.95
$932.53
$978.99
$1,317.21		 $935.92
$1,139.50
$1,185.96
$1,524.18		 $1,142.89
$1,346.47
$1,392.93
$1,731.15		 $467.96
$569.75
$592.98
$762.09		 $674.93
$776.72
$799.95
$969.06		 $881.90
$983.69
$1,006.92
$1,176.03		 $206.97

Plan: (HMO) Select Med Benchmark Expanded Bronze 2450

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-5038 - Provider Directory for This Plan: (SelectHealth)

Deductible: Individual: $2,450 : Family: $4,900
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		 $294.90
$409.92
$436.16
$627.26
$884.69		 $589.80
$819.84
$872.32
$1,254.52
$1,769.38		 $823.66
$1,053.70
$1,106.18
$1,488.38		 $1,057.52
$1,287.56
$1,340.04
$1,722.24		 $1,291.38
$1,521.42
$1,573.90
$1,956.10		 $528.76
$643.78
$670.02
$861.12		 $762.62
$877.64
$903.88
$1,094.98		 $996.48
$1,111.50
$1,137.74
$1,328.84		 $233.86

‡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 Weber County here.

 

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