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Providers for Zip Code 72543

Obamacare 2019 Marketplace Rates For Cleburne County, Arkansas

Wednesday, April 17th, 2024


The health insurance rates listed below are for calendar year 2019.

2019 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

(click here for 2017)

(click here for 2018)

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

Obamacare Providers, Plans and 2019 Rates for Cleburne County

Cleburne County is in “Rating Area 1” of Arkansas.

Currently, there are 25 plans offered in Rating Area 1.

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 Heber Springs, AR area accept this insurance coverage as within the plan's "network".
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QualChoice Life & Health Insurance Company, Inc.

Local: 1-501-228-7111x7006 | Toll Free: 1-800-235-7111

TTY: 1-501-219-5188

Plan: (PPO) Silver 6500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-235-7111 - Provider Directory for This Plan: (QualChoice Life & Health Insurance Company, Inc.)

Deductible: Individual: $6,500 : Family: $13,000
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
$330.92
$375.60
$422.92
$591.03
$898.12
$661.84
$751.20
$845.84
$1,182.06
$1,796.24
$915.00
$1,004.36
$1,099.00
$1,435.22
$1,168.16
$1,257.52
$1,352.16
$1,688.38
$1,421.32
$1,510.68
$1,605.32
$1,941.54
$584.08
$628.76
$676.08
$844.19
$837.24
$881.92
$929.24
$1,097.35
$1,090.40
$1,135.08
$1,182.40
$1,350.51
$302.13

Plan: (PPO) Gold 2000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-235-7111 - Provider Directory for This Plan: (QualChoice Life & Health Insurance Company, Inc.)

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000

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
$369.94
$419.88
$472.79
$660.72
$1,004.02
$739.88
$839.76
$945.58
$1,321.44
$2,008.04
$1,022.89
$1,122.77
$1,228.59
$1,604.45
$1,305.90
$1,405.78
$1,511.60
$1,887.46
$1,588.91
$1,688.79
$1,794.61
$2,170.47
$652.95
$702.89
$755.80
$943.73
$935.96
$985.90
$1,038.81
$1,226.74
$1,218.97
$1,268.91
$1,321.82
$1,509.75
$337.76

Plan: (PPO) Silver Saver 4000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-235-7111 - Provider Directory for This Plan: (QualChoice Life & Health Insurance Company, Inc.)

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $5,250 : Family: $10,500

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
Silver 21
30
40
50
60
$330.92
$375.60
$422.92
$591.03
$898.12
$661.84
$751.20
$845.84
$1,182.06
$1,796.24
$915.00
$1,004.36
$1,099.00
$1,435.22
$1,168.16
$1,257.52
$1,352.16
$1,688.38
$1,421.32
$1,510.68
$1,605.32
$1,941.54
$584.08
$628.76
$676.08
$844.19
$837.24
$881.92
$929.24
$1,097.35
$1,090.40
$1,135.08
$1,182.40
$1,350.51
$302.13
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Celtic Insurance Company

Local: 1-877-617-0390 | Toll Free: 1-877-617-0390

TTY: 1-877-617-0392

Plan: (PPO) Ambetter Secure Care 2 (2019) with 3 Free PCP Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-617-0390 - 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
$366.81
$416.31
$468.77
$655.10
$995.49
$733.62
$832.62
$937.54
$1,310.20
$1,990.98
$1,014.22
$1,113.22
$1,218.14
$1,590.80
$1,294.82
$1,393.82
$1,498.74
$1,871.40
$1,575.42
$1,674.42
$1,779.34
$2,152.00
$647.41
$696.91
$749.37
$935.70
$928.01
$977.51
$1,029.97
$1,216.30
$1,208.61
$1,258.11
$1,310.57
$1,496.90
$334.89

Plan: (PPO) Ambetter Essential Care 6 (2019)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-617-0390 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $5,650 : Family: $11,300
Out of Pocket Maximum per year: Individual: $7,650 : Family: $15,300

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
$259.81
$294.87
$332.03
$464.01
$705.10
$519.62
$589.74
$664.06
$928.02
$1,410.20
$718.37
$788.49
$862.81
$1,126.77
$917.12
$987.24
$1,061.56
$1,325.52
$1,115.87
$1,185.99
$1,260.31
$1,524.27
$458.56
$493.62
$530.78
$662.76
$657.31
$692.37
$729.53
$861.51
$856.06
$891.12
$928.28
$1,060.26
$237.20

Plan: (PPO) Ambetter Balanced Care 7 (2019)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-617-0390 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $5,100 : Family: $10,200
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

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
$307.47
$348.96
$392.93
$549.12
$834.44
$614.94
$697.92
$785.86
$1,098.24
$1,668.88
$850.14
$933.12
$1,021.06
$1,333.44
$1,085.34
$1,168.32
$1,256.26
$1,568.64
$1,320.54
$1,403.52
$1,491.46
$1,803.84
$542.67
$584.16
$628.13
$784.32
$777.87
$819.36
$863.33
$1,019.52
$1,013.07
$1,054.56
$1,098.53
$1,254.72
$280.71

Plan: (PPO) Ambetter Balanced Care 6 (2019)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-617-0390 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,750 : Family: $13,500

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
Silver 21
30
40
50
60
$301.63
$342.33
$385.46
$538.69
$818.58
$603.26
$684.66
$770.92
$1,077.38
$1,637.16
$834.00
$915.40
$1,001.66
$1,308.12
$1,064.74
$1,146.14
$1,232.40
$1,538.86
$1,295.48
$1,376.88
$1,463.14
$1,769.60
$532.37
$573.07
$616.20
$769.43
$763.11
$803.81
$846.94
$1,000.17
$993.85
$1,034.55
$1,077.68
$1,230.91
$275.37

Plan: (PPO) Ambetter Balanced Care 11 (2019)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-617-0390 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$283.79
$322.09
$362.67
$506.84
$770.19
$567.58
$644.18
$725.34
$1,013.68
$1,540.38
$784.67
$861.27
$942.43
$1,230.77
$1,001.76
$1,078.36
$1,159.52
$1,447.86
$1,218.85
$1,295.45
$1,376.61
$1,664.95
$500.88
$539.18
$579.76
$723.93
$717.97
$756.27
$796.85
$941.02
$935.06
$973.36
$1,013.94
$1,158.11
$259.09

Plan: (PPO) Ambetter Balanced Care 4 (2019)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-617-0390 - 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
$303.78
$344.78
$388.22
$542.53
$824.43
$607.56
$689.56
$776.44
$1,085.06
$1,648.86
$839.94
$921.94
$1,008.82
$1,317.44
$1,072.32
$1,154.32
$1,241.20
$1,549.82
$1,304.70
$1,386.70
$1,473.58
$1,782.20
$536.16
$577.16
$620.60
$774.91
$768.54
$809.54
$852.98
$1,007.29
$1,000.92
$1,041.92
$1,085.36
$1,239.67
$277.34

Plan: (PPO) Ambetter Balanced Care 7 (2019) + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-617-0390 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $5,100 : Family: $10,200
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

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
$330.55
$375.16
$422.43
$590.34
$897.09
$661.10
$750.32
$844.86
$1,180.68
$1,794.18
$913.96
$1,003.18
$1,097.72
$1,433.54
$1,166.82
$1,256.04
$1,350.58
$1,686.40
$1,419.68
$1,508.90
$1,603.44
$1,939.26
$583.41
$628.02
$675.29
$843.20
$836.27
$880.88
$928.15
$1,096.06
$1,089.13
$1,133.74
$1,181.01
$1,348.92
$301.78

Plan: (PPO) Ambetter Balanced Care 6 (2019) + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-617-0390 - Provider Directory for This Plan: (Celtic Insurance Company)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,750 : Family: $13,500

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
Silver 21
30
40
50
60
$324.27
$368.04
$414.40
$579.13
$880.04
$648.54
$736.08
$828.80
$1,158.26
$1,760.08
$896.60
$984.14
$1,076.86
$1,406.32
$1,144.66
$1,232.20
$1,324.92
$1,654.38
$1,392.72
$1,480.26
$1,572.98
$1,902.44
$572.33
$616.10
$662.46
$827.19
$820.39
$864.16
$910.52
$1,075.25
$1,068.45
$1,112.22
$1,158.58
$1,323.31
$296.05
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QCA Health Plan, Inc.

Local: 1-501-228-7111x7006 | Toll Free: 1-800-235-7111

TTY: 1-501-219-5188

Plan: (POS) Bronze Classic Saver 5000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-235-7111 - Provider Directory for This Plan: (QCA Health Plan, Inc.)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

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
$280.34
$318.18
$358.27
$500.68
$760.83
$560.68
$636.36
$716.54
$1,001.36
$1,521.66
$775.14
$850.82
$931.00
$1,215.82
$989.60
$1,065.28
$1,145.46
$1,430.28
$1,204.06
$1,279.74
$1,359.92
$1,644.74
$494.80
$532.64
$572.73
$715.14
$709.26
$747.10
$787.19
$929.60
$923.72
$961.56
$1,001.65
$1,144.06
$255.95

Plan: (POS) Silver Classic 6500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-235-7111 - Provider Directory for This Plan: (QCA Health Plan, Inc.)

Deductible: Individual: $6,500 : Family: $13,000
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
$330.92
$375.60
$422.92
$591.03
$898.12
$661.84
$751.20
$845.84
$1,182.06
$1,796.24
$915.00
$1,004.36
$1,099.00
$1,435.22
$1,168.16
$1,257.52
$1,352.16
$1,688.38
$1,421.32
$1,510.68
$1,605.32
$1,941.54
$584.08
$628.76
$676.08
$844.19
$837.24
$881.92
$929.24
$1,097.35
$1,090.40
$1,135.08
$1,182.40
$1,350.51
$302.13

Plan: (POS) Silver Classic Saver 4000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-235-7111 - Provider Directory for This Plan: (QCA Health Plan, Inc.)

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $5,250 : Family: $10,500

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
Silver 21
30
40
50
60
$330.92
$375.60
$422.92
$591.03
$898.12
$661.84
$751.20
$845.84
$1,182.06
$1,796.24
$915.00
$1,004.36
$1,099.00
$1,435.22
$1,168.16
$1,257.52
$1,352.16
$1,688.38
$1,421.32
$1,510.68
$1,605.32
$1,941.54
$584.08
$628.76
$676.08
$844.19
$837.24
$881.92
$929.24
$1,097.35
$1,090.40
$1,135.08
$1,182.40
$1,350.51
$302.13

Plan: (POS) Catastrophic

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-235-7111 - Provider Directory for This Plan: (QCA Health Plan, Inc.)

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
Catastrophic 21
30
40
50
60
$190.45
$216.16
$243.39
$340.14
$516.87
$380.90
$432.32
$486.78
$680.28
$1,033.74
$526.59
$578.01
$632.47
$825.97
$672.28
$723.70
$778.16
$971.66
$817.97
$869.39
$923.85
$1,117.35
$336.14
$361.85
$389.08
$485.83
$481.83
$507.54
$534.77
$631.52
$627.52
$653.23
$680.46
$777.21
$173.88

Plan: (POS) Gold Classic 2000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-235-7111 - Provider Directory for This Plan: (QCA Health Plan, Inc.)

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000

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
$369.94
$419.88
$472.79
$660.72
$1,004.02
$739.88
$839.76
$945.58
$1,321.44
$2,008.04
$1,022.89
$1,122.77
$1,228.59
$1,604.45
$1,305.90
$1,405.78
$1,511.60
$1,887.46
$1,588.91
$1,688.79
$1,794.61
$2,170.47
$652.95
$702.89
$755.80
$943.73
$935.96
$985.90
$1,038.81
$1,226.74
$1,218.97
$1,268.91
$1,321.82
$1,509.75
$337.76
ADVERTISEMENT

USAble Mutual Insurance Company

Local: 1-800-800-4298 | Toll Free: 1-800-800-4298

TTY: 1-800-800-4298

Plan: (PPO) Silver Plan 1

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)

Deductible: Individual: $1,850 : Family: $3,700
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$300.37
$340.92
$383.87
$536.46
$815.20
$600.74
$681.84
$767.74
$1,072.92
$1,630.40
$830.52
$911.62
$997.52
$1,302.70
$1,060.30
$1,141.40
$1,227.30
$1,532.48
$1,290.08
$1,371.18
$1,457.08
$1,762.26
$530.15
$570.70
$613.65
$766.24
$759.93
$800.48
$843.43
$996.02
$989.71
$1,030.26
$1,073.21
$1,225.80
$274.24

Plan: (PPO) Silver Plan AW1

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$302.14
$342.93
$386.13
$539.62
$820.01
$604.28
$685.86
$772.26
$1,079.24
$1,640.02
$835.42
$917.00
$1,003.40
$1,310.38
$1,066.56
$1,148.14
$1,234.54
$1,541.52
$1,297.70
$1,379.28
$1,465.68
$1,772.66
$533.28
$574.07
$617.27
$770.76
$764.42
$805.21
$848.41
$1,001.90
$995.56
$1,036.35
$1,079.55
$1,233.04
$275.85

Plan: (PPO) Silver Plan HSA1

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)

Deductible: Individual: $3,600 : Family: $7,200
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
$310.68
$352.62
$397.05
$554.87
$843.19
$621.36
$705.24
$794.10
$1,109.74
$1,686.38
$859.03
$942.91
$1,031.77
$1,347.41
$1,096.70
$1,180.58
$1,269.44
$1,585.08
$1,334.37
$1,418.25
$1,507.11
$1,822.75
$548.35
$590.29
$634.72
$792.54
$786.02
$827.96
$872.39
$1,030.21
$1,023.69
$1,065.63
$1,110.06
$1,267.88
$283.65

Plan: (PPO) Bronze Plan 1

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)

Deductible: Individual: $6,600 : Family: $13,200
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
Expanded Bronze 21
30
40
50
60
$256.25
$290.84
$327.49
$457.66
$695.46
$512.50
$581.68
$654.98
$915.32
$1,390.92
$708.53
$777.71
$851.01
$1,111.35
$904.56
$973.74
$1,047.04
$1,307.38
$1,100.59
$1,169.77
$1,243.07
$1,503.41
$452.28
$486.87
$523.52
$653.69
$648.31
$682.90
$719.55
$849.72
$844.34
$878.93
$915.58
$1,045.75
$233.96

Plan: (PPO) Bronze Plan HSA1

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)

Deductible: Individual: $6,400 : Family: $12,800
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
$250.37
$284.17
$319.97
$447.16
$679.50
$500.74
$568.34
$639.94
$894.32
$1,359.00
$692.27
$759.87
$831.47
$1,085.85
$883.80
$951.40
$1,023.00
$1,277.38
$1,075.33
$1,142.93
$1,214.53
$1,468.91
$441.90
$475.70
$511.50
$638.69
$633.43
$667.23
$703.03
$830.22
$824.96
$858.76
$894.56
$1,021.75
$228.59

Plan: (PPO) Silver Plan 2

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$297.86
$338.07
$380.67
$531.98
$808.39
$595.72
$676.14
$761.34
$1,063.96
$1,616.78
$823.58
$904.00
$989.20
$1,291.82
$1,051.44
$1,131.86
$1,217.06
$1,519.68
$1,279.30
$1,359.72
$1,444.92
$1,747.54
$525.72
$565.93
$608.53
$759.84
$753.58
$793.79
$836.39
$987.70
$981.44
$1,021.65
$1,064.25
$1,215.56
$271.95

Plan: (PPO) Silver Plan 4

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)

Deductible: Individual: $5,250 : Family: $10,500
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$298.04
$338.28
$380.90
$532.30
$808.88
$596.08
$676.56
$761.80
$1,064.60
$1,617.76
$824.08
$904.56
$989.80
$1,292.60
$1,052.08
$1,132.56
$1,217.80
$1,520.60
$1,280.08
$1,360.56
$1,445.80
$1,748.60
$526.04
$566.28
$608.90
$760.30
$754.04
$794.28
$836.90
$988.30
$982.04
$1,022.28
$1,064.90
$1,216.30
$272.11

Plan: (PPO) Silver Plan AWM1

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)

Deductible: Individual: $2,650 : Family: $5,300
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$302.18
$342.97
$386.19
$539.69
$820.12
$604.36
$685.94
$772.38
$1,079.38
$1,640.24
$835.53
$917.11
$1,003.55
$1,310.55
$1,066.70
$1,148.28
$1,234.72
$1,541.72
$1,297.87
$1,379.45
$1,465.89
$1,772.89
$533.35
$574.14
$617.36
$770.86
$764.52
$805.31
$848.53
$1,002.03
$995.69
$1,036.48
$1,079.70
$1,233.20
$275.89

Plan: (PPO) Gold Plan HSA M1

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-800-4298 - Provider Directory for This Plan: (USAble Mutual Insurance Company)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $3,000 : Family: $6,000

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
$393.22
$446.30
$502.54
$702.29
$1,067.20
$786.44
$892.60
$1,005.08
$1,404.58
$2,134.40
$1,087.25
$1,193.41
$1,305.89
$1,705.39
$1,388.06
$1,494.22
$1,606.70
$2,006.20
$1,688.87
$1,795.03
$1,907.51
$2,307.01
$694.03
$747.11
$803.35
$1,003.10
$994.84
$1,047.92
$1,104.16
$1,303.91
$1,295.65
$1,348.73
$1,404.97
$1,604.72
$359.01

‡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 Cleburne County here.

 

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