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Providers for Zip Code 30125

LegalConsumer.com/obamacare

ObamacareByZipCode.com

Obamacare 2019 Marketplace Rates For Polk County, Georgia

Monday, April 15th, 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 Polk County, Georgia.

Obamacare Providers, Plans and 2019 Rates for Polk County

Polk County is in “Rating Area 13” of Georgia.

Currently, there are 21 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 Cedartown, GA area accept this insurance coverage as within the plan's "network".
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Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.

Local: 1-855-738-6652 | Toll Free: 1-855-738-6652

Plan: (HMO) Anthem Catastrophic Pathway X HMO 7900

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, 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		 $231.36
$262.59
$295.68
$413.21
$627.91		 $462.72
$525.18
$591.36
$826.42
$1,255.82		 $639.71
$702.17
$768.35
$1,003.41		 $816.70
$879.16
$945.34
$1,180.40		 $993.69
$1,056.15
$1,122.33
$1,357.39		 $408.35
$439.58
$472.67
$590.20		 $585.34
$616.57
$649.66
$767.19		 $762.33
$793.56
$826.65
$944.18		 $211.23

Plan: (HMO) Anthem Bronze Pathway X HMO 0 for HSA

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)

Deductible: Individual: $6,700 : Family: $13,400
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
Bronze 21
30
40
50
60		 $350.16
$397.43
$447.50
$625.39
$950.33		 $700.32
$794.86
$895.00
$1,250.78
$1,900.66		 $968.19
$1,062.73
$1,162.87
$1,518.65		 $1,236.06
$1,330.60
$1,430.74
$1,786.52		 $1,503.93
$1,598.47
$1,698.61
$2,054.39		 $618.03
$665.30
$715.37
$893.26		 $885.90
$933.17
$983.24
$1,161.13		 $1,153.77
$1,201.04
$1,251.11
$1,429.00		 $319.70

Plan: (HMO) Anthem Bronze Pathway X HMO 5200

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)

Deductible: Individual: $5,200 : Family: $10,400
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
Bronze 21
30
40
50
60		 $359.33
$407.84
$459.22
$641.76
$975.22		 $718.66
$815.68
$918.44
$1,283.52
$1,950.44		 $993.55
$1,090.57
$1,193.33
$1,558.41		 $1,268.44
$1,365.46
$1,468.22
$1,833.30		 $1,543.33
$1,640.35
$1,743.11
$2,108.19		 $634.22
$682.73
$734.11
$916.65		 $909.11
$957.62
$1,009.00
$1,191.54		 $1,184.00
$1,232.51
$1,283.89
$1,466.43		 $328.07

Plan: (HMO) Anthem Silver Pathway X HMO 3000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)

Deductible: Individual: $3,000 : Family: $6,000
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		 $535.09
$607.33
$683.85
$955.67
$1,452.23		 $1,070.18
$1,214.66
$1,367.70
$1,911.34
$2,904.46		 $1,479.52
$1,624.00
$1,777.04
$2,320.68		 $1,888.86
$2,033.34
$2,186.38
$2,730.02		 $2,298.20
$2,442.68
$2,595.72
$3,139.36		 $944.43
$1,016.67
$1,093.19
$1,365.01		 $1,353.77
$1,426.01
$1,502.53
$1,774.35		 $1,763.11
$1,835.35
$1,911.87
$2,183.69		 $488.54

Plan: (HMO) Anthem Bronze Pathway X HMO 5500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)

Deductible: Individual: $5,500 : Family: $11,000
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
Bronze 21
30
40
50
60		 $350.94
$398.32
$448.50
$626.78
$952.45		 $701.88
$796.64
$897.00
$1,253.56
$1,904.90		 $970.35
$1,065.11
$1,165.47
$1,522.03		 $1,238.82
$1,333.58
$1,433.94
$1,790.50		 $1,507.29
$1,602.05
$1,702.41
$2,058.97		 $619.41
$666.79
$716.97
$895.25		 $887.88
$935.26
$985.44
$1,163.72		 $1,156.35
$1,203.73
$1,253.91
$1,432.19		 $320.41

Plan: (HMO) Anthem Silver Pathway X HMO 2000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)

Deductible: Individual: $2,000 : Family: $4,000
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		 $530.10
$601.66
$677.47
$946.76
$1,438.69		 $1,060.20
$1,203.32
$1,354.94
$1,893.52
$2,877.38		 $1,465.73
$1,608.85
$1,760.47
$2,299.05		 $1,871.26
$2,014.38
$2,166.00
$2,704.58		 $2,276.79
$2,419.91
$2,571.53
$3,110.11		 $935.63
$1,007.19
$1,083.00
$1,352.29		 $1,341.16
$1,412.72
$1,488.53
$1,757.82		 $1,746.69
$1,818.25
$1,894.06
$2,163.35		 $483.98

Plan: (HMO) Anthem Silver Pathway X HMO 5300

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)

Deductible: Individual: $5,300 : Family: $10,600
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		 $479.38
$544.10
$612.65
$856.17
$1,301.04		 $958.76
$1,088.20
$1,225.30
$1,712.34
$2,602.08		 $1,325.49
$1,454.93
$1,592.03
$2,079.07		 $1,692.22
$1,821.66
$1,958.76
$2,445.80		 $2,058.95
$2,188.39
$2,325.49
$2,812.53		 $846.11
$910.83
$979.38
$1,222.90		 $1,212.84
$1,277.56
$1,346.11
$1,589.63		 $1,579.57
$1,644.29
$1,712.84
$1,956.36		 $437.67

Plan: (HMO) Anthem Bronze Pathway X HMO 6750

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)

Deductible: Individual: $6,750 : Family: $13,500
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
Bronze 21
30
40
50
60		 $340.21
$386.14
$434.79
$607.62
$923.33		 $680.42
$772.28
$869.58
$1,215.24
$1,846.66		 $940.68
$1,032.54
$1,129.84
$1,475.50		 $1,200.94
$1,292.80
$1,390.10
$1,735.76		 $1,461.20
$1,553.06
$1,650.36
$1,996.02		 $600.47
$646.40
$695.05
$867.88		 $860.73
$906.66
$955.31
$1,128.14		 $1,120.99
$1,166.92
$1,215.57
$1,388.40		 $310.61

Plan: (HMO) Anthem Silver Pathway X HMO 4950

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)

Deductible: Individual: $4,950 : Family: $9,900
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		 $500.53
$568.10
$639.68
$893.95
$1,358.44		 $1,001.06
$1,136.20
$1,279.36
$1,787.90
$2,716.88		 $1,383.97
$1,519.11
$1,662.27
$2,170.81		 $1,766.88
$1,902.02
$2,045.18
$2,553.72		 $2,149.79
$2,284.93
$2,428.09
$2,936.63		 $883.44
$951.01
$1,022.59
$1,276.86		 $1,266.35
$1,333.92
$1,405.50
$1,659.77		 $1,649.26
$1,716.83
$1,788.41
$2,042.68		 $456.98

Plan: (HMO) Anthem Gold Pathway X HMO 1300

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)

Deductible: Individual: $1,300 : Family: $3,900
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
Gold 21
30
40
50
60		 $733.53
$832.56
$937.45
$1,310.08
$1,990.80		 $1,467.06
$1,665.12
$1,874.90
$2,620.16
$3,981.60		 $2,028.21
$2,226.27
$2,436.05
$3,181.31		 $2,589.36
$2,787.42
$2,997.20
$3,742.46		 $3,150.51
$3,348.57
$3,558.35
$4,303.61		 $1,294.68
$1,393.71
$1,498.60
$1,871.23		 $1,855.83
$1,954.86
$2,059.75
$2,432.38		 $2,416.98
$2,516.01
$2,620.90
$2,993.53		 $669.71

Plan: (HMO) Anthem Bronze Pathway X HMO 4600 Online Plus

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)

Deductible: Individual: $4,600 : Family: $9,200
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
Bronze 21
30
40
50
60		 $385.00
$436.98
$492.03
$687.61
$1,044.89		 $770.00
$873.96
$984.06
$1,375.22
$2,089.78		 $1,064.53
$1,168.49
$1,278.59
$1,669.75		 $1,359.06
$1,463.02
$1,573.12
$1,964.28		 $1,653.59
$1,757.55
$1,867.65
$2,258.81		 $679.53
$731.51
$786.56
$982.14		 $974.06
$1,026.04
$1,081.09
$1,276.67		 $1,268.59
$1,320.57
$1,375.62
$1,571.20		 $351.51

Plan: (HMO) Anthem Silver Pathway X HMO 2100 Online Plus

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)

Deductible: Individual: $2,100 : Family: $4,200
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
Silver 21
30
40
50
60		 $566.42
$642.89
$723.88
$1,011.63
$1,537.26		 $1,132.84
$1,285.78
$1,447.76
$2,023.26
$3,074.52		 $1,566.15
$1,719.09
$1,881.07
$2,456.57		 $1,999.46
$2,152.40
$2,314.38
$2,889.88		 $2,432.77
$2,585.71
$2,747.69
$3,323.19		 $999.73
$1,076.20
$1,157.19
$1,444.94		 $1,433.04
$1,509.51
$1,590.50
$1,878.25		 $1,866.35
$1,942.82
$2,023.81
$2,311.56		 $517.14

Plan: (HMO) Anthem Silver Pathway X HMO 6000 30%

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)

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		 $472.51
$536.30
$603.87
$843.90
$1,282.39		 $945.02
$1,072.60
$1,207.74
$1,687.80
$2,564.78		 $1,306.49
$1,434.07
$1,569.21
$2,049.27		 $1,667.96
$1,795.54
$1,930.68
$2,410.74		 $2,029.43
$2,157.01
$2,292.15
$2,772.21		 $833.98
$897.77
$965.34
$1,205.37		 $1,195.45
$1,259.24
$1,326.81
$1,566.84		 $1,556.92
$1,620.71
$1,688.28
$1,928.31		 $431.40
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Alliant Health Plans

Local: 1-800-811-4793 | Toll Free: 1-800-811-4793

Plan: (PPO) SoloCare Platinum PPO 40023 Polk

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-811-4793 - Provider Directory for This Plan: (Alliant Health Plans)

Deductible: Individual: $275 : Family: $550
Out of Pocket Maximum per year: Individual: $4,800 : Family: $9,600

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
Platinum 21
30
40
50
60		 $506.75
$575.15
$647.61
$905.04
$1,375.29		 $1,013.50
$1,150.30
$1,295.22
$1,810.08
$2,750.58		 $1,401.16
$1,537.96
$1,682.88
$2,197.74		 $1,788.82
$1,925.62
$2,070.54
$2,585.40		 $2,176.48
$2,313.28
$2,458.20
$2,973.06		 $894.41
$962.81
$1,035.27
$1,292.70		 $1,282.07
$1,350.47
$1,422.93
$1,680.36		 $1,669.73
$1,738.13
$1,810.59
$2,068.02		 $462.65

Plan: (PPO) SoloCare Gold PPO 40002 Polk

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-811-4793 - Provider Directory for This Plan: (Alliant Health Plans)

Deductible: Individual: $2,300 : Family: $4,600
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
Gold 21
30
40
50
60		 $449.22
$509.85
$574.08
$802.28
$1,219.14		 $898.44
$1,019.70
$1,148.16
$1,604.56
$2,438.28		 $1,242.08
$1,363.34
$1,491.80
$1,948.20		 $1,585.72
$1,706.98
$1,835.44
$2,291.84		 $1,929.36
$2,050.62
$2,179.08
$2,635.48		 $792.86
$853.49
$917.72
$1,145.92		 $1,136.50
$1,197.13
$1,261.36
$1,489.56		 $1,480.14
$1,540.77
$1,605.00
$1,833.20		 $410.12

Plan: (PPO) SoloCare Silver PPO 40017 Polk

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-811-4793 - Provider Directory for This Plan: (Alliant Health Plans)

Deductible: Individual: $7,000 : Family: $14,000
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		 $462.05
$524.41
$590.48
$825.20
$1,253.97		 $924.10
$1,048.82
$1,180.96
$1,650.40
$2,507.94		 $1,277.56
$1,402.28
$1,534.42
$2,003.86		 $1,631.02
$1,755.74
$1,887.88
$2,357.32		 $1,984.48
$2,109.20
$2,241.34
$2,710.78		 $815.51
$877.87
$943.94
$1,178.66		 $1,168.97
$1,231.33
$1,297.40
$1,532.12		 $1,522.43
$1,584.79
$1,650.86
$1,885.58		 $421.84

Plan: (PPO) SoloCare Bronze HDHP 40031 Polk

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-811-4793 - Provider Directory for This Plan: (Alliant Health Plans)

Deductible: Individual: $7,000 : Family: $14,000
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
Bronze 21
30
40
50
60		 $372.21
$422.44
$475.67
$664.74
$1,010.14		 $744.42
$844.88
$951.34
$1,329.48
$2,020.28		 $1,029.15
$1,129.61
$1,236.07
$1,614.21		 $1,313.88
$1,414.34
$1,520.80
$1,898.94		 $1,598.61
$1,699.07
$1,805.53
$2,183.67		 $656.94
$707.17
$760.40
$949.47		 $941.67
$991.90
$1,045.13
$1,234.20		 $1,226.40
$1,276.63
$1,329.86
$1,518.93		 $339.82

Plan: (PPO) SoloCare Bronze PPO 40021 Polk

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-811-4793 - Provider Directory for This Plan: (Alliant Health Plans)

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
Bronze 21
30
40
50
60		 $363.80
$412.90
$464.92
$649.72
$987.32		 $727.60
$825.80
$929.84
$1,299.44
$1,974.64		 $1,005.90
$1,104.10
$1,208.14
$1,577.74		 $1,284.20
$1,382.40
$1,486.44
$1,856.04		 $1,562.50
$1,660.70
$1,764.74
$2,134.34		 $642.10
$691.20
$743.22
$928.02		 $920.40
$969.50
$1,021.52
$1,206.32		 $1,198.70
$1,247.80
$1,299.82
$1,484.62		 $332.14

Plan: (PPO) SoloCare Platinum Copay Polk

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-811-4793 - Provider Directory for This Plan: (Alliant Health Plans)

Deductible: Individual: $0 : Family: $0
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
Platinum 21
30
40
50
60		 $533.74
$605.79
$682.11
$953.25
$1,448.55		 $1,067.48
$1,211.58
$1,364.22
$1,906.50
$2,897.10		 $1,475.79
$1,619.89
$1,772.53
$2,314.81		 $1,884.10
$2,028.20
$2,180.84
$2,723.12		 $2,292.41
$2,436.51
$2,589.15
$3,131.43		 $942.05
$1,014.10
$1,090.42
$1,361.56		 $1,350.36
$1,422.41
$1,498.73
$1,769.87		 $1,758.67
$1,830.72
$1,907.04
$2,178.18		 $487.30

Plan: (PPO) SoloCare Gold Copay Polk

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-811-4793 - Provider Directory for This Plan: (Alliant Health Plans)

Deductible: Individual: $0 : Family: $0
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
Gold 21
30
40
50
60		 $467.80
$530.94
$597.83
$835.47
$1,269.57		 $935.60
$1,061.88
$1,195.66
$1,670.94
$2,539.14		 $1,293.46
$1,419.74
$1,553.52
$2,028.80		 $1,651.32
$1,777.60
$1,911.38
$2,386.66		 $2,009.18
$2,135.46
$2,269.24
$2,744.52		 $825.66
$888.80
$955.69
$1,193.33		 $1,183.52
$1,246.66
$1,313.55
$1,551.19		 $1,541.38
$1,604.52
$1,671.41
$1,909.05		 $427.09

Plan: (PPO) SoloCare Silver Copay Polk

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-811-4793 - Provider Directory for This Plan: (Alliant Health Plans)

Deductible: Individual: $0 : Family: $0
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		 $529.76
$601.27
$677.02
$946.14
$1,437.75		 $1,059.52
$1,202.54
$1,354.04
$1,892.28
$2,875.50		 $1,464.78
$1,607.80
$1,759.30
$2,297.54		 $1,870.04
$2,013.06
$2,164.56
$2,702.80		 $2,275.30
$2,418.32
$2,569.82
$3,108.06		 $935.02
$1,006.53
$1,082.28
$1,351.40		 $1,340.28
$1,411.79
$1,487.54
$1,756.66		 $1,745.54
$1,817.05
$1,892.80
$2,161.92		 $483.66

‡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 Polk County here.

 

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