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Providers for Zip Code 61520

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Obamacare 2019 Marketplace Rates For Fulton County, Illinois

Thursday, April 25th, 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 Fulton County, Illinois.

Obamacare Providers, Plans and 2019 Rates for Fulton County

Fulton County is in “Rating Area 7” of Illinois.

Currently, there are 26 plans offered in Rating Area 7.

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 Canton, IL area accept this insurance coverage as within the plan's "network".
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Health Alliance Medical Plans, Inc.

Local: 1-866-247-3296 | Toll Free: 1-866-247-3296

TTY: 1-800-526-0844

Plan: (HMO) HMO 7900 Elite Catastrophic

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, 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		 $276.39
$313.70
$353.23
$493.63
$750.11		 $552.78
$627.40
$706.46
$987.26
$1,500.22		 $764.22
$838.84
$917.90
$1,198.70		 $975.66
$1,050.28
$1,129.34
$1,410.14		 $1,187.10
$1,261.72
$1,340.78
$1,621.58		 $487.83
$525.14
$564.67
$705.07		 $699.27
$736.58
$776.11
$916.51		 $910.71
$948.02
$987.55
$1,127.95		 $252.34

Plan: (HMO) HMO 2000 Methodist Gold

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

Deductible: Individual: $2,000 : Family: $4,000
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		 $471.41
$535.05
$602.46
$841.94
$1,279.41		 $942.82
$1,070.10
$1,204.92
$1,683.88
$2,558.82		 $1,303.45
$1,430.73
$1,565.55
$2,044.51		 $1,664.08
$1,791.36
$1,926.18
$2,405.14		 $2,024.71
$2,151.99
$2,286.81
$2,765.77		 $832.04
$895.68
$963.09
$1,202.57		 $1,192.67
$1,256.31
$1,323.72
$1,563.20		 $1,553.30
$1,616.94
$1,684.35
$1,923.83		 $430.40

Plan: (HMO) HMO 2000 OSF Gold

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

Deductible: Individual: $2,000 : Family: $4,000
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		 $505.30
$573.52
$645.78
$902.46
$1,371.37		 $1,010.60
$1,147.04
$1,291.56
$1,804.92
$2,742.74		 $1,397.16
$1,533.60
$1,678.12
$2,191.48		 $1,783.72
$1,920.16
$2,064.68
$2,578.04		 $2,170.28
$2,306.72
$2,451.24
$2,964.60		 $891.86
$960.08
$1,032.34
$1,289.02		 $1,278.42
$1,346.64
$1,418.90
$1,675.58		 $1,664.98
$1,733.20
$1,805.46
$2,062.14		 $461.34

Plan: (HMO) HMO 3150 Methodist Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

Deductible: Individual: $3,150 : Family: $6,300
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		 $453.51
$514.73
$579.59
$809.97
$1,230.81		 $907.02
$1,029.46
$1,159.18
$1,619.94
$2,461.62		 $1,253.96
$1,376.40
$1,506.12
$1,966.88		 $1,600.90
$1,723.34
$1,853.06
$2,313.82		 $1,947.84
$2,070.28
$2,200.00
$2,660.76		 $800.45
$861.67
$926.53
$1,156.91		 $1,147.39
$1,208.61
$1,273.47
$1,503.85		 $1,494.33
$1,555.55
$1,620.41
$1,850.79		 $414.05

Plan: (HMO) HMO 3150 OSF Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

Deductible: Individual: $3,150 : Family: $6,300
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		 $486.12
$551.75
$621.26
$868.21
$1,319.32		 $972.24
$1,103.50
$1,242.52
$1,736.42
$2,638.64		 $1,344.12
$1,475.38
$1,614.40
$2,108.30		 $1,716.00
$1,847.26
$1,986.28
$2,480.18		 $2,087.88
$2,219.14
$2,358.16
$2,852.06		 $858.00
$923.63
$993.14
$1,240.09		 $1,229.88
$1,295.51
$1,365.02
$1,611.97		 $1,601.76
$1,667.39
$1,736.90
$1,983.85		 $443.83

Plan: (HMO) HMO 3500a Methodist Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

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		 $465.08
$527.86
$594.37
$830.63
$1,262.21		 $930.16
$1,055.72
$1,188.74
$1,661.26
$2,524.42		 $1,285.94
$1,411.50
$1,544.52
$2,017.04		 $1,641.72
$1,767.28
$1,900.30
$2,372.82		 $1,997.50
$2,123.06
$2,256.08
$2,728.60		 $820.86
$883.64
$950.15
$1,186.41		 $1,176.64
$1,239.42
$1,305.93
$1,542.19		 $1,532.42
$1,595.20
$1,661.71
$1,897.97		 $424.61

Plan: (HMO) HMO 3500a OSF Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

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		 $498.51
$565.81
$637.10
$890.34
$1,352.96		 $997.02
$1,131.62
$1,274.20
$1,780.68
$2,705.92		 $1,378.38
$1,512.98
$1,655.56
$2,162.04		 $1,759.74
$1,894.34
$2,036.92
$2,543.40		 $2,141.10
$2,275.70
$2,418.28
$2,924.76		 $879.87
$947.17
$1,018.46
$1,271.70		 $1,261.23
$1,328.53
$1,399.82
$1,653.06		 $1,642.59
$1,709.89
$1,781.18
$2,034.42		 $455.14

Plan: (HMO) HMO 3800 Methodist Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

Deductible: Individual: $3,800 : Family: $7,600
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
Expanded Bronze 21
30
40
50
60		 $358.21
$406.56
$457.79
$639.76
$972.17		 $716.42
$813.12
$915.58
$1,279.52
$1,944.34		 $990.45
$1,087.15
$1,189.61
$1,553.55		 $1,264.48
$1,361.18
$1,463.64
$1,827.58		 $1,538.51
$1,635.21
$1,737.67
$2,101.61		 $632.24
$680.59
$731.82
$913.79		 $906.27
$954.62
$1,005.85
$1,187.82		 $1,180.30
$1,228.65
$1,279.88
$1,461.85		 $327.05

Plan: (HMO) HMO 3800 OSF Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

Deductible: Individual: $3,800 : Family: $7,600
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
Expanded Bronze 21
30
40
50
60		 $383.96
$435.79
$490.70
$685.74
$1,042.05		 $767.92
$871.58
$981.40
$1,371.48
$2,084.10		 $1,061.65
$1,165.31
$1,275.13
$1,665.21		 $1,355.38
$1,459.04
$1,568.86
$1,958.94		 $1,649.11
$1,752.77
$1,862.59
$2,252.67		 $677.69
$729.52
$784.43
$979.47		 $971.42
$1,023.25
$1,078.16
$1,273.20		 $1,265.15
$1,316.98
$1,371.89
$1,566.93		 $350.55

Plan: (HMO) HMO 4000b Methodist Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $7,500 : Family: $15,000

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		 $497.34
$564.48
$635.60
$888.25
$1,349.77		 $994.68
$1,128.96
$1,271.20
$1,776.50
$2,699.54		 $1,375.15
$1,509.43
$1,651.67
$2,156.97		 $1,755.62
$1,889.90
$2,032.14
$2,537.44		 $2,136.09
$2,270.37
$2,412.61
$2,917.91		 $877.81
$944.95
$1,016.07
$1,268.72		 $1,258.28
$1,325.42
$1,396.54
$1,649.19		 $1,638.75
$1,705.89
$1,777.01
$2,029.66		 $454.08

Plan: (HMO) HMO 4000b OSF Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $7,500 : Family: $15,000

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		 $533.10
$605.07
$681.31
$952.11
$1,446.83		 $1,066.20
$1,210.14
$1,362.62
$1,904.22
$2,893.66		 $1,474.02
$1,617.96
$1,770.44
$2,312.04		 $1,881.84
$2,025.78
$2,178.26
$2,719.86		 $2,289.66
$2,433.60
$2,586.08
$3,127.68		 $940.92
$1,012.89
$1,089.13
$1,359.93		 $1,348.74
$1,420.71
$1,496.95
$1,767.75		 $1,756.56
$1,828.53
$1,904.77
$2,175.57		 $486.72

Plan: (HMO) HMO 5000c Methodist Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

Deductible: Individual: $5,000 : Family: $10,000
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		 $451.21
$512.13
$576.65
$805.87
$1,224.59		 $902.42
$1,024.26
$1,153.30
$1,611.74
$2,449.18		 $1,247.60
$1,369.44
$1,498.48
$1,956.92		 $1,592.78
$1,714.62
$1,843.66
$2,302.10		 $1,937.96
$2,059.80
$2,188.84
$2,647.28		 $796.39
$857.31
$921.83
$1,151.05		 $1,141.57
$1,202.49
$1,267.01
$1,496.23		 $1,486.75
$1,547.67
$1,612.19
$1,841.41		 $411.96

Plan: (HMO) HMO 5000c OSF Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

Deductible: Individual: $5,000 : Family: $10,000
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		 $483.65
$548.94
$618.11
$863.80
$1,312.62		 $967.30
$1,097.88
$1,236.22
$1,727.60
$2,625.24		 $1,337.30
$1,467.88
$1,606.22
$2,097.60		 $1,707.30
$1,837.88
$1,976.22
$2,467.60		 $2,077.30
$2,207.88
$2,346.22
$2,837.60		 $853.65
$918.94
$988.11
$1,233.80		 $1,223.65
$1,288.94
$1,358.11
$1,603.80		 $1,593.65
$1,658.94
$1,728.11
$1,973.80		 $441.58

Plan: (POS) POS 5000a Methodist Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

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
Bronze 21
30
40
50
60		 $323.79
$367.50
$413.80
$578.27
$878.74		 $647.58
$735.00
$827.60
$1,156.54
$1,757.48		 $895.28
$982.70
$1,075.30
$1,404.24		 $1,142.98
$1,230.40
$1,323.00
$1,651.94		 $1,390.68
$1,478.10
$1,570.70
$1,899.64		 $571.49
$615.20
$661.50
$825.97		 $819.19
$862.90
$909.20
$1,073.67		 $1,066.89
$1,110.60
$1,156.90
$1,321.37		 $295.63

Plan: (POS) POS 5000a OSF Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

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
Bronze 21
30
40
50
60		 $347.06
$393.90
$443.54
$619.84
$941.91		 $694.12
$787.80
$887.08
$1,239.68
$1,883.82		 $959.63
$1,053.31
$1,152.59
$1,505.19		 $1,225.14
$1,318.82
$1,418.10
$1,770.70		 $1,490.65
$1,584.33
$1,683.61
$2,036.21		 $612.57
$659.41
$709.05
$885.35		 $878.08
$924.92
$974.56
$1,150.86		 $1,143.59
$1,190.43
$1,240.07
$1,416.37		 $316.86

Plan: (POS) POS 7250 Methodist Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

Deductible: Individual: $7,250 : Family: $14,500
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		 $434.65
$493.32
$555.47
$776.27
$1,179.62		 $869.30
$986.64
$1,110.94
$1,552.54
$2,359.24		 $1,201.81
$1,319.15
$1,443.45
$1,885.05		 $1,534.32
$1,651.66
$1,775.96
$2,217.56		 $1,866.83
$1,984.17
$2,108.47
$2,550.07		 $767.16
$825.83
$887.98
$1,108.78		 $1,099.67
$1,158.34
$1,220.49
$1,441.29		 $1,432.18
$1,490.85
$1,553.00
$1,773.80		 $396.83

Plan: (POS) POS 7250 OSF Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

Deductible: Individual: $7,250 : Family: $14,500
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		 $465.89
$528.80
$595.41
$832.09
$1,264.42		 $931.78
$1,057.60
$1,190.82
$1,664.18
$2,528.84		 $1,288.19
$1,414.01
$1,547.23
$2,020.59		 $1,644.60
$1,770.42
$1,903.64
$2,377.00		 $2,001.01
$2,126.83
$2,260.05
$2,733.41		 $822.30
$885.21
$951.82
$1,188.50		 $1,178.71
$1,241.62
$1,308.23
$1,544.91		 $1,535.12
$1,598.03
$1,664.64
$1,901.32		 $425.37

Plan: (POS) POS 6000a Methodist Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, 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
Expanded Bronze 21
30
40
50
60		 $331.68
$376.45
$423.89
$592.38
$900.16		 $663.36
$752.90
$847.78
$1,184.76
$1,800.32		 $917.10
$1,006.64
$1,101.52
$1,438.50		 $1,170.84
$1,260.38
$1,355.26
$1,692.24		 $1,424.58
$1,514.12
$1,609.00
$1,945.98		 $585.42
$630.19
$677.63
$846.12		 $839.16
$883.93
$931.37
$1,099.86		 $1,092.90
$1,137.67
$1,185.11
$1,353.60		 $302.82

Plan: (POS) POS 6000a OSF Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, 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
Expanded Bronze 21
30
40
50
60		 $355.52
$403.51
$454.36
$634.97
$964.88		 $711.04
$807.02
$908.72
$1,269.94
$1,929.76		 $983.02
$1,079.00
$1,180.70
$1,541.92		 $1,255.00
$1,350.98
$1,452.68
$1,813.90		 $1,526.98
$1,622.96
$1,724.66
$2,085.88		 $627.50
$675.49
$726.34
$906.95		 $899.48
$947.47
$998.32
$1,178.93		 $1,171.46
$1,219.45
$1,270.30
$1,450.91		 $324.60

Plan: (POS) POS HSA 6650 Methodist Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

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		 $322.21
$365.71
$411.79
$575.47
$874.47		 $644.42
$731.42
$823.58
$1,150.94
$1,748.94		 $890.91
$977.91
$1,070.07
$1,397.43		 $1,137.40
$1,224.40
$1,316.56
$1,643.92		 $1,383.89
$1,470.89
$1,563.05
$1,890.41		 $568.70
$612.20
$658.28
$821.96		 $815.19
$858.69
$904.77
$1,068.45		 $1,061.68
$1,105.18
$1,151.26
$1,314.94		 $294.19

Plan: (POS) POS HSA 6650 OSF Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)

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		 $345.38
$392.00
$441.39
$616.84
$937.35		 $690.76
$784.00
$882.78
$1,233.68
$1,874.70		 $954.98
$1,048.22
$1,147.00
$1,497.90		 $1,219.20
$1,312.44
$1,411.22
$1,762.12		 $1,483.42
$1,576.66
$1,675.44
$2,026.34		 $609.60
$656.22
$705.61
$881.06		 $873.82
$920.44
$969.83
$1,145.28		 $1,138.04
$1,184.66
$1,234.05
$1,409.50		 $315.33
ADVERTISEMENT

Blue Cross Blue Shield of Illinois

Local: 1-800-538-8833 | Toll Free: 1-800-538-8833

TTY: 1-800-526-0844

Plan: (PPO) Blue Choice Preferred Gold PPO? 204

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $750 : Family: $2,250
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		 $512.29
$581.45
$654.71
$914.95
$1,390.35		 $1,024.58
$1,162.90
$1,309.42
$1,829.90
$2,780.70		 $1,416.48
$1,554.80
$1,701.32
$2,221.80		 $1,808.38
$1,946.70
$2,093.22
$2,613.70		 $2,200.28
$2,338.60
$2,485.12
$3,005.60		 $904.19
$973.35
$1,046.61
$1,306.85		 $1,296.09
$1,365.25
$1,438.51
$1,698.75		 $1,687.99
$1,757.15
$1,830.41
$2,090.65		 $467.72

Plan: (PPO) Blue Choice Preferred Silver PPO? 203

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $2,200 : Family: $6,600
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		 $480.18
$545.00
$613.67
$857.60
$1,303.20		 $960.36
$1,090.00
$1,227.34
$1,715.20
$2,606.40		 $1,327.70
$1,457.34
$1,594.68
$2,082.54		 $1,695.04
$1,824.68
$1,962.02
$2,449.88		 $2,062.38
$2,192.02
$2,329.36
$2,817.22		 $847.52
$912.34
$981.01
$1,224.94		 $1,214.86
$1,279.68
$1,348.35
$1,592.28		 $1,582.20
$1,647.02
$1,715.69
$1,959.62		 $438.40

Plan: (PPO) Blue Choice Preferred Bronze PPO? 202

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $3,150 : Family: $9,450
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		 $403.48
$457.95
$515.65
$720.62
$1,095.05		 $806.96
$915.90
$1,031.30
$1,441.24
$2,190.10		 $1,115.63
$1,224.57
$1,339.97
$1,749.91		 $1,424.30
$1,533.24
$1,648.64
$2,058.58		 $1,732.97
$1,841.91
$1,957.31
$2,367.25		 $712.15
$766.62
$824.32
$1,029.29		 $1,020.82
$1,075.29
$1,132.99
$1,337.96		 $1,329.49
$1,383.96
$1,441.66
$1,646.63		 $368.38

Plan: (PPO) Blue Choice Preferred Security PPO? 200

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

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		 $336.36
$381.77
$429.87
$600.74
$912.89		 $672.72
$763.54
$859.74
$1,201.48
$1,825.78		 $930.04
$1,020.86
$1,117.06
$1,458.80		 $1,187.36
$1,278.18
$1,374.38
$1,716.12		 $1,444.68
$1,535.50
$1,631.70
$1,973.44		 $593.68
$639.09
$687.19
$858.06		 $851.00
$896.41
$944.51
$1,115.38		 $1,108.32
$1,153.73
$1,201.83
$1,372.70		 $307.10

Plan: (PPO) Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)

Deductible: Individual: $6,000 : 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		 $358.93
$407.39
$458.72
$641.05
$974.14		 $717.86
$814.78
$917.44
$1,282.10
$1,948.28		 $992.44
$1,089.36
$1,192.02
$1,556.68		 $1,267.02
$1,363.94
$1,466.60
$1,831.26		 $1,541.60
$1,638.52
$1,741.18
$2,105.84		 $633.51
$681.97
$733.30
$915.63		 $908.09
$956.55
$1,007.88
$1,190.21		 $1,182.67
$1,231.13
$1,282.46
$1,464.79		 $327.71

‡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 Fulton County here.

 

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