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Providers for Zip Code 59019

LegalConsumer.com/obamacare

ObamacareByZipCode.com

Obamacare 2019 Marketplace Rates For Stillwater County, Montana

Thursday, April 18th, 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 Stillwater County, Montana.

Obamacare Providers, Plans and 2019 Rates for Stillwater County

Stillwater County is in “Rating Area 1” of Montana.

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 Columbus, MT area accept this insurance coverage as within the plan's "network".
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PacificSource Health Plans

Local: 1-406-442-6589 | Toll Free: 1-877-590-1596

TTY: 1-800-253-4091

Plan: (PPO) SmartHealth Bronze HSA 6650

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-590-1596 - Provider Directory for This Plan: (PacificSource Health 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		 $305.00
$346.00
$389.00
$544.00
$827.00		 $610.00
$692.00
$778.00
$1,088.00
$1,654.00		 $843.00
$925.00
$1,011.00
$1,321.00		 $1,076.00
$1,158.00
$1,244.00
$1,554.00		 $1,309.00
$1,391.00
$1,477.00
$1,787.00		 $538.00
$579.00
$622.00
$777.00		 $771.00
$812.00
$855.00
$1,010.00		 $1,004.00
$1,045.00
$1,088.00
$1,243.00		 $278.00

Plan: (PPO) SmartHealth Silver HSA 3000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-590-1596 - Provider Directory for This Plan: (PacificSource Health Plans)

Deductible: Individual: $3,000 : Family: $6,000
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		 $424.00
$481.00
$541.00
$757.00
$1,150.00		 $848.00
$962.00
$1,082.00
$1,514.00
$2,300.00		 $1,172.00
$1,286.00
$1,406.00
$1,838.00		 $1,496.00
$1,610.00
$1,730.00
$2,162.00		 $1,820.00
$1,934.00
$2,054.00
$2,486.00		 $748.00
$805.00
$865.00
$1,081.00		 $1,072.00
$1,129.00
$1,189.00
$1,405.00		 $1,396.00
$1,453.00
$1,513.00
$1,729.00		 $387.00

Plan: (PPO) SmartHealth Gold 1500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-590-1596 - Provider Directory for This Plan: (PacificSource Health Plans)

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $466.00
$529.00
$595.00
$832.00
$1,264.00		 $932.00
$1,058.00
$1,190.00
$1,664.00
$2,528.00		 $1,288.00
$1,414.00
$1,546.00
$2,020.00		 $1,644.00
$1,770.00
$1,902.00
$2,376.00		 $2,000.00
$2,126.00
$2,258.00
$2,732.00		 $822.00
$885.00
$951.00
$1,188.00		 $1,178.00
$1,241.00
$1,307.00
$1,544.00		 $1,534.00
$1,597.00
$1,663.00
$1,900.00		 $425.00
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Blue Cross and Blue Shield of Montana

Local: 1-855-258-8471 | Toll Free: 1-855-258-8471

TTY: 1-406-444-4212

Plan: (PPO) Blue Preferred Gold PPO? 204 - Two $10 PCP Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)

Deductible: Individual: $450 : Family: $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		 $480.66
$545.55
$614.28
$858.45
$1,304.50		 $961.32
$1,091.10
$1,228.56
$1,716.90
$2,609.00		 $1,329.02
$1,458.80
$1,596.26
$2,084.60		 $1,696.72
$1,826.50
$1,963.96
$2,452.30		 $2,064.42
$2,194.20
$2,331.66
$2,820.00		 $848.36
$913.25
$981.98
$1,226.15		 $1,216.06
$1,280.95
$1,349.68
$1,593.85		 $1,583.76
$1,648.65
$1,717.38
$1,961.55		 $438.84

Plan: (PPO) Blue Preferred Silver PPO? 203

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)

Deductible: Individual: $650 : Family: $1,300
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		 $473.24
$537.13
$604.80
$845.21
$1,284.38		 $946.48
$1,074.26
$1,209.60
$1,690.42
$2,568.76		 $1,308.51
$1,436.29
$1,571.63
$2,052.45		 $1,670.54
$1,798.32
$1,933.66
$2,414.48		 $2,032.57
$2,160.35
$2,295.69
$2,776.51		 $835.27
$899.16
$966.83
$1,207.24		 $1,197.30
$1,261.19
$1,328.86
$1,569.27		 $1,559.33
$1,623.22
$1,690.89
$1,931.30		 $432.07

Plan: (PPO) Blue Preferred Bronze PPO? 201 - Two $25 PCP Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)

Deductible: Individual: $2,850 : Family: $5,700
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
Bronze 21
30
40
50
60		 $348.41
$395.44
$445.27
$622.26
$945.58		 $696.82
$790.88
$890.54
$1,244.52
$1,891.16		 $963.35
$1,057.41
$1,157.07
$1,511.05		 $1,229.88
$1,323.94
$1,423.60
$1,777.58		 $1,496.41
$1,590.47
$1,690.13
$2,044.11		 $614.94
$661.97
$711.80
$888.79		 $881.47
$928.50
$978.33
$1,155.32		 $1,148.00
$1,195.03
$1,244.86
$1,421.85		 $318.10

Plan: (PPO) Blue Preferred Bronze PPO? 202

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)

Deductible: Individual: $2,900 : Family: $5,800
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		 $372.19
$422.44
$475.66
$664.74
$1,010.13		 $744.38
$844.88
$951.32
$1,329.48
$2,020.26		 $1,029.11
$1,129.61
$1,236.05
$1,614.21		 $1,313.84
$1,414.34
$1,520.78
$1,898.94		 $1,598.57
$1,699.07
$1,805.51
$2,183.67		 $656.92
$707.17
$760.39
$949.47		 $941.65
$991.90
$1,045.12
$1,234.20		 $1,226.38
$1,276.63
$1,329.85
$1,518.93		 $339.81

Plan: (PPO) Blue Preferred Security PPO? 200

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)

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		 $299.99
$340.49
$383.39
$535.78
$814.17		 $599.98
$680.98
$766.78
$1,071.56
$1,628.34		 $829.47
$910.47
$996.27
$1,301.05		 $1,058.96
$1,139.96
$1,225.76
$1,530.54		 $1,288.45
$1,369.45
$1,455.25
$1,760.03		 $529.48
$569.98
$612.88
$765.27		 $758.97
$799.47
$842.37
$994.76		 $988.46
$1,028.96
$1,071.86
$1,224.25		 $273.89

Plan: (PPO) Blue Preferred Silver PPO? 308

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)

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
Silver 21
30
40
50
60		 $427.38
$485.08
$546.20
$763.31
$1,159.92		 $854.76
$970.16
$1,092.40
$1,526.62
$2,319.84		 $1,181.71
$1,297.11
$1,419.35
$1,853.57		 $1,508.66
$1,624.06
$1,746.30
$2,180.52		 $1,835.61
$1,951.01
$2,073.25
$2,507.47		 $754.33
$812.03
$873.15
$1,090.26		 $1,081.28
$1,138.98
$1,200.10
$1,417.21		 $1,408.23
$1,465.93
$1,527.05
$1,744.16		 $390.20

Plan: (PPO) Blue Preferred Bronze PPO? 301

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)

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		 $327.11
$371.27
$418.04
$584.21
$887.77		 $654.22
$742.54
$836.08
$1,168.42
$1,775.54		 $904.46
$992.78
$1,086.32
$1,418.66		 $1,154.70
$1,243.02
$1,336.56
$1,668.90		 $1,404.94
$1,493.26
$1,586.80
$1,919.14		 $577.35
$621.51
$668.28
$834.45		 $827.59
$871.75
$918.52
$1,084.69		 $1,077.83
$1,121.99
$1,168.76
$1,334.93		 $298.65

Plan: (HMO) Blue Focus Gold POS? 207

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)

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		 $390.79
$443.55
$499.43
$697.95
$1,060.60		 $781.58
$887.10
$998.86
$1,395.90
$2,121.20		 $1,080.53
$1,186.05
$1,297.81
$1,694.85		 $1,379.48
$1,485.00
$1,596.76
$1,993.80		 $1,678.43
$1,783.95
$1,895.71
$2,292.75		 $689.74
$742.50
$798.38
$996.90		 $988.69
$1,041.45
$1,097.33
$1,295.85		 $1,287.64
$1,340.40
$1,396.28
$1,594.80		 $356.79

Plan: (HMO) Blue Focus Silver POS? 206 - Two $25 PCP Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)

Deductible: Individual: $4,000 : Family: $8,000
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		 $342.01
$388.18
$437.09
$610.83
$928.21		 $684.02
$776.36
$874.18
$1,221.66
$1,856.42		 $945.66
$1,038.00
$1,135.82
$1,483.30		 $1,207.30
$1,299.64
$1,397.46
$1,744.94		 $1,468.94
$1,561.28
$1,659.10
$2,006.58		 $603.65
$649.82
$698.73
$872.47		 $865.29
$911.46
$960.37
$1,134.11		 $1,126.93
$1,173.10
$1,222.01
$1,395.75		 $312.25

Plan: (HMO) Blue Focus Bronze POS? 205 - Two $40 PCP Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-258-8471 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Montana)

Deductible: Individual: $4,400 : Family: $8,800
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		 $251.18
$285.09
$321.00
$448.60
$681.70		 $502.36
$570.18
$642.00
$897.20
$1,363.40		 $694.51
$762.33
$834.15
$1,089.35		 $886.66
$954.48
$1,026.30
$1,281.50		 $1,078.81
$1,146.63
$1,218.45
$1,473.65		 $443.33
$477.24
$513.15
$640.75		 $635.48
$669.39
$705.30
$832.90		 $827.63
$861.54
$897.45
$1,025.05		 $229.32
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Montana Health Cooperative

Local: 1-406-447-9510 | Toll Free: 1-855-447-2900

TTY: 1-855-447-2900

Plan: (PPO) Access Care Gold

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-447-2900 - Provider Directory for This Plan: (Montana Health Cooperative)

Deductible: Individual: $800 : Family: $1,600
Out of Pocket Maximum per year: Individual: $5,750 : Family: $11,500

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
Gold 21
30
40
50
60		 $506.79
$575.20
$647.67
$905.12
$1,375.42		 $1,013.58
$1,150.40
$1,295.34
$1,810.24
$2,750.84		 $1,401.27
$1,538.09
$1,683.03
$2,197.93		 $1,788.96
$1,925.78
$2,070.72
$2,585.62		 $2,176.65
$2,313.47
$2,458.41
$2,973.31		 $894.48
$962.89
$1,035.36
$1,292.81		 $1,282.17
$1,350.58
$1,423.05
$1,680.50		 $1,669.86
$1,738.27
$1,810.74
$2,068.19		 $462.70

Plan: (PPO) Access Care Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-447-2900 - Provider Directory for This Plan: (Montana Health Cooperative)

Deductible: Individual: $3,300 : 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		 $484.08
$549.44
$618.66
$864.57
$1,313.80		 $968.16
$1,098.88
$1,237.32
$1,729.14
$2,627.60		 $1,338.48
$1,469.20
$1,607.64
$2,099.46		 $1,708.80
$1,839.52
$1,977.96
$2,469.78		 $2,079.12
$2,209.84
$2,348.28
$2,840.10		 $854.40
$919.76
$988.98
$1,234.89		 $1,224.72
$1,290.08
$1,359.30
$1,605.21		 $1,595.04
$1,660.40
$1,729.62
$1,975.53		 $441.97

Plan: (PPO) Access Care Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-447-2900 - Provider Directory for This Plan: (Montana Health Cooperative)

Deductible: Individual: $7,200 : Family: $14,400
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		 $329.05
$373.48
$420.53
$587.69
$893.05		 $658.10
$746.96
$841.06
$1,175.38
$1,786.10		 $909.83
$998.69
$1,092.79
$1,427.11		 $1,161.56
$1,250.42
$1,344.52
$1,678.84		 $1,413.29
$1,502.15
$1,596.25
$1,930.57		 $580.78
$625.21
$672.26
$839.42		 $832.51
$876.94
$923.99
$1,091.15		 $1,084.24
$1,128.67
$1,175.72
$1,342.88		 $300.43

Plan: (PPO) Access Care Bronze Plus

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-447-2900 - Provider Directory for This Plan: (Montana Health Cooperative)

Deductible: Individual: $6,750 : Family: $13,500
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
Bronze 21
30
40
50
60		 $349.41
$396.59
$446.55
$624.05
$948.31		 $698.82
$793.18
$893.10
$1,248.10
$1,896.62		 $966.12
$1,060.48
$1,160.40
$1,515.40		 $1,233.42
$1,327.78
$1,427.70
$1,782.70		 $1,500.72
$1,595.08
$1,695.00
$2,050.00		 $616.71
$663.89
$713.85
$891.35		 $884.01
$931.19
$981.15
$1,158.65		 $1,151.31
$1,198.49
$1,248.45
$1,425.95		 $319.02

Plan: (PPO) Access Care Expanded Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-447-2900 - Provider Directory for This Plan: (Montana Health Cooperative)

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
Expanded Bronze 21
30
40
50
60		 $341.42
$387.51
$436.33
$609.77
$926.61		 $682.84
$775.02
$872.66
$1,219.54
$1,853.22		 $944.02
$1,036.20
$1,133.84
$1,480.72		 $1,205.20
$1,297.38
$1,395.02
$1,741.90		 $1,466.38
$1,558.56
$1,656.20
$2,003.08		 $602.60
$648.69
$697.51
$870.95		 $863.78
$909.87
$958.69
$1,132.13		 $1,124.96
$1,171.05
$1,219.87
$1,393.31		 $311.71

Plan: (PPO) Connected Care Gold

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-447-2900 - Provider Directory for This Plan: (Montana Health Cooperative)

Deductible: Individual: $750 : Family: $1,500
Out of Pocket Maximum per year: Individual: $5,750 : Family: $11,500

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
Gold 21
30
40
50
60		 $452.52
$513.62
$578.33
$808.21
$1,228.15		 $905.04
$1,027.24
$1,156.66
$1,616.42
$2,456.30		 $1,251.22
$1,373.42
$1,502.84
$1,962.60		 $1,597.40
$1,719.60
$1,849.02
$2,308.78		 $1,943.58
$2,065.78
$2,195.20
$2,654.96		 $798.70
$859.80
$924.51
$1,154.39		 $1,144.88
$1,205.98
$1,270.69
$1,500.57		 $1,491.06
$1,552.16
$1,616.87
$1,846.75		 $413.15

Plan: (PPO) Connected Care Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-447-2900 - Provider Directory for This Plan: (Montana Health Cooperative)

Deductible: Individual: $3,300 : 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		 $427.93
$485.70
$546.89
$764.28
$1,161.40		 $855.86
$971.40
$1,093.78
$1,528.56
$2,322.80		 $1,183.23
$1,298.77
$1,421.15
$1,855.93		 $1,510.60
$1,626.14
$1,748.52
$2,183.30		 $1,837.97
$1,953.51
$2,075.89
$2,510.67		 $755.30
$813.07
$874.26
$1,091.65		 $1,082.67
$1,140.44
$1,201.63
$1,419.02		 $1,410.04
$1,467.81
$1,529.00
$1,746.39		 $390.70

Plan: (PPO) Connected Care Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-447-2900 - Provider Directory for This Plan: (Montana Health Cooperative)

Deductible: Individual: $7,200 : Family: $14,400
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		 $290.55
$329.78
$371.33
$518.93
$788.56		 $581.10
$659.56
$742.66
$1,037.86
$1,577.12		 $803.37
$881.83
$964.93
$1,260.13		 $1,025.64
$1,104.10
$1,187.20
$1,482.40		 $1,247.91
$1,326.37
$1,409.47
$1,704.67		 $512.82
$552.05
$593.60
$741.20		 $735.09
$774.32
$815.87
$963.47		 $957.36
$996.59
$1,038.14
$1,185.74		 $265.28

Plan: (PPO) Connected Care Bronze Plus

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-447-2900 - Provider Directory for This Plan: (Montana Health Cooperative)

Deductible: Individual: $6,750 : Family: $13,500
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
Bronze 21
30
40
50
60		 $309.32
$351.08
$395.31
$552.45
$839.50		 $618.64
$702.16
$790.62
$1,104.90
$1,679.00		 $855.27
$938.79
$1,027.25
$1,341.53		 $1,091.90
$1,175.42
$1,263.88
$1,578.16		 $1,328.53
$1,412.05
$1,500.51
$1,814.79		 $545.95
$587.71
$631.94
$789.08		 $782.58
$824.34
$868.57
$1,025.71		 $1,019.21
$1,060.97
$1,105.20
$1,262.34		 $282.41

Plan: (PPO) Connected Care Silver Option 2

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-447-2900 - Provider Directory for This Plan: (Montana Health Cooperative)

Deductible: Individual: $5,700 : Family: $11,400
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
Silver 21
30
40
50
60		 $408.69
$463.87
$522.31
$729.93
$1,109.19		 $817.38
$927.74
$1,044.62
$1,459.86
$2,218.38		 $1,130.03
$1,240.39
$1,357.27
$1,772.51		 $1,442.68
$1,553.04
$1,669.92
$2,085.16		 $1,755.33
$1,865.69
$1,982.57
$2,397.81		 $721.34
$776.52
$834.96
$1,042.58		 $1,033.99
$1,089.17
$1,147.61
$1,355.23		 $1,346.64
$1,401.82
$1,460.26
$1,667.88		 $373.14

Plan: (PPO) Connected Care Catastrophic

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-447-2900 - Provider Directory for This Plan: (Montana Health Cooperative)

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		 $239.38
$271.70
$305.93
$427.53
$649.68		 $478.76
$543.40
$611.86
$855.06
$1,299.36		 $661.89
$726.53
$794.99
$1,038.19		 $845.02
$909.66
$978.12
$1,221.32		 $1,028.15
$1,092.79
$1,161.25
$1,404.45		 $422.51
$454.83
$489.06
$610.66		 $605.64
$637.96
$672.19
$793.79		 $788.77
$821.09
$855.32
$976.92		 $218.55

Plan: (PPO) Connected Care Expanded Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-447-2900 - Provider Directory for This Plan: (Montana Health Cooperative)

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
Expanded Bronze 21
30
40
50
60		 $305.96
$347.26
$391.01
$546.44
$830.37		 $611.92
$694.52
$782.02
$1,092.88
$1,660.74		 $845.98
$928.58
$1,016.08
$1,326.94		 $1,080.04
$1,162.64
$1,250.14
$1,561.00		 $1,314.10
$1,396.70
$1,484.20
$1,795.06		 $540.02
$581.32
$625.07
$780.50		 $774.08
$815.38
$859.13
$1,014.56		 $1,008.14
$1,049.44
$1,093.19
$1,248.62		 $279.34

‡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 Stillwater County here.

 

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