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Providers for Zip Code 18431

LegalConsumer.com/obamacare

ObamacareByZipCode.com

Obamacare 2019 Marketplace Rates For Wayne County, Pennsylvania

Tuesday, April 16th, 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 Wayne County, Pennsylvania.

Obamacare Providers, Plans and 2019 Rates for Wayne County

Wayne County is in “Rating Area 3” of Pennsylvania.

Currently, there are 16 plans offered in Rating Area 3.

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 Honesdale, PA area accept this insurance coverage as within the plan's "network".
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Geisinger Health Plan

Local: 1-866-379-4489 | Toll Free: 1-866-379-4489

TTY: 1-800-654-5984

Plan: (HMO) Geisinger Marketplace HMO 20/40/3000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-379-4489 - Provider Directory for This Plan: (Geisinger Health Plan)

Deductible: Individual: $3,000 : Family: $6,000
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
Gold 21
30
40
50
60		 $384.44
$436.33
$491.31
$686.60
$1,043.35		 $768.88
$872.66
$982.62
$1,373.20
$2,086.70		 $1,062.97
$1,166.75
$1,276.71
$1,667.29		 $1,357.06
$1,460.84
$1,570.80
$1,961.38		 $1,651.15
$1,754.93
$1,864.89
$2,255.47		 $678.53
$730.42
$785.40
$980.69		 $972.62
$1,024.51
$1,079.49
$1,274.78		 $1,266.71
$1,318.60
$1,373.58
$1,568.87		 $350.99

Plan: (HMO) Geisinger Marketplace HMO 30/60/4650

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-379-4489 - Provider Directory for This Plan: (Geisinger Health Plan)

Deductible: Individual: $4,650 : Family: $9,300
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		 $394.30
$447.52
$503.91
$704.21
$1,070.11		 $788.60
$895.04
$1,007.82
$1,408.42
$2,140.22		 $1,090.23
$1,196.67
$1,309.45
$1,710.05		 $1,391.86
$1,498.30
$1,611.08
$2,011.68		 $1,693.49
$1,799.93
$1,912.71
$2,313.31		 $695.93
$749.15
$805.54
$1,005.84		 $997.56
$1,050.78
$1,107.17
$1,307.47		 $1,299.19
$1,352.41
$1,408.80
$1,609.10		 $359.99

Plan: (HMO) Geisinger Marketplace Extra HMO 10/50/500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-379-4489 - Provider Directory for This Plan: (Geisinger Health Plan)

Deductible: Individual: $500 : Family: $1,000
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		 $387.74
$440.07
$495.52
$692.49
$1,052.30		 $775.48
$880.14
$991.04
$1,384.98
$2,104.60		 $1,072.09
$1,176.75
$1,287.65
$1,681.59		 $1,368.70
$1,473.36
$1,584.26
$1,978.20		 $1,665.31
$1,769.97
$1,880.87
$2,274.81		 $684.35
$736.68
$792.13
$989.10		 $980.96
$1,033.29
$1,088.74
$1,285.71		 $1,277.57
$1,329.90
$1,385.35
$1,582.32		 $354.00

Plan: (HMO) Geisinger Marketplace Extra HMO 10/50/4500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-379-4489 - Provider Directory for This Plan: (Geisinger Health Plan)

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		 $376.67
$427.51
$481.38
$672.72
$1,022.27		 $753.34
$855.02
$962.76
$1,345.44
$2,044.54		 $1,041.49
$1,143.17
$1,250.91
$1,633.59		 $1,329.64
$1,431.32
$1,539.06
$1,921.74		 $1,617.79
$1,719.47
$1,827.21
$2,209.89		 $664.82
$715.66
$769.53
$960.87		 $952.97
$1,003.81
$1,057.68
$1,249.02		 $1,241.12
$1,291.96
$1,345.83
$1,537.17		 $343.89

Plan: (HMO) Geisinger Marketplace HMO 30/60/6600

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-379-4489 - Provider Directory for This Plan: (Geisinger Health Plan)

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		 $274.97
$312.08
$351.40
$491.09
$746.25		 $549.94
$624.16
$702.80
$982.18
$1,492.50		 $760.29
$834.51
$913.15
$1,192.53		 $970.64
$1,044.86
$1,123.50
$1,402.88		 $1,180.99
$1,255.21
$1,333.85
$1,613.23		 $485.32
$522.43
$561.75
$701.44		 $695.67
$732.78
$772.10
$911.79		 $906.02
$943.13
$982.45
$1,122.14		 $251.04

Plan: (POS) Geisinger Marketplace Value

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-379-4489 - Provider Directory for This Plan: (Geisinger Health Plan)

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		 $231.24
$262.45
$295.51
$412.98
$627.56		 $462.48
$524.90
$591.02
$825.96
$1,255.12		 $639.37
$701.79
$767.91
$1,002.85		 $816.26
$878.68
$944.80
$1,179.74		 $993.15
$1,055.57
$1,121.69
$1,356.63		 $408.13
$439.34
$472.40
$589.87		 $585.02
$616.23
$649.29
$766.76		 $761.91
$793.12
$826.18
$943.65		 $211.11
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Geisinger Quality Options

Local: 1-866-379-4489 | Toll Free: 1-866-379-4489

TTY: 1-800-654-5984

Plan: (PPO) Geisinger Marketplace PPO 20/40/3000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-379-4489 - Provider Directory for This Plan: (Geisinger Quality Options)

Deductible: Individual: $3,000 : Family: $6,000
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
Gold 21
30
40
50
60		 $403.40
$457.86
$515.54
$720.47
$1,094.83		 $806.80
$915.72
$1,031.08
$1,440.94
$2,189.66		 $1,115.40
$1,224.32
$1,339.68
$1,749.54		 $1,424.00
$1,532.92
$1,648.28
$2,058.14		 $1,732.60
$1,841.52
$1,956.88
$2,366.74		 $712.00
$766.46
$824.14
$1,029.07		 $1,020.60
$1,075.06
$1,132.74
$1,337.67		 $1,329.20
$1,383.66
$1,441.34
$1,646.27		 $368.30

Plan: (PPO) Geisinger Marketplace PPO 30/60/4650

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-379-4489 - Provider Directory for This Plan: (Geisinger Quality Options)

Deductible: Individual: $4,650 : Family: $9,300
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		 $415.51
$471.60
$531.02
$742.09
$1,127.68		 $831.02
$943.20
$1,062.04
$1,484.18
$2,255.36		 $1,148.88
$1,261.06
$1,379.90
$1,802.04		 $1,466.74
$1,578.92
$1,697.76
$2,119.90		 $1,784.60
$1,896.78
$2,015.62
$2,437.76		 $733.37
$789.46
$848.88
$1,059.95		 $1,051.23
$1,107.32
$1,166.74
$1,377.81		 $1,369.09
$1,425.18
$1,484.60
$1,695.67		 $379.36

Plan: (PPO) Geisinger Marketplace PPO 30/60/6600

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-379-4489 - Provider Directory for This Plan: (Geisinger Quality Options)

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		 $290.36
$329.55
$371.07
$518.57
$788.01		 $580.72
$659.10
$742.14
$1,037.14
$1,576.02		 $802.84
$881.22
$964.26
$1,259.26		 $1,024.96
$1,103.34
$1,186.38
$1,481.38		 $1,247.08
$1,325.46
$1,408.50
$1,703.50		 $512.48
$551.67
$593.19
$740.69		 $734.60
$773.79
$815.31
$962.81		 $956.72
$995.91
$1,037.43
$1,184.93		 $265.09
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First Priority Health

Local: 1-888-444-6212 | Toll Free: 1-888-444-6212

TTY: 1-800-413-1112

Plan: (HMO) my Priority Blue Flex HMO Bronze 4000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-444-6212 - Provider Directory for This Plan: (First Priority Health)

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
Expanded Bronze 21
30
40
50
60		 $298.35
$338.63
$381.29
$532.85
$809.72		 $596.70
$677.26
$762.58
$1,065.70
$1,619.44		 $824.94
$905.50
$990.82
$1,293.94		 $1,053.18
$1,133.74
$1,219.06
$1,522.18		 $1,281.42
$1,361.98
$1,447.30
$1,750.42		 $526.59
$566.87
$609.53
$761.09		 $754.83
$795.11
$837.77
$989.33		 $983.07
$1,023.35
$1,066.01
$1,217.57		 $272.39

Plan: (HMO) my Priority Blue Flex HMO Silver 2100 - 2 Free PCP Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-444-6212 - Provider Directory for This Plan: (First Priority Health)

Deductible: Individual: $2,100 : Family: $4,200
Out of Pocket Maximum per year: Individual: $7,800 : Family: $15,600

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		 $417.63
$474.01
$533.73
$745.89
$1,133.45		 $835.26
$948.02
$1,067.46
$1,491.78
$2,266.90		 $1,154.75
$1,267.51
$1,386.95
$1,811.27		 $1,474.24
$1,587.00
$1,706.44
$2,130.76		 $1,793.73
$1,906.49
$2,025.93
$2,450.25		 $737.12
$793.50
$853.22
$1,065.38		 $1,056.61
$1,112.99
$1,172.71
$1,384.87		 $1,376.10
$1,432.48
$1,492.20
$1,704.36		 $381.30

Plan: (HMO) my Priority Blue Flex HMO Gold 1000 - 2 Free PCP Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-444-6212 - Provider Directory for This Plan: (First Priority Health)

Deductible: Individual: $1,000 : Family: $2,000
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		 $435.06
$493.79
$556.01
$777.02
$1,180.75		 $870.12
$987.58
$1,112.02
$1,554.04
$2,361.50		 $1,202.94
$1,320.40
$1,444.84
$1,886.86		 $1,535.76
$1,653.22
$1,777.66
$2,219.68		 $1,868.58
$1,986.04
$2,110.48
$2,552.50		 $767.88
$826.61
$888.83
$1,109.84		 $1,100.70
$1,159.43
$1,221.65
$1,442.66		 $1,433.52
$1,492.25
$1,554.47
$1,775.48		 $397.21

Plan: (HMO) my Priority Blue Flex HMO Bronze 7900

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-444-6212 - Provider Directory for This Plan: (First Priority Health)

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		 $278.81
$316.45
$356.32
$497.95
$756.69		 $557.62
$632.90
$712.64
$995.90
$1,513.38		 $770.91
$846.19
$925.93
$1,209.19		 $984.20
$1,059.48
$1,139.22
$1,422.48		 $1,197.49
$1,272.77
$1,352.51
$1,635.77		 $492.10
$529.74
$569.61
$711.24		 $705.39
$743.03
$782.90
$924.53		 $918.68
$956.32
$996.19
$1,137.82		 $254.55

Plan: (HMO) my Priority Blue Flex HMO Silver 0

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-444-6212 - Provider Directory for This Plan: (First Priority Health)

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $7,800 : Family: $15,600

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		 $427.75
$485.50
$546.66
$763.96
$1,160.91		 $855.50
$971.00
$1,093.32
$1,527.92
$2,321.82		 $1,182.73
$1,298.23
$1,420.55
$1,855.15		 $1,509.96
$1,625.46
$1,747.78
$2,182.38		 $1,837.19
$1,952.69
$2,075.01
$2,509.61		 $754.98
$812.73
$873.89
$1,091.19		 $1,082.21
$1,139.96
$1,201.12
$1,418.42		 $1,409.44
$1,467.19
$1,528.35
$1,745.65		 $390.54

Plan: (HMO) my Priority Blue Major Events HMO 7900

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-444-6212 - Provider Directory for This Plan: (First Priority Health)

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		 $252.23
$286.28
$322.35
$450.48
$684.55		 $504.46
$572.56
$644.70
$900.96
$1,369.10		 $697.42
$765.52
$837.66
$1,093.92		 $890.38
$958.48
$1,030.62
$1,286.88		 $1,083.34
$1,151.44
$1,223.58
$1,479.84		 $445.19
$479.24
$515.31
$643.44		 $638.15
$672.20
$708.27
$836.40		 $831.11
$865.16
$901.23
$1,029.36		 $230.29

Plan: (HMO) my Priority Blue Flex HMO Silver 4550 HSA

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-444-6212 - Provider Directory for This Plan: (First Priority Health)

Deductible: Individual: $4,450 : Family: $8,900
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		 $370.60
$420.63
$473.63
$661.89
$1,005.81		 $741.20
$841.26
$947.26
$1,323.78
$2,011.62		 $1,024.71
$1,124.77
$1,230.77
$1,607.29		 $1,308.22
$1,408.28
$1,514.28
$1,890.80		 $1,591.73
$1,691.79
$1,797.79
$2,174.31		 $654.11
$704.14
$757.14
$945.40		 $937.62
$987.65
$1,040.65
$1,228.91		 $1,221.13
$1,271.16
$1,324.16
$1,512.42		 $338.36

‡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 Wayne County here.

 

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