Obamacare 2020 Rates and Health Insurance Providers for Salt Lake County , Utah


Obamacare > Rates > Utah > Salt Lake County

Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 |

Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Salt Lake County, UT.

The health insurance rates listed below are for calendar year 2020.

Obamacare Providers, Plans and 2020 Rates for Salt Lake County, Utah

Below, you’ll find a summary of the 56 plans for Salt Lake County, Utah 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 take one of the following actions:

  • Contact a licensed health insurance agent
  • Complete an application at
  • Contact the provider directly

The table below shows premiums for the following profiles at various ages:

  • Individuals
  • Couples
  • Couples with 1, 2, or 3 children
  • Individuals with 1, 2, or 3 children
  • A child alone

Each plan links to the insurance provider's website. You can find the following:

  • Summary of plan benefits and costs
  • Plan brochure
  • Provider Directory where you can find out which doctors and hospitals in the Salt Lake City, UT area accept this insurance coverage as within the plan's network.
Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 |

2020 Obamacare Rates, Providers, and Plans for Salt Lake County

ADVERTISEMENT

Molina Healthcare of Utah

Local: 1-801-858-0400 | Toll Free: 1-888-858-3973

 

Gold

(HMO) Confident Care Gold 1

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,925 $5,850
Maximum Out of Pocket Per Year $6,000 $12,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$401.28
$557.78
$593.49
$853.52
$1,203.84
$802.56
$1,115.56
$1,186.98
$1,707.04
$2,407.68
$1,120.78
$1,433.78
$1,505.20
$2,025.26
$1,439.00
$1,752.00
$1,823.42
$2,343.48
$1,757.22
$2,070.22
$2,141.64
$2,661.70
$719.50
$876.00
$911.71
$1,171.74
$1,037.72
$1,194.22
$1,229.93
$1,489.96
$1,355.94
$1,512.44
$1,548.15
$1,808.18
$318.22
 

Silver

(HMO) Constant Care Silver 1 250

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$328.21
$456.22
$485.43
$698.11
$984.63
$656.42
$912.44
$970.86
$1,396.22
$1,969.26
$916.69
$1,172.71
$1,231.13
$1,656.49
$1,176.96
$1,432.98
$1,491.40
$1,916.76
$1,437.23
$1,693.25
$1,751.67
$2,177.03
$588.48
$716.49
$745.70
$958.38
$848.75
$976.76
$1,005.97
$1,218.65
$1,109.02
$1,237.03
$1,266.24
$1,478.92
$260.27
 

Bronze

(HMO) Core Care Bronze 1

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,800 $13,600
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$209.88
$291.74
$310.42
$446.42
$629.64
$419.76
$583.48
$620.84
$892.84
$1,259.28
$586.20
$749.92
$787.28
$1,059.28
$752.64
$916.36
$953.72
$1,225.72
$919.08
$1,082.80
$1,120.16
$1,392.16
$376.32
$458.18
$476.86
$612.86
$542.76
$624.62
$643.30
$779.30
$709.20
$791.06
$809.74
$945.74
$166.44
 

Gold

(HMO) Confident Care Gold 1 + Vision

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,925 $5,850
Maximum Out of Pocket Per Year $6,000 $12,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$404.96
$562.89
$598.93
$861.34
$1,214.87
$809.92
$1,125.78
$1,197.86
$1,722.68
$2,429.74
$1,131.05
$1,446.91
$1,518.99
$2,043.81
$1,452.18
$1,768.04
$1,840.12
$2,364.94
$1,773.31
$2,089.17
$2,161.25
$2,686.07
$726.09
$884.02
$920.06
$1,182.47
$1,047.22
$1,205.15
$1,241.19
$1,503.60
$1,368.35
$1,526.28
$1,562.32
$1,824.73
$321.13
 

Silver

(HMO) Constant Care Silver 1 250 + Vision

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$335.03
$465.69
$495.50
$712.60
$1,005.08
$670.06
$931.38
$991.00
$1,425.20
$2,010.16
$935.74
$1,197.06
$1,256.68
$1,690.88
$1,201.42
$1,462.74
$1,522.36
$1,956.56
$1,467.10
$1,728.42
$1,788.04
$2,222.24
$600.71
$731.37
$761.18
$978.28
$866.39
$997.05
$1,026.86
$1,243.96
$1,132.07
$1,262.73
$1,292.54
$1,509.64
$265.68
 

Bronze

(HMO) Core Care Bronze 1 + Vision

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,800 $13,600
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$213.56
$296.85
$315.85
$454.24
$640.68
$427.12
$593.70
$631.70
$908.48
$1,281.36
$596.47
$763.05
$801.05
$1,077.83
$765.82
$932.40
$970.40
$1,247.18
$935.17
$1,101.75
$1,139.75
$1,416.53
$382.91
$466.20
$485.20
$623.59
$552.26
$635.55
$654.55
$792.94
$721.61
$804.90
$823.90
$962.29
$169.35
 

Silver

(HMO) Constant Care Silver 2 250

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,500 $13,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$318.05
$442.09
$470.39
$676.49
$954.15
$636.10
$884.18
$940.78
$1,352.98
$1,908.30
$888.31
$1,136.39
$1,192.99
$1,605.19
$1,140.52
$1,388.60
$1,445.20
$1,857.40
$1,392.73
$1,640.81
$1,697.41
$2,109.61
$570.26
$694.30
$722.60
$928.70
$822.47
$946.51
$974.81
$1,180.91
$1,074.68
$1,198.72
$1,227.02
$1,433.12
$252.21
 

Bronze

(HMO) Core Care Bronze 2

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,000 $16,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$200.04
$278.06
$295.86
$425.49
$600.12
$400.08
$556.12
$591.72
$850.98
$1,200.24
$558.71
$714.75
$750.35
$1,009.61
$717.34
$873.38
$908.98
$1,168.24
$875.97
$1,032.01
$1,067.61
$1,326.87
$358.67
$436.69
$454.49
$584.12
$517.30
$595.32
$613.12
$742.75
$675.93
$753.95
$771.75
$901.38
$158.63
ADVERTISEMENT

University of Utah Health Insurance Plans

Local: 1-801-587-6480x1 | Toll Free: 1-888-271-5870 | TTY: 1-800-346-4128

 

Gold

(EPO) Healthy Premier Gold Copay

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,500 $3,000
Maximum Out of Pocket Per Year $7,000 $14,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$505.80
$703.07
$748.08
$1,075.84
$1,517.40
$1,011.60
$1,406.14
$1,496.16
$2,151.68
$3,034.80
$1,412.70
$1,807.24
$1,897.26
$2,552.78
$1,813.80
$2,208.34
$2,298.36
$2,953.88
$2,214.90
$2,609.44
$2,699.46
$3,354.98
$906.90
$1,104.17
$1,149.18
$1,476.94
$1,308.00
$1,505.27
$1,550.28
$1,878.04
$1,709.10
$1,906.37
$1,951.38
$2,279.14
$401.10
 

Silver

(EPO) Healthy Premier Silver Copay

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,500 $7,000
Maximum Out of Pocket Per Year $8,000 $16,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$388.28
$539.72
$574.27
$825.88
$1,164.84
$776.56
$1,079.44
$1,148.54
$1,651.76
$2,329.68
$1,084.47
$1,387.35
$1,456.45
$1,959.67
$1,392.38
$1,695.26
$1,764.36
$2,267.58
$1,700.29
$2,003.17
$2,072.27
$2,575.49
$696.19
$847.63
$882.18
$1,133.79
$1,004.10
$1,155.54
$1,190.09
$1,441.70
$1,312.01
$1,463.45
$1,498.00
$1,749.61
$307.91
 

Expanded Bronze

(EPO) Healthy Premier Bronze HSA

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,900 $13,800
Maximum Out of Pocket Per Year $6,900 $13,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$240.41
$334.17
$355.56
$511.35
$721.22
$480.82
$668.34
$711.12
$1,022.70
$1,442.44
$671.46
$858.98
$901.76
$1,213.34
$862.10
$1,049.62
$1,092.40
$1,403.98
$1,052.74
$1,240.26
$1,283.04
$1,594.62
$431.05
$524.81
$546.20
$701.99
$621.69
$715.45
$736.84
$892.63
$812.33
$906.09
$927.48
$1,083.27
$190.64
 

Gold

(EPO) Healthy Preferred Gold Copay

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,500 $3,000
Maximum Out of Pocket Per Year $7,000 $14,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$447.61
$622.18
$662.02
$952.07
$1,342.83
$895.22
$1,244.36
$1,324.04
$1,904.14
$2,685.66
$1,250.18
$1,599.32
$1,679.00
$2,259.10
$1,605.14
$1,954.28
$2,033.96
$2,614.06
$1,960.10
$2,309.24
$2,388.92
$2,969.02
$802.57
$977.14
$1,016.98
$1,307.03
$1,157.53
$1,332.10
$1,371.94
$1,661.99
$1,512.49
$1,687.06
$1,726.90
$2,016.95
$354.96
 

Silver

(EPO) Healthy Preferred Silver Copay

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,500 $7,000
Maximum Out of Pocket Per Year $8,000 $16,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$343.61
$477.62
$508.21
$730.87
$1,030.83
$687.22
$955.24
$1,016.42
$1,461.74
$2,061.66
$959.71
$1,227.73
$1,288.91
$1,734.23
$1,232.20
$1,500.22
$1,561.40
$2,006.72
$1,504.69
$1,772.71
$1,833.89
$2,279.21
$616.10
$750.11
$780.70
$1,003.36
$888.59
$1,022.60
$1,053.19
$1,275.85
$1,161.08
$1,295.09
$1,325.68
$1,548.34
$272.49
 

Expanded Bronze

(EPO) Healthy Preferred Bronze HSA

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,900 $13,800
Maximum Out of Pocket Per Year $6,900 $13,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$212.75
$295.72
$314.66
$452.52
$638.25
$425.50
$591.44
$629.32
$905.04
$1,276.50
$594.21
$760.15
$798.03
$1,073.75
$762.92
$928.86
$966.74
$1,242.46
$931.63
$1,097.57
$1,135.45
$1,411.17
$381.46
$464.43
$483.37
$621.23
$550.17
$633.14
$652.08
$789.94
$718.88
$801.85
$820.79
$958.65
$168.71
 

Expanded Bronze

(EPO) Healthy Premier Expanded Bronze

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,500 $7,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$288.97
$401.66
$427.38
$614.63
$866.90
$577.94
$803.32
$854.76
$1,229.26
$1,733.80
$807.09
$1,032.47
$1,083.91
$1,458.41
$1,036.24
$1,261.62
$1,313.06
$1,687.56
$1,265.39
$1,490.77
$1,542.21
$1,916.71
$518.12
$630.81
$656.53
$843.78
$747.27
$859.96
$885.68
$1,072.93
$976.42
$1,089.11
$1,114.83
$1,302.08
$229.15
 

Expanded Bronze

(EPO) Healthy Preferred Expanded Bronze

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,500 $7,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$255.72
$355.45
$378.21
$543.92
$767.16
$511.44
$710.90
$756.42
$1,087.84
$1,534.32
$714.23
$913.69
$959.21
$1,290.63
$917.02
$1,116.48
$1,162.00
$1,493.42
$1,119.81
$1,319.27
$1,364.79
$1,696.21
$458.51
$558.24
$581.00
$746.71
$661.30
$761.03
$783.79
$949.50
$864.09
$963.82
$986.58
$1,152.29
$202.79
 

Expanded Bronze

(EPO) Healthy Premier Expanded Bronze HSA

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,000 $8,000
Maximum Out of Pocket Per Year $6,900 $13,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$288.97
$401.66
$427.38
$614.63
$866.90
$577.94
$803.32
$854.76
$1,229.26
$1,733.80
$807.09
$1,032.47
$1,083.91
$1,458.41
$1,036.24
$1,261.62
$1,313.06
$1,687.56
$1,265.39
$1,490.77
$1,542.21
$1,916.71
$518.12
$630.81
$656.53
$843.78
$747.27
$859.96
$885.68
$1,072.93
$976.42
$1,089.11
$1,114.83
$1,302.08
$229.15
 

Expanded Bronze

(EPO) Healthy Preferred Expanded Bronze HSA

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,000 $8,000
Maximum Out of Pocket Per Year $6,900 $13,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$255.72
$355.45
$378.21
$543.92
$767.16
$511.44
$710.90
$756.42
$1,087.84
$1,534.32
$714.23
$913.69
$959.21
$1,290.63
$917.02
$1,116.48
$1,162.00
$1,493.42
$1,119.81
$1,319.27
$1,364.79
$1,696.21
$458.51
$558.24
$581.00
$746.71
$661.30
$761.03
$783.79
$949.50
$864.09
$963.82
$986.58
$1,152.29
$202.79
 

Bronze

(EPO) Healthy Premier Bronze w/3 Copays before Deductible

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,550 $13,100
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$242.01
$336.40
$357.93
$514.76
$726.03
$484.02
$672.80
$715.86
$1,029.52
$1,452.06
$675.93
$864.71
$907.77
$1,221.43
$867.84
$1,056.62
$1,099.68
$1,413.34
$1,059.75
$1,248.53
$1,291.59
$1,605.25
$433.92
$528.31
$549.84
$706.67
$625.83
$720.22
$741.75
$898.58
$817.74
$912.13
$933.66
$1,090.49
$191.91
 

Bronze

(EPO) Healthy Preferred Bronze w/3 Copays before Deductible

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,550 $13,100
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$214.17
$297.70
$316.76
$455.54
$642.51
$428.34
$595.40
$633.52
$911.08
$1,285.02
$598.18
$765.24
$803.36
$1,080.92
$768.02
$935.08
$973.20
$1,250.76
$937.86
$1,104.92
$1,143.04
$1,420.60
$384.01
$467.54
$486.60
$625.38
$553.85
$637.38
$656.44
$795.22
$723.69
$807.22
$826.28
$965.06
$169.84
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SelectHealth

Local: 1-801-442-5038 | Toll Free: 1-800-538-5038

 

Silver

(HMO) Med Silver 2300

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,300 $4,600
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$357.25
$496.58
$528.38
$759.88
$1,071.75
$714.50
$993.16
$1,056.76
$1,519.76
$2,143.50
$997.80
$1,276.46
$1,340.06
$1,803.06
$1,281.10
$1,559.76
$1,623.36
$2,086.36
$1,564.40
$1,843.06
$1,906.66
$2,369.66
$640.55
$779.88
$811.68
$1,043.18
$923.85
$1,063.18
$1,094.98
$1,326.48
$1,207.15
$1,346.48
$1,378.28
$1,609.78
$283.30
 

Gold

(HMO) Med Gold 1500 - no deductible for office visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,500 $3,000
Maximum Out of Pocket Per Year $6,000 $12,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$435.24
$604.98
$643.72
$925.75
$1,305.71
$870.48
$1,209.96
$1,287.44
$1,851.50
$2,611.42
$1,215.62
$1,555.10
$1,632.58
$2,196.64
$1,560.76
$1,900.24
$1,977.72
$2,541.78
$1,905.90
$2,245.38
$2,322.86
$2,886.92
$780.38
$950.12
$988.86
$1,270.89
$1,125.52
$1,295.26
$1,334.00
$1,616.03
$1,470.66
$1,640.40
$1,679.14
$1,961.17
$345.14
 

Expanded Bronze

(HMO) Med Bronze 7800 - no deductible for one urgent care and all PCP visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,800 $15,600
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$222.28
$308.96
$328.75
$472.78
$666.83
$444.56
$617.92
$657.50
$945.56
$1,333.66
$620.82
$794.18
$833.76
$1,121.82
$797.08
$970.44
$1,010.02
$1,298.08
$973.34
$1,146.70
$1,186.28
$1,474.34
$398.54
$485.22
$505.01
$649.04
$574.80
$661.48
$681.27
$825.30
$751.06
$837.74
$857.53
$1,001.56
$176.26
 

Silver

(HMO) Med Silver 4000 Copay Plan - no deductible for office visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,000 $8,000
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$388.00
$539.32
$573.85
$825.28
$1,164.00
$776.00
$1,078.64
$1,147.70
$1,650.56
$2,328.00
$1,083.69
$1,386.33
$1,455.39
$1,958.25
$1,391.38
$1,694.02
$1,763.08
$2,265.94
$1,699.07
$2,001.71
$2,070.77
$2,573.63
$695.69
$847.01
$881.54
$1,132.97
$1,003.38
$1,154.70
$1,189.23
$1,440.66
$1,311.07
$1,462.39
$1,496.92
$1,748.35
$307.69
 

Expanded Bronze

(HMO) Med HealthSave Expanded Bronze 6850 (HSA Qualified)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,850 $13,700
Maximum Out of Pocket Per Year $6,850 $13,700
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$222.28
$308.96
$328.75
$472.78
$666.83
$444.56
$617.92
$657.50
$945.56
$1,333.66
$620.82
$794.18
$833.76
$1,121.82
$797.08
$970.44
$1,010.02
$1,298.08
$973.34
$1,146.70
$1,186.28
$1,474.34
$398.54
$485.22
$505.01
$649.04
$574.80
$661.48
$681.27
$825.30
$751.06
$837.74
$857.53
$1,001.56
$176.26
 

Catastrophic

(HMO) Med Catastrophic 8150

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$187.56
$260.71
$277.40
$398.94
$562.68
$375.12
$521.42
$554.80
$797.88
$1,125.36
$523.86
$670.16
$703.54
$946.62
$672.60
$818.90
$852.28
$1,095.36
$821.34
$967.64
$1,001.02
$1,244.10
$336.30
$409.45
$426.14
$547.68
$485.04
$558.19
$574.88
$696.42
$633.78
$706.93
$723.62
$845.16
$148.74
 

Silver

(HMO) Med HealthSave Silver 3250 (HSA Qualified)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,250 $6,500
Maximum Out of Pocket Per Year $6,850 $13,700
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$376.86
$523.84
$557.38
$801.58
$1,130.58
$753.72
$1,047.68
$1,114.76
$1,603.16
$2,261.16
$1,052.57
$1,346.53
$1,413.61
$1,902.01
$1,351.42
$1,645.38
$1,712.46
$2,200.86
$1,650.27
$1,944.23
$2,011.31
$2,499.71
$675.71
$822.69
$856.23
$1,100.43
$974.56
$1,121.54
$1,155.08
$1,399.28
$1,273.41
$1,420.39
$1,453.93
$1,698.13
$298.85
 

Gold

(HMO) Value Gold 1500 - no deductible for office visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,500 $3,000
Maximum Out of Pocket Per Year $6,000 $12,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$385.16
$535.37
$569.65
$819.23
$1,155.47
$770.32
$1,070.74
$1,139.30
$1,638.46
$2,310.94
$1,075.75
$1,376.17
$1,444.73
$1,943.89
$1,381.18
$1,681.60
$1,750.16
$2,249.32
$1,686.61
$1,987.03
$2,055.59
$2,554.75
$690.59
$840.80
$875.08
$1,124.66
$996.02
$1,146.23
$1,180.51
$1,430.09
$1,301.45
$1,451.66
$1,485.94
$1,735.52
$305.43
 

Silver

(HMO) Value Silver 2300

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,300 $4,600
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$316.15
$439.45
$467.58
$672.45
$948.44
$632.30
$878.90
$935.16
$1,344.90
$1,896.88
$883.01
$1,129.61
$1,185.87
$1,595.61
$1,133.72
$1,380.32
$1,436.58
$1,846.32
$1,384.43
$1,631.03
$1,687.29
$2,097.03
$566.86
$690.16
$718.29
$923.16
$817.57
$940.87
$969.00
$1,173.87
$1,068.28
$1,191.58
$1,219.71
$1,424.58
$250.71
 

Expanded Bronze

(HMO) Value Expanded Bronze 7800 - no deductible for one urgent care and all PCP visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,800 $15,600
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$196.70
$273.41
$290.92
$418.38
$590.10
$393.40
$546.82
$581.84
$836.76
$1,180.20
$549.38
$702.80
$737.82
$992.74
$705.36
$858.78
$893.80
$1,148.72
$861.34
$1,014.76
$1,049.78
$1,304.70
$352.68
$429.39
$446.90
$574.36
$508.66
$585.37
$602.88
$730.34
$664.64
$741.35
$758.86
$886.32
$155.98
 

Silver

(HMO) Value Silver 4000 Copay Plan - no deductible for office visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,000 $8,000
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$343.36
$477.27
$507.83
$730.32
$1,030.07
$686.72
$954.54
$1,015.66
$1,460.64
$2,060.14
$959.00
$1,226.82
$1,287.94
$1,732.92
$1,231.28
$1,499.10
$1,560.22
$2,005.20
$1,503.56
$1,771.38
$1,832.50
$2,277.48
$615.64
$749.55
$780.11
$1,002.60
$887.92
$1,021.83
$1,052.39
$1,274.88
$1,160.20
$1,294.11
$1,324.67
$1,547.16
$272.28
 

Expanded Bronze

(HMO) Value HealthSave Expanded Bronze 6850 (HSA qualified)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,850 $13,700
Maximum Out of Pocket Per Year $6,850 $13,700
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$196.70
$273.41
$290.92
$418.38
$590.10
$393.40
$546.82
$581.84
$836.76
$1,180.20
$549.38
$702.80
$737.82
$992.74
$705.36
$858.78
$893.80
$1,148.72
$861.34
$1,014.76
$1,049.78
$1,304.70
$352.68
$429.39
$446.90
$574.36
$508.66
$585.37
$602.88
$730.34
$664.64
$741.35
$758.86
$886.32
$155.98
 

Silver

(HMO) Value HealthSave Silver 3250 (HSA Qualified)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,250 $6,500
Maximum Out of Pocket Per Year $6,850 $13,700
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$333.50
$463.56
$493.24
$709.35
$1,000.50
$667.00
$927.12
$986.48
$1,418.70
$2,001.00
$931.46
$1,191.58
$1,250.94
$1,683.16
$1,195.92
$1,456.04
$1,515.40
$1,947.62
$1,460.38
$1,720.50
$1,779.86
$2,212.08
$597.96
$728.02
$757.70
$973.81
$862.42
$992.48
$1,022.16
$1,238.27
$1,126.88
$1,256.94
$1,286.62
$1,502.73
$264.46
 

Catastrophic

(HMO) Value Catastrophic 8150

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$165.98
$230.71
$245.49
$353.04
$497.94
$331.96
$461.42
$490.98
$706.08
$995.88
$463.58
$593.04
$622.60
$837.70
$595.20
$724.66
$754.22
$969.32
$726.82
$856.28
$885.84
$1,100.94
$297.60
$362.33
$377.11
$484.66
$429.22
$493.95
$508.73
$616.28
$560.84
$625.57
$640.35
$747.90
$131.62
 

Silver

(HMO) Value Silver 3000 - no deductible for office visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,000 $6,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$340.60
$473.43
$503.74
$724.45
$1,021.79
$681.20
$946.86
$1,007.48
$1,448.90
$2,043.58
$951.29
$1,216.95
$1,277.57
$1,718.99
$1,221.38
$1,487.04
$1,547.66
$1,989.08
$1,491.47
$1,757.13
$1,817.75
$2,259.17
$610.69
$743.52
$773.83
$994.54
$880.78
$1,013.61
$1,043.92
$1,264.63
$1,150.87
$1,283.70
$1,314.01
$1,534.72
$270.09
 

Silver

(HMO) Med Silver 3000 - no deductible for office visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,000 $6,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$384.88
$534.99
$569.24
$818.64
$1,154.64
$769.76
$1,069.98
$1,138.48
$1,637.28
$2,309.28
$1,074.97
$1,375.19
$1,443.69
$1,942.49
$1,380.18
$1,680.40
$1,748.90
$2,247.70
$1,685.39
$1,985.61
$2,054.11
$2,552.91
$690.09
$840.20
$874.45
$1,123.85
$995.30
$1,145.41
$1,179.66
$1,429.06
$1,300.51
$1,450.62
$1,484.87
$1,734.27
$305.21
 

Expanded Bronze

(HMO) Value HealthSave Expanded Bronze 4000 (HSA Qualified)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,000 $8,000
Maximum Out of Pocket Per Year $6,850 $13,700
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$251.91
$350.15
$372.57
$535.81
$755.73
$503.82
$700.30
$745.14
$1,071.62
$1,511.46
$703.58
$900.06
$944.90
$1,271.38
$903.34
$1,099.82
$1,144.66
$1,471.14
$1,103.10
$1,299.58
$1,344.42
$1,670.90
$451.67
$549.91
$572.33
$735.57
$651.43
$749.67
$772.09
$935.33
$851.19
$949.43
$971.85
$1,135.09
$199.76
 

Expanded Bronze

(HMO) Med HealthSave Expanded Bronze 4000 (HSA Qualified)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,000 $8,000
Maximum Out of Pocket Per Year $6,850 $13,700
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$284.66
$395.68
$421.02
$605.48
$853.98
$569.32
$791.36
$842.04
$1,210.96
$1,707.96
$795.06
$1,017.10
$1,067.78
$1,436.70
$1,020.80
$1,242.84
$1,293.52
$1,662.44
$1,246.54
$1,468.58
$1,519.26
$1,888.18
$510.40
$621.42
$646.76
$831.22
$736.14
$847.16
$872.50
$1,056.96
$961.88
$1,072.90
$1,098.24
$1,282.70
$225.74
 

Expanded Bronze

(HMO) Value Expanded Bronze 4800 Copay Plan - no deductible for one urgent care and all PCP visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,800 $9,600
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$245.60
$341.38
$363.24
$522.39
$736.80
$491.20
$682.76
$726.48
$1,044.78
$1,473.60
$685.96
$877.52
$921.24
$1,239.54
$880.72
$1,072.28
$1,116.00
$1,434.30
$1,075.48
$1,267.04
$1,310.76
$1,629.06
$440.36
$536.14
$558.00
$717.15
$635.12
$730.90
$752.76
$911.91
$829.88
$925.66
$947.52
$1,106.67
$194.76
 

Expanded Bronze

(HMO) Med Expanded Bronze 4800 Copay Plan - no deductible for one urgent care and all PCP visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,800 $9,600
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$277.53
$385.77
$410.47
$590.31
$832.59
$555.06
$771.54
$820.94
$1,180.62
$1,665.18
$775.14
$991.62
$1,041.02
$1,400.70
$995.22
$1,211.70
$1,261.10
$1,620.78
$1,215.30
$1,431.78
$1,481.18
$1,840.86
$497.61
$605.85
$630.55
$810.39
$717.69
$825.93
$850.63
$1,030.47
$937.77
$1,046.01
$1,070.71
$1,250.55
$220.08
 

Expanded Bronze

(HMO) Value Expanded Bronze 8150 - no deductible for office visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$244.02
$339.19
$360.91
$519.03
$732.06
$488.04
$678.38
$721.82
$1,038.06
$1,464.12
$681.55
$871.89
$915.33
$1,231.57
$875.06
$1,065.40
$1,108.84
$1,425.08
$1,068.57
$1,258.91
$1,302.35
$1,618.59
$437.53
$532.70
$554.42
$712.54
$631.04
$726.21
$747.93
$906.05
$824.55
$919.72
$941.44
$1,099.56
$193.51
 

Expanded Bronze

(HMO) Med Expanded Bronze 8150 - no deductible for office visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$275.75
$383.29
$407.83
$586.52
$827.25
$551.50
$766.58
$815.66
$1,173.04
$1,654.50
$770.17
$985.25
$1,034.33
$1,391.71
$988.84
$1,203.92
$1,253.00
$1,610.38
$1,207.51
$1,422.59
$1,471.67
$1,829.05
$494.42
$601.96
$626.50
$805.19
$713.09
$820.63
$845.17
$1,023.86
$931.76
$1,039.30
$1,063.84
$1,242.53
$218.67
 

Bronze

(HMO) Med Benchmark Bronze 6800

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,800 $13,600
Maximum Out of Pocket Per Year $8,000 $16,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$212.91
$295.94
$314.89
$452.85
$638.72
$425.82
$591.88
$629.78
$905.70
$1,277.44
$594.66
$760.72
$798.62
$1,074.54
$763.50
$929.56
$967.46
$1,243.38
$932.34
$1,098.40
$1,136.30
$1,412.22
$381.75
$464.78
$483.73
$621.69
$550.59
$633.62
$652.57
$790.53
$719.43
$802.46
$821.41
$959.37
$168.84
 

Bronze

(HMO) Value Benchmark Bronze 6800

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,800 $13,600
Maximum Out of Pocket Per Year $8,000 $16,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$188.41
$261.89
$278.66
$400.75
$565.23
$376.82
$523.78
$557.32
$801.50
$1,130.46
$526.23
$673.19
$706.73
$950.91
$675.64
$822.60
$856.14
$1,100.32
$825.05
$972.01
$1,005.55
$1,249.73
$337.82
$411.30
$428.07
$550.16
$487.23
$560.71
$577.48
$699.57
$636.64
$710.12
$726.89
$848.98
$149.41
 

Expanded Bronze

(HMO) Value Benchmark Expanded Bronze 3500

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,600 $7,200
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$225.10
$312.89
$332.92
$478.79
$675.30
$450.20
$625.78
$665.84
$957.58
$1,350.60
$628.71
$804.29
$844.35
$1,136.09
$807.22
$982.80
$1,022.86
$1,314.60
$985.73
$1,161.31
$1,201.37
$1,493.11
$403.61
$491.40
$511.43
$657.30
$582.12
$669.91
$689.94
$835.81
$760.63
$848.42
$868.45
$1,014.32
$178.51
 

Expanded Bronze

(HMO) Med Benchmark Expanded Bronze 3500

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,600 $7,200
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$254.37
$353.57
$376.21
$541.04
$763.11
$508.74
$707.14
$752.42
$1,082.08
$1,526.22
$710.45
$908.85
$954.13
$1,283.79
$912.16
$1,110.56
$1,155.84
$1,485.50
$1,113.87
$1,312.27
$1,357.55
$1,687.21
$456.08
$555.28
$577.92
$742.75
$657.79
$756.99
$779.63
$944.46
$859.50
$958.70
$981.34
$1,146.17
$201.71
 

Bronze

(HMO) Value Benchmark Bronze 8150

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$182.13
$253.16
$269.36
$387.38
$546.38
$364.26
$506.32
$538.72
$774.76
$1,092.76
$508.69
$650.75
$683.15
$919.19
$653.12
$795.18
$827.58
$1,063.62
$797.55
$939.61
$972.01
$1,208.05
$326.56
$397.59
$413.79
$531.81
$470.99
$542.02
$558.22
$676.24
$615.42
$686.45
$702.65
$820.67
$144.43
 

Bronze

(HMO) Med Benchmark Bronze 8150

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$205.81
$286.07
$304.39
$437.75
$617.42
$411.62
$572.14
$608.78
$875.50
$1,234.84
$574.82
$735.34
$771.98
$1,038.70
$738.02
$898.54
$935.18
$1,201.90
$901.22
$1,061.74
$1,098.38
$1,365.10
$369.01
$449.27
$467.59
$600.95
$532.21
$612.47
$630.79
$764.15
$695.41
$775.67
$793.99
$927.35
$163.20
 

Silver

(HMO) Value Benchmark Silver 6200 - no deductible for office visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,200 $12,400
Maximum Out of Pocket Per Year $8,000 $16,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$305.51
$424.66
$451.85
$649.82
$916.52
$611.02
$849.32
$903.70
$1,299.64
$1,833.04
$853.29
$1,091.59
$1,145.97
$1,541.91
$1,095.56
$1,333.86
$1,388.24
$1,784.18
$1,337.83
$1,576.13
$1,630.51
$2,026.45
$547.78
$666.93
$694.12
$892.09
$790.05
$909.20
$936.39
$1,134.36
$1,032.32
$1,151.47
$1,178.66
$1,376.63
$242.27
 

Silver

(HMO) Med Benchmark Silver 6200 - no deductible for office visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,200 $12,400
Maximum Out of Pocket Per Year $8,000 $16,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$345.23
$479.87
$510.60
$734.31
$1,035.69
$690.46
$959.74
$1,021.20
$1,468.62
$2,071.38
$964.23
$1,233.51
$1,294.97
$1,742.39
$1,238.00
$1,507.28
$1,568.74
$2,016.16
$1,511.77
$1,781.05
$1,842.51
$2,289.93
$619.00
$753.64
$784.37
$1,008.08
$892.77
$1,027.41
$1,058.14
$1,281.85
$1,166.54
$1,301.18
$1,331.91
$1,555.62
$273.77
ADVERTISEMENT

Cigna Health and Life Insurance Company

Local: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777

 

Bronze

(EPO) Cigna Connect 6000

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$225.88
$313.98
$334.08
$480.46
$677.64
$451.76
$627.96
$668.16
$960.92
$1,355.28
$630.89
$807.09
$847.29
$1,140.05
$810.02
$986.22
$1,026.42
$1,319.18
$989.15
$1,165.35
$1,205.55
$1,498.31
$405.01
$493.11
$513.21
$659.59
$584.14
$672.24
$692.34
$838.72
$763.27
$851.37
$871.47
$1,017.85
$179.13
 

Bronze

(EPO) Cigna Connect 8150

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$225.75
$313.79
$333.88
$480.16
$677.24
$451.50
$627.58
$667.76
$960.32
$1,354.48
$630.52
$806.60
$846.78
$1,139.34
$809.54
$985.62
$1,025.80
$1,318.36
$988.56
$1,164.64
$1,204.82
$1,497.38
$404.77
$492.81
$512.90
$659.18
$583.79
$671.83
$691.92
$838.20
$762.81
$850.85
$870.94
$1,017.22
$179.02
 

Bronze

(EPO) Cigna Connect 7500

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,500 $15,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$232.67
$323.42
$344.12
$494.90
$698.01
$465.34
$646.84
$688.24
$989.80
$1,396.02
$649.85
$831.35
$872.75
$1,174.31
$834.36
$1,015.86
$1,057.26
$1,358.82
$1,018.87
$1,200.37
$1,241.77
$1,543.33
$417.18
$507.93
$528.63
$679.41
$601.69
$692.44
$713.14
$863.92
$786.20
$876.95
$897.65
$1,048.43
$184.51
 

Silver

(EPO) Cigna Connect 1900

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,900 $3,800
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$303.89
$422.41
$449.46
$646.38
$911.67
$607.78
$844.82
$898.92
$1,292.76
$1,823.34
$848.77
$1,085.81
$1,139.91
$1,533.75
$1,089.76
$1,326.80
$1,380.90
$1,774.74
$1,330.75
$1,567.79
$1,621.89
$2,015.73
$544.88
$663.40
$690.45
$887.37
$785.87
$904.39
$931.44
$1,128.36
$1,026.86
$1,145.38
$1,172.43
$1,369.35
$240.99
 

Silver

(EPO) Cigna Connect 2250

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,250 $4,500
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$306.89
$426.58
$453.89
$652.75
$920.67
$613.78
$853.16
$907.78
$1,305.50
$1,841.34
$857.14
$1,096.52
$1,151.14
$1,548.86
$1,100.50
$1,339.88
$1,394.50
$1,792.22
$1,343.86
$1,583.24
$1,637.86
$2,035.58
$550.25
$669.94
$697.25
$896.11
$793.61
$913.30
$940.61
$1,139.47
$1,036.97
$1,156.66
$1,183.97
$1,382.83
$243.36
 

Gold

(EPO) Cigna Connect 1700

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,700 $3,400
Maximum Out of Pocket Per Year $7,500 $15,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$406.93
$565.64
$601.86
$865.55
$1,220.79
$813.86
$1,131.28
$1,203.72
$1,731.10
$2,441.58
$1,136.56
$1,453.98
$1,526.42
$2,053.80
$1,459.26
$1,776.68
$1,849.12
$2,376.50
$1,781.96
$2,099.38
$2,171.82
$2,699.20
$729.63
$888.34
$924.56
$1,188.25
$1,052.33
$1,211.04
$1,247.26
$1,510.95
$1,375.03
$1,533.74
$1,569.96
$1,833.65
$322.70

‡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 Salt Lake County here.

Salt Lake County is in “Rating Area 3” of Utah.

Currently, there are 56 plans offered in Rating Area 3.


Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016| 2017 | 2018 | 2019

You may also be interested in:

Ways to Save Money on Health Insurance in Utah

There are three primary ways to reduce the cost of health plans under the Affordable Care Act in Utah.

  • You may be able to lower the cost of monthly premiums when you sign up for a private health insurance plan. Your subsidies will come in the form of a federal tax credit. This article is updated to cover the tax credits available under the American Rescue Plan Act of 2021 and extended under the Inflation Reduction Act through 2025.
  • You may be able to reduce your out-of-pocket costs -- including copayments, deductibles, and coinsurance -- with cost-sharing subsidies paid for by insurers.
  • You may qualify for free or low-cost coverage through Medicaid in Utah, or your children may be able to obtain coverage through the Children’s Health Insurance Program (CHIP).

Each of these forms of assistance depends on your income and family size.

Many people who apply for coverage at the Utah exchange will be eligible for some form of financial assistance. Read on to learn more about each option.

more...  

 

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