Obamacare 2021 Rates for Pima County
Obamacare > Rates > Arizona > Pima County
Obamacare > Rates > Arizona > Pima County
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Blue Cross Blue Shield of ArizonaLocal: 1-844-341-5837 | Toll Free: 1-844-341-5837 | TTY: 1-602-864-4823 |
Toc - Plan #1 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue TrueHealth Silver - PimaFocus Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$283,38 $321,64 $362,16 $506,12 $769,09 |
$500,17 $538,43 $578,95 $722,91 |
$716,96 $755,22 $795,74 $939,70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$566,76 $643,28 $724,32 $1 012,24 $1 538,18 |
$783,55 $860,07 $941,11 $1 229,03 |
$1 000,34 $1 076,86 $1 157,90 $1 445,82 |
Toc - Plan #2 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(HMO) Blue EverydayHealth Gold - PimaFocus Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$344,32 $390,80 $440,04 $614,95 $934,47 |
$607,72 $654,20 $703,44 $878,35 |
$871,12 $917,60 $966,84 $1 141,75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$688,64 $781,60 $880,08 $1 229,90 $1 868,94 |
$952,04 $1 045,00 $1 143,48 $1 493,30 |
$1 215,44 $1 308,40 $1 406,88 $1 756,70 |
Toc - Plan #3 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue EverydayHealth Silver - PimaFocus Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$278,31 $315,88 $355,68 $497,05 $755,32 |
$491,22 $528,79 $568,59 $709,96 |
$704,13 $741,70 $781,50 $922,87 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$556,62 $631,76 $711,36 $994,10 $1 510,64 |
$769,53 $844,67 $924,27 $1 207,01 |
$982,44 $1 057,58 $1 137,18 $1 419,92 |
Toc - Plan #4 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue EverydayHealth Bronze - PimaFocus Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$218,63 $248,14 $279,40 $390,46 $593,34 |
$385,88 $415,39 $446,65 $557,71 |
$553,13 $582,64 $613,90 $724,96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$437,26 $496,28 $558,80 $780,92 $1 186,68 |
$604,51 $663,53 $726,05 $948,17 |
$771,76 $830,78 $893,30 $1 115,42 |
Toc - Plan #5 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Portfolio HSA Bronze - PimaFocus Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$236,12 $268,00 $301,76 $421,71 $640,83 |
$416,76 $448,64 $482,40 $602,35 |
$597,40 $629,28 $663,04 $782,99 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$472,24 $536,00 $603,52 $843,42 $1 281,66 |
$652,88 $716,64 $784,16 $1 024,06 |
$833,52 $897,28 $964,80 $1 204,70 |
Toc - Plan #6 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Catastrophic
(HMO) Blue SimpleHealth - PimaFocus Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$192,72 $218,74 $246,30 $344,20 $523,04 |
$340,15 $366,17 $393,73 $491,63 |
$487,58 $513,60 $541,16 $639,06 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$385,44 $437,48 $492,60 $688,40 $1 046,08 |
$532,87 $584,91 $640,03 $835,83 |
$680,30 $732,34 $787,46 $983,26 |
Toc - Plan #7 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue AdvanceHealth Silver - PimaFocus Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$258,06 $292,89 $329,79 $460,88 $700,36 |
$455,47 $490,30 $527,20 $658,29 |
$652,88 $687,71 $724,61 $855,70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$516,12 $585,78 $659,58 $921,76 $1 400,72 |
$713,53 $783,19 $856,99 $1 119,17 |
$910,94 $980,60 $1 054,40 $1 316,58 |
Toc - Plan #8 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue AdvanceHealth Bronze - PimaFocus Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$203,39 $230,85 $259,93 $363,25 $551,99 |
$358,98 $386,44 $415,52 $518,84 |
$514,57 $542,03 $571,11 $674,43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$406,78 $461,70 $519,86 $726,50 $1 103,98 |
$562,37 $617,29 $675,45 $882,09 |
$717,96 $772,88 $831,04 $1 037,68 |
ADVERTISEMENT
Bright HealthLocal: 1-800-922-7186 | Toll Free: 1-800-922-7186 |
Toc - Plan #9 Bright Health | ||||||||||||||||||||
Catastrophic
(HMO) Catastrophic 3 $0 PCP Visits |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$215,46 $244,54 $275,35 $384,81 $584,75 |
$380,28 $409,36 $440,17 $549,63 |
$545,10 $574,18 $604,99 $714,45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$430,92 $489,08 $550,70 $769,62 $1 169,50 |
$595,74 $653,90 $715,52 $934,44 |
$760,56 $818,72 $880,34 $1 099,26 |
Toc - Plan #10 Bright Health | ||||||||||||||||||||
Gold
(HMO) Gold 1000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$414,31 $470,24 $529,48 $739,95 $1 124,42 |
$731,25 $787,18 $846,42 $1 056,89 |
$1 048,19 $1 104,12 $1 163,36 $1 373,83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$828,62 $940,48 $1 058,96 $1 479,90 $2 248,84 |
$1 145,56 $1 257,42 $1 375,90 $1 796,84 |
$1 462,50 $1 574,36 $1 692,84 $2 113,78 |
Toc - Plan #11 Bright Health | ||||||||||||||||||||
Silver
(HMO) Silver 3000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$299,21 $339,60 $382,39 $534,38 $812,04 |
$528,10 $568,49 $611,28 $763,27 |
$756,99 $797,38 $840,17 $992,16 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$598,42 $679,20 $764,78 $1 068,76 $1 624,08 |
$827,31 $908,09 $993,67 $1 297,65 |
$1 056,20 $1 136,98 $1 222,56 $1 526,54 |
Toc - Plan #12 Bright Health | ||||||||||||||||||||
Silver
(HMO) Silver $0 Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$312,57 $354,77 $399,47 $558,25 $848,32 |
$551,69 $593,89 $638,59 $797,37 |
$790,81 $833,01 $877,71 $1 036,49 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$625,14 $709,54 $798,94 $1 116,50 $1 696,64 |
$864,26 $948,66 $1 038,06 $1 355,62 |
$1 103,38 $1 187,78 $1 277,18 $1 594,74 |
Toc - Plan #13 Bright Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 8550 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$234,59 $266,26 $299,81 $418,98 $636,69 |
$414,05 $445,72 $479,27 $598,44 |
$593,51 $625,18 $658,73 $777,90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$469,18 $532,52 $599,62 $837,96 $1 273,38 |
$648,64 $711,98 $779,08 $1 017,42 |
$828,10 $891,44 $958,54 $1 196,88 |
Toc - Plan #14 Bright Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze $0 Primary Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$244,72 $277,76 $312,75 $437,07 $664,17 |
$431,93 $464,97 $499,96 $624,28 |
$619,14 $652,18 $687,17 $811,49 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$489,44 $555,52 $625,50 $874,14 $1 328,34 |
$676,65 $742,73 $812,71 $1 061,35 |
$863,86 $929,94 $999,92 $1 248,56 |
Toc - Plan #15 Bright Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 7000 HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$264,17 $299,83 $337,61 $471,81 $716,96 |
$466,26 $501,92 $539,70 $673,90 |
$668,35 $704,01 $741,79 $875,99 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$528,34 $599,66 $675,22 $943,62 $1 433,92 |
$730,43 $801,75 $877,31 $1 145,71 |
$932,52 $1 003,84 $1 079,40 $1 347,80 |
Toc - Plan #16 Bright Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze $0 Medical Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$273,82 $310,79 $349,95 $489,05 $743,16 |
$483,30 $520,27 $559,43 $698,53 |
$692,78 $729,75 $768,91 $908,01 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$547,64 $621,58 $699,90 $978,10 $1 486,32 |
$757,12 $831,06 $909,38 $1 187,58 |
$966,60 $1 040,54 $1 118,86 $1 397,06 |
Toc - Plan #17 Bright Health | ||||||||||||||||||||
Silver
(HMO) Silver 5000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$292,74 $332,26 $374,12 $522,83 $794,49 |
$516,68 $556,20 $598,06 $746,77 |
$740,62 $780,14 $822,00 $970,71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$585,48 $664,52 $748,24 $1 045,66 $1 588,98 |
$809,42 $888,46 $972,18 $1 269,60 |
$1 033,36 $1 112,40 $1 196,12 $1 493,54 |
Toc - Plan #18 Bright Health | ||||||||||||||||||||
Silver
(HMO) Silver 4000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$289,04 $328,06 $369,39 $516,22 $784,45 |
$510,15 $549,17 $590,50 $737,33 |
$731,26 $770,28 $811,61 $958,44 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$578,08 $656,12 $738,78 $1 032,44 $1 568,90 |
$799,19 $877,23 $959,89 $1 253,55 |
$1 020,30 $1 098,34 $1 181,00 $1 474,66 |
Toc - Plan #19 Bright Health | ||||||||||||||||||||
Silver
(HMO) Silver $0 Primary Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$300,75 $341,35 $384,35 $537,13 $816,23 |
$530,82 $571,42 $614,42 $767,20 |
$760,89 $801,49 $844,49 $997,27 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$601,50 $682,70 $768,70 $1 074,26 $1 632,46 |
$831,57 $912,77 $998,77 $1 304,33 |
$1 061,64 $1 142,84 $1 228,84 $1 534,40 |
ADVERTISEMENT
Ambetter from Arizona Complete HealthLocal: 1-888-926-5057 | Toll Free: 1-888-926-5057 | TTY: 1-888-926-5180 |
Toc - Plan #20 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 9 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$311,64 $353,71 $398,28 $556,59 $845,79 |
$550,04 $592,11 $636,68 $794,99 |
$788,44 $830,51 $875,08 $1 033,39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$623,28 $707,42 $796,56 $1 113,18 $1 691,58 |
$861,68 $945,82 $1 034,96 $1 351,58 |
$1 100,08 $1 184,22 $1 273,36 $1 589,98 |
Toc - Plan #21 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$249,35 $283,01 $318,66 $445,33 $676,72 |
$440,10 $473,76 $509,41 $636,08 |
$630,85 $664,51 $700,16 $826,83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$498,70 $566,02 $637,32 $890,66 $1 353,44 |
$689,45 $756,77 $828,07 $1 081,41 |
$880,20 $947,52 $1 018,82 $1 272,16 |
Toc - Plan #22 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 4 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$290,17 $329,34 $370,84 $518,24 $787,52 |
$512,15 $551,32 $592,82 $740,22 |
$734,13 $773,30 $814,80 $962,20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$580,34 $658,68 $741,68 $1 036,48 $1 575,04 |
$802,32 $880,66 $963,66 $1 258,46 |
$1 024,30 $1 102,64 $1 185,64 $1 480,44 |
Toc - Plan #23 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$281,46 $319,45 $359,70 $502,68 $763,87 |
$496,77 $534,76 $575,01 $717,99 |
$712,08 $750,07 $790,32 $933,30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$562,92 $638,90 $719,40 $1 005,36 $1 527,74 |
$778,23 $854,21 $934,71 $1 220,67 |
$993,54 $1 069,52 $1 150,02 $1 435,98 |
Toc - Plan #24 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$241,66 $274,28 $308,84 $431,60 $655,86 |
$426,53 $459,15 $493,71 $616,47 |
$611,40 $644,02 $678,58 $801,34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$483,32 $548,56 $617,68 $863,20 $1 311,72 |
$668,19 $733,43 $802,55 $1 048,07 |
$853,06 $918,30 $987,42 $1 232,94 |
Toc - Plan #25 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$276,56 $313,89 $353,44 $493,93 $750,57 |
$488,13 $525,46 $565,01 $705,50 |
$699,70 $737,03 $776,58 $917,07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$553,12 $627,78 $706,88 $987,86 $1 501,14 |
$764,69 $839,35 $918,45 $1 199,43 |
$976,26 $1 050,92 $1 130,02 $1 411,00 |
Toc - Plan #26 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$404,98 $459,65 $517,56 $723,29 $1 099,10 |
$714,79 $769,46 $827,37 $1 033,10 |
$1 024,60 $1 079,27 $1 137,18 $1 342,91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$809,96 $919,30 $1 035,12 $1 446,58 $2 198,20 |
$1 119,77 $1 229,11 $1 344,93 $1 756,39 |
$1 429,58 $1 538,92 $1 654,74 $2 066,20 |
Toc - Plan #27 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 25 HSA (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287,97 $326,85 $368,03 $514,32 $781,56 |
$508,27 $547,15 $588,33 $734,62 |
$728,57 $767,45 $808,63 $954,92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$575,94 $653,70 $736,06 $1 028,64 $1 563,12 |
$796,24 $874,00 $956,36 $1 248,94 |
$1 016,54 $1 094,30 $1 176,66 $1 469,24 |
Toc - Plan #28 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 26 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$288,60 $327,56 $368,83 $515,44 $783,27 |
$509,38 $548,34 $589,61 $736,22 |
$730,16 $769,12 $810,39 $957,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$577,20 $655,12 $737,66 $1 030,88 $1 566,54 |
$797,98 $875,90 $958,44 $1 251,66 |
$1 018,76 $1 096,68 $1 179,22 $1 472,44 |
Toc - Plan #29 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 28 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$298,75 $339,08 $381,80 $533,57 $810,80 |
$527,29 $567,62 $610,34 $762,11 |
$755,83 $796,16 $838,88 $990,65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$597,50 $678,16 $763,60 $1 067,14 $1 621,60 |
$826,04 $906,70 $992,14 $1 295,68 |
$1 054,58 $1 135,24 $1 220,68 $1 524,22 |
Toc - Plan #30 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$249,16 $282,80 $318,43 $445,00 $676,22 |
$439,77 $473,41 $509,04 $635,61 |
$630,38 $664,02 $699,65 $826,22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$498,32 $565,60 $636,86 $890,00 $1 352,44 |
$688,93 $756,21 $827,47 $1 080,61 |
$879,54 $946,82 $1 018,08 $1 271,22 |
Toc - Plan #31 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$261,26 $296,52 $333,88 $466,60 $709,05 |
$461,12 $496,38 $533,74 $666,46 |
$660,98 $696,24 $733,60 $866,32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$522,52 $593,04 $667,76 $933,20 $1 418,10 |
$722,38 $792,90 $867,62 $1 133,06 |
$922,24 $992,76 $1 067,48 $1 332,92 |
Toc - Plan #32 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 9 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326,52 $370,61 $417,30 $583,17 $886,19 |
$576,31 $620,40 $667,09 $832,96 |
$826,10 $870,19 $916,88 $1 082,75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$653,04 $741,22 $834,60 $1 166,34 $1 772,38 |
$902,83 $991,01 $1 084,39 $1 416,13 |
$1 152,62 $1 240,80 $1 334,18 $1 665,92 |
Toc - Plan #33 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 4 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$304,03 $345,07 $388,55 $543,00 $825,13 |
$536,61 $577,65 $621,13 $775,58 |
$769,19 $810,23 $853,71 $1 008,16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$608,06 $690,14 $777,10 $1 086,00 $1 650,26 |
$840,64 $922,72 $1 009,68 $1 318,58 |
$1 073,22 $1 155,30 $1 242,26 $1 551,16 |
Toc - Plan #34 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294,90 $334,71 $376,88 $526,69 $800,36 |
$520,50 $560,31 $602,48 $752,29 |
$746,10 $785,91 $828,08 $977,89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$589,80 $669,42 $753,76 $1 053,38 $1 600,72 |
$815,40 $895,02 $979,36 $1 278,98 |
$1 041,00 $1 120,62 $1 204,96 $1 504,58 |
Toc - Plan #35 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$253,20 $287,38 $323,59 $452,22 $687,19 |
$446,90 $481,08 $517,29 $645,92 |
$640,60 $674,78 $710,99 $839,62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$506,40 $574,76 $647,18 $904,44 $1 374,38 |
$700,10 $768,46 $840,88 $1 098,14 |
$893,80 $962,16 $1 034,58 $1 291,84 |
Toc - Plan #36 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$424,32 $481,60 $542,28 $757,83 $1 151,60 |
$748,92 $806,20 $866,88 $1 082,43 |
$1 073,52 $1 130,80 $1 191,48 $1 407,03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$848,64 $963,20 $1 084,56 $1 515,66 $2 303,20 |
$1 173,24 $1 287,80 $1 409,16 $1 840,26 |
$1 497,84 $1 612,40 $1 733,76 $2 164,86 |
Toc - Plan #37 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 25 HSA (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301,73 $342,46 $385,61 $538,89 $818,89 |
$532,55 $573,28 $616,43 $769,71 |
$763,37 $804,10 $847,25 $1 000,53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$603,46 $684,92 $771,22 $1 077,78 $1 637,78 |
$834,28 $915,74 $1 002,04 $1 308,60 |
$1 065,10 $1 146,56 $1 232,86 $1 539,42 |
Toc - Plan #38 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 26 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302,39 $343,21 $386,45 $540,06 $820,68 |
$533,72 $574,54 $617,78 $771,39 |
$765,05 $805,87 $849,11 $1 002,72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$604,78 $686,42 $772,90 $1 080,12 $1 641,36 |
$836,11 $917,75 $1 004,23 $1 311,45 |
$1 067,44 $1 149,08 $1 235,56 $1 542,78 |
Toc - Plan #39 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 28 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313,02 $355,28 $400,04 $559,05 $849,53 |
$552,48 $594,74 $639,50 $798,51 |
$791,94 $834,20 $878,96 $1 037,97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$626,04 $710,56 $800,08 $1 118,10 $1 699,06 |
$865,50 $950,02 $1 039,54 $1 357,56 |
$1 104,96 $1 189,48 $1 279,00 $1 597,02 |
Toc - Plan #40 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$261,06 $296,30 $333,64 $466,25 $708,52 |
$460,77 $496,01 $533,35 $665,96 |
$660,48 $695,72 $733,06 $865,67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$522,12 $592,60 $667,28 $932,50 $1 417,04 |
$721,83 $792,31 $866,99 $1 132,21 |
$921,54 $992,02 $1 066,70 $1 331,92 |
‡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 Pima County here.
Pima County is in “Rating Area 6” of Arizona.
Currently, there are 40 plans offered in Rating Area 6.