Obamacare 2021 Rates for Honolulu County

Obamacare > Rates > Hawaii > Honolulu County

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 Honolulu County, HI.

The health insurance rates listed below are for calendar year 2021.

For information on subsidies to make your coverage affordable, you must take one of the following actions:

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

Obamacare Providers, 23 Plans and 2021 Rates for Honolulu County, Hawaii

Below, you’ll find a summary of the 23 plans for Honolulu County, Hawaii and rates for each of these providers. This chart is designed to give you a preview of your health insurance options.

You may also be interested in:

Obamacare Rates and Providers for Other Years

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HMSA

Local: 1-808-948-5555 | Toll Free: 1-800-620-4672 | TTY: 1-877-447-5990

Toc - Plan #1 HMSA
Platinum

(PPO) HMSA Platinum PPO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-620-4672

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$7,150 $14,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$406,81
$461,73
$519,90
$726,56
$1 104,08
$718,02
$772,94
$831,11
$1 037,77
$1 029,23
$1 084,15
$1 142,32
$1 348,98
$1 340,44
$1 395,36
$1 453,53
$1 660,19
$311,21
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$813,62
$923,46
$1 039,80
$1 453,12
$2 208,16
$1 124,83
$1 234,67
$1 351,01
$1 764,33
$1 436,04
$1 545,88
$1 662,22
$2 075,54
$1 747,25
$1 857,09
$1 973,43
$2 386,75
$311,21
Toc - Plan #2 HMSA
Catastrophic

(PPO) HMSA Catastrophic Plan

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-620-4672

Annual Out of Pocket Expenses:

Individual Family
$8,550 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$153,90
$174,68
$196,68
$274,87
$417,68
$271,63
$292,41
$314,41
$392,60
$389,36
$410,14
$432,14
$510,33
$507,09
$527,87
$549,87
$628,06
$117,73
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$307,80
$349,36
$393,36
$549,74
$835,36
$425,53
$467,09
$511,09
$667,47
$543,26
$584,82
$628,82
$785,20
$660,99
$702,55
$746,55
$902,93
$117,73
Toc - Plan #3 HMSA
Gold

(PPO) HMSA Gold PPO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-620-4672

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$362,45
$411,38
$463,21
$647,34
$983,69
$639,72
$688,65
$740,48
$924,61
$916,99
$965,92
$1 017,75
$1 201,88
$1 194,26
$1 243,19
$1 295,02
$1 479,15
$277,27
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$724,90
$822,76
$926,42
$1 294,68
$1 967,38
$1 002,17
$1 100,03
$1 203,69
$1 571,95
$1 279,44
$1 377,30
$1 480,96
$1 849,22
$1 556,71
$1 654,57
$1 758,23
$2 126,49
$277,27
Toc - Plan #4 HMSA
Gold

(PPO) HMSA Gold PPO 1000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-620-4672

Annual Out of Pocket Expenses:

Individual Family
$1,000 $2,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$344,28
$390,76
$439,99
$614,88
$934,38
$607,65
$654,13
$703,36
$878,25
$871,02
$917,50
$966,73
$1 141,62
$1 134,39
$1 180,87
$1 230,10
$1 404,99
$263,37
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$688,56
$781,52
$879,98
$1 229,76
$1 868,76
$951,93
$1 044,89
$1 143,35
$1 493,13
$1 215,30
$1 308,26
$1 406,72
$1 756,50
$1 478,67
$1 571,63
$1 670,09
$2 019,87
$263,37
Toc - Plan #5 HMSA
Silver

(PPO) HMSA Silver PPO 2500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-620-4672

Annual Out of Pocket Expenses:

Individual Family
$2,500 $5,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$378,85
$429,99
$484,17
$676,63
$1 028,20
$668,67
$719,81
$773,99
$966,45
$958,49
$1 009,63
$1 063,81
$1 256,27
$1 248,31
$1 299,45
$1 353,63
$1 546,09
$289,82
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$757,70
$859,98
$968,34
$1 353,26
$2 056,40
$1 047,52
$1 149,80
$1 258,16
$1 643,08
$1 337,34
$1 439,62
$1 547,98
$1 932,90
$1 627,16
$1 729,44
$1 837,80
$2 222,72
$289,82
Toc - Plan #6 HMSA
Silver

(PPO) HMSA Silver PPO 3500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-620-4672

Annual Out of Pocket Expenses:

Individual Family
$3,500 $7,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$373,90
$424,38
$477,84
$667,79
$1 014,76
$659,93
$710,41
$763,87
$953,82
$945,96
$996,44
$1 049,90
$1 239,85
$1 231,99
$1 282,47
$1 335,93
$1 525,88
$286,03
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$747,80
$848,76
$955,68
$1 335,58
$2 029,52
$1 033,83
$1 134,79
$1 241,71
$1 621,61
$1 319,86
$1 420,82
$1 527,74
$1 907,64
$1 605,89
$1 706,85
$1 813,77
$2 193,67
$286,03
Toc - Plan #7 HMSA
Expanded Bronze

(PPO) HMSA Bronze PPO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-620-4672

Annual Out of Pocket Expenses:

Individual Family
$8,550 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$272,36
$309,13
$348,08
$486,43
$739,19
$480,72
$517,49
$556,44
$694,79
$689,08
$725,85
$764,80
$903,15
$897,44
$934,21
$973,16
$1 111,51
$208,36
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$544,72
$618,26
$696,16
$972,86
$1 478,38
$753,08
$826,62
$904,52
$1 181,22
$961,44
$1 034,98
$1 112,88
$1 389,58
$1 169,80
$1 243,34
$1 321,24
$1 597,94
$208,36
Toc - Plan #8 HMSA
Expanded Bronze

(PPO) HMSA Bronze PPO HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-620-4672

Annual Out of Pocket Expenses:

Individual Family
$6,900 $13,800 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$277,47
$314,93
$354,61
$495,56
$753,05
$489,73
$527,19
$566,87
$707,82
$701,99
$739,45
$779,13
$920,08
$914,25
$951,71
$991,39
$1 132,34
$212,26
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$554,94
$629,86
$709,22
$991,12
$1 506,10
$767,20
$842,12
$921,48
$1 203,38
$979,46
$1 054,38
$1 133,74
$1 415,64
$1 191,72
$1 266,64
$1 346,00
$1 627,90
$212,26
Toc - Plan #9 HMSA
Platinum

(HMO) HMSA Platinum HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-620-4672

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$7,150 $14,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$411,55
$467,11
$525,96
$735,03
$1 116,95
$726,39
$781,95
$840,80
$1 049,87
$1 041,23
$1 096,79
$1 155,64
$1 364,71
$1 356,07
$1 411,63
$1 470,48
$1 679,55
$314,84
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$823,10
$934,22
$1 051,92
$1 470,06
$2 233,90
$1 137,94
$1 249,06
$1 366,76
$1 784,90
$1 452,78
$1 563,90
$1 681,60
$2 099,74
$1 767,62
$1 878,74
$1 996,44
$2 414,58
$314,84
Toc - Plan #10 HMSA
Gold

(HMO) HMSA Gold HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-620-4672

Annual Out of Pocket Expenses:

Individual Family
$1,000 $2,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$346,34
$393,10
$442,62
$618,56
$939,97
$611,29
$658,05
$707,57
$883,51
$876,24
$923,00
$972,52
$1 148,46
$1 141,19
$1 187,95
$1 237,47
$1 413,41
$264,95
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$692,68
$786,20
$885,24
$1 237,12
$1 879,94
$957,63
$1 051,15
$1 150,19
$1 502,07
$1 222,58
$1 316,10
$1 415,14
$1 767,02
$1 487,53
$1 581,05
$1 680,09
$2 031,97
$264,95
Toc - Plan #11 HMSA
Silver

(HMO) HMSA Silver HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-620-4672

Annual Out of Pocket Expenses:

Individual Family
$2,500 $5,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$380,97
$432,40
$486,88
$680,41
$1 033,95
$672,41
$723,84
$778,32
$971,85
$963,85
$1 015,28
$1 069,76
$1 263,29
$1 255,29
$1 306,72
$1 361,20
$1 554,73
$291,44
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$761,94
$864,80
$973,76
$1 360,82
$2 067,90
$1 053,38
$1 156,24
$1 265,20
$1 652,26
$1 344,82
$1 447,68
$1 556,64
$1 943,70
$1 636,26
$1 739,12
$1 848,08
$2 235,14
$291,44
Toc - Plan #12 HMSA
Expanded Bronze

(HMO) HMSA Bronze HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-620-4672

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$283,60
$321,89
$362,44
$506,51
$769,69
$500,55
$538,84
$579,39
$723,46
$717,50
$755,79
$796,34
$940,41
$934,45
$972,74
$1 013,29
$1 157,36
$216,95
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$567,20
$643,78
$724,88
$1 013,02
$1 539,38
$784,15
$860,73
$941,83
$1 229,97
$1 001,10
$1 077,68
$1 158,78
$1 446,92
$1 218,05
$1 294,63
$1 375,73
$1 663,87
$216,95

ADVERTISEMENT

Kaiser Permanente

Local: 1-800-570-8004 | Toll Free: 1-800-570-8004 | TTY: 1-877-447-5990

Toc - Plan #13 Kaiser Permanente
Platinum

(HMO) KP HI Platinum 0/10

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-570-8004

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$6,000 $12,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$458,26
$520,13
$585,66
$818,45
$1 243,72
$808,83
$870,70
$936,23
$1 169,02
$1 159,40
$1 221,27
$1 286,80
$1 519,59
$1 509,97
$1 571,84
$1 637,37
$1 870,16
$350,57
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$916,52
$1 040,26
$1 171,32
$1 636,90
$2 487,44
$1 267,09
$1 390,83
$1 521,89
$1 987,47
$1 617,66
$1 741,40
$1 872,46
$2 338,04
$1 968,23
$2 091,97
$2 223,03
$2 688,61
$350,57
Toc - Plan #14 Kaiser Permanente
Gold

(HMO) KP HI Gold 0/30

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-570-8004

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,000 $16,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$407,26
$462,24
$520,48
$727,37
$1 105,30
$718,81
$773,79
$832,03
$1 038,92
$1 030,36
$1 085,34
$1 143,58
$1 350,47
$1 341,91
$1 396,89
$1 455,13
$1 662,02
$311,55
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$814,52
$924,48
$1 040,96
$1 454,74
$2 210,60
$1 126,07
$1 236,03
$1 352,51
$1 766,29
$1 437,62
$1 547,58
$1 664,06
$2 077,84
$1 749,17
$1 859,13
$1 975,61
$2 389,39
$311,55
Toc - Plan #15 Kaiser Permanente
Silver

(HMO) KP HI Silver 2500/40

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-570-8004

Annual Out of Pocket Expenses:

Individual Family
$2,500 $5,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$379,85
$431,13
$485,45
$678,41
$1 030,91
$670,44
$721,72
$776,04
$969,00
$961,03
$1 012,31
$1 066,63
$1 259,59
$1 251,62
$1 302,90
$1 357,22
$1 550,18
$290,59
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$759,70
$862,26
$970,90
$1 356,82
$2 061,82
$1 050,29
$1 152,85
$1 261,49
$1 647,41
$1 340,88
$1 443,44
$1 552,08
$1 938,00
$1 631,47
$1 734,03
$1 842,67
$2 228,59
$290,59
Toc - Plan #16 Kaiser Permanente
Expanded Bronze

(HMO) KP HI Bronze 6500/65

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-570-8004

Annual Out of Pocket Expenses:

Individual Family
$6,500 $13,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$278,76
$316,39
$356,26
$497,87
$756,55
$492,01
$529,64
$569,51
$711,12
$705,26
$742,89
$782,76
$924,37
$918,51
$956,14
$996,01
$1 137,62
$213,25
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$557,52
$632,78
$712,52
$995,74
$1 513,10
$770,77
$846,03
$925,77
$1 208,99
$984,02
$1 059,28
$1 139,02
$1 422,24
$1 197,27
$1 272,53
$1 352,27
$1 635,49
$213,25
Toc - Plan #17 Kaiser Permanente
Platinum

(HMO) KP HI Platinum 0/10 Plus CAM

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-570-8004

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$6,000 $12,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$461,96
$524,32
$590,38
$825,06
$1 253,76
$815,36
$877,72
$943,78
$1 178,46
$1 168,76
$1 231,12
$1 297,18
$1 531,86
$1 522,16
$1 584,52
$1 650,58
$1 885,26
$353,40
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$923,92
$1 048,64
$1 180,76
$1 650,12
$2 507,52
$1 277,32
$1 402,04
$1 534,16
$2 003,52
$1 630,72
$1 755,44
$1 887,56
$2 356,92
$1 984,12
$2 108,84
$2 240,96
$2 710,32
$353,40
Toc - Plan #18 Kaiser Permanente
Gold

(HMO) KP HI Gold 0/30 Plus CAM

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-570-8004

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,000 $16,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$410,62
$466,05
$524,77
$733,37
$1 114,42
$724,74
$780,17
$838,89
$1 047,49
$1 038,86
$1 094,29
$1 153,01
$1 361,61
$1 352,98
$1 408,41
$1 467,13
$1 675,73
$314,12
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$821,24
$932,10
$1 049,54
$1 466,74
$2 228,84
$1 135,36
$1 246,22
$1 363,66
$1 780,86
$1 449,48
$1 560,34
$1 677,78
$2 094,98
$1 763,60
$1 874,46
$1 991,90
$2 409,10
$314,12
Toc - Plan #19 Kaiser Permanente
Silver

(HMO) KP HI Silver 2500/40 Plus CAM

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-570-8004

Annual Out of Pocket Expenses:

Individual Family
$2,500 $5,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$382,98
$434,68
$489,45
$684,00
$1 039,41
$675,96
$727,66
$782,43
$976,98
$968,94
$1 020,64
$1 075,41
$1 269,96
$1 261,92
$1 313,62
$1 368,39
$1 562,94
$292,98
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$765,96
$869,36
$978,90
$1 368,00
$2 078,82
$1 058,94
$1 162,34
$1 271,88
$1 660,98
$1 351,92
$1 455,32
$1 564,86
$1 953,96
$1 644,90
$1 748,30
$1 857,84
$2 246,94
$292,98
Toc - Plan #20 Kaiser Permanente
Expanded Bronze

(HMO) KP HI Bronze 6500/65 Plus CAM

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-570-8004

Annual Out of Pocket Expenses:

Individual Family
$6,500 $13,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$281,06
$319,00
$359,19
$501,97
$762,80
$496,07
$534,01
$574,20
$716,98
$711,08
$749,02
$789,21
$931,99
$926,09
$964,03
$1 004,22
$1 147,00
$215,01
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$562,12
$638,00
$718,38
$1 003,94
$1 525,60
$777,13
$853,01
$933,39
$1 218,95
$992,14
$1 068,02
$1 148,40
$1 433,96
$1 207,15
$1 283,03
$1 363,41
$1 648,97
$215,01
Toc - Plan #21 Kaiser Permanente
Gold

(HMO) KP HI Gold 1000/30

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-570-8004

Annual Out of Pocket Expenses:

Individual Family
$1,000 $2,000 Annual Deductible
$8,000 $16,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$364,38
$413,57
$465,68
$650,78
$988,93
$643,13
$692,32
$744,43
$929,53
$921,88
$971,07
$1 023,18
$1 208,28
$1 200,63
$1 249,82
$1 301,93
$1 487,03
$278,75
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$728,76
$827,14
$931,36
$1 301,56
$1 977,86
$1 007,51
$1 105,89
$1 210,11
$1 580,31
$1 286,26
$1 384,64
$1 488,86
$1 859,06
$1 565,01
$1 663,39
$1 767,61
$2 137,81
$278,75
Toc - Plan #22 Kaiser Permanente
Silver

(HMO) KP HI Silver 4000/45

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-570-8004

Annual Out of Pocket Expenses:

Individual Family
$4,000 $8,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$365,48
$414,82
$467,08
$652,75
$991,91
$645,07
$694,41
$746,67
$932,34
$924,66
$974,00
$1 026,26
$1 211,93
$1 204,25
$1 253,59
$1 305,85
$1 491,52
$279,59
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$730,96
$829,64
$934,16
$1 305,50
$1 983,82
$1 010,55
$1 109,23
$1 213,75
$1 585,09
$1 290,14
$1 388,82
$1 493,34
$1 864,68
$1 569,73
$1 668,41
$1 772,93
$2 144,27
$279,59
Toc - Plan #23 Kaiser Permanente
Bronze

(HMO) KP HI Bronze 7000/30%

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-570-8004

Annual Out of Pocket Expenses:

Individual Family
$7,000 $14,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$245,68
$278,85
$313,98
$438,78
$666,78
$433,63
$466,80
$501,93
$626,73
$621,58
$654,75
$689,88
$814,68
$809,53
$842,70
$877,83
$1 002,63
$187,95
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$491,36
$557,70
$627,96
$877,56
$1 333,56
$679,31
$745,65
$815,91
$1 065,51
$867,26
$933,60
$1 003,86
$1 253,46
$1 055,21
$1 121,55
$1 191,81
$1 441,41
$187,95

‡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 Honolulu County here.

Honolulu County is in “Rating Area 1” of Hawaii.

Currently, there are 23 plans offered in Rating Area 1.

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