Obamacare 2021 Rates for Franklin County

Obamacare > Rates > Maine > Franklin 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 Franklin County, ME.

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 CoverME
  • Contact the provider directly

Obamacare Providers, 35 Plans and 2021 Rates for Franklin County, Maine

Below, you’ll find a summary of the 35 plans for Franklin County, Maine 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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Community Health Options

Local: 1-855-624-6463 | Toll Free: 1-855-624-6463

Toc - Plan #1 Community Health Options
Catastrophic

(PPO) Community Safe Harbor PPO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-624-6463

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 		$204,13
$231,69
$260,88
$364,57
$554,01 		$360,29
$387,85
$417,04
$520,73 		$516,45
$544,01
$573,20
$676,89 		$672,61
$700,17
$729,36
$833,05 		$156,16
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$408,26
$463,38
$521,76
$729,14
$1 108,02 		$564,42
$619,54
$677,92
$885,30 		$720,58
$775,70
$834,08
$1 041,46 		$876,74
$931,86
$990,24
$1 197,62 		$156,16
Toc - Plan #2 Community Health Options
Expanded Bronze

(PPO) Community Focus PPO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-624-6463

Annual Out of Pocket Expenses:

Individual Family
$5,800 $11,600 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 		$309,28
$351,03
$395,25
$552,37
$839,37 		$545,88
$587,63
$631,85
$788,97 		$782,48
$824,23
$868,45
$1 025,57 		$1 019,08
$1 060,83
$1 105,05
$1 262,17 		$236,60
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$618,56
$702,06
$790,50
$1 104,74
$1 678,74 		$855,16
$938,66
$1 027,10
$1 341,34 		$1 091,76
$1 175,26
$1 263,70
$1 577,94 		$1 328,36
$1 411,86
$1 500,30
$1 814,54 		$236,60
Toc - Plan #3 Community Health Options
Silver

(PPO) Community Choice PPO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-624-6463

Annual Out of Pocket Expenses:

Individual Family
$2,500 $5,000 Annual Deductible
$7,500 $15,000 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 		$389,43
$442,00
$497,69
$695,51
$1 056,90 		$687,34
$739,91
$795,60
$993,42 		$985,25
$1 037,82
$1 093,51
$1 291,33 		$1 283,16
$1 335,73
$1 391,42
$1 589,24 		$297,91
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$778,86
$884,00
$995,38
$1 391,02
$2 113,80 		$1 076,77
$1 181,91
$1 293,29
$1 688,93 		$1 374,68
$1 479,82
$1 591,20
$1 986,84 		$1 672,59
$1 777,73
$1 889,11
$2 284,75 		$297,91
Toc - Plan #4 Community Health Options
Expanded Bronze

(PPO) Community Asset PPO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-624-6463

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 		$309,58
$351,38
$395,65
$552,92
$840,21 		$546,41
$588,21
$632,48
$789,75 		$783,24
$825,04
$869,31
$1 026,58 		$1 020,07
$1 061,87
$1 106,14
$1 263,41 		$236,83
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$619,16
$702,76
$791,30
$1 105,84
$1 680,42 		$855,99
$939,59
$1 028,13
$1 342,67 		$1 092,82
$1 176,42
$1 264,96
$1 579,50 		$1 329,65
$1 413,25
$1 501,79
$1 816,33 		$236,83
Toc - Plan #5 Community Health Options
Gold

(PPO) Community Edge PPO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-624-6463

Annual Out of Pocket Expenses:

Individual Family
$2,000 $4,000 Annual Deductible
$7,500 $15,000 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 		$418,79
$475,32
$535,21
$747,96
$1 136,59 		$739,16
$795,69
$855,58
$1 068,33 		$1 059,53
$1 116,06
$1 175,95
$1 388,70 		$1 379,90
$1 436,43
$1 496,32
$1 709,07 		$320,37
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$837,58
$950,64
$1 070,42
$1 495,92
$2 273,18 		$1 157,95
$1 271,01
$1 390,79
$1 816,29 		$1 478,32
$1 591,38
$1 711,16
$2 136,66 		$1 798,69
$1 911,75
$2 031,53
$2 457,03 		$320,37
Toc - Plan #6 Community Health Options
Expanded Bronze

(PPO) Community Reliant HSA PPO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-624-6463

Annual Out of Pocket Expenses:

Individual Family
$6,800 $13,600 Annual Deductible
$7,000 $14,000 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 		$314,59
$357,06
$402,05
$561,86
$853,80 		$555,25
$597,72
$642,71
$802,52 		$795,91
$838,38
$883,37
$1 043,18 		$1 036,57
$1 079,04
$1 124,03
$1 283,84 		$240,66
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$629,18
$714,12
$804,10
$1 123,72
$1 707,60 		$869,84
$954,78
$1 044,76
$1 364,38 		$1 110,50
$1 195,44
$1 285,42
$1 605,04 		$1 351,16
$1 436,10
$1 526,08
$1 845,70 		$240,66
Toc - Plan #7 Community Health Options
Expanded Bronze

(PPO) Community Align PPO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-624-6463

Annual Out of Pocket Expenses:

Individual Family
$5,800 $11,600 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 		$313,74
$356,10
$400,96
$560,34
$851,50 		$553,75
$596,11
$640,97
$800,35 		$793,76
$836,12
$880,98
$1 040,36 		$1 033,77
$1 076,13
$1 120,99
$1 280,37 		$240,01
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$627,48
$712,20
$801,92
$1 120,68
$1 703,00 		$867,49
$952,21
$1 041,93
$1 360,69 		$1 107,50
$1 192,22
$1 281,94
$1 600,70 		$1 347,51
$1 432,23
$1 521,95
$1 840,71 		$240,01
Toc - Plan #8 Community Health Options
Silver

(PPO) Community Advance PPO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-624-6463

Annual Out of Pocket Expenses:

Individual Family
$2,500 $5,000 Annual Deductible
$7,500 $15,000 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 		$394,15
$447,36
$503,72
$703,95
$1 069,72 		$695,67
$748,88
$805,24
$1 005,47 		$997,19
$1 050,40
$1 106,76
$1 306,99 		$1 298,71
$1 351,92
$1 408,28
$1 608,51 		$301,52
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$788,30
$894,72
$1 007,44
$1 407,90
$2 139,44 		$1 089,82
$1 196,24
$1 308,96
$1 709,42 		$1 391,34
$1 497,76
$1 610,48
$2 010,94 		$1 692,86
$1 799,28
$1 912,00
$2 312,46 		$301,52
Toc - Plan #9 Community Health Options
Silver

(HMO) Community Value HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-624-6463

Annual Out of Pocket Expenses:

Individual Family
$3,350 $6,700 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 		$383,03
$434,73
$489,51
$684,08
$1 039,53 		$676,04
$727,74
$782,52
$977,09 		$969,05
$1 020,75
$1 075,53
$1 270,10 		$1 262,06
$1 313,76
$1 368,54
$1 563,11 		$293,01
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$766,06
$869,46
$979,02
$1 368,16
$2 079,06 		$1 059,07
$1 162,47
$1 272,03
$1 661,17 		$1 352,08
$1 455,48
$1 565,04
$1 954,18 		$1 645,09
$1 748,49
$1 858,05
$2 247,19 		$293,01
Toc - Plan #10 Community Health Options
Silver

(HMO) Community Foundation HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-624-6463

Annual Out of Pocket Expenses:

Individual Family
$4,000 $8,000 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 		$367,66
$417,29
$469,87
$656,64
$997,82 		$648,92
$698,55
$751,13
$937,90 		$930,18
$979,81
$1 032,39
$1 219,16 		$1 211,44
$1 261,07
$1 313,65
$1 500,42 		$281,26
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$735,32
$834,58
$939,74
$1 313,28
$1 995,64 		$1 016,58
$1 115,84
$1 221,00
$1 594,54 		$1 297,84
$1 397,10
$1 502,26
$1 875,80 		$1 579,10
$1 678,36
$1 783,52
$2 157,06 		$281,26
Toc - Plan #11 Community Health Options
Silver

(HMO) Community Vital HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-624-6463

Annual Out of Pocket Expenses:

Individual Family
$2,300 $4,600 Annual Deductible
$7,500 $15,000 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 		$405,98
$460,79
$518,85
$725,09
$1 101,84 		$716,56
$771,37
$829,43
$1 035,67 		$1 027,14
$1 081,95
$1 140,01
$1 346,25 		$1 337,72
$1 392,53
$1 450,59
$1 656,83 		$310,58
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$811,96
$921,58
$1 037,70
$1 450,18
$2 203,68 		$1 122,54
$1 232,16
$1 348,28
$1 760,76 		$1 433,12
$1 542,74
$1 658,86
$2 071,34 		$1 743,70
$1 853,32
$1 969,44
$2 381,92 		$310,58
Toc - Plan #12 Community Health Options
Silver

(HMO) Community Complete HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-624-6463

Annual Out of Pocket Expenses:

Individual Family
$3,350 $6,700 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 		$387,91
$440,28
$495,75
$692,81
$1 052,80 		$684,66
$737,03
$792,50
$989,56 		$981,41
$1 033,78
$1 089,25
$1 286,31 		$1 278,16
$1 330,53
$1 386,00
$1 583,06 		$296,75
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$775,82
$880,56
$991,50
$1 385,62
$2 105,60 		$1 072,57
$1 177,31
$1 288,25
$1 682,37 		$1 369,32
$1 474,06
$1 585,00
$1 979,12 		$1 666,07
$1 770,81
$1 881,75
$2 275,87 		$296,75
Toc - Plan #13 Community Health Options
Expanded Bronze

(HMO) Community Best HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-624-6463

Annual Out of Pocket Expenses:

Individual Family
$5,550 $11,100 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 		$311,37
$353,41
$397,94
$556,11
$845,07 		$549,57
$591,61
$636,14
$794,31 		$787,77
$829,81
$874,34
$1 032,51 		$1 025,97
$1 068,01
$1 112,54
$1 270,71 		$238,20
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$622,74
$706,82
$795,88
$1 112,22
$1 690,14 		$860,94
$945,02
$1 034,08
$1 350,42 		$1 099,14
$1 183,22
$1 272,28
$1 588,62 		$1 337,34
$1 421,42
$1 510,48
$1 826,82 		$238,20
Toc - Plan #14 Community Health Options
Expanded Bronze

(HMO) Community Secure HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-624-6463

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 		$306,05
$347,37
$391,14
$546,61
$830,63 		$540,18
$581,50
$625,27
$780,74 		$774,31
$815,63
$859,40
$1 014,87 		$1 008,44
$1 049,76
$1 093,53
$1 249,00 		$234,13
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$612,10
$694,74
$782,28
$1 093,22
$1 661,26 		$846,23
$928,87
$1 016,41
$1 327,35 		$1 080,36
$1 163,00
$1 250,54
$1 561,48 		$1 314,49
$1 397,13
$1 484,67
$1 795,61 		$234,13
Toc - Plan #15 Community Health Options
Silver

(HMO) Community Plus HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-624-6463

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 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 		$395,76
$449,19
$505,78
$706,83
$1 074,10 		$698,52
$751,95
$808,54
$1 009,59 		$1 001,28
$1 054,71
$1 111,30
$1 312,35 		$1 304,04
$1 357,47
$1 414,06
$1 615,11 		$302,76
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$791,52
$898,38
$1 011,56
$1 413,66
$2 148,20 		$1 094,28
$1 201,14
$1 314,32
$1 716,42 		$1 397,04
$1 503,90
$1 617,08
$2 019,18 		$1 699,80
$1 806,66
$1 919,84
$2 321,94 		$302,76

ADVERTISEMENT

Anthem Blue Cross and Blue Shield

Local: 1-855-738-6674 | Toll Free: 1-855-738-6674

Toc - Plan #16 Anthem Blue Cross and Blue Shield
Catastrophic

(HMO) Anthem Catastrophic X HMO 8550

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6674

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 		$178,05
$202,09
$227,55
$318,00
$483,23 		$314,26
$338,30
$363,76
$454,21 		$450,47
$474,51
$499,97
$590,42 		$586,68
$610,72
$636,18
$726,63 		$136,21
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$356,10
$404,18
$455,10
$636,00
$966,46 		$492,31
$540,39
$591,31
$772,21 		$628,52
$676,60
$727,52
$908,42 		$764,73
$812,81
$863,73
$1 044,63 		$136,21
Toc - Plan #17 Anthem Blue Cross and Blue Shield
Expanded Bronze

(HMO) Anthem Bronze X HMO 7800

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6674

Annual Out of Pocket Expenses:

Individual Family
$7,800 $15,600 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 		$271,55
$308,21
$347,04
$484,99
$736,99 		$479,29
$515,95
$554,78
$692,73 		$687,03
$723,69
$762,52
$900,47 		$894,77
$931,43
$970,26
$1 108,21 		$207,74
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$543,10
$616,42
$694,08
$969,98
$1 473,98 		$750,84
$824,16
$901,82
$1 177,72 		$958,58
$1 031,90
$1 109,56
$1 385,46 		$1 166,32
$1 239,64
$1 317,30
$1 593,20 		$207,74
Toc - Plan #18 Anthem Blue Cross and Blue Shield
Expanded Bronze

(HMO) Anthem Bronze X HMO 6700 for HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6674

Annual Out of Pocket Expenses:

Individual Family
$6,700 $13,400 Annual Deductible
$7,000 $14,000 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 		$271,58
$308,24
$347,08
$485,04
$737,07 		$479,34
$516,00
$554,84
$692,80 		$687,10
$723,76
$762,60
$900,56 		$894,86
$931,52
$970,36
$1 108,32 		$207,76
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$543,16
$616,48
$694,16
$970,08
$1 474,14 		$750,92
$824,24
$901,92
$1 177,84 		$958,68
$1 032,00
$1 109,68
$1 385,60 		$1 166,44
$1 239,76
$1 317,44
$1 593,36 		$207,76
Toc - Plan #19 Anthem Blue Cross and Blue Shield
Expanded Bronze

(HMO) Anthem Bronze X HMO 6100 Online Plus

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6674

Annual Out of Pocket Expenses:

Individual Family
$6,100 $12,200 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 		$286,72
$325,43
$366,43
$512,08
$778,16 		$506,06
$544,77
$585,77
$731,42 		$725,40
$764,11
$805,11
$950,76 		$944,74
$983,45
$1 024,45
$1 170,10 		$219,34
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$573,44
$650,86
$732,86
$1 024,16
$1 556,32 		$792,78
$870,20
$952,20
$1 243,50 		$1 012,12
$1 089,54
$1 171,54
$1 462,84 		$1 231,46
$1 308,88
$1 390,88
$1 682,18 		$219,34
Toc - Plan #20 Anthem Blue Cross and Blue Shield
Expanded Bronze

(HMO) Anthem Bronze X HMO 5700 for HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6674

Annual Out of Pocket Expenses:

Individual Family
$5,700 $11,400 Annual Deductible
$7,000 $14,000 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 		$274,17
$311,18
$350,39
$489,67
$744,10 		$483,91
$520,92
$560,13
$699,41 		$693,65
$730,66
$769,87
$909,15 		$903,39
$940,40
$979,61
$1 118,89 		$209,74
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$548,34
$622,36
$700,78
$979,34
$1 488,20 		$758,08
$832,10
$910,52
$1 189,08 		$967,82
$1 041,84
$1 120,26
$1 398,82 		$1 177,56
$1 251,58
$1 330,00
$1 608,56 		$209,74
Toc - Plan #21 Anthem Blue Cross and Blue Shield
Silver

(HMO) Anthem Silver X HMO 5900

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6674

Annual Out of Pocket Expenses:

Individual Family
$5,900 $11,800 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 		$340,63
$386,62
$435,33
$608,37
$924,47 		$601,21
$647,20
$695,91
$868,95 		$861,79
$907,78
$956,49
$1 129,53 		$1 122,37
$1 168,36
$1 217,07
$1 390,11 		$260,58
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$681,26
$773,24
$870,66
$1 216,74
$1 848,94 		$941,84
$1 033,82
$1 131,24
$1 477,32 		$1 202,42
$1 294,40
$1 391,82
$1 737,90 		$1 463,00
$1 554,98
$1 652,40
$1 998,48 		$260,58
Toc - Plan #22 Anthem Blue Cross and Blue Shield
Silver

(HMO) Anthem Silver X HMO 5000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6674

Annual Out of Pocket Expenses:

Individual Family
$5,000 $10,000 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 		$349,69
$396,90
$446,90
$624,55
$949,06 		$617,20
$664,41
$714,41
$892,06 		$884,71
$931,92
$981,92
$1 159,57 		$1 152,22
$1 199,43
$1 249,43
$1 427,08 		$267,51
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$699,38
$793,80
$893,80
$1 249,10
$1 898,12 		$966,89
$1 061,31
$1 161,31
$1 516,61 		$1 234,40
$1 328,82
$1 428,82
$1 784,12 		$1 501,91
$1 596,33
$1 696,33
$2 051,63 		$267,51
Toc - Plan #23 Anthem Blue Cross and Blue Shield
Silver

(HMO) Anthem Silver X HMO 4000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6674

Annual Out of Pocket Expenses:

Individual Family
$4,000 $8,000 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 		$362,77
$411,74
$463,62
$647,91
$984,56 		$640,29
$689,26
$741,14
$925,43 		$917,81
$966,78
$1 018,66
$1 202,95 		$1 195,33
$1 244,30
$1 296,18
$1 480,47 		$277,52
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$725,54
$823,48
$927,24
$1 295,82
$1 969,12 		$1 003,06
$1 101,00
$1 204,76
$1 573,34 		$1 280,58
$1 378,52
$1 482,28
$1 850,86 		$1 558,10
$1 656,04
$1 759,80
$2 128,38 		$277,52
Toc - Plan #24 Anthem Blue Cross and Blue Shield
Silver

(HMO) Anthem Silver X HMO 2250

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6674

Annual Out of Pocket Expenses:

Individual Family
$2,250 $4,500 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 		$367,38
$416,98
$469,51
$656,14
$997,07 		$648,43
$698,03
$750,56
$937,19 		$929,48
$979,08
$1 031,61
$1 218,24 		$1 210,53
$1 260,13
$1 312,66
$1 499,29 		$281,05
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$734,76
$833,96
$939,02
$1 312,28
$1 994,14 		$1 015,81
$1 115,01
$1 220,07
$1 593,33 		$1 296,86
$1 396,06
$1 501,12
$1 874,38 		$1 577,91
$1 677,11
$1 782,17
$2 155,43 		$281,05
Toc - Plan #25 Anthem Blue Cross and Blue Shield
Gold

(HMO) Anthem Gold X HMO 2000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6674

Annual Out of Pocket Expenses:

Individual Family
$2,000 $6,000 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 		$385,10
$437,09
$492,16
$687,79
$1 045,16 		$679,70
$731,69
$786,76
$982,39 		$974,30
$1 026,29
$1 081,36
$1 276,99 		$1 268,90
$1 320,89
$1 375,96
$1 571,59 		$294,60
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$770,20
$874,18
$984,32
$1 375,58
$2 090,32 		$1 064,80
$1 168,78
$1 278,92
$1 670,18 		$1 359,40
$1 463,38
$1 573,52
$1 964,78 		$1 654,00
$1 757,98
$1 868,12
$2 259,38 		$294,60

ADVERTISEMENT

Harvard Pilgrim Health Care

Local: 1-877-907-4742 | Toll Free: 1-877-907-4742 | TTY: 1-800-637-8257
Toc - Plan #26 Harvard Pilgrim Health Care
Gold

(HMO) HMO Gold 1500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-907-4742

Annual Out of Pocket Expenses:

Individual Family
$1,500 $3,000 Annual Deductible
$7,000 $14,000 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 		$418,98
$475,54
$535,46
$748,30
$1 137,11 		$739,50
$796,06
$855,98
$1 068,82 		$1 060,02
$1 116,58
$1 176,50
$1 389,34 		$1 380,54
$1 437,10
$1 497,02
$1 709,86 		$320,52
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$837,96
$951,08
$1 070,92
$1 496,60
$2 274,22 		$1 158,48
$1 271,60
$1 391,44
$1 817,12 		$1 479,00
$1 592,12
$1 711,96
$2 137,64 		$1 799,52
$1 912,64
$2 032,48
$2 458,16 		$320,52
Toc - Plan #27 Harvard Pilgrim Health Care
Expanded Bronze

(HMO) HMO Bronze 7000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-907-4742

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 		$292,62
$332,13
$373,97
$522,63
$794,18 		$516,48
$555,99
$597,83
$746,49 		$740,34
$779,85
$821,69
$970,35 		$964,20
$1 003,71
$1 045,55
$1 194,21 		$223,86
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$585,24
$664,26
$747,94
$1 045,26
$1 588,36 		$809,10
$888,12
$971,80
$1 269,12 		$1 032,96
$1 111,98
$1 195,66
$1 492,98 		$1 256,82
$1 335,84
$1 419,52
$1 716,84 		$223,86
Toc - Plan #28 Harvard Pilgrim Health Care
Expanded Bronze

(HMO) HMO Bronze 8550

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-907-4742

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 		$290,63
$329,87
$371,43
$519,07
$788,78 		$512,97
$552,21
$593,77
$741,41 		$735,31
$774,55
$816,11
$963,75 		$957,65
$996,89
$1 038,45
$1 186,09 		$222,34
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$581,26
$659,74
$742,86
$1 038,14
$1 577,56 		$803,60
$882,08
$965,20
$1 260,48 		$1 025,94
$1 104,42
$1 187,54
$1 482,82 		$1 248,28
$1 326,76
$1 409,88
$1 705,16 		$222,34
Toc - Plan #29 Harvard Pilgrim Health Care
Catastrophic

(HMO) HMO Catastrophic

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-907-4742

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 		$188,66
$214,12
$241,10
$336,94
$512,01 		$332,98
$358,44
$385,42
$481,26 		$477,30
$502,76
$529,74
$625,58 		$621,62
$647,08
$674,06
$769,90 		$144,32
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$377,32
$428,24
$482,20
$673,88
$1 024,02 		$521,64
$572,56
$626,52
$818,20 		$665,96
$716,88
$770,84
$962,52 		$810,28
$861,20
$915,16
$1 106,84 		$144,32
Toc - Plan #30 Harvard Pilgrim Health Care
Silver

(HMO) HMO Silver 3000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-907-4742

Annual Out of Pocket Expenses:

Individual Family
$3,000 $6,000 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 		$396,10
$449,57
$506,21
$707,43
$1 075,00 		$699,11
$752,58
$809,22
$1 010,44 		$1 002,12
$1 055,59
$1 112,23
$1 313,45 		$1 305,13
$1 358,60
$1 415,24
$1 616,46 		$303,01
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$792,20
$899,14
$1 012,42
$1 414,86
$2 150,00 		$1 095,21
$1 202,15
$1 315,43
$1 717,87 		$1 398,22
$1 505,16
$1 618,44
$2 020,88 		$1 701,23
$1 808,17
$1 921,45
$2 323,89 		$303,01
Toc - Plan #31 Harvard Pilgrim Health Care
Expanded Bronze

(HMO) Maine's Choice Plus HMO HSA Bronze 6000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-907-4742

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$6,950 $13,900 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 		$281,18
$319,14
$359,35
$502,19
$763,13 		$496,28
$534,24
$574,45
$717,29 		$711,38
$749,34
$789,55
$932,39 		$926,48
$964,44
$1 004,65
$1 147,49 		$215,10
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$562,36
$638,28
$718,70
$1 004,38
$1 526,26 		$777,46
$853,38
$933,80
$1 219,48 		$992,56
$1 068,48
$1 148,90
$1 434,58 		$1 207,66
$1 283,58
$1 364,00
$1 649,68 		$215,10
Toc - Plan #32 Harvard Pilgrim Health Care
Gold

(HMO) Maine's Choice Plus HMO Gold 1200

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-907-4742

Annual Out of Pocket Expenses:

Individual Family
$1,200 $2,400 Annual Deductible
$5,800 $11,600 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 		$410,02
$465,38
$524,01
$732,30
$1 112,81 		$723,69
$779,05
$837,68
$1 045,97 		$1 037,36
$1 092,72
$1 151,35
$1 359,64 		$1 351,03
$1 406,39
$1 465,02
$1 673,31 		$313,67
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$820,04
$930,76
$1 048,02
$1 464,60
$2 225,62 		$1 133,71
$1 244,43
$1 361,69
$1 778,27 		$1 447,38
$1 558,10
$1 675,36
$2 091,94 		$1 761,05
$1 871,77
$1 989,03
$2 405,61 		$313,67
Toc - Plan #33 Harvard Pilgrim Health Care
Silver

(HMO) Maine's Choice Plus HMO Silver 2700

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-907-4742

Annual Out of Pocket Expenses:

Individual Family
$2,700 $5,400 Annual Deductible
$7,000 $14,000 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 		$369,73
$419,64
$472,52
$660,34
$1 003,45 		$652,57
$702,48
$755,36
$943,18 		$935,41
$985,32
$1 038,20
$1 226,02 		$1 218,25
$1 268,16
$1 321,04
$1 508,86 		$282,84
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$739,46
$839,28
$945,04
$1 320,68
$2 006,90 		$1 022,30
$1 122,12
$1 227,88
$1 603,52 		$1 305,14
$1 404,96
$1 510,72
$1 886,36 		$1 587,98
$1 687,80
$1 793,56
$2 169,20 		$282,84
Toc - Plan #34 Harvard Pilgrim Health Care
Silver

(HMO) Maine's Choice Plus HMO Silver 4800

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-907-4742

Annual Out of Pocket Expenses:

Individual Family
$4,800 $9,600 Annual Deductible
$7,600 $15,200 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 		$350,33
$397,62
$447,72
$625,69
$950,79 		$618,33
$665,62
$715,72
$893,69 		$886,33
$933,62
$983,72
$1 161,69 		$1 154,33
$1 201,62
$1 251,72
$1 429,69 		$268,00
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$700,66
$795,24
$895,44
$1 251,38
$1 901,58 		$968,66
$1 063,24
$1 163,44
$1 519,38 		$1 236,66
$1 331,24
$1 431,44
$1 787,38 		$1 504,66
$1 599,24
$1 699,44
$2 055,38 		$268,00
Toc - Plan #35 Harvard Pilgrim Health Care
Silver

(HMO) Maine's Choice Plus HMO Silver 6500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-907-4742

Annual Out of Pocket Expenses:

Individual Family
$6,500 $13,000 Annual Deductible
$7,800 $15,600 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 		$340,88
$386,90
$435,64
$608,81
$925,14 		$601,65
$647,67
$696,41
$869,58 		$862,42
$908,44
$957,18
$1 130,35 		$1 123,19
$1 169,21
$1 217,95
$1 391,12 		$260,77
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$681,76
$773,80
$871,28
$1 217,62
$1 850,28 		$942,53
$1 034,57
$1 132,05
$1 478,39 		$1 203,30
$1 295,34
$1 392,82
$1 739,16 		$1 464,07
$1 556,11
$1 653,59
$1 999,93 		$260,77

‡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 Franklin County here.

Franklin County is in “Rating Area 3” of Maine.

Currently, there are 35 plans offered in Rating Area 3.

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2021 Obamacare Plans for Franklin County, ME

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