Obamacare 2021 Rates for Polk County

Obamacare > Rates > Missouri > Polk 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 Polk County, MO.

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, 35 Plans and 2021 Rates for Polk County, Missouri

Below, you’ll find a summary of the 35 plans for Polk County, Missouri 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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Anthem Blue Cross and Blue Shield

Local: 1-855-738-6677 | Toll Free: 1-855-738-6677

Toc - Plan #1 Anthem Blue Cross and Blue Shield
Gold

(EPO) Anthem Gold Pathway X 1250

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6677

Annual Out of Pocket Expenses:

Individual Family
$1,250 $2,500 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
$652,67
$740,78
$834,11
$1 165,67
$1 771,35
$1 151,96
$1 240,07
$1 333,40
$1 664,96
$1 651,25
$1 739,36
$1 832,69
$2 164,25
$2 150,54
$2 238,65
$2 331,98
$2 663,54
$499,29
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1 305,34
$1 481,56
$1 668,22
$2 331,34
$3 542,70
$1 804,63
$1 980,85
$2 167,51
$2 830,63
$2 303,92
$2 480,14
$2 666,80
$3 329,92
$2 803,21
$2 979,43
$3 166,09
$3 829,21
$499,29
Toc - Plan #2 Anthem Blue Cross and Blue Shield
Silver

(EPO) Anthem Silver Pathway X 1850 Online Plus

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6677

Annual Out of Pocket Expenses:

Individual Family
$1,850 $3,700 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
$526,30
$597,35
$672,61
$939,97
$1 428,38
$928,92
$999,97
$1 075,23
$1 342,59
$1 331,54
$1 402,59
$1 477,85
$1 745,21
$1 734,16
$1 805,21
$1 880,47
$2 147,83
$402,62
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1 052,60
$1 194,70
$1 345,22
$1 879,94
$2 856,76
$1 455,22
$1 597,32
$1 747,84
$2 282,56
$1 857,84
$1 999,94
$2 150,46
$2 685,18
$2 260,46
$2 402,56
$2 553,08
$3 087,80
$402,62
Toc - Plan #3 Anthem Blue Cross and Blue Shield
Expanded Bronze

(EPO) Anthem Bronze Pathway X 6350

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6677

Annual Out of Pocket Expenses:

Individual Family
$6,350 $12,700 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
$369,52
$419,41
$472,25
$659,96
$1 002,88
$652,20
$702,09
$754,93
$942,64
$934,88
$984,77
$1 037,61
$1 225,32
$1 217,56
$1 267,45
$1 320,29
$1 508,00
$282,68
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$739,04
$838,82
$944,50
$1 319,92
$2 005,76
$1 021,72
$1 121,50
$1 227,18
$1 602,60
$1 304,40
$1 404,18
$1 509,86
$1 885,28
$1 587,08
$1 686,86
$1 792,54
$2 167,96
$282,68
Toc - Plan #4 Anthem Blue Cross and Blue Shield
Expanded Bronze

(EPO) Anthem Bronze Pathway X 0 for HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6677

Annual Out of Pocket Expenses:

Individual Family
$6,850 $13,700 Annual Deductible
$6,850 $13,700 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
$361,23
$410,00
$461,65
$645,16
$980,38
$637,57
$686,34
$737,99
$921,50
$913,91
$962,68
$1 014,33
$1 197,84
$1 190,25
$1 239,02
$1 290,67
$1 474,18
$276,34
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$722,46
$820,00
$923,30
$1 290,32
$1 960,76
$998,80
$1 096,34
$1 199,64
$1 566,66
$1 275,14
$1 372,68
$1 475,98
$1 843,00
$1 551,48
$1 649,02
$1 752,32
$2 119,34
$276,34
Toc - Plan #5 Anthem Blue Cross and Blue Shield
Expanded Bronze

(EPO) Anthem Bronze Pathway X 20 for HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6677

Annual Out of Pocket Expenses:

Individual Family
$5,900 $11,800 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
$360,54
$409,21
$460,77
$643,92
$978,51
$636,35
$685,02
$736,58
$919,73
$912,16
$960,83
$1 012,39
$1 195,54
$1 187,97
$1 236,64
$1 288,20
$1 471,35
$275,81
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$721,08
$818,42
$921,54
$1 287,84
$1 957,02
$996,89
$1 094,23
$1 197,35
$1 563,65
$1 272,70
$1 370,04
$1 473,16
$1 839,46
$1 548,51
$1 645,85
$1 748,97
$2 115,27
$275,81
Toc - Plan #6 Anthem Blue Cross and Blue Shield
Silver

(EPO) Anthem Silver Pathway X 3950

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6677

Annual Out of Pocket Expenses:

Individual Family
$3,950 $7,900 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
$492,50
$558,99
$629,42
$879,61
$1 336,65
$869,26
$935,75
$1 006,18
$1 256,37
$1 246,02
$1 312,51
$1 382,94
$1 633,13
$1 622,78
$1 689,27
$1 759,70
$2 009,89
$376,76
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$985,00
$1 117,98
$1 258,84
$1 759,22
$2 673,30
$1 361,76
$1 494,74
$1 635,60
$2 135,98
$1 738,52
$1 871,50
$2 012,36
$2 512,74
$2 115,28
$2 248,26
$2 389,12
$2 889,50
$376,76
Toc - Plan #7 Anthem Blue Cross and Blue Shield
Silver

(EPO) Anthem Silver Pathway X 2950 for HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6677

Annual Out of Pocket Expenses:

Individual Family
$2,950 $5,900 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
$506,79
$575,21
$647,68
$905,13
$1 375,43
$894,48
$962,90
$1 035,37
$1 292,82
$1 282,17
$1 350,59
$1 423,06
$1 680,51
$1 669,86
$1 738,28
$1 810,75
$2 068,20
$387,69
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1 013,58
$1 150,42
$1 295,36
$1 810,26
$2 750,86
$1 401,27
$1 538,11
$1 683,05
$2 197,95
$1 788,96
$1 925,80
$2 070,74
$2 585,64
$2 176,65
$2 313,49
$2 458,43
$2 973,33
$387,69
Toc - Plan #8 Anthem Blue Cross and Blue Shield
Expanded Bronze

(EPO) Anthem Bronze Pathway X 5950

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6677

Annual Out of Pocket Expenses:

Individual Family
$5,950 $11,900 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
$360,45
$409,11
$460,66
$643,76
$978,26
$636,19
$684,85
$736,40
$919,50
$911,93
$960,59
$1 012,14
$1 195,24
$1 187,67
$1 236,33
$1 287,88
$1 470,98
$275,74
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$720,90
$818,22
$921,32
$1 287,52
$1 956,52
$996,64
$1 093,96
$1 197,06
$1 563,26
$1 272,38
$1 369,70
$1 472,80
$1 839,00
$1 548,12
$1 645,44
$1 748,54
$2 114,74
$275,74
Toc - Plan #9 Anthem Blue Cross and Blue Shield
Silver

(EPO) Anthem Silver Pathway X 2450

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6677

Annual Out of Pocket Expenses:

Individual Family
$2,450 $4,900 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
$502,12
$569,91
$641,71
$896,79
$1 362,75
$886,24
$954,03
$1 025,83
$1 280,91
$1 270,36
$1 338,15
$1 409,95
$1 665,03
$1 654,48
$1 722,27
$1 794,07
$2 049,15
$384,12
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1 004,24
$1 139,82
$1 283,42
$1 793,58
$2 725,50
$1 388,36
$1 523,94
$1 667,54
$2 177,70
$1 772,48
$1 908,06
$2 051,66
$2 561,82
$2 156,60
$2 292,18
$2 435,78
$2 945,94
$384,12
Toc - Plan #10 Anthem Blue Cross and Blue Shield
Silver

(EPO) Anthem Silver Pathway X 4500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6677

Annual Out of Pocket Expenses:

Individual Family
$4,500 $9,000 Annual Deductible
$6,800 $13,600 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
$494,98
$561,80
$632,58
$884,03
$1 343,38
$873,64
$940,46
$1 011,24
$1 262,69
$1 252,30
$1 319,12
$1 389,90
$1 641,35
$1 630,96
$1 697,78
$1 768,56
$2 020,01
$378,66
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$989,96
$1 123,60
$1 265,16
$1 768,06
$2 686,76
$1 368,62
$1 502,26
$1 643,82
$2 146,72
$1 747,28
$1 880,92
$2 022,48
$2 525,38
$2 125,94
$2 259,58
$2 401,14
$2 904,04
$378,66
Toc - Plan #11 Anthem Blue Cross and Blue Shield
Silver

(EPO) Anthem Silver Pathway X 6000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6677

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 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
$475,24
$539,40
$607,36
$848,78
$1 289,80
$838,80
$902,96
$970,92
$1 212,34
$1 202,36
$1 266,52
$1 334,48
$1 575,90
$1 565,92
$1 630,08
$1 698,04
$1 939,46
$363,56
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$950,48
$1 078,80
$1 214,72
$1 697,56
$2 579,60
$1 314,04
$1 442,36
$1 578,28
$2 061,12
$1 677,60
$1 805,92
$1 941,84
$2 424,68
$2 041,16
$2 169,48
$2 305,40
$2 788,24
$363,56
Toc - Plan #12 Anthem Blue Cross and Blue Shield
Silver

(EPO) Anthem Silver Pathway X 3250

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6677

Annual Out of Pocket Expenses:

Individual Family
$3,250 $6,500 Annual Deductible
$6,450 $12,900 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
$508,94
$577,65
$650,43
$908,97
$1 381,26
$898,28
$966,99
$1 039,77
$1 298,31
$1 287,62
$1 356,33
$1 429,11
$1 687,65
$1 676,96
$1 745,67
$1 818,45
$2 076,99
$389,34
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1 017,88
$1 155,30
$1 300,86
$1 817,94
$2 762,52
$1 407,22
$1 544,64
$1 690,20
$2 207,28
$1 796,56
$1 933,98
$2 079,54
$2 596,62
$2 185,90
$2 323,32
$2 468,88
$2 985,96
$389,34
Toc - Plan #13 Anthem Blue Cross and Blue Shield
Silver

(EPO) Anthem Silver Pathway X 6750

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6677

Annual Out of Pocket Expenses:

Individual Family
$6,750 $13,500 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
$457,06
$518,76
$584,12
$816,31
$1 240,46
$806,71
$868,41
$933,77
$1 165,96
$1 156,36
$1 218,06
$1 283,42
$1 515,61
$1 506,01
$1 567,71
$1 633,07
$1 865,26
$349,65
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$914,12
$1 037,52
$1 168,24
$1 632,62
$2 480,92
$1 263,77
$1 387,17
$1 517,89
$1 982,27
$1 613,42
$1 736,82
$1 867,54
$2 331,92
$1 963,07
$2 086,47
$2 217,19
$2 681,57
$349,65
Toc - Plan #14 Anthem Blue Cross and Blue Shield
Catastrophic

(EPO) Anthem Catastrophic Pathway X 8550

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6677

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
$267,77
$303,92
$342,21
$478,24
$726,73
$472,61
$508,76
$547,05
$683,08
$677,45
$713,60
$751,89
$887,92
$882,29
$918,44
$956,73
$1 092,76
$204,84
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$535,54
$607,84
$684,42
$956,48
$1 453,46
$740,38
$812,68
$889,26
$1 161,32
$945,22
$1 017,52
$1 094,10
$1 366,16
$1 150,06
$1 222,36
$1 298,94
$1 571,00
$204,84
Toc - Plan #15 Anthem Blue Cross and Blue Shield
Expanded Bronze

(EPO) Anthem Bronze Pathway X 4400 Online Plus

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-738-6677

Annual Out of Pocket Expenses:

Individual Family
$4,400 $8,800 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
$378,54
$429,64
$483,77
$676,07
$1 027,36
$668,12
$719,22
$773,35
$965,65
$957,70
$1 008,80
$1 062,93
$1 255,23
$1 247,28
$1 298,38
$1 352,51
$1 544,81
$289,58
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$757,08
$859,28
$967,54
$1 352,14
$2 054,72
$1 046,66
$1 148,86
$1 257,12
$1 641,72
$1 336,24
$1 438,44
$1 546,70
$1 931,30
$1 625,82
$1 728,02
$1 836,28
$2 220,88
$289,58

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Medica

Local: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-800-676-3777

Toc - Plan #16 Medica
Gold

(EPO) Balance by Medica Gold Copay

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

Individual Family
$850 $2,550 Annual Deductible
$7,900 $15,800 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
$361,44
$410,22
$461,90
$645,51
$980,91
$637,93
$686,71
$738,39
$922,00
$914,42
$963,20
$1 014,88
$1 198,49
$1 190,91
$1 239,69
$1 291,37
$1 474,98
$276,49
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$722,88
$820,44
$923,80
$1 291,02
$1 961,82
$999,37
$1 096,93
$1 200,29
$1 567,51
$1 275,86
$1 373,42
$1 476,78
$1 844,00
$1 552,35
$1 649,91
$1 753,27
$2 120,49
$276,49
Toc - Plan #17 Medica
Silver

(EPO) Balance by Medica Silver Copay

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

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
$366,81
$416,31
$468,77
$655,10
$995,49
$647,41
$696,91
$749,37
$935,70
$928,01
$977,51
$1 029,97
$1 216,30
$1 208,61
$1 258,11
$1 310,57
$1 496,90
$280,60
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$733,62
$832,62
$937,54
$1 310,20
$1 990,98
$1 014,22
$1 113,22
$1 218,14
$1 590,80
$1 294,82
$1 393,82
$1 498,74
$1 871,40
$1 575,42
$1 674,42
$1 779,34
$2 152,00
$280,60
Toc - Plan #18 Medica
Expanded Bronze

(EPO) Balance by Medica Bronze Copay

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

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
$238,75
$270,97
$305,11
$426,39
$647,95
$421,39
$453,61
$487,75
$609,03
$604,03
$636,25
$670,39
$791,67
$786,67
$818,89
$853,03
$974,31
$182,64
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$477,50
$541,94
$610,22
$852,78
$1 295,90
$660,14
$724,58
$792,86
$1 035,42
$842,78
$907,22
$975,50
$1 218,06
$1 025,42
$1 089,86
$1 158,14
$1 400,70
$182,64
Toc - Plan #19 Medica
Expanded Bronze

(EPO) Balance by Medica Bronze H S A

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

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
$264,44
$300,13
$337,95
$472,28
$717,68
$466,73
$502,42
$540,24
$674,57
$669,02
$704,71
$742,53
$876,86
$871,31
$907,00
$944,82
$1 079,15
$202,29
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$528,88
$600,26
$675,90
$944,56
$1 435,36
$731,17
$802,55
$878,19
$1 146,85
$933,46
$1 004,84
$1 080,48
$1 349,14
$1 135,75
$1 207,13
$1 282,77
$1 551,43
$202,29
Toc - Plan #20 Medica
Catastrophic

(EPO) Balance by Medica Catastrophic

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

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
$173,20
$196,57
$221,34
$309,32
$470,04
$305,69
$329,06
$353,83
$441,81
$438,18
$461,55
$486,32
$574,30
$570,67
$594,04
$618,81
$706,79
$132,49
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$346,40
$393,14
$442,68
$618,64
$940,08
$478,89
$525,63
$575,17
$751,13
$611,38
$658,12
$707,66
$883,62
$743,87
$790,61
$840,15
$1 016,11
$132,49
Toc - Plan #21 Medica
Gold

(EPO) Balance by Medica Gold Share

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

Individual Family
$550 $1,650 Annual Deductible
$7,900 $15,800 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
$359,09
$407,56
$458,91
$641,32
$974,55
$633,79
$682,26
$733,61
$916,02
$908,49
$956,96
$1 008,31
$1 190,72
$1 183,19
$1 231,66
$1 283,01
$1 465,42
$274,70
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$718,18
$815,12
$917,82
$1 282,64
$1 949,10
$992,88
$1 089,82
$1 192,52
$1 557,34
$1 267,58
$1 364,52
$1 467,22
$1 832,04
$1 542,28
$1 639,22
$1 741,92
$2 106,74
$274,70
Toc - Plan #22 Medica
Silver

(EPO) Balance by Medica Silver Share

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

Individual Family
$2,200 $6,600 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
$372,89
$423,22
$476,54
$665,96
$1 012,00
$658,14
$708,47
$761,79
$951,21
$943,39
$993,72
$1 047,04
$1 236,46
$1 228,64
$1 278,97
$1 332,29
$1 521,71
$285,25
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$745,78
$846,44
$953,08
$1 331,92
$2 024,00
$1 031,03
$1 131,69
$1 238,33
$1 617,17
$1 316,28
$1 416,94
$1 523,58
$1 902,42
$1 601,53
$1 702,19
$1 808,83
$2 187,67
$285,25
Toc - Plan #23 Medica
Expanded Bronze

(EPO) Balance by Medica Bronze Share Plus

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

Individual Family
$2,300 $6,900 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
$246,91
$280,23
$315,54
$440,96
$670,08
$435,79
$469,11
$504,42
$629,84
$624,67
$657,99
$693,30
$818,72
$813,55
$846,87
$882,18
$1 007,60
$188,88
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$493,82
$560,46
$631,08
$881,92
$1 340,16
$682,70
$749,34
$819,96
$1 070,80
$871,58
$938,22
$1 008,84
$1 259,68
$1 060,46
$1 127,10
$1 197,72
$1 448,56
$188,88
Toc - Plan #24 Medica
Bronze

(EPO) Balance by Medica Bronze Value

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

Individual Family
$7,900 $15,800 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
$238,58
$270,78
$304,90
$426,09
$647,49
$421,09
$453,29
$487,41
$608,60
$603,60
$635,80
$669,92
$791,11
$786,11
$818,31
$852,43
$973,62
$182,51
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$477,16
$541,56
$609,80
$852,18
$1 294,98
$659,67
$724,07
$792,31
$1 034,69
$842,18
$906,58
$974,82
$1 217,20
$1 024,69
$1 089,09
$1 157,33
$1 399,71
$182,51

ADVERTISEMENT

Ambetter from Home State Health

Local: 1-855-650-3789 | Toll Free: 1-855-650-3789

Toc - Plan #25 Ambetter from Home State Health
Bronze

(EPO) Ambetter Essential Care 1 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-650-3789

Annual Out of Pocket Expenses:

Individual Family
$8,300 $16,600 Annual Deductible
$8,300 $16,600 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
$324,42
$368,21
$414,60
$579,40
$880,46
$572,60
$616,39
$662,78
$827,58
$820,78
$864,57
$910,96
$1 075,76
$1 068,96
$1 112,75
$1 159,14
$1 323,94
$248,18
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$648,84
$736,42
$829,20
$1 158,80
$1 760,92
$897,02
$984,60
$1 077,38
$1 406,98
$1 145,20
$1 232,78
$1 325,56
$1 655,16
$1 393,38
$1 480,96
$1 573,74
$1 903,34
$248,18
Toc - Plan #26 Ambetter from Home State Health
Silver

(EPO) Ambetter Balanced Care 11 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-650-3789

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 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
$379,92
$431,20
$485,52
$678,52
$1 031,07
$670,55
$721,83
$776,15
$969,15
$961,18
$1 012,46
$1 066,78
$1 259,78
$1 251,81
$1 303,09
$1 357,41
$1 550,41
$290,63
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$759,84
$862,40
$971,04
$1 357,04
$2 062,14
$1 050,47
$1 153,03
$1 261,67
$1 647,67
$1 341,10
$1 443,66
$1 552,30
$1 938,30
$1 631,73
$1 734,29
$1 842,93
$2 228,93
$290,63
Toc - Plan #27 Ambetter from Home State Health
Gold

(EPO) Ambetter Secure Care 5 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-650-3789

Annual Out of Pocket Expenses:

Individual Family
$1,450 $2,900 Annual Deductible
$6,500 $13,000 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
$494,40
$561,13
$631,83
$882,98
$1 341,77
$872,61
$939,34
$1 010,04
$1 261,19
$1 250,82
$1 317,55
$1 388,25
$1 639,40
$1 629,03
$1 695,76
$1 766,46
$2 017,61
$378,21
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$988,80
$1 122,26
$1 263,66
$1 765,96
$2 683,54
$1 367,01
$1 500,47
$1 641,87
$2 144,17
$1 745,22
$1 878,68
$2 020,08
$2 522,38
$2 123,43
$2 256,89
$2 398,29
$2 900,59
$378,21
Toc - Plan #28 Ambetter from Home State Health
Expanded Bronze

(EPO) Ambetter Essential Care 2 HSA (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-650-3789

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
$351,33
$398,75
$448,98
$627,45
$953,48
$620,09
$667,51
$717,74
$896,21
$888,85
$936,27
$986,50
$1 164,97
$1 157,61
$1 205,03
$1 255,26
$1 433,73
$268,76
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$702,66
$797,50
$897,96
$1 254,90
$1 906,96
$971,42
$1 066,26
$1 166,72
$1 523,66
$1 240,18
$1 335,02
$1 435,48
$1 792,42
$1 508,94
$1 603,78
$1 704,24
$2 061,18
$268,76
Toc - Plan #29 Ambetter from Home State Health
Silver

(EPO) Ambetter Balanced Care 127 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-650-3789

Annual Out of Pocket Expenses:

Individual Family
$2,750 $5,500 Annual Deductible
$6,500 $13,000 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
$405,02
$459,68
$517,60
$723,34
$1 099,19
$714,85
$769,51
$827,43
$1 033,17
$1 024,68
$1 079,34
$1 137,26
$1 343,00
$1 334,51
$1 389,17
$1 447,09
$1 652,83
$309,83
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$810,04
$919,36
$1 035,20
$1 446,68
$2 198,38
$1 119,87
$1 229,19
$1 345,03
$1 756,51
$1 429,70
$1 539,02
$1 654,86
$2 066,34
$1 739,53
$1 848,85
$1 964,69
$2 376,17
$309,83
Toc - Plan #30 Ambetter from Home State Health
Expanded Bronze

(EPO) Ambetter Essential Care 5 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-650-3789

Annual Out of Pocket Expenses:

Individual Family
$8,100 $16,200 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
$349,80
$397,01
$447,03
$624,72
$949,33
$617,39
$664,60
$714,62
$892,31
$884,98
$932,19
$982,21
$1 159,90
$1 152,57
$1 199,78
$1 249,80
$1 427,49
$267,59
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$699,60
$794,02
$894,06
$1 249,44
$1 898,66
$967,19
$1 061,61
$1 161,65
$1 517,03
$1 234,78
$1 329,20
$1 429,24
$1 784,62
$1 502,37
$1 596,79
$1 696,83
$2 052,21
$267,59
Toc - Plan #31 Ambetter from Home State Health
Bronze

(EPO) Ambetter Essential Care 1 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-650-3789

Annual Out of Pocket Expenses:

Individual Family
$8,300 $16,600 Annual Deductible
$8,300 $16,600 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
$337,09
$382,58
$430,78
$602,02
$914,83
$594,95
$640,44
$688,64
$859,88
$852,81
$898,30
$946,50
$1 117,74
$1 110,67
$1 156,16
$1 204,36
$1 375,60
$257,86
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$674,18
$765,16
$861,56
$1 204,04
$1 829,66
$932,04
$1 023,02
$1 119,42
$1 461,90
$1 189,90
$1 280,88
$1 377,28
$1 719,76
$1 447,76
$1 538,74
$1 635,14
$1 977,62
$257,86
Toc - Plan #32 Ambetter from Home State Health
Gold

(EPO) Ambetter Secure Care 5 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-650-3789

Annual Out of Pocket Expenses:

Individual Family
$1,450 $2,900 Annual Deductible
$6,500 $13,000 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
$513,69
$583,03
$656,49
$917,44
$1 394,14
$906,66
$976,00
$1 049,46
$1 310,41
$1 299,63
$1 368,97
$1 442,43
$1 703,38
$1 692,60
$1 761,94
$1 835,40
$2 096,35
$392,97
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1 027,38
$1 166,06
$1 312,98
$1 834,88
$2 788,28
$1 420,35
$1 559,03
$1 705,95
$2 227,85
$1 813,32
$1 952,00
$2 098,92
$2 620,82
$2 206,29
$2 344,97
$2 491,89
$3 013,79
$392,97
Toc - Plan #33 Ambetter from Home State Health
Expanded Bronze

(EPO) Ambetter Essential Care 2 HSA (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-650-3789

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
$365,04
$414,31
$466,51
$651,95
$990,69
$644,29
$693,56
$745,76
$931,20
$923,54
$972,81
$1 025,01
$1 210,45
$1 202,79
$1 252,06
$1 304,26
$1 489,70
$279,25
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$730,08
$828,62
$933,02
$1 303,90
$1 981,38
$1 009,33
$1 107,87
$1 212,27
$1 583,15
$1 288,58
$1 387,12
$1 491,52
$1 862,40
$1 567,83
$1 666,37
$1 770,77
$2 141,65
$279,25
Toc - Plan #34 Ambetter from Home State Health
Silver

(EPO) Ambetter Balanced Care 127 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-650-3789

Annual Out of Pocket Expenses:

Individual Family
$2,750 $5,500 Annual Deductible
$6,500 $13,000 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
$420,83
$477,63
$537,80
$751,58
$1 142,10
$742,75
$799,55
$859,72
$1 073,50
$1 064,67
$1 121,47
$1 181,64
$1 395,42
$1 386,59
$1 443,39
$1 503,56
$1 717,34
$321,92
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$841,66
$955,26
$1 075,60
$1 503,16
$2 284,20
$1 163,58
$1 277,18
$1 397,52
$1 825,08
$1 485,50
$1 599,10
$1 719,44
$2 147,00
$1 807,42
$1 921,02
$2 041,36
$2 468,92
$321,92
Toc - Plan #35 Ambetter from Home State Health
Expanded Bronze

(EPO) Ambetter Essential Care 5 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-650-3789

Annual Out of Pocket Expenses:

Individual Family
$8,100 $16,200 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
$363,45
$412,51
$464,48
$649,11
$986,38
$641,48
$690,54
$742,51
$927,14
$919,51
$968,57
$1 020,54
$1 205,17
$1 197,54
$1 246,60
$1 298,57
$1 483,20
$278,03
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$726,90
$825,02
$928,96
$1 298,22
$1 972,76
$1 004,93
$1 103,05
$1 206,99
$1 576,25
$1 282,96
$1 381,08
$1 485,02
$1 854,28
$1 560,99
$1 659,11
$1 763,05
$2 132,31
$278,03

‡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 Polk County here.

Polk County is in “Rating Area 8” of Missouri.

Currently, there are 35 plans offered in Rating Area 8.

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2021 Obamacare Plans for Polk County, MO

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