Obamacare 2021 Rates for Saint Charles County
Obamacare > Rates > Missouri > Saint Charles County
Obamacare > Rates > Missouri > Saint Charles County
ADVERTISEMENT
ADVERTISEMENT
Anthem Blue Cross and Blue ShieldLocal: 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$524,11 $594,86 $669,81 $936,06 $1 422,43 |
$925,05 $995,80 $1 070,75 $1 337,00 |
$1 325,99 $1 396,74 $1 471,69 $1 737,94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 048,22 $1 189,72 $1 339,62 $1 872,12 $2 844,86 |
$1 449,16 $1 590,66 $1 740,56 $2 273,06 |
$1 850,10 $1 991,60 $2 141,50 $2 674,00 |
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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422,63 $479,69 $540,12 $754,82 $1 147,02 |
$745,94 $803,00 $863,43 $1 078,13 |
$1 069,25 $1 126,31 $1 186,74 $1 401,44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$845,26 $959,38 $1 080,24 $1 509,64 $2 294,04 |
$1 168,57 $1 282,69 $1 403,55 $1 832,95 |
$1 491,88 $1 606,00 $1 726,86 $2 156,26 |
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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$296,73 $336,79 $379,22 $529,96 $805,33 |
$523,73 $563,79 $606,22 $756,96 |
$750,73 $790,79 $833,22 $983,96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$593,46 $673,58 $758,44 $1 059,92 $1 610,66 |
$820,46 $900,58 $985,44 $1 286,92 |
$1 047,46 $1 127,58 $1 212,44 $1 513,92 |
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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$290,07 $329,23 $370,71 $518,07 $787,25 |
$511,97 $551,13 $592,61 $739,97 |
$733,87 $773,03 $814,51 $961,87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$580,14 $658,46 $741,42 $1 036,14 $1 574,50 |
$802,04 $880,36 $963,32 $1 258,04 |
$1 023,94 $1 102,26 $1 185,22 $1 479,94 |
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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289,52 $328,61 $370,01 $517,08 $785,76 |
$511,00 $550,09 $591,49 $738,56 |
$732,48 $771,57 $812,97 $960,04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$579,04 $657,22 $740,02 $1 034,16 $1 571,52 |
$800,52 $878,70 $961,50 $1 255,64 |
$1 022,00 $1 100,18 $1 182,98 $1 477,12 |
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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395,49 $448,88 $505,44 $706,35 $1 073,36 |
$698,04 $751,43 $807,99 $1 008,90 |
$1 000,59 $1 053,98 $1 110,54 $1 311,45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790,98 $897,76 $1 010,88 $1 412,70 $2 146,72 |
$1 093,53 $1 200,31 $1 313,43 $1 715,25 |
$1 396,08 $1 502,86 $1 615,98 $2 017,80 |
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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406,96 $461,90 $520,09 $726,83 $1 104,49 |
$718,28 $773,22 $831,41 $1 038,15 |
$1 029,60 $1 084,54 $1 142,73 $1 349,47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$813,92 $923,80 $1 040,18 $1 453,66 $2 208,98 |
$1 125,24 $1 235,12 $1 351,50 $1 764,98 |
$1 436,56 $1 546,44 $1 662,82 $2 076,30 |
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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289,45 $328,53 $369,92 $516,96 $785,57 |
$510,88 $549,96 $591,35 $738,39 |
$732,31 $771,39 $812,78 $959,82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$578,90 $657,06 $739,84 $1 033,92 $1 571,14 |
$800,33 $878,49 $961,27 $1 255,35 |
$1 021,76 $1 099,92 $1 182,70 $1 476,78 |
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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$403,21 $457,64 $515,30 $720,13 $1 094,31 |
$711,67 $766,10 $823,76 $1 028,59 |
$1 020,13 $1 074,56 $1 132,22 $1 337,05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$806,42 $915,28 $1 030,60 $1 440,26 $2 188,62 |
$1 114,88 $1 223,74 $1 339,06 $1 748,72 |
$1 423,34 $1 532,20 $1 647,52 $2 057,18 |
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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397,48 $451,14 $507,98 $709,90 $1 078,76 |
$701,55 $755,21 $812,05 $1 013,97 |
$1 005,62 $1 059,28 $1 116,12 $1 318,04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$794,96 $902,28 $1 015,96 $1 419,80 $2 157,52 |
$1 099,03 $1 206,35 $1 320,03 $1 723,87 |
$1 403,10 $1 510,42 $1 624,10 $2 027,94 |
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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381,63 $433,15 $487,72 $681,59 $1 035,74 |
$673,58 $725,10 $779,67 $973,54 |
$965,53 $1 017,05 $1 071,62 $1 265,49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$763,26 $866,30 $975,44 $1 363,18 $2 071,48 |
$1 055,21 $1 158,25 $1 267,39 $1 655,13 |
$1 347,16 $1 450,20 $1 559,34 $1 947,08 |
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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408,69 $463,86 $522,31 $729,92 $1 109,18 |
$721,34 $776,51 $834,96 $1 042,57 |
$1 033,99 $1 089,16 $1 147,61 $1 355,22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$817,38 $927,72 $1 044,62 $1 459,84 $2 218,36 |
$1 130,03 $1 240,37 $1 357,27 $1 772,49 |
$1 442,68 $1 553,02 $1 669,92 $2 085,14 |
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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367,03 $416,58 $469,06 $655,52 $996,12 |
$647,81 $697,36 $749,84 $936,30 |
$928,59 $978,14 $1 030,62 $1 217,08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734,06 $833,16 $938,12 $1 311,04 $1 992,24 |
$1 014,84 $1 113,94 $1 218,90 $1 591,82 |
$1 295,62 $1 394,72 $1 499,68 $1 872,60 |
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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$215,03 $244,06 $274,81 $384,04 $583,59 |
$379,53 $408,56 $439,31 $548,54 |
$544,03 $573,06 $603,81 $713,04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$430,06 $488,12 $549,62 $768,08 $1 167,18 |
$594,56 $652,62 $714,12 $932,58 |
$759,06 $817,12 $878,62 $1 097,08 |
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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303,97 $345,01 $388,47 $542,89 $824,97 |
$536,51 $577,55 $621,01 $775,43 |
$769,05 $810,09 $853,55 $1 007,97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$607,94 $690,02 $776,94 $1 085,78 $1 649,94 |
$840,48 $922,56 $1 009,48 $1 318,32 |
$1 073,02 $1 155,10 $1 242,02 $1 550,86 |
ADVERTISEMENT
WellFirst HealthLocal: 1-866-514-4194 | Toll Free: 1-866-514-4194 | TTY: 1-866-514-4194 |
Toc - Plan #16 WellFirst Health | ||||||||||||||||||||
Gold
(EPO) WellFirst Gold Copay Plus 1500X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362,94 $411,93 $463,83 $648,21 $985,01 |
$640,59 $689,58 $741,48 $925,86 |
$918,24 $967,23 $1 019,13 $1 203,51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725,88 $823,86 $927,66 $1 296,42 $1 970,02 |
$1 003,53 $1 101,51 $1 205,31 $1 574,07 |
$1 281,18 $1 379,16 $1 482,96 $1 851,72 |
Toc - Plan #17 WellFirst Health | ||||||||||||||||||||
Silver
(EPO) WellFirst Silver Copay Plus 4800X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367,73 $417,38 $469,97 $656,77 $998,03 |
$649,05 $698,70 $751,29 $938,09 |
$930,37 $980,02 $1 032,61 $1 219,41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$735,46 $834,76 $939,94 $1 313,54 $1 996,06 |
$1 016,78 $1 116,08 $1 221,26 $1 594,86 |
$1 298,10 $1 397,40 $1 502,58 $1 876,18 |
Toc - Plan #18 WellFirst Health | ||||||||||||||||||||
Expanded Bronze
(EPO) WellFirst Bronze Copay Plus 8500X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$236,96 $268,95 $302,84 $423,22 $643,12 |
$418,24 $450,23 $484,12 $604,50 |
$599,52 $631,51 $665,40 $785,78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$473,92 $537,90 $605,68 $846,44 $1 286,24 |
$655,20 $719,18 $786,96 $1 027,72 |
$836,48 $900,46 $968,24 $1 209,00 |
Toc - Plan #19 WellFirst Health | ||||||||||||||||||||
Silver
(EPO) WellFirst Silver Classic 5000X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357,86 $406,17 $457,34 $639,13 $971,23 |
$631,62 $679,93 $731,10 $912,89 |
$905,38 $953,69 $1 004,86 $1 186,65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$715,72 $812,34 $914,68 $1 278,26 $1 942,46 |
$989,48 $1 086,10 $1 188,44 $1 552,02 |
$1 263,24 $1 359,86 $1 462,20 $1 825,78 |
Toc - Plan #20 WellFirst Health | ||||||||||||||||||||
Gold
(EPO) WellFirst Gold Value Copay 3700X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351,20 $398,61 $448,83 $627,24 $953,15 |
$619,87 $667,28 $717,50 $895,91 |
$888,54 $935,95 $986,17 $1 164,58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$702,40 $797,22 $897,66 $1 254,48 $1 906,30 |
$971,07 $1 065,89 $1 166,33 $1 523,15 |
$1 239,74 $1 334,56 $1 435,00 $1 791,82 |
Toc - Plan #21 WellFirst Health | ||||||||||||||||||||
Silver
(EPO) WellFirst Silver Value Copay 5000X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364,35 $413,54 $465,64 $650,73 $988,84 |
$643,08 $692,27 $744,37 $929,46 |
$921,81 $971,00 $1 023,10 $1 208,19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$728,70 $827,08 $931,28 $1 301,46 $1 977,68 |
$1 007,43 $1 105,81 $1 210,01 $1 580,19 |
$1 286,16 $1 384,54 $1 488,74 $1 858,92 |
Toc - Plan #22 WellFirst Health | ||||||||||||||||||||
Bronze
(EPO) WellFirst Bronze Value Copay 8500X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$233,49 $265,01 $298,40 $417,02 $633,70 |
$412,11 $443,63 $477,02 $595,64 |
$590,73 $622,25 $655,64 $774,26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$466,98 $530,02 $596,80 $834,04 $1 267,40 |
$645,60 $708,64 $775,42 $1 012,66 |
$824,22 $887,26 $954,04 $1 191,28 |
Toc - Plan #23 WellFirst Health | ||||||||||||||||||||
Silver
(EPO) WellFirst Silver HSA-E 4500X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348,49 $395,53 $445,37 $622,40 $945,80 |
$615,08 $662,12 $711,96 $888,99 |
$881,67 $928,71 $978,55 $1 155,58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$696,98 $791,06 $890,74 $1 244,80 $1 891,60 |
$963,57 $1 057,65 $1 157,33 $1 511,39 |
$1 230,16 $1 324,24 $1 423,92 $1 777,98 |
Toc - Plan #24 WellFirst Health | ||||||||||||||||||||
Expanded Bronze
(EPO) WellFirst Bronze HSA-E 6850X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$249,44 $283,11 $318,78 $445,49 $676,97 |
$440,26 $473,93 $509,60 $636,31 |
$631,08 $664,75 $700,42 $827,13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$498,88 $566,22 $637,56 $890,98 $1 353,94 |
$689,70 $757,04 $828,38 $1 081,80 |
$880,52 $947,86 $1 019,20 $1 272,62 |
Toc - Plan #25 WellFirst Health | ||||||||||||||||||||
Catastrophic
(EPO) WellFirst Catastrophic Safety Net |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$204,88 $232,54 $261,83 $365,91 $556,04 |
$361,61 $389,27 $418,56 $522,64 |
$518,34 $546,00 $575,29 $679,37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$409,76 $465,08 $523,66 $731,82 $1 112,08 |
$566,49 $621,81 $680,39 $888,55 |
$723,22 $778,54 $837,12 $1 045,28 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #26 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 5900 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$270,99 $307,57 $346,33 $483,99 $735,47 |
$478,30 $514,88 $553,64 $691,30 |
$685,61 $722,19 $760,95 $898,61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$541,98 $615,14 $692,66 $967,98 $1 470,94 |
$749,29 $822,45 $899,97 $1 175,29 |
$956,60 $1 029,76 $1 107,28 $1 382,60 |
Toc - Plan #27 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 5500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$323,50 $367,17 $413,43 $577,76 $877,97 |
$570,97 $614,64 $660,90 $825,23 |
$818,44 $862,11 $908,37 $1 072,70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$647,00 $734,34 $826,86 $1 155,52 $1 755,94 |
$894,47 $981,81 $1 074,33 $1 402,99 |
$1 141,94 $1 229,28 $1 321,80 $1 650,46 |
Toc - Plan #28 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 2900 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327,29 $371,48 $418,28 $584,54 $888,27 |
$577,67 $621,86 $668,66 $834,92 |
$828,05 $872,24 $919,04 $1 085,30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$654,58 $742,96 $836,56 $1 169,08 $1 776,54 |
$904,96 $993,34 $1 086,94 $1 419,46 |
$1 155,34 $1 243,72 $1 337,32 $1 669,84 |
Toc - Plan #29 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 1000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408,84 $464,03 $522,50 $730,19 $1 109,59 |
$721,60 $776,79 $835,26 $1 042,95 |
$1 034,36 $1 089,55 $1 148,02 $1 355,71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$817,68 $928,06 $1 045,00 $1 460,38 $2 219,18 |
$1 130,44 $1 240,82 $1 357,76 $1 773,14 |
$1 443,20 $1 553,58 $1 670,52 $2 085,90 |
Toc - Plan #30 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 7000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$267,80 $303,96 $342,25 $478,29 $726,81 |
$472,67 $508,83 $547,12 $683,16 |
$677,54 $713,70 $751,99 $888,03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$535,60 $607,92 $684,50 $956,58 $1 453,62 |
$740,47 $812,79 $889,37 $1 161,45 |
$945,34 $1 017,66 $1 094,24 $1 366,32 |
Toc - Plan #31 Cigna Healthcare | ||||||||||||||||||||
Bronze
(EPO) Cigna Connect 8550 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$259,49 $294,52 $331,63 $463,44 $704,25 |
$458,00 $493,03 $530,14 $661,95 |
$656,51 $691,54 $728,65 $860,46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$518,98 $589,04 $663,26 $926,88 $1 408,50 |
$717,49 $787,55 $861,77 $1 125,39 |
$916,00 $986,06 $1 060,28 $1 323,90 |
Toc - Plan #32 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 7300 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$324,33 $368,12 $414,50 $579,26 $880,23 |
$572,44 $616,23 $662,61 $827,37 |
$820,55 $864,34 $910,72 $1 075,48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$648,66 $736,24 $829,00 $1 158,52 $1 760,46 |
$896,77 $984,35 $1 077,11 $1 406,63 |
$1 144,88 $1 232,46 $1 325,22 $1 654,74 |
Toc - Plan #33 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$324,56 $368,37 $414,79 $579,66 $880,85 |
$572,85 $616,66 $663,08 $827,95 |
$821,14 $864,95 $911,37 $1 076,24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$649,12 $736,74 $829,58 $1 159,32 $1 761,70 |
$897,41 $985,03 $1 077,87 $1 407,61 |
$1 145,70 $1 233,32 $1 326,16 $1 655,90 |
Toc - Plan #34 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3500 Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$324,98 $368,85 $415,32 $580,41 $881,99 |
$573,59 $617,46 $663,93 $829,02 |
$822,20 $866,07 $912,54 $1 077,63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$649,96 $737,70 $830,64 $1 160,82 $1 763,98 |
$898,57 $986,31 $1 079,25 $1 409,43 |
$1 147,18 $1 234,92 $1 327,86 $1 658,04 |
ADVERTISEMENT
Ambetter from Home State HealthLocal: 1-855-650-3789 | Toll Free: 1-855-650-3789 |
Toc - Plan #35 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301,70 $342,42 $385,56 $538,82 $818,79 |
$532,49 $573,21 $616,35 $769,61 |
$763,28 $804,00 $847,14 $1 000,40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$603,40 $684,84 $771,12 $1 077,64 $1 637,58 |
$834,19 $915,63 $1 001,91 $1 308,43 |
$1 064,98 $1 146,42 $1 232,70 $1 539,22 |
Toc - Plan #36 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 4 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364,72 $413,95 $466,11 $651,38 $989,83 |
$643,73 $692,96 $745,12 $930,39 |
$922,74 $971,97 $1 024,13 $1 209,40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$729,44 $827,90 $932,22 $1 302,76 $1 979,66 |
$1 008,45 $1 106,91 $1 211,23 $1 581,77 |
$1 287,46 $1 385,92 $1 490,24 $1 860,78 |
Toc - Plan #37 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353,31 $400,99 $451,52 $630,99 $958,85 |
$623,58 $671,26 $721,79 $901,26 |
$893,85 $941,53 $992,06 $1 171,53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706,62 $801,98 $903,04 $1 261,98 $1 917,70 |
$976,89 $1 072,25 $1 173,31 $1 532,25 |
$1 247,16 $1 342,52 $1 443,58 $1 802,52 |
Toc - Plan #38 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$459,77 $521,83 $587,57 $821,13 $1 247,79 |
$811,49 $873,55 $939,29 $1 172,85 |
$1 163,21 $1 225,27 $1 291,01 $1 524,57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$919,54 $1 043,66 $1 175,14 $1 642,26 $2 495,58 |
$1 271,26 $1 395,38 $1 526,86 $1 993,98 |
$1 622,98 $1 747,10 $1 878,58 $2 345,70 |
Toc - Plan #39 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$325,30 $369,20 $415,72 $580,97 $882,83 |
$574,15 $618,05 $664,57 $829,82 |
$823,00 $866,90 $913,42 $1 078,67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$650,60 $738,40 $831,44 $1 161,94 $1 765,66 |
$899,45 $987,25 $1 080,29 $1 410,79 |
$1 148,30 $1 236,10 $1 329,14 $1 659,64 |
Toc - Plan #40 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326,72 $370,82 $417,54 $583,51 $886,69 |
$576,65 $620,75 $667,47 $833,44 |
$826,58 $870,68 $917,40 $1 083,37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$653,44 $741,64 $835,08 $1 167,02 $1 773,38 |
$903,37 $991,57 $1 085,01 $1 416,95 |
$1 153,30 $1 241,50 $1 334,94 $1 666,88 |
Toc - Plan #41 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 126 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362,75 $411,72 $463,59 $647,86 $984,49 |
$640,25 $689,22 $741,09 $925,36 |
$917,75 $966,72 $1 018,59 $1 202,86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725,50 $823,44 $927,18 $1 295,72 $1 968,98 |
$1 003,00 $1 100,94 $1 204,68 $1 573,22 |
$1 280,50 $1 378,44 $1 482,18 $1 850,72 |
Toc - Plan #42 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 124 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358,93 $407,37 $458,69 $641,02 $974,10 |
$633,50 $681,94 $733,26 $915,59 |
$908,07 $956,51 $1 007,83 $1 190,16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$717,86 $814,74 $917,38 $1 282,04 $1 948,20 |
$992,43 $1 089,31 $1 191,95 $1 556,61 |
$1 267,00 $1 363,88 $1 466,52 $1 831,18 |
Toc - Plan #43 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376,65 $427,49 $481,35 $672,68 $1 022,20 |
$664,78 $715,62 $769,48 $960,81 |
$952,91 $1 003,75 $1 057,61 $1 248,94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753,30 $854,98 $962,70 $1 345,36 $2 044,40 |
$1 041,43 $1 143,11 $1 250,83 $1 633,49 |
$1 329,56 $1 431,24 $1 538,96 $1 921,62 |
Toc - Plan #44 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 128 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374,43 $424,96 $478,50 $668,71 $1 016,16 |
$660,86 $711,39 $764,93 $955,14 |
$947,29 $997,82 $1 051,36 $1 241,57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$748,86 $849,92 $957,00 $1 337,42 $2 032,32 |
$1 035,29 $1 136,35 $1 243,43 $1 623,85 |
$1 321,72 $1 422,78 $1 529,86 $1 910,28 |
Toc - Plan #45 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 129 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341,53 $387,62 $436,46 $609,95 $926,88 |
$602,79 $648,88 $697,72 $871,21 |
$864,05 $910,14 $958,98 $1 132,47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$683,06 $775,24 $872,92 $1 219,90 $1 853,76 |
$944,32 $1 036,50 $1 134,18 $1 481,16 |
$1 205,58 $1 297,76 $1 395,44 $1 742,42 |
Toc - Plan #46 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313,48 $355,79 $400,61 $559,85 $850,75 |
$553,28 $595,59 $640,41 $799,65 |
$793,08 $835,39 $880,21 $1 039,45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$626,96 $711,58 $801,22 $1 119,70 $1 701,50 |
$866,76 $951,38 $1 041,02 $1 359,50 |
$1 106,56 $1 191,18 $1 280,82 $1 599,30 |
Toc - Plan #47 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338,00 $383,61 $431,95 $603,64 $917,29 |
$596,56 $642,17 $690,51 $862,20 |
$855,12 $900,73 $949,07 $1 120,76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$676,00 $767,22 $863,90 $1 207,28 $1 834,58 |
$934,56 $1 025,78 $1 122,46 $1 465,84 |
$1 193,12 $1 284,34 $1 381,02 $1 724,40 |
Toc - Plan #48 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$477,71 $542,19 $610,51 $853,18 $1 296,49 |
$843,15 $907,63 $975,95 $1 218,62 |
$1 208,59 $1 273,07 $1 341,39 $1 584,06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$955,42 $1 084,38 $1 221,02 $1 706,36 $2 592,98 |
$1 320,86 $1 449,82 $1 586,46 $2 071,80 |
$1 686,30 $1 815,26 $1 951,90 $2 437,24 |
Toc - Plan #49 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367,10 $416,65 $469,14 $655,62 $996,28 |
$647,92 $697,47 $749,96 $936,44 |
$928,74 $978,29 $1 030,78 $1 217,26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734,20 $833,30 $938,28 $1 311,24 $1 992,56 |
$1 015,02 $1 114,12 $1 219,10 $1 592,06 |
$1 295,84 $1 394,94 $1 499,92 $1 872,88 |
Toc - Plan #50 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 4 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378,96 $430,11 $484,30 $676,80 $1 028,47 |
$668,86 $720,01 $774,20 $966,70 |
$958,76 $1 009,91 $1 064,10 $1 256,60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$757,92 $860,22 $968,60 $1 353,60 $2 056,94 |
$1 047,82 $1 150,12 $1 258,50 $1 643,50 |
$1 337,72 $1 440,02 $1 548,40 $1 933,40 |
Toc - Plan #51 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339,47 $385,29 $433,83 $606,28 $921,30 |
$599,16 $644,98 $693,52 $865,97 |
$858,85 $904,67 $953,21 $1 125,66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$678,94 $770,58 $867,66 $1 212,56 $1 842,60 |
$938,63 $1 030,27 $1 127,35 $1 472,25 |
$1 198,32 $1 289,96 $1 387,04 $1 731,94 |
Toc - Plan #52 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 126 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376,91 $427,79 $481,68 $673,15 $1 022,92 |
$665,24 $716,12 $770,01 $961,48 |
$953,57 $1 004,45 $1 058,34 $1 249,81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753,82 $855,58 $963,36 $1 346,30 $2 045,84 |
$1 042,15 $1 143,91 $1 251,69 $1 634,63 |
$1 330,48 $1 432,24 $1 540,02 $1 922,96 |
Toc - Plan #53 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 124 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372,93 $423,27 $476,60 $666,04 $1 012,12 |
$658,22 $708,56 $761,89 $951,33 |
$943,51 $993,85 $1 047,18 $1 236,62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745,86 $846,54 $953,20 $1 332,08 $2 024,24 |
$1 031,15 $1 131,83 $1 238,49 $1 617,37 |
$1 316,44 $1 417,12 $1 523,78 $1 902,66 |
Toc - Plan #54 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391,35 $444,17 $500,13 $698,94 $1 062,10 |
$690,73 $743,55 $799,51 $998,32 |
$990,11 $1 042,93 $1 098,89 $1 297,70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$782,70 $888,34 $1 000,26 $1 397,88 $2 124,20 |
$1 082,08 $1 187,72 $1 299,64 $1 697,26 |
$1 381,46 $1 487,10 $1 599,02 $1 996,64 |
Toc - Plan #55 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 128 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389,04 $441,55 $497,18 $694,81 $1 055,83 |
$686,65 $739,16 $794,79 $992,42 |
$984,26 $1 036,77 $1 092,40 $1 290,03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$778,08 $883,10 $994,36 $1 389,62 $2 111,66 |
$1 075,69 $1 180,71 $1 291,97 $1 687,23 |
$1 373,30 $1 478,32 $1 589,58 $1 984,84 |
‡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 Saint Charles County here.
Saint Charles County is in “Rating Area 6” of Missouri.
Currently, there are 55 plans offered in Rating Area 6.