Obamacare 2021 Rates for Rockingham County

Obamacare > Rates > New Hampshire > Rockingham 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 Rockingham County, NH.

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 Rockingham County, New Hampshire

Below, you’ll find a summary of the 35 plans for Rockingham County, New Hampshire 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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Harvard Pilgrim Health Care

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

(HMO) ElevateHealth 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
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$329,54
$374,02
$421,15
$588,55
$894,36 		$581,63
$626,11
$673,24
$840,64 		$833,72
$878,20
$925,33
$1 092,73 		$1 085,81
$1 130,29
$1 177,42
$1 344,82 		$252,09
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$659,08
$748,04
$842,30
$1 177,10
$1 788,72 		$911,17
$1 000,13
$1 094,39
$1 429,19 		$1 163,26
$1 252,22
$1 346,48
$1 681,28 		$1 415,35
$1 504,31
$1 598,57
$1 933,37 		$252,09
Toc - Plan #2 Harvard Pilgrim Health Care
Silver

(HMO) ElevateHealth HMO Silver 3500

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

Annual Out of Pocket Expenses:

Individual Family
$3,500 $7,000 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 		$306,24
$347,58
$391,38
$546,95
$831,14 		$540,52
$581,86
$625,66
$781,23 		$774,80
$816,14
$859,94
$1 015,51 		$1 009,08
$1 050,42
$1 094,22
$1 249,79 		$234,28
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$612,48
$695,16
$782,76
$1 093,90
$1 662,28 		$846,76
$929,44
$1 017,04
$1 328,18 		$1 081,04
$1 163,72
$1 251,32
$1 562,46 		$1 315,32
$1 398,00
$1 485,60
$1 796,74 		$234,28
Toc - Plan #3 Harvard Pilgrim Health Care
Silver

(HMO) ElevateHealth HMO Silver 4000

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

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$303,33
$344,28
$387,66
$541,75
$823,24 		$535,38
$576,33
$619,71
$773,80 		$767,43
$808,38
$851,76
$1 005,85 		$999,48
$1 040,43
$1 083,81
$1 237,90 		$232,05
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$606,66
$688,56
$775,32
$1 083,50
$1 646,48 		$838,71
$920,61
$1 007,37
$1 315,55 		$1 070,76
$1 152,66
$1 239,42
$1 547,60 		$1 302,81
$1 384,71
$1 471,47
$1 779,65 		$232,05
Toc - Plan #4 Harvard Pilgrim Health Care
Silver

(HMO) ElevateHealth HMO Silver 5000

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

Annual Out of Pocket Expenses:

Individual Family
$5,000 $10,000 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 		$284,40
$322,80
$363,47
$507,95
$771,88 		$501,97
$540,37
$581,04
$725,52 		$719,54
$757,94
$798,61
$943,09 		$937,11
$975,51
$1 016,18
$1 160,66 		$217,57
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$568,80
$645,60
$726,94
$1 015,90
$1 543,76 		$786,37
$863,17
$944,51
$1 233,47 		$1 003,94
$1 080,74
$1 162,08
$1 451,04 		$1 221,51
$1 298,31
$1 379,65
$1 668,61 		$217,57
Toc - Plan #5 Harvard Pilgrim Health Care
Silver

(HMO) ElevateHealth HMO Silver 6300

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

Annual Out of Pocket Expenses:

Individual Family
$6,300 $12,600 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 		$274,70
$311,78
$351,07
$490,61
$745,53 		$484,85
$521,93
$561,22
$700,76 		$695,00
$732,08
$771,37
$910,91 		$905,15
$942,23
$981,52
$1 121,06 		$210,15
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$549,40
$623,56
$702,14
$981,22
$1 491,06 		$759,55
$833,71
$912,29
$1 191,37 		$969,70
$1 043,86
$1 122,44
$1 401,52 		$1 179,85
$1 254,01
$1 332,59
$1 611,67 		$210,15
Toc - Plan #6 Harvard Pilgrim Health Care
Expanded Bronze

(HMO) ElevateHealth HMO 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
$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 		$248,01
$281,49
$316,96
$442,95
$673,10 		$437,74
$471,22
$506,69
$632,68 		$627,47
$660,95
$696,42
$822,41 		$817,20
$850,68
$886,15
$1 012,14 		$189,73
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$496,02
$562,98
$633,92
$885,90
$1 346,20 		$685,75
$752,71
$823,65
$1 075,63 		$875,48
$942,44
$1 013,38
$1 265,36 		$1 065,21
$1 132,17
$1 203,11
$1 455,09 		$189,73
Toc - Plan #7 Harvard Pilgrim Health Care
Expanded Bronze

(HMO) ElevateHealth HMO Bronze 7200

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

Annual Out of Pocket Expenses:

Individual Family
$7,200 $14,400 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 		$226,66
$257,26
$289,67
$404,81
$615,15 		$400,05
$430,65
$463,06
$578,20 		$573,44
$604,04
$636,45
$751,59 		$746,83
$777,43
$809,84
$924,98 		$173,39
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$453,32
$514,52
$579,34
$809,62
$1 230,30 		$626,71
$687,91
$752,73
$983,01 		$800,10
$861,30
$926,12
$1 156,40 		$973,49
$1 034,69
$1 099,51
$1 329,79 		$173,39
Toc - Plan #8 Harvard Pilgrim Health Care
Catastrophic

(HMO) ElevateHealth 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 		$155,81
$176,84
$199,12
$278,27
$422,86 		$275,00
$296,03
$318,31
$397,46 		$394,19
$415,22
$437,50
$516,65 		$513,38
$534,41
$556,69
$635,84 		$119,19
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$311,62
$353,68
$398,24
$556,54
$845,72 		$430,81
$472,87
$517,43
$675,73 		$550,00
$592,06
$636,62
$794,92 		$669,19
$711,25
$755,81
$914,11 		$119,19
Toc - Plan #9 Harvard Pilgrim Health Care
Silver

(HMO) ElevateHealth HMO HSA Silver 3750

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

Annual Out of Pocket Expenses:

Individual Family
$3,750 $7,500 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 		$297,51
$337,67
$380,21
$531,35
$807,43 		$525,10
$565,26
$607,80
$758,94 		$752,69
$792,85
$835,39
$986,53 		$980,28
$1 020,44
$1 062,98
$1 214,12 		$227,59
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$595,02
$675,34
$760,42
$1 062,70
$1 614,86 		$822,61
$902,93
$988,01
$1 290,29 		$1 050,20
$1 130,52
$1 215,60
$1 517,88 		$1 277,79
$1 358,11
$1 443,19
$1 745,47 		$227,59
Toc - Plan #10 Harvard Pilgrim Health Care
Expanded Bronze

(HMO) ElevateHealth HMO HSA Bronze 6250

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

Annual Out of Pocket Expenses:

Individual Family
$6,250 $12,500 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 		$232,97
$264,42
$297,73
$416,08
$632,27 		$411,19
$442,64
$475,95
$594,30 		$589,41
$620,86
$654,17
$772,52 		$767,63
$799,08
$832,39
$950,74 		$178,22
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$465,94
$528,84
$595,46
$832,16
$1 264,54 		$644,16
$707,06
$773,68
$1 010,38 		$822,38
$885,28
$951,90
$1 188,60 		$1 000,60
$1 063,50
$1 130,12
$1 366,82 		$178,22
Toc - Plan #11 Harvard Pilgrim Health Care
Gold

(HMO) ElevateHealth Options HMO Gold 1000

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

Annual Out of Pocket Expenses:

Individual Family
$1,000 $2,000 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$375,64
$426,35
$480,06
$670,89
$1 019,48 		$663,00
$713,71
$767,42
$958,25 		$950,36
$1 001,07
$1 054,78
$1 245,61 		$1 237,72
$1 288,43
$1 342,14
$1 532,97 		$287,36
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$751,28
$852,70
$960,12
$1 341,78
$2 038,96 		$1 038,64
$1 140,06
$1 247,48
$1 629,14 		$1 326,00
$1 427,42
$1 534,84
$1 916,50 		$1 613,36
$1 714,78
$1 822,20
$2 203,86 		$287,36
Toc - Plan #12 Harvard Pilgrim Health Care
Silver

(HMO) ElevateHealth Options 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
$8,500 $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 		$347,49
$394,40
$444,09
$620,62
$943,09 		$613,32
$660,23
$709,92
$886,45 		$879,15
$926,06
$975,75
$1 152,28 		$1 144,98
$1 191,89
$1 241,58
$1 418,11 		$265,83
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$694,98
$788,80
$888,18
$1 241,24
$1 886,18 		$960,81
$1 054,63
$1 154,01
$1 507,07 		$1 226,64
$1 320,46
$1 419,84
$1 772,90 		$1 492,47
$1 586,29
$1 685,67
$2 038,73 		$265,83

ADVERTISEMENT

Ambetter from New Hampshire Healthy Families

Local: 1-844-265-1278 | Toll Free: 1-844-265-1278 | TTY: 1-855-742-0123
Toc - Plan #13 Ambetter from New Hampshire Healthy Families
Gold

(EPO) Ambetter Secure Care 5 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-265-1278

Annual Out of Pocket Expenses:

Individual Family
$1,450 $2,900 Annual Deductible
$6,300 $12,600 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 		$283,81
$322,11
$362,69
$506,86
$770,22 		$500,91
$539,21
$579,79
$723,96 		$718,01
$756,31
$796,89
$941,06 		$935,11
$973,41
$1 013,99
$1 158,16 		$217,10
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$567,62
$644,22
$725,38
$1 013,72
$1 540,44 		$784,72
$861,32
$942,48
$1 230,82 		$1 001,82
$1 078,42
$1 159,58
$1 447,92 		$1 218,92
$1 295,52
$1 376,68
$1 665,02 		$217,10
Toc - Plan #14 Ambetter from New Hampshire Healthy Families
Expanded Bronze

(EPO) Ambetter Essential Care 2 HSA (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-265-1278

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 		$204,82
$232,45
$261,74
$365,78
$555,84 		$361,50
$389,13
$418,42
$522,46 		$518,18
$545,81
$575,10
$679,14 		$674,86
$702,49
$731,78
$835,82 		$156,68
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$409,64
$464,90
$523,48
$731,56
$1 111,68 		$566,32
$621,58
$680,16
$888,24 		$723,00
$778,26
$836,84
$1 044,92 		$879,68
$934,94
$993,52
$1 201,60 		$156,68
Toc - Plan #15 Ambetter from New Hampshire Healthy Families
Expanded Bronze

(EPO) Ambetter Essential Care 10 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-265-1278

Annual Out of Pocket Expenses:

Individual Family
$7,200 $14,400 Annual Deductible
$8,400 $16,800 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 		$193,43
$219,54
$247,20
$345,45
$524,95 		$341,40
$367,51
$395,17
$493,42 		$489,37
$515,48
$543,14
$641,39 		$637,34
$663,45
$691,11
$789,36 		$147,97
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$386,86
$439,08
$494,40
$690,90
$1 049,90 		$534,83
$587,05
$642,37
$838,87 		$682,80
$735,02
$790,34
$986,84 		$830,77
$882,99
$938,31
$1 134,81 		$147,97
Toc - Plan #16 Ambetter from New Hampshire Healthy Families
Silver

(EPO) Ambetter Balanced Care 11 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-265-1278

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 		$254,08
$288,37
$324,70
$453,77
$689,55 		$448,44
$482,73
$519,06
$648,13 		$642,80
$677,09
$713,42
$842,49 		$837,16
$871,45
$907,78
$1 036,85 		$194,36
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$508,16
$576,74
$649,40
$907,54
$1 379,10 		$702,52
$771,10
$843,76
$1 101,90 		$896,88
$965,46
$1 038,12
$1 296,26 		$1 091,24
$1 159,82
$1 232,48
$1 490,62 		$194,36
Toc - Plan #17 Ambetter from New Hampshire Healthy Families
Silver

(EPO) Ambetter Balanced Care 25 HSA (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-265-1278

Annual Out of Pocket Expenses:

Individual Family
$4,800 $9,600 Annual Deductible
$4,800 $9,600 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 		$262,57
$298,00
$335,55
$468,92
$712,58 		$463,43
$498,86
$536,41
$669,78 		$664,29
$699,72
$737,27
$870,64 		$865,15
$900,58
$938,13
$1 071,50 		$200,86
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$525,14
$596,00
$671,10
$937,84
$1 425,16 		$726,00
$796,86
$871,96
$1 138,70 		$926,86
$997,72
$1 072,82
$1 339,56 		$1 127,72
$1 198,58
$1 273,68
$1 540,42 		$200,86
Toc - Plan #18 Ambetter from New Hampshire Healthy Families
Silver

(EPO) Ambetter Balanced Care 26 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-265-1278

Annual Out of Pocket Expenses:

Individual Family
$5,450 $10,900 Annual Deductible
$8,100 $16,200 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 		$260,56
$295,72
$332,98
$465,34
$707,13 		$459,88
$495,04
$532,30
$664,66 		$659,20
$694,36
$731,62
$863,98 		$858,52
$893,68
$930,94
$1 063,30 		$199,32
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$521,12
$591,44
$665,96
$930,68
$1 414,26 		$720,44
$790,76
$865,28
$1 130,00 		$919,76
$990,08
$1 064,60
$1 329,32 		$1 119,08
$1 189,40
$1 263,92
$1 528,64 		$199,32
Toc - Plan #19 Ambetter from New Hampshire Healthy Families
Silver

(EPO) Ambetter Balanced Care 28 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-265-1278

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,200 $16,400 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 		$267,62
$303,74
$342,01
$477,95
$726,30 		$472,34
$508,46
$546,73
$682,67 		$677,06
$713,18
$751,45
$887,39 		$881,78
$917,90
$956,17
$1 092,11 		$204,72
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$535,24
$607,48
$684,02
$955,90
$1 452,60 		$739,96
$812,20
$888,74
$1 160,62 		$944,68
$1 016,92
$1 093,46
$1 365,34 		$1 149,40
$1 221,64
$1 298,18
$1 570,06 		$204,72
Toc - Plan #20 Ambetter from New Hampshire Healthy Families
Expanded Bronze

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-265-1278

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 		$219,87
$249,55
$280,99
$392,68
$596,71 		$388,07
$417,75
$449,19
$560,88 		$556,27
$585,95
$617,39
$729,08 		$724,47
$754,15
$785,59
$897,28 		$168,20
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$439,74
$499,10
$561,98
$785,36
$1 193,42 		$607,94
$667,30
$730,18
$953,56 		$776,14
$835,50
$898,38
$1 121,76 		$944,34
$1 003,70
$1 066,58
$1 289,96 		$168,20
Toc - Plan #21 Ambetter from New Hampshire Healthy Families
Expanded Bronze

(EPO) Ambetter Essential Care 10 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-265-1278

Annual Out of Pocket Expenses:

Individual Family
$7,200 $14,400 Annual Deductible
$8,400 $16,800 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 		$207,65
$235,68
$265,37
$370,85
$563,55 		$366,50
$394,53
$424,22
$529,70 		$525,35
$553,38
$583,07
$688,55 		$684,20
$712,23
$741,92
$847,40 		$158,85
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$415,30
$471,36
$530,74
$741,70
$1 127,10 		$574,15
$630,21
$689,59
$900,55 		$733,00
$789,06
$848,44
$1 059,40 		$891,85
$947,91
$1 007,29
$1 218,25 		$158,85
Toc - Plan #22 Ambetter from New Hampshire Healthy Families
Silver

(EPO) Ambetter Balanced Care 25 HSA (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-265-1278

Annual Out of Pocket Expenses:

Individual Family
$4,800 $9,600 Annual Deductible
$4,800 $9,600 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 		$281,87
$319,91
$360,22
$503,40
$764,97 		$497,49
$535,53
$575,84
$719,02 		$713,11
$751,15
$791,46
$934,64 		$928,73
$966,77
$1 007,08
$1 150,26 		$215,62
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$563,74
$639,82
$720,44
$1 006,80
$1 529,94 		$779,36
$855,44
$936,06
$1 222,42 		$994,98
$1 071,06
$1 151,68
$1 438,04 		$1 210,60
$1 286,68
$1 367,30
$1 653,66 		$215,62
Toc - Plan #23 Ambetter from New Hampshire Healthy Families
Silver

(EPO) Ambetter Balanced Care 26 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-265-1278

Annual Out of Pocket Expenses:

Individual Family
$5,450 $10,900 Annual Deductible
$8,100 $16,200 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 		$279,72
$317,47
$357,46
$499,55
$759,12 		$493,69
$531,44
$571,43
$713,52 		$707,66
$745,41
$785,40
$927,49 		$921,63
$959,38
$999,37
$1 141,46 		$213,97
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$559,44
$634,94
$714,92
$999,10
$1 518,24 		$773,41
$848,91
$928,89
$1 213,07 		$987,38
$1 062,88
$1 142,86
$1 427,04 		$1 201,35
$1 276,85
$1 356,83
$1 641,01 		$213,97
Toc - Plan #24 Ambetter from New Hampshire Healthy Families
Silver

(EPO) Ambetter Balanced Care 28 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-265-1278

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,200 $16,400 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 		$287,30
$326,07
$367,15
$513,10
$779,70 		$507,07
$545,84
$586,92
$732,87 		$726,84
$765,61
$806,69
$952,64 		$946,61
$985,38
$1 026,46
$1 172,41 		$219,77
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$574,60
$652,14
$734,30
$1 026,20
$1 559,40 		$794,37
$871,91
$954,07
$1 245,97 		$1 014,14
$1 091,68
$1 173,84
$1 465,74 		$1 233,91
$1 311,45
$1 393,61
$1 685,51 		$219,77
Toc - Plan #25 Ambetter from New Hampshire Healthy Families
Gold

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-265-1278

Annual Out of Pocket Expenses:

Individual Family
$1,450 $2,900 Annual Deductible
$6,300 $12,600 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 		$304,67
$345,79
$389,36
$544,13
$826,85 		$537,74
$578,86
$622,43
$777,20 		$770,81
$811,93
$855,50
$1 010,27 		$1 003,88
$1 045,00
$1 088,57
$1 243,34 		$233,07
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$609,34
$691,58
$778,72
$1 088,26
$1 653,70 		$842,41
$924,65
$1 011,79
$1 321,33 		$1 075,48
$1 157,72
$1 244,86
$1 554,40 		$1 308,55
$1 390,79
$1 477,93
$1 787,47 		$233,07

ADVERTISEMENT

Anthem Blue Cross and Blue Shield

Local: 1-855-748-1804 | Toll Free: 1-855-748-1804

Toc - Plan #26 Anthem Blue Cross and Blue Shield
Expanded Bronze

(HMO) Anthem Bronze Pathway X Enhanced HMO 35% for HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1804

Annual Out of Pocket Expenses:

Individual Family
$5,650 $11,300 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 		$217,03
$246,33
$277,36
$387,62
$589,02 		$383,06
$412,36
$443,39
$553,65 		$549,09
$578,39
$609,42
$719,68 		$715,12
$744,42
$775,45
$885,71 		$166,03
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$434,06
$492,66
$554,72
$775,24
$1 178,04 		$600,09
$658,69
$720,75
$941,27 		$766,12
$824,72
$886,78
$1 107,30 		$932,15
$990,75
$1 052,81
$1 273,33 		$166,03
Toc - Plan #27 Anthem Blue Cross and Blue Shield
Bronze

(HMO) Anthem Bronze Pathway X Enhanced HMO 5750/10%

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1804

Annual Out of Pocket Expenses:

Individual Family
$5,750 $11,500 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 		$217,19
$246,51
$277,57
$387,90
$589,45 		$383,34
$412,66
$443,72
$554,05 		$549,49
$578,81
$609,87
$720,20 		$715,64
$744,96
$776,02
$886,35 		$166,15
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$434,38
$493,02
$555,14
$775,80
$1 178,90 		$600,53
$659,17
$721,29
$941,95 		$766,68
$825,32
$887,44
$1 108,10 		$932,83
$991,47
$1 053,59
$1 274,25 		$166,15
Toc - Plan #28 Anthem Blue Cross and Blue Shield
Silver

(HMO) Anthem Silver Pathway X Enhanced HMO 10% for HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1804

Annual Out of Pocket Expenses:

Individual Family
$3,000 $6,000 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 		$294,00
$333,69
$375,73
$525,08
$797,92 		$518,91
$558,60
$600,64
$749,99 		$743,82
$783,51
$825,55
$974,90 		$968,73
$1 008,42
$1 050,46
$1 199,81 		$224,91
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$588,00
$667,38
$751,46
$1 050,16
$1 595,84 		$812,91
$892,29
$976,37
$1 275,07 		$1 037,82
$1 117,20
$1 201,28
$1 499,98 		$1 262,73
$1 342,11
$1 426,19
$1 724,89 		$224,91
Toc - Plan #29 Anthem Blue Cross and Blue Shield
Silver

(HMO) Anthem Silver Pathway X Enhanced HMO 4000/0%

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1804

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 		$291,22
$330,53
$372,18
$520,12
$790,37 		$514,00
$553,31
$594,96
$742,90 		$736,78
$776,09
$817,74
$965,68 		$959,56
$998,87
$1 040,52
$1 188,46 		$222,78
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$582,44
$661,06
$744,36
$1 040,24
$1 580,74 		$805,22
$883,84
$967,14
$1 263,02 		$1 028,00
$1 106,62
$1 189,92
$1 485,80 		$1 250,78
$1 329,40
$1 412,70
$1 708,58 		$222,78
Toc - Plan #30 Anthem Blue Cross and Blue Shield
Catastrophic

(HMO) Anthem Catastrophic Pathway X Enhanced HMO 8550/0%

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1804

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 		$138,42
$157,11
$176,90
$247,22
$375,67 		$244,31
$263,00
$282,79
$353,11 		$350,20
$368,89
$388,68
$459,00 		$456,09
$474,78
$494,57
$564,89 		$105,89
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$276,84
$314,22
$353,80
$494,44
$751,34 		$382,73
$420,11
$459,69
$600,33 		$488,62
$526,00
$565,58
$706,22 		$594,51
$631,89
$671,47
$812,11 		$105,89
Toc - Plan #31 Anthem Blue Cross and Blue Shield
Silver

(HMO) Anthem Silver Pathway X Enhanced HMO 3500/0%

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1804

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$300,45
$341,01
$383,98
$536,60
$815,42 		$530,29
$570,85
$613,82
$766,44 		$760,13
$800,69
$843,66
$996,28 		$989,97
$1 030,53
$1 073,50
$1 226,12 		$229,84
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$600,90
$682,02
$767,96
$1 073,20
$1 630,84 		$830,74
$911,86
$997,80
$1 303,04 		$1 060,58
$1 141,70
$1 227,64
$1 532,88 		$1 290,42
$1 371,54
$1 457,48
$1 762,72 		$229,84
Toc - Plan #32 Anthem Blue Cross and Blue Shield
Bronze

(HMO) Anthem Bronze Pathway X Enhanced HMO 6500/40%

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1804

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$205,43
$233,16
$262,54
$366,90
$557,54 		$362,58
$390,31
$419,69
$524,05 		$519,73
$547,46
$576,84
$681,20 		$676,88
$704,61
$733,99
$838,35 		$157,15
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$410,86
$466,32
$525,08
$733,80
$1 115,08 		$568,01
$623,47
$682,23
$890,95 		$725,16
$780,62
$839,38
$1 048,10 		$882,31
$937,77
$996,53
$1 205,25 		$157,15
Toc - Plan #33 Anthem Blue Cross and Blue Shield
Silver

(HMO) Anthem Silver Pathway X Enhanced HMO 6300/30%

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1804

Annual Out of Pocket Expenses:

Individual Family
$6,300 $12,600 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 		$265,95
$301,85
$339,88
$474,99
$721,79 		$469,40
$505,30
$543,33
$678,44 		$672,85
$708,75
$746,78
$881,89 		$876,30
$912,20
$950,23
$1 085,34 		$203,45
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$531,90
$603,70
$679,76
$949,98
$1 443,58 		$735,35
$807,15
$883,21
$1 153,43 		$938,80
$1 010,60
$1 086,66
$1 356,88 		$1 142,25
$1 214,05
$1 290,11
$1 560,33 		$203,45
Toc - Plan #34 Anthem Blue Cross and Blue Shield
Gold

(HMO) Anthem Gold Pathway X Enhanced HMO 1500/15%

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1804

Annual Out of Pocket Expenses:

Individual Family
$1,500 $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 		$346,26
$393,01
$442,52
$618,42
$939,75 		$611,15
$657,90
$707,41
$883,31 		$876,04
$922,79
$972,30
$1 148,20 		$1 140,93
$1 187,68
$1 237,19
$1 413,09 		$264,89
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$692,52
$786,02
$885,04
$1 236,84
$1 879,50 		$957,41
$1 050,91
$1 149,93
$1 501,73 		$1 222,30
$1 315,80
$1 414,82
$1 766,62 		$1 487,19
$1 580,69
$1 679,71
$2 031,51 		$264,89
Toc - Plan #35 Anthem Blue Cross and Blue Shield
Expanded Bronze

(HMO) Anthem Bronze Pathway X Enhanced HMO 4500/15%

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1804

Annual Out of Pocket Expenses:

Individual Family
$4,500 $9,000 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 		$221,66
$251,58
$283,28
$395,88
$601,59 		$391,23
$421,15
$452,85
$565,45 		$560,80
$590,72
$622,42
$735,02 		$730,37
$760,29
$791,99
$904,59 		$169,57
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$443,32
$503,16
$566,56
$791,76
$1 203,18 		$612,89
$672,73
$736,13
$961,33 		$782,46
$842,30
$905,70
$1 130,90 		$952,03
$1 011,87
$1 075,27
$1 300,47 		$169,57

‡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 Rockingham County here.

Rockingham County is in “Rating Area 1” of New Hampshire.

Currently, there are 35 plans offered in Rating Area 1.

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2021 Obamacare Plans for Rockingham County, NH

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