Obamacare 2021 Rates for Morrow County

Obamacare > Rates > Ohio > Morrow 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 Morrow County, OH.

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, 56 Plans and 2021 Rates for Morrow County, Ohio

Below, you’ll find a summary of the 56 plans for Morrow County, Ohio 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: 1-855-748-1808 | Toll Free: 1-855-748-1808

Toc - Plan #1 Anthem Blue Cross and Blue Shield
Expanded Bronze

(HMO) Anthem Bronze Pathway X HMO 5000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1808

Annual Out of Pocket Expenses:

Individual Family
$5,000 $10,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$309,14
$350,87
$395,08
$552,12
$839,01
$545,63
$587,36
$631,57
$788,61
$782,12
$823,85
$868,06
$1 025,10
$1 018,61
$1 060,34
$1 104,55
$1 261,59
$236,49
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$618,28
$701,74
$790,16
$1 104,24
$1 678,02
$854,77
$938,23
$1 026,65
$1 340,73
$1 091,26
$1 174,72
$1 263,14
$1 577,22
$1 327,75
$1 411,21
$1 499,63
$1 813,71
$236,49
Toc - Plan #2 Anthem Blue Cross and Blue Shield
Bronze

(HMO) Anthem Bronze Pathway X HMO 8550

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1808

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
$293,02
$332,58
$374,48
$523,33
$795,26
$517,18
$556,74
$598,64
$747,49
$741,34
$780,90
$822,80
$971,65
$965,50
$1 005,06
$1 046,96
$1 195,81
$224,16
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$586,04
$665,16
$748,96
$1 046,66
$1 590,52
$810,20
$889,32
$973,12
$1 270,82
$1 034,36
$1 113,48
$1 197,28
$1 494,98
$1 258,52
$1 337,64
$1 421,44
$1 719,14
$224,16
Toc - Plan #3 Anthem Blue Cross and Blue Shield
Silver

(HMO) Anthem Silver Pathway X HMO 4000 Online Plus

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1808

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
$410,76
$466,21
$524,95
$733,62
$1 114,80
$724,99
$780,44
$839,18
$1 047,85
$1 039,22
$1 094,67
$1 153,41
$1 362,08
$1 353,45
$1 408,90
$1 467,64
$1 676,31
$314,23
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$821,52
$932,42
$1 049,90
$1 467,24
$2 229,60
$1 135,75
$1 246,65
$1 364,13
$1 781,47
$1 449,98
$1 560,88
$1 678,36
$2 095,70
$1 764,21
$1 875,11
$1 992,59
$2 409,93
$314,23
Toc - Plan #4 Anthem Blue Cross and Blue Shield
Gold

(HMO) Anthem Gold Pathway X HMO 2500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1808

Annual Out of Pocket Expenses:

Individual Family
$2,500 $7,500 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
$450,87
$511,74
$576,21
$805,25
$1 223,66
$795,79
$856,66
$921,13
$1 150,17
$1 140,71
$1 201,58
$1 266,05
$1 495,09
$1 485,63
$1 546,50
$1 610,97
$1 840,01
$344,92
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$901,74
$1 023,48
$1 152,42
$1 610,50
$2 447,32
$1 246,66
$1 368,40
$1 497,34
$1 955,42
$1 591,58
$1 713,32
$1 842,26
$2 300,34
$1 936,50
$2 058,24
$2 187,18
$2 645,26
$344,92
Toc - Plan #5 Anthem Blue Cross and Blue Shield
Expanded Bronze

(HMO) Anthem Bronze Pathway X HMO 6850 0 for HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1808

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
$313,95
$356,33
$401,23
$560,71
$852,06
$554,12
$596,50
$641,40
$800,88
$794,29
$836,67
$881,57
$1 041,05
$1 034,46
$1 076,84
$1 121,74
$1 281,22
$240,17
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$627,90
$712,66
$802,46
$1 121,42
$1 704,12
$868,07
$952,83
$1 042,63
$1 361,59
$1 108,24
$1 193,00
$1 282,80
$1 601,76
$1 348,41
$1 433,17
$1 522,97
$1 841,93
$240,17
Toc - Plan #6 Anthem Blue Cross and Blue Shield
Silver

(HMO) Anthem Silver Pathway X HMO 3200 10 for HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1808

Annual Out of Pocket Expenses:

Individual Family
$3,200 $6,400 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
$413,61
$469,45
$528,59
$738,71
$1 122,54
$730,02
$785,86
$845,00
$1 055,12
$1 046,43
$1 102,27
$1 161,41
$1 371,53
$1 362,84
$1 418,68
$1 477,82
$1 687,94
$316,41
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$827,22
$938,90
$1 057,18
$1 477,42
$2 245,08
$1 143,63
$1 255,31
$1 373,59
$1 793,83
$1 460,04
$1 571,72
$1 690,00
$2 110,24
$1 776,45
$1 888,13
$2 006,41
$2 426,65
$316,41
Toc - Plan #7 Anthem Blue Cross and Blue Shield
Silver

(HMO) Anthem Silver Pathway X HMO 3500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1808

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
$422,38
$479,40
$539,80
$754,37
$1 146,34
$745,50
$802,52
$862,92
$1 077,49
$1 068,62
$1 125,64
$1 186,04
$1 400,61
$1 391,74
$1 448,76
$1 509,16
$1 723,73
$323,12
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$844,76
$958,80
$1 079,60
$1 508,74
$2 292,68
$1 167,88
$1 281,92
$1 402,72
$1 831,86
$1 491,00
$1 605,04
$1 725,84
$2 154,98
$1 814,12
$1 928,16
$2 048,96
$2 478,10
$323,12
Toc - Plan #8 Anthem Blue Cross and Blue Shield
Expanded Bronze

(HMO) Anthem Bronze Pathway X HMO 6000 20 for HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1808

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 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
$313,04
$355,30
$400,07
$559,09
$849,59
$552,52
$594,78
$639,55
$798,57
$792,00
$834,26
$879,03
$1 038,05
$1 031,48
$1 073,74
$1 118,51
$1 277,53
$239,48
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$626,08
$710,60
$800,14
$1 118,18
$1 699,18
$865,56
$950,08
$1 039,62
$1 357,66
$1 105,04
$1 189,56
$1 279,10
$1 597,14
$1 344,52
$1 429,04
$1 518,58
$1 836,62
$239,48
Toc - Plan #9 Anthem Blue Cross and Blue Shield
Silver

(HMO) Anthem Silver Pathway X HMO 6100 0 for HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1808

Annual Out of Pocket Expenses:

Individual Family
$6,100 $12,200 Annual Deductible
$6,100 $12,200 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
$383,32
$435,07
$489,88
$684,61
$1 040,33
$676,56
$728,31
$783,12
$977,85
$969,80
$1 021,55
$1 076,36
$1 271,09
$1 263,04
$1 314,79
$1 369,60
$1 564,33
$293,24
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$766,64
$870,14
$979,76
$1 369,22
$2 080,66
$1 059,88
$1 163,38
$1 273,00
$1 662,46
$1 353,12
$1 456,62
$1 566,24
$1 955,70
$1 646,36
$1 749,86
$1 859,48
$2 248,94
$293,24
Toc - Plan #10 Anthem Blue Cross and Blue Shield
Silver

(HMO) Anthem Silver Pathway X HMO 4500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1808

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
$409,62
$464,92
$523,49
$731,58
$1 111,71
$722,98
$778,28
$836,85
$1 044,94
$1 036,34
$1 091,64
$1 150,21
$1 358,30
$1 349,70
$1 405,00
$1 463,57
$1 671,66
$313,36
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$819,24
$929,84
$1 046,98
$1 463,16
$2 223,42
$1 132,60
$1 243,20
$1 360,34
$1 776,52
$1 445,96
$1 556,56
$1 673,70
$2 089,88
$1 759,32
$1 869,92
$1 987,06
$2 403,24
$313,36
Toc - Plan #11 Anthem Blue Cross and Blue Shield
Silver

(HMO) Anthem Silver Pathway X HMO 3000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1808

Annual Out of Pocket Expenses:

Individual Family
$3,000 $6,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$425,61
$483,07
$543,93
$760,14
$1 155,11
$751,20
$808,66
$869,52
$1 085,73
$1 076,79
$1 134,25
$1 195,11
$1 411,32
$1 402,38
$1 459,84
$1 520,70
$1 736,91
$325,59
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$851,22
$966,14
$1 087,86
$1 520,28
$2 310,22
$1 176,81
$1 291,73
$1 413,45
$1 845,87
$1 502,40
$1 617,32
$1 739,04
$2 171,46
$1 827,99
$1 942,91
$2 064,63
$2 497,05
$325,59
Toc - Plan #12 Anthem Blue Cross and Blue Shield
Silver

(HMO) Anthem Silver Pathway X HMO 5000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1808

Annual Out of Pocket Expenses:

Individual Family
$5,000 $10,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$390,74
$443,49
$499,37
$697,86
$1 060,47
$689,66
$742,41
$798,29
$996,78
$988,58
$1 041,33
$1 097,21
$1 295,70
$1 287,50
$1 340,25
$1 396,13
$1 594,62
$298,92
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$781,48
$886,98
$998,74
$1 395,72
$2 120,94
$1 080,40
$1 185,90
$1 297,66
$1 694,64
$1 379,32
$1 484,82
$1 596,58
$1 993,56
$1 678,24
$1 783,74
$1 895,50
$2 292,48
$298,92
Toc - Plan #13 Anthem Blue Cross and Blue Shield
Catastrophic

(HMO) Anthem Catastrophic Pathway X HMO 8550

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1808

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
$234,77
$266,46
$300,04
$419,30
$637,17
$414,37
$446,06
$479,64
$598,90
$593,97
$625,66
$659,24
$778,50
$773,57
$805,26
$838,84
$958,10
$179,60
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$469,54
$532,92
$600,08
$838,60
$1 274,34
$649,14
$712,52
$779,68
$1 018,20
$828,74
$892,12
$959,28
$1 197,80
$1 008,34
$1 071,72
$1 138,88
$1 377,40
$179,60
Toc - Plan #14 Anthem Blue Cross and Blue Shield
Silver

(HMO) Anthem Silver Pathway X HMO 2600

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1808

Annual Out of Pocket Expenses:

Individual Family
$2,600 $5,200 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$436,19
$495,08
$557,45
$779,04
$1 183,82
$769,88
$828,77
$891,14
$1 112,73
$1 103,57
$1 162,46
$1 224,83
$1 446,42
$1 437,26
$1 496,15
$1 558,52
$1 780,11
$333,69
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$872,38
$990,16
$1 114,90
$1 558,08
$2 367,64
$1 206,07
$1 323,85
$1 448,59
$1 891,77
$1 539,76
$1 657,54
$1 782,28
$2 225,46
$1 873,45
$1 991,23
$2 115,97
$2 559,15
$333,69
Toc - Plan #15 Anthem Blue Cross and Blue Shield
Silver

(HMO) Anthem Silver Pathway X HMO 6900 25

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1808

Annual Out of Pocket Expenses:

Individual Family
$6,900 $13,800 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
$380,76
$432,16
$486,61
$680,04
$1 033,38
$672,04
$723,44
$777,89
$971,32
$963,32
$1 014,72
$1 069,17
$1 262,60
$1 254,60
$1 306,00
$1 360,45
$1 553,88
$291,28
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$761,52
$864,32
$973,22
$1 360,08
$2 066,76
$1 052,80
$1 155,60
$1 264,50
$1 651,36
$1 344,08
$1 446,88
$1 555,78
$1 942,64
$1 635,36
$1 738,16
$1 847,06
$2 233,92
$291,28
Toc - Plan #16 Anthem Blue Cross and Blue Shield
Expanded Bronze

(HMO) Anthem Bronze Pathway X HMO 5500 Online Plus

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1808

Annual Out of Pocket Expenses:

Individual Family
$5,500 $11,000 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
$319,02
$362,09
$407,71
$569,77
$865,82
$563,07
$606,14
$651,76
$813,82
$807,12
$850,19
$895,81
$1 057,87
$1 051,17
$1 094,24
$1 139,86
$1 301,92
$244,05
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$638,04
$724,18
$815,42
$1 139,54
$1 731,64
$882,09
$968,23
$1 059,47
$1 383,59
$1 126,14
$1 212,28
$1 303,52
$1 627,64
$1 370,19
$1 456,33
$1 547,57
$1 871,69
$244,05
Toc - Plan #17 Anthem Blue Cross and Blue Shield
Expanded Bronze

(HMO) Anthem Bronze Pathway X HMO 6000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-748-1808

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
$302,66
$343,52
$386,80
$540,55
$821,42
$534,19
$575,05
$618,33
$772,08
$765,72
$806,58
$849,86
$1 003,61
$997,25
$1 038,11
$1 081,39
$1 235,14
$231,53
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$605,32
$687,04
$773,60
$1 081,10
$1 642,84
$836,85
$918,57
$1 005,13
$1 312,63
$1 068,38
$1 150,10
$1 236,66
$1 544,16
$1 299,91
$1 381,63
$1 468,19
$1 775,69
$231,53

ADVERTISEMENT

Ambetter from Buckeye Health

Local: 1-877-687-1189 | Toll Free: 1-877-687-1189 | TTY: 1-877-941-9236

Toc - Plan #18 Ambetter from Buckeye Health
Silver

(HMO) Ambetter Balanced Care 11 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

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
$308,23
$349,83
$393,90
$550,48
$836,51
$544,02
$585,62
$629,69
$786,27
$779,81
$821,41
$865,48
$1 022,06
$1 015,60
$1 057,20
$1 101,27
$1 257,85
$235,79
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$616,46
$699,66
$787,80
$1 100,96
$1 673,02
$852,25
$935,45
$1 023,59
$1 336,75
$1 088,04
$1 171,24
$1 259,38
$1 572,54
$1 323,83
$1 407,03
$1 495,17
$1 808,33
$235,79
Toc - Plan #19 Ambetter from Buckeye Health
Silver

(HMO) Ambetter Balanced Care 12 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

Annual Out of Pocket Expenses:

Individual Family
$6,500 $13,000 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
$302,62
$343,46
$386,74
$540,46
$821,28
$534,12
$574,96
$618,24
$771,96
$765,62
$806,46
$849,74
$1 003,46
$997,12
$1 037,96
$1 081,24
$1 234,96
$231,50
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$605,24
$686,92
$773,48
$1 080,92
$1 642,56
$836,74
$918,42
$1 004,98
$1 312,42
$1 068,24
$1 149,92
$1 236,48
$1 543,92
$1 299,74
$1 381,42
$1 467,98
$1 775,42
$231,50
Toc - Plan #20 Ambetter from Buckeye Health
Gold

(HMO) Ambetter Secure Care 5 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

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
$355,23
$403,18
$453,97
$634,43
$964,07
$626,98
$674,93
$725,72
$906,18
$898,73
$946,68
$997,47
$1 177,93
$1 170,48
$1 218,43
$1 269,22
$1 449,68
$271,75
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$710,46
$806,36
$907,94
$1 268,86
$1 928,14
$982,21
$1 078,11
$1 179,69
$1 540,61
$1 253,96
$1 349,86
$1 451,44
$1 812,36
$1 525,71
$1 621,61
$1 723,19
$2 084,11
$271,75
Toc - Plan #21 Ambetter from Buckeye Health
Bronze

(HMO) Ambetter Essential Care 1 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

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
$233,42
$264,93
$298,30
$416,88
$633,49
$411,98
$443,49
$476,86
$595,44
$590,54
$622,05
$655,42
$774,00
$769,10
$800,61
$833,98
$952,56
$178,56
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$466,84
$529,86
$596,60
$833,76
$1 266,98
$645,40
$708,42
$775,16
$1 012,32
$823,96
$886,98
$953,72
$1 190,88
$1 002,52
$1 065,54
$1 132,28
$1 369,44
$178,56
Toc - Plan #22 Ambetter from Buckeye Health
Expanded Bronze

(HMO) Ambetter Essential Care 2 HSA (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

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
$252,66
$286,75
$322,88
$451,23
$685,68
$445,94
$480,03
$516,16
$644,51
$639,22
$673,31
$709,44
$837,79
$832,50
$866,59
$902,72
$1 031,07
$193,28
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$505,32
$573,50
$645,76
$902,46
$1 371,36
$698,60
$766,78
$839,04
$1 095,74
$891,88
$960,06
$1 032,32
$1 289,02
$1 085,16
$1 153,34
$1 225,60
$1 482,30
$193,28
Toc - Plan #23 Ambetter from Buckeye Health
Expanded Bronze

(HMO) Ambetter Essential Care 10 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

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
$240,27
$272,69
$307,05
$429,10
$652,06
$424,07
$456,49
$490,85
$612,90
$607,87
$640,29
$674,65
$796,70
$791,67
$824,09
$858,45
$980,50
$183,80
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$480,54
$545,38
$614,10
$858,20
$1 304,12
$664,34
$729,18
$797,90
$1 042,00
$848,14
$912,98
$981,70
$1 225,80
$1 031,94
$1 096,78
$1 165,50
$1 409,60
$183,80
Toc - Plan #24 Ambetter from Buckeye Health
Silver

(HMO) Ambetter Balanced Care 24 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

Annual Out of Pocket Expenses:

Individual Family
$7,450 $14,900 Annual Deductible
$7,450 $14,900 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
$313,28
$355,57
$400,36
$559,51
$850,23
$552,93
$595,22
$640,01
$799,16
$792,58
$834,87
$879,66
$1 038,81
$1 032,23
$1 074,52
$1 119,31
$1 278,46
$239,65
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$626,56
$711,14
$800,72
$1 119,02
$1 700,46
$866,21
$950,79
$1 040,37
$1 358,67
$1 105,86
$1 190,44
$1 280,02
$1 598,32
$1 345,51
$1 430,09
$1 519,67
$1 837,97
$239,65
Toc - Plan #25 Ambetter from Buckeye Health
Silver

(HMO) Ambetter Balanced Care 29 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

Annual Out of Pocket Expenses:

Individual Family
$5,450 $10,900 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
$300,00
$340,49
$383,39
$535,78
$814,17
$529,49
$569,98
$612,88
$765,27
$758,98
$799,47
$842,37
$994,76
$988,47
$1 028,96
$1 071,86
$1 224,25
$229,49
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$600,00
$680,98
$766,78
$1 071,56
$1 628,34
$829,49
$910,47
$996,27
$1 301,05
$1 058,98
$1 139,96
$1 225,76
$1 530,54
$1 288,47
$1 369,45
$1 455,25
$1 760,03
$229,49
Toc - Plan #26 Ambetter from Buckeye Health
Silver

(HMO) Ambetter Balanced Care 26 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

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
$316,21
$358,89
$404,11
$564,74
$858,17
$558,10
$600,78
$646,00
$806,63
$799,99
$842,67
$887,89
$1 048,52
$1 041,88
$1 084,56
$1 129,78
$1 290,41
$241,89
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$632,42
$717,78
$808,22
$1 129,48
$1 716,34
$874,31
$959,67
$1 050,11
$1 371,37
$1 116,20
$1 201,56
$1 292,00
$1 613,26
$1 358,09
$1 443,45
$1 533,89
$1 855,15
$241,89
Toc - Plan #27 Ambetter from Buckeye Health
Silver

(HMO) Ambetter Balanced Care 28 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

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
$327,71
$371,94
$418,80
$585,27
$889,37
$578,40
$622,63
$669,49
$835,96
$829,09
$873,32
$920,18
$1 086,65
$1 079,78
$1 124,01
$1 170,87
$1 337,34
$250,69
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$655,42
$743,88
$837,60
$1 170,54
$1 778,74
$906,11
$994,57
$1 088,29
$1 421,23
$1 156,80
$1 245,26
$1 338,98
$1 671,92
$1 407,49
$1 495,95
$1 589,67
$1 922,61
$250,69
Toc - Plan #28 Ambetter from Buckeye Health
Silver

(HMO) Ambetter Balanced Care 12 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

Annual Out of Pocket Expenses:

Individual Family
$6,500 $13,000 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
$317,23
$360,04
$405,40
$566,55
$860,92
$559,90
$602,71
$648,07
$809,22
$802,57
$845,38
$890,74
$1 051,89
$1 045,24
$1 088,05
$1 133,41
$1 294,56
$242,67
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$634,46
$720,08
$810,80
$1 133,10
$1 721,84
$877,13
$962,75
$1 053,47
$1 375,77
$1 119,80
$1 205,42
$1 296,14
$1 618,44
$1 362,47
$1 448,09
$1 538,81
$1 861,11
$242,67
Toc - Plan #29 Ambetter from Buckeye Health
Silver

(HMO) Ambetter Balanced Care 11 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

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
$323,11
$366,71
$412,92
$577,05
$876,88
$570,28
$613,88
$660,09
$824,22
$817,45
$861,05
$907,26
$1 071,39
$1 064,62
$1 108,22
$1 154,43
$1 318,56
$247,17
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$646,22
$733,42
$825,84
$1 154,10
$1 753,76
$893,39
$980,59
$1 073,01
$1 401,27
$1 140,56
$1 227,76
$1 320,18
$1 648,44
$1 387,73
$1 474,93
$1 567,35
$1 895,61
$247,17
Toc - Plan #30 Ambetter from Buckeye Health
Gold

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

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
$372,38
$422,64
$475,89
$665,05
$1 010,61
$657,24
$707,50
$760,75
$949,91
$942,10
$992,36
$1 045,61
$1 234,77
$1 226,96
$1 277,22
$1 330,47
$1 519,63
$284,86
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$744,76
$845,28
$951,78
$1 330,10
$2 021,22
$1 029,62
$1 130,14
$1 236,64
$1 614,96
$1 314,48
$1 415,00
$1 521,50
$1 899,82
$1 599,34
$1 699,86
$1 806,36
$2 184,68
$284,86
Toc - Plan #31 Ambetter from Buckeye Health
Bronze

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

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
$244,69
$277,71
$312,70
$437,00
$664,06
$431,87
$464,89
$499,88
$624,18
$619,05
$652,07
$687,06
$811,36
$806,23
$839,25
$874,24
$998,54
$187,18
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$489,38
$555,42
$625,40
$874,00
$1 328,12
$676,56
$742,60
$812,58
$1 061,18
$863,74
$929,78
$999,76
$1 248,36
$1 050,92
$1 116,96
$1 186,94
$1 435,54
$187,18
Toc - Plan #32 Ambetter from Buckeye Health
Expanded Bronze

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

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
$264,85
$300,60
$338,47
$473,01
$718,78
$467,45
$503,20
$541,07
$675,61
$670,05
$705,80
$743,67
$878,21
$872,65
$908,40
$946,27
$1 080,81
$202,60
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$529,70
$601,20
$676,94
$946,02
$1 437,56
$732,30
$803,80
$879,54
$1 148,62
$934,90
$1 006,40
$1 082,14
$1 351,22
$1 137,50
$1 209,00
$1 284,74
$1 553,82
$202,60
Toc - Plan #33 Ambetter from Buckeye Health
Expanded Bronze

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

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
$251,86
$285,85
$321,87
$449,81
$683,53
$444,53
$478,52
$514,54
$642,48
$637,20
$671,19
$707,21
$835,15
$829,87
$863,86
$899,88
$1 027,82
$192,67
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$503,72
$571,70
$643,74
$899,62
$1 367,06
$696,39
$764,37
$836,41
$1 092,29
$889,06
$957,04
$1 029,08
$1 284,96
$1 081,73
$1 149,71
$1 221,75
$1 477,63
$192,67
Toc - Plan #34 Ambetter from Buckeye Health
Silver

(HMO) Ambetter Balanced Care 24 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

Annual Out of Pocket Expenses:

Individual Family
$7,450 $14,900 Annual Deductible
$7,450 $14,900 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
$328,41
$372,73
$419,69
$586,51
$891,26
$579,63
$623,95
$670,91
$837,73
$830,85
$875,17
$922,13
$1 088,95
$1 082,07
$1 126,39
$1 173,35
$1 340,17
$251,22
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$656,82
$745,46
$839,38
$1 173,02
$1 782,52
$908,04
$996,68
$1 090,60
$1 424,24
$1 159,26
$1 247,90
$1 341,82
$1 675,46
$1 410,48
$1 499,12
$1 593,04
$1 926,68
$251,22
Toc - Plan #35 Ambetter from Buckeye Health
Silver

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

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
$331,47
$376,21
$423,61
$592,00
$899,59
$585,04
$629,78
$677,18
$845,57
$838,61
$883,35
$930,75
$1 099,14
$1 092,18
$1 136,92
$1 184,32
$1 352,71
$253,57
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$662,94
$752,42
$847,22
$1 184,00
$1 799,18
$916,51
$1 005,99
$1 100,79
$1 437,57
$1 170,08
$1 259,56
$1 354,36
$1 691,14
$1 423,65
$1 513,13
$1 607,93
$1 944,71
$253,57
Toc - Plan #36 Ambetter from Buckeye Health
Silver

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1189

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
$343,53
$389,89
$439,01
$613,52
$932,30
$606,32
$652,68
$701,80
$876,31
$869,11
$915,47
$964,59
$1 139,10
$1 131,90
$1 178,26
$1 227,38
$1 401,89
$262,79
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$687,06
$779,78
$878,02
$1 227,04
$1 864,60
$949,85
$1 042,57
$1 140,81
$1 489,83
$1 212,64
$1 305,36
$1 403,60
$1 752,62
$1 475,43
$1 568,15
$1 666,39
$2 015,41
$262,79

ADVERTISEMENT

CareSource

Local: 1-800-479-9502 | Toll Free: 1-800-479-9502 | TTY: 1-800-750-0750

Toc - Plan #37 CareSource
Expanded Bronze

(HMO) CareSource Marketplace HSA Eligible Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-479-9502

Annual Out of Pocket Expenses:

Individual Family
$5,400 $10,800 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
$305,06
$346,24
$389,86
$544,83
$827,92
$538,43
$579,61
$623,23
$778,20
$771,80
$812,98
$856,60
$1 011,57
$1 005,17
$1 046,35
$1 089,97
$1 244,94
$233,37
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$610,12
$692,48
$779,72
$1 089,66
$1 655,84
$843,49
$925,85
$1 013,09
$1 323,03
$1 076,86
$1 159,22
$1 246,46
$1 556,40
$1 310,23
$1 392,59
$1 479,83
$1 789,77
$233,37
Toc - Plan #38 CareSource
Silver

(HMO) CareSource Marketplace Low Premium Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-479-9502

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
$387,89
$440,25
$495,72
$692,77
$1 052,73
$684,62
$736,98
$792,45
$989,50
$981,35
$1 033,71
$1 089,18
$1 286,23
$1 278,08
$1 330,44
$1 385,91
$1 582,96
$296,73
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$775,78
$880,50
$991,44
$1 385,54
$2 105,46
$1 072,51
$1 177,23
$1 288,17
$1 682,27
$1 369,24
$1 473,96
$1 584,90
$1 979,00
$1 665,97
$1 770,69
$1 881,63
$2 275,73
$296,73
Toc - Plan #39 CareSource
Gold

(HMO) CareSource Marketplace Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-479-9502

Annual Out of Pocket Expenses:

Individual Family
$2,000 $4,000 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
$522,98
$593,57
$668,36
$934,03
$1 419,35
$923,05
$993,64
$1 068,43
$1 334,10
$1 323,12
$1 393,71
$1 468,50
$1 734,17
$1 723,19
$1 793,78
$1 868,57
$2 134,24
$400,07
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1 045,96
$1 187,14
$1 336,72
$1 868,06
$2 838,70
$1 446,03
$1 587,21
$1 736,79
$2 268,13
$1 846,10
$1 987,28
$2 136,86
$2 668,20
$2 246,17
$2 387,35
$2 536,93
$3 068,27
$400,07
Toc - Plan #40 CareSource
Silver

(HMO) CareSource Marketplace Standard Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-479-9502

Annual Out of Pocket Expenses:

Individual Family
$5,800 $11,600 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
$408,22
$463,32
$521,70
$729,07
$1 107,90
$720,50
$775,60
$833,98
$1 041,35
$1 032,78
$1 087,88
$1 146,26
$1 353,63
$1 345,06
$1 400,16
$1 458,54
$1 665,91
$312,28
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$816,44
$926,64
$1 043,40
$1 458,14
$2 215,80
$1 128,72
$1 238,92
$1 355,68
$1 770,42
$1 441,00
$1 551,20
$1 667,96
$2 082,70
$1 753,28
$1 863,48
$1 980,24
$2 394,98
$312,28
Toc - Plan #41 CareSource
Expanded Bronze

(HMO) CareSource Marketplace Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-479-9502

Annual Out of Pocket Expenses:

Individual Family
$7,700 $15,400 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
$275,07
$312,20
$351,53
$491,26
$746,52
$485,49
$522,62
$561,95
$701,68
$695,91
$733,04
$772,37
$912,10
$906,33
$943,46
$982,79
$1 122,52
$210,42
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$550,14
$624,40
$703,06
$982,52
$1 493,04
$760,56
$834,82
$913,48
$1 192,94
$970,98
$1 045,24
$1 123,90
$1 403,36
$1 181,40
$1 255,66
$1 334,32
$1 613,78
$210,42
Toc - Plan #42 CareSource
Silver

(HMO) CareSource Marketplace Low Deductible Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-479-9502

Annual Out of Pocket Expenses:

Individual Family
$5,100 $10,200 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
$419,11
$475,69
$535,62
$748,53
$1 137,46
$739,73
$796,31
$856,24
$1 069,15
$1 060,35
$1 116,93
$1 176,86
$1 389,77
$1 380,97
$1 437,55
$1 497,48
$1 710,39
$320,62
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$838,22
$951,38
$1 071,24
$1 497,06
$2 274,92
$1 158,84
$1 272,00
$1 391,86
$1 817,68
$1 479,46
$1 592,62
$1 712,48
$2 138,30
$1 800,08
$1 913,24
$2 033,10
$2 458,92
$320,62
Toc - Plan #43 CareSource
Silver

(HMO) CareSource Marketplace Low Premium Silver Dental, Vision, & Fitness

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-479-9502

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
$404,13
$458,68
$516,47
$721,77
$1 096,79
$713,28
$767,83
$825,62
$1 030,92
$1 022,43
$1 076,98
$1 134,77
$1 340,07
$1 331,58
$1 386,13
$1 443,92
$1 649,22
$309,15
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$808,26
$917,36
$1 032,94
$1 443,54
$2 193,58
$1 117,41
$1 226,51
$1 342,09
$1 752,69
$1 426,56
$1 535,66
$1 651,24
$2 061,84
$1 735,71
$1 844,81
$1 960,39
$2 370,99
$309,15
Toc - Plan #44 CareSource
Gold

(HMO) CareSource Marketplace Gold Dental, Vision, & Fitness

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-479-9502

Annual Out of Pocket Expenses:

Individual Family
$2,000 $4,000 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
$545,67
$619,34
$697,37
$974,57
$1 480,95
$963,11
$1 036,78
$1 114,81
$1 392,01
$1 380,55
$1 454,22
$1 532,25
$1 809,45
$1 797,99
$1 871,66
$1 949,69
$2 226,89
$417,44
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1 091,34
$1 238,68
$1 394,74
$1 949,14
$2 961,90
$1 508,78
$1 656,12
$1 812,18
$2 366,58
$1 926,22
$2 073,56
$2 229,62
$2 784,02
$2 343,66
$2 491,00
$2 647,06
$3 201,46
$417,44
Toc - Plan #45 CareSource
Silver

(HMO) CareSource Marketplace Standard Silver Dental, Vision, & Fitness

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-479-9502

Annual Out of Pocket Expenses:

Individual Family
$5,800 $11,600 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
$425,73
$483,20
$544,07
$760,34
$1 155,41
$751,41
$808,88
$869,75
$1 086,02
$1 077,09
$1 134,56
$1 195,43
$1 411,70
$1 402,77
$1 460,24
$1 521,11
$1 737,38
$325,68
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$851,46
$966,40
$1 088,14
$1 520,68
$2 310,82
$1 177,14
$1 292,08
$1 413,82
$1 846,36
$1 502,82
$1 617,76
$1 739,50
$2 172,04
$1 828,50
$1 943,44
$2 065,18
$2 497,72
$325,68
Toc - Plan #46 CareSource
Expanded Bronze

(HMO) CareSource Marketplace Bronze Dental, Vision, & Fitness

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-479-9502

Annual Out of Pocket Expenses:

Individual Family
$7,700 $15,400 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
$287,49
$326,30
$367,41
$513,46
$780,25
$507,42
$546,23
$587,34
$733,39
$727,35
$766,16
$807,27
$953,32
$947,28
$986,09
$1 027,20
$1 173,25
$219,93
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$574,98
$652,60
$734,82
$1 026,92
$1 560,50
$794,91
$872,53
$954,75
$1 246,85
$1 014,84
$1 092,46
$1 174,68
$1 466,78
$1 234,77
$1 312,39
$1 394,61
$1 686,71
$219,93
Toc - Plan #47 CareSource
Silver

(HMO) CareSource Marketplace Low Deductible Silver Dental, Vision, & Fitness

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-479-9502

Annual Out of Pocket Expenses:

Individual Family
$5,100 $10,200 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
$437,85
$496,95
$559,57
$781,99
$1 188,31
$772,80
$831,90
$894,52
$1 116,94
$1 107,75
$1 166,85
$1 229,47
$1 451,89
$1 442,70
$1 501,80
$1 564,42
$1 786,84
$334,95
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$875,70
$993,90
$1 119,14
$1 563,98
$2 376,62
$1 210,65
$1 328,85
$1 454,09
$1 898,93
$1 545,60
$1 663,80
$1 789,04
$2 233,88
$1 880,55
$1 998,75
$2 123,99
$2 568,83
$334,95

ADVERTISEMENT

MedMutual

Local: 1-888-308-0357 | Toll Free: 1-888-308-0357

Toc - Plan #48 MedMutual
Gold

(HMO) Market HMO 2000 - OhioHealth

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-308-0357

Annual Out of Pocket Expenses:

Individual Family
$2,000 $4,000 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
$527,33
$598,52
$673,93
$941,82
$1 431,18
$930,74
$1 001,93
$1 077,34
$1 345,23
$1 334,15
$1 405,34
$1 480,75
$1 748,64
$1 737,56
$1 808,75
$1 884,16
$2 152,05
$403,41
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1 054,66
$1 197,04
$1 347,86
$1 883,64
$2 862,36
$1 458,07
$1 600,45
$1 751,27
$2 287,05
$1 861,48
$2 003,86
$2 154,68
$2 690,46
$2 264,89
$2 407,27
$2 558,09
$3 093,87
$403,41
Toc - Plan #49 MedMutual
Silver

(HMO) Market HMO 3000 - OhioHealth

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-308-0357

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
$413,10
$468,87
$527,94
$737,79
$1 121,15
$729,12
$784,89
$843,96
$1 053,81
$1 045,14
$1 100,91
$1 159,98
$1 369,83
$1 361,16
$1 416,93
$1 476,00
$1 685,85
$316,02
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$826,20
$937,74
$1 055,88
$1 475,58
$2 242,30
$1 142,22
$1 253,76
$1 371,90
$1 791,60
$1 458,24
$1 569,78
$1 687,92
$2 107,62
$1 774,26
$1 885,80
$2 003,94
$2 423,64
$316,02
Toc - Plan #50 MedMutual
Silver

(HMO) Market HMO 4000 HSA - OhioHealth

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-308-0357

Annual Out of Pocket Expenses:

Individual Family
$4,000 $8,000 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
$411,50
$467,05
$525,90
$734,94
$1 116,81
$726,30
$781,85
$840,70
$1 049,74
$1 041,10
$1 096,65
$1 155,50
$1 364,54
$1 355,90
$1 411,45
$1 470,30
$1 679,34
$314,80
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$823,00
$934,10
$1 051,80
$1 469,88
$2 233,62
$1 137,80
$1 248,90
$1 366,60
$1 784,68
$1 452,60
$1 563,70
$1 681,40
$2 099,48
$1 767,40
$1 878,50
$1 996,20
$2 414,28
$314,80
Toc - Plan #51 MedMutual
Expanded Bronze

(HMO) Market HMO 7000 HSA - OhioHealth

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-308-0357

Annual Out of Pocket Expenses:

Individual Family
$7,000 $14,000 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
$317,74
$360,64
$406,08
$567,49
$862,36
$560,81
$603,71
$649,15
$810,56
$803,88
$846,78
$892,22
$1 053,63
$1 046,95
$1 089,85
$1 135,29
$1 296,70
$243,07
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$635,48
$721,28
$812,16
$1 134,98
$1 724,72
$878,55
$964,35
$1 055,23
$1 378,05
$1 121,62
$1 207,42
$1 298,30
$1 621,12
$1 364,69
$1 450,49
$1 541,37
$1 864,19
$243,07
Toc - Plan #52 MedMutual
Bronze

(HMO) Market HMO 8500 - OhioHealth

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-308-0357

Annual Out of Pocket Expenses:

Individual Family
$8,500 $17,000 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
$305,26
$346,48
$390,13
$545,20
$828,49
$538,79
$580,01
$623,66
$778,73
$772,32
$813,54
$857,19
$1 012,26
$1 005,85
$1 047,07
$1 090,72
$1 245,79
$233,53
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$610,52
$692,96
$780,26
$1 090,40
$1 656,98
$844,05
$926,49
$1 013,79
$1 323,93
$1 077,58
$1 160,02
$1 247,32
$1 557,46
$1 311,11
$1 393,55
$1 480,85
$1 790,99
$233,53
Toc - Plan #53 MedMutual
Expanded Bronze

(HMO) Market HMO 5850 HSA - OhioHealth

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-308-0357

Annual Out of Pocket Expenses:

Individual Family
$5,850 $11,700 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
$340,14
$386,06
$434,70
$607,49
$923,15
$600,35
$646,27
$694,91
$867,70
$860,56
$906,48
$955,12
$1 127,91
$1 120,77
$1 166,69
$1 215,33
$1 388,12
$260,21
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$680,28
$772,12
$869,40
$1 214,98
$1 846,30
$940,49
$1 032,33
$1 129,61
$1 475,19
$1 200,70
$1 292,54
$1 389,82
$1 735,40
$1 460,91
$1 552,75
$1 650,03
$1 995,61
$260,21
Toc - Plan #54 MedMutual
Catastrophic

(HMO) Market HMO Young Adult Essentials - OhioHealth

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-308-0357

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
$191,03
$216,82
$244,14
$341,18
$518,46
$337,17
$362,96
$390,28
$487,32
$483,31
$509,10
$536,42
$633,46
$629,45
$655,24
$682,56
$779,60
$146,14
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$382,06
$433,64
$488,28
$682,36
$1 036,92
$528,20
$579,78
$634,42
$828,50
$674,34
$725,92
$780,56
$974,64
$820,48
$872,06
$926,70
$1 120,78
$146,14
Toc - Plan #55 MedMutual
Silver

(HMO) Market HMO 6500 - OhioHealth

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-308-0357

Annual Out of Pocket Expenses:

Individual Family
$6,500 $13,000 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
$427,82
$485,57
$546,75
$764,08
$1 161,10
$755,10
$812,85
$874,03
$1 091,36
$1 082,38
$1 140,13
$1 201,31
$1 418,64
$1 409,66
$1 467,41
$1 528,59
$1 745,92
$327,28
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$855,64
$971,14
$1 093,50
$1 528,16
$2 322,20
$1 182,92
$1 298,42
$1 420,78
$1 855,44
$1 510,20
$1 625,70
$1 748,06
$2 182,72
$1 837,48
$1 952,98
$2 075,34
$2 510,00
$327,28
Toc - Plan #56 MedMutual
Expanded Bronze

(HMO) Market HMO $0 Deductible - OhioHealth

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-308-0357

Annual Out of Pocket Expenses:

Individual Family
$0 $0 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
$353,90
$401,68
$452,29
$632,07
$960,49
$624,63
$672,41
$723,02
$902,80
$895,36
$943,14
$993,75
$1 173,53
$1 166,09
$1 213,87
$1 264,48
$1 444,26
$270,73
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$707,80
$803,36
$904,58
$1 264,14
$1 920,98
$978,53
$1 074,09
$1 175,31
$1 534,87
$1 249,26
$1 344,82
$1 446,04
$1 805,60
$1 519,99
$1 615,55
$1 716,77
$2 076,33
$270,73

‡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 Morrow County here.

Morrow County is in “Rating Area 8” of Ohio.

Currently, there are 56 plans offered in Rating Area 8.

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2021 Obamacare Plans for Morrow County, OH

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