Obamacare 2021 Rates for Stark County
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Obamacare > Rates > Ohio > Stark County
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AultCare Insurance CompanyLocal: 1-330-363-6360 | Toll Free: 1-800-344-8858 | TTY: 1-330-363-2393 |
Toc - Plan #1 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 5750 No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$384,18 $436,04 $490,97 $686,13 $1 042,65 |
$678,07 $729,93 $784,86 $980,02 |
$971,96 $1 023,82 $1 078,75 $1 273,91 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$768,36 $872,08 $981,94 $1 372,26 $2 085,30 |
$1 062,25 $1 165,97 $1 275,83 $1 666,15 |
$1 356,14 $1 459,86 $1 569,72 $1 960,04 |
Toc - Plan #2 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Silver 5000 No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$509,81 $578,63 $651,53 $910,51 $1 383,61 |
$899,81 $968,63 $1 041,53 $1 300,51 |
$1 289,81 $1 358,63 $1 431,53 $1 690,51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1 019,62 $1 157,26 $1 303,06 $1 821,02 $2 767,22 |
$1 409,62 $1 547,26 $1 693,06 $2 211,02 |
$1 799,62 $1 937,26 $2 083,06 $2 601,02 |
Toc - Plan #3 AultCare Insurance Company | ||||||||||||||||||||
Gold
(PPO) AultCare Gold 1000 No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$620,67 $704,45 $793,21 $1 108,50 $1 684,48 |
$1 095,48 $1 179,26 $1 268,02 $1 583,31 |
$1 570,29 $1 654,07 $1 742,83 $2 058,12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1 241,34 $1 408,90 $1 586,42 $2 217,00 $3 368,96 |
$1 716,15 $1 883,71 $2 061,23 $2 691,81 |
$2 190,96 $2 358,52 $2 536,04 $3 166,62 |
Toc - Plan #4 AultCare Insurance Company | ||||||||||||||||||||
Catastrophic
(PPO) AultCare Catastrophic Select |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$195,18 $221,52 $249,43 $348,57 $529,69 |
$344,49 $370,83 $398,74 $497,88 |
$493,80 $520,14 $548,05 $647,19 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$390,36 $443,04 $498,86 $697,14 $1 059,38 |
$539,67 $592,35 $648,17 $846,45 |
$688,98 $741,66 $797,48 $995,76 |
Toc - Plan #5 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 5750 Select |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$303,45 $344,41 $387,80 $541,95 $823,55 |
$535,58 $576,54 $619,93 $774,08 |
$767,71 $808,67 $852,06 $1 006,21 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$606,90 $688,82 $775,60 $1 083,90 $1 647,10 |
$839,03 $920,95 $1 007,73 $1 316,03 |
$1 071,16 $1 153,08 $1 239,86 $1 548,16 |
Toc - Plan #6 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Silver 5000 Select |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$401,73 $455,96 $513,40 $717,48 $1 090,28 |
$709,05 $763,28 $820,72 $1 024,80 |
$1 016,37 $1 070,60 $1 128,04 $1 332,12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$803,46 $911,92 $1 026,80 $1 434,96 $2 180,56 |
$1 110,78 $1 219,24 $1 334,12 $1 742,28 |
$1 418,10 $1 526,56 $1 641,44 $2 049,60 |
Toc - Plan #7 AultCare Insurance Company | ||||||||||||||||||||
Gold
(PPO) AultCare Gold 1000 Select |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$489,96 $556,10 $626,16 $875,06 $1 329,74 |
$864,78 $930,92 $1 000,98 $1 249,88 |
$1 239,60 $1 305,74 $1 375,80 $1 624,70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$979,92 $1 112,20 $1 252,32 $1 750,12 $2 659,48 |
$1 354,74 $1 487,02 $1 627,14 $2 124,94 |
$1 729,56 $1 861,84 $2 001,96 $2 499,76 |
Toc - Plan #8 AultCare Insurance Company | ||||||||||||||||||||
Catastrophic
(PPO) AultCare Catastrophic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$249,82 $283,54 $319,27 $446,18 $678,01 |
$440,93 $474,65 $510,38 $637,29 |
$632,04 $665,76 $701,49 $828,40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$499,64 $567,08 $638,54 $892,36 $1 356,02 |
$690,75 $758,19 $829,65 $1 083,47 |
$881,86 $949,30 $1 020,76 $1 274,58 |
Toc - Plan #9 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 5750 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$388,41 $440,84 $496,39 $693,70 $1 054,14 |
$685,54 $737,97 $793,52 $990,83 |
$982,67 $1 035,10 $1 090,65 $1 287,96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$776,82 $881,68 $992,78 $1 387,40 $2 108,28 |
$1 073,95 $1 178,81 $1 289,91 $1 684,53 |
$1 371,08 $1 475,94 $1 587,04 $1 981,66 |
Toc - Plan #10 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Silver 5000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$514,21 $583,62 $657,16 $918,37 $1 395,56 |
$907,58 $976,99 $1 050,53 $1 311,74 |
$1 300,95 $1 370,36 $1 443,90 $1 705,11 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1 028,42 $1 167,24 $1 314,32 $1 836,74 $2 791,12 |
$1 421,79 $1 560,61 $1 707,69 $2 230,11 |
$1 815,16 $1 953,98 $2 101,06 $2 623,48 |
Toc - Plan #11 AultCare Insurance Company | ||||||||||||||||||||
Gold
(PPO) AultCare Gold 1000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$627,15 $711,81 $801,49 $1 120,08 $1 702,07 |
$1 106,92 $1 191,58 $1 281,26 $1 599,85 |
$1 586,69 $1 671,35 $1 761,03 $2 079,62 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1 254,30 $1 423,62 $1 602,98 $2 240,16 $3 404,14 |
$1 734,07 $1 903,39 $2 082,75 $2 719,93 |
$2 213,84 $2 383,16 $2 562,52 $3 199,70 |
Toc - Plan #12 AultCare Insurance Company | ||||||||||||||||||||
Catastrophic
(PPO) AultCare Catastrophic No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$247,16 $280,52 $315,86 $441,42 $670,78 |
$436,23 $469,59 $504,93 $630,49 |
$625,30 $658,66 $694,00 $819,56 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$494,32 $561,04 $631,72 $882,84 $1 341,56 |
$683,39 $750,11 $820,79 $1 071,91 |
$872,46 $939,18 $1 009,86 $1 260,98 |
Toc - Plan #13 AultCare Insurance Company | ||||||||||||||||||||
Gold
(PPO) AultCare Gold 1000 Select No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$484,90 $550,35 $619,69 $866,02 $1 316,00 |
$855,84 $921,29 $990,63 $1 236,96 |
$1 226,78 $1 292,23 $1 361,57 $1 607,90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$969,80 $1 100,70 $1 239,38 $1 732,04 $2 632,00 |
$1 340,74 $1 471,64 $1 610,32 $2 102,98 |
$1 711,68 $1 842,58 $1 981,26 $2 473,92 |
Toc - Plan #14 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Silver 5000 Select No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$398,29 $452,05 $509,01 $711,34 $1 080,95 |
$702,98 $756,74 $813,70 $1 016,03 |
$1 007,67 $1 061,43 $1 118,39 $1 320,72 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$796,58 $904,10 $1 018,02 $1 422,68 $2 161,90 |
$1 101,27 $1 208,79 $1 322,71 $1 727,37 |
$1 405,96 $1 513,48 $1 627,40 $2 032,06 |
Toc - Plan #15 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 5750 Select No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$300,14 $340,65 $383,57 $536,04 $814,57 |
$529,74 $570,25 $613,17 $765,64 |
$759,34 $799,85 $842,77 $995,24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$600,28 $681,30 $767,14 $1 072,08 $1 629,14 |
$829,88 $910,90 $996,74 $1 301,68 |
$1 059,48 $1 140,50 $1 226,34 $1 531,28 |
Toc - Plan #16 AultCare Insurance Company | ||||||||||||||||||||
Catastrophic
(PPO) AultCare Catastrophic Select No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$193,09 $219,16 $246,77 $344,86 $524,04 |
$340,80 $366,87 $394,48 $492,57 |
$488,51 $514,58 $542,19 $640,28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$386,18 $438,32 $493,54 $689,72 $1 048,08 |
$533,89 $586,03 $641,25 $837,43 |
$681,60 $733,74 $788,96 $985,14 |
Toc - Plan #17 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Silver 6850 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$443,58 $503,45 $566,89 $792,22 $1 203,85 |
$782,91 $842,78 $906,22 $1 131,55 |
$1 122,24 $1 182,11 $1 245,55 $1 470,88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$887,16 $1 006,90 $1 133,78 $1 584,44 $2 407,70 |
$1 226,49 $1 346,23 $1 473,11 $1 923,77 |
$1 565,82 $1 685,56 $1 812,44 $2 263,10 |
Toc - Plan #18 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Silver 6850 Select |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$346,55 $393,32 $442,88 $618,92 $940,51 |
$611,65 $658,42 $707,98 $884,02 |
$876,75 $923,52 $973,08 $1 149,12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$693,10 $786,64 $885,76 $1 237,84 $1 881,02 |
$958,20 $1 051,74 $1 150,86 $1 502,94 |
$1 223,30 $1 316,84 $1 415,96 $1 768,04 |
Toc - Plan #19 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Silver 6850 No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$438,86 $498,10 $560,86 $783,80 $1 191,06 |
$774,59 $833,83 $896,59 $1 119,53 |
$1 110,32 $1 169,56 $1 232,32 $1 455,26 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$877,72 $996,20 $1 121,72 $1 567,60 $2 382,12 |
$1 213,45 $1 331,93 $1 457,45 $1 903,33 |
$1 549,18 $1 667,66 $1 793,18 $2 239,06 |
Toc - Plan #20 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Silver 6850 Select No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$342,86 $389,14 $438,17 $612,34 $930,52 |
$605,15 $651,43 $700,46 $874,63 |
$867,44 $913,72 $962,75 $1 136,92 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$685,72 $778,28 $876,34 $1 224,68 $1 861,04 |
$948,01 $1 040,57 $1 138,63 $1 486,97 |
$1 210,30 $1 302,86 $1 400,92 $1 749,26 |
Toc - Plan #21 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 6850 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$389,95 $442,58 $498,34 $696,43 $1 058,30 |
$688,26 $740,89 $796,65 $994,74 |
$986,57 $1 039,20 $1 094,96 $1 293,05 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$779,90 $885,16 $996,68 $1 392,86 $2 116,60 |
$1 078,21 $1 183,47 $1 294,99 $1 691,17 |
$1 376,52 $1 481,78 $1 593,30 $1 989,48 |
Toc - Plan #22 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 6850 Select |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$304,65 $345,77 $389,33 $544,09 $826,80 |
$537,70 $578,82 $622,38 $777,14 |
$770,75 $811,87 $855,43 $1 010,19 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$609,30 $691,54 $778,66 $1 088,18 $1 653,60 |
$842,35 $924,59 $1 011,71 $1 321,23 |
$1 075,40 $1 157,64 $1 244,76 $1 554,28 |
Toc - Plan #23 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 6850 No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$385,73 $437,79 $492,95 $688,90 $1 046,84 |
$680,81 $732,87 $788,03 $983,98 |
$975,89 $1 027,95 $1 083,11 $1 279,06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$771,46 $875,58 $985,90 $1 377,80 $2 093,68 |
$1 066,54 $1 170,66 $1 280,98 $1 672,88 |
$1 361,62 $1 465,74 $1 576,06 $1 967,96 |
Toc - Plan #24 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 6850 Select No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301,35 $342,03 $385,12 $538,20 $817,85 |
$531,88 $572,56 $615,65 $768,73 |
$762,41 $803,09 $846,18 $999,26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$602,70 $684,06 $770,24 $1 076,40 $1 635,70 |
$833,23 $914,59 $1 000,77 $1 306,93 |
$1 063,76 $1 145,12 $1 231,30 $1 537,46 |
Toc - Plan #25 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze Standard Select No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$290,60 $329,83 $371,38 $519,01 $788,68 |
$512,91 $552,14 $593,69 $741,32 |
$735,22 $774,45 $816,00 $963,63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$581,20 $659,66 $742,76 $1 038,02 $1 577,36 |
$803,51 $881,97 $965,07 $1 260,33 |
$1 025,82 $1 104,28 $1 187,38 $1 482,64 |
Toc - Plan #26 AultCare Insurance Company | ||||||||||||||||||||
Bronze
(PPO) AultCare Bronze 8250 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$323,19 $366,81 $413,03 $577,20 $877,12 |
$570,42 $614,04 $660,26 $824,43 |
$817,65 $861,27 $907,49 $1 071,66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$646,38 $733,62 $826,06 $1 154,40 $1 754,24 |
$893,61 $980,85 $1 073,29 $1 401,63 |
$1 140,84 $1 228,08 $1 320,52 $1 648,86 |
Toc - Plan #27 AultCare Insurance Company | ||||||||||||||||||||
Bronze
(PPO) AultCare Bronze 8250 Select |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$252,49 $286,57 $322,68 $450,94 $685,25 |
$445,64 $479,72 $515,83 $644,09 |
$638,79 $672,87 $708,98 $837,24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$504,98 $573,14 $645,36 $901,88 $1 370,50 |
$698,13 $766,29 $838,51 $1 095,03 |
$891,28 $959,44 $1 031,66 $1 288,18 |
Toc - Plan #28 AultCare Insurance Company | ||||||||||||||||||||
Bronze
(PPO) AultCare Bronze 8250 No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$319,57 $362,71 $408,41 $570,75 $867,30 |
$564,04 $607,18 $652,88 $815,22 |
$808,51 $851,65 $897,35 $1 059,69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$639,14 $725,42 $816,82 $1 141,50 $1 734,60 |
$883,61 $969,89 $1 061,29 $1 385,97 |
$1 128,08 $1 214,36 $1 305,76 $1 630,44 |
Toc - Plan #29 AultCare Insurance Company | ||||||||||||||||||||
Bronze
(PPO) AultCare Bronze 8250 Select No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$249,67 $283,37 $319,07 $445,90 $677,58 |
$440,66 $474,36 $510,06 $636,89 |
$631,65 $665,35 $701,05 $827,88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$499,34 $566,74 $638,14 $891,80 $1 355,16 |
$690,33 $757,73 $829,13 $1 082,79 |
$881,32 $948,72 $1 020,12 $1 273,78 |
Toc - Plan #30 AultCare Insurance Company | ||||||||||||||||||||
Bronze
(PPO) AultCare Bronze 8550 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$314,57 $357,04 $402,02 $561,82 $853,74 |
$555,22 $597,69 $642,67 $802,47 |
$795,87 $838,34 $883,32 $1 043,12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$629,14 $714,08 $804,04 $1 123,64 $1 707,48 |
$869,79 $954,73 $1 044,69 $1 364,29 |
$1 110,44 $1 195,38 $1 285,34 $1 604,94 |
Toc - Plan #31 AultCare Insurance Company | ||||||||||||||||||||
Bronze
(PPO) AultCare Bronze 8550 Select |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$245,76 $278,93 $314,08 $438,92 $666,98 |
$433,76 $466,93 $502,08 $626,92 |
$621,76 $654,93 $690,08 $814,92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$491,52 $557,86 $628,16 $877,84 $1 333,96 |
$679,52 $745,86 $816,16 $1 065,84 |
$867,52 $933,86 $1 004,16 $1 253,84 |
Toc - Plan #32 AultCare Insurance Company | ||||||||||||||||||||
Bronze
(PPO) AultCare Bronze 8550 No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311,11 $353,11 $397,60 $555,64 $844,35 |
$549,11 $591,11 $635,60 $793,64 |
$787,11 $829,11 $873,60 $1 031,64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$622,22 $706,22 $795,20 $1 111,28 $1 688,70 |
$860,22 $944,22 $1 033,20 $1 349,28 |
$1 098,22 $1 182,22 $1 271,20 $1 587,28 |
Toc - Plan #33 AultCare Insurance Company | ||||||||||||||||||||
Bronze
(PPO) AultCare Bronze 8550 Select No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$243,06 $275,87 $310,62 $434,09 $659,65 |
$429,00 $461,81 $496,56 $620,03 |
$614,94 $647,75 $682,50 $805,97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$486,12 $551,74 $621,24 $868,18 $1 319,30 |
$672,06 $737,68 $807,18 $1 054,12 |
$858,00 $923,62 $993,12 $1 240,06 |
Toc - Plan #34 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 7000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327,31 $371,49 $418,30 $584,57 $888,31 |
$577,70 $621,88 $668,69 $834,96 |
$828,09 $872,27 $919,08 $1 085,35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$654,62 $742,98 $836,60 $1 169,14 $1 776,62 |
$905,01 $993,37 $1 086,99 $1 419,53 |
$1 155,40 $1 243,76 $1 337,38 $1 669,92 |
Toc - Plan #35 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 7000 Select |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$255,71 $290,23 $326,79 $456,69 $693,99 |
$451,33 $485,85 $522,41 $652,31 |
$646,95 $681,47 $718,03 $847,93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$511,42 $580,46 $653,58 $913,38 $1 387,98 |
$707,04 $776,08 $849,20 $1 109,00 |
$902,66 $971,70 $1 044,82 $1 304,62 |
Toc - Plan #36 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 7000 No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$324,02 $367,75 $414,09 $578,69 $879,37 |
$571,89 $615,62 $661,96 $826,56 |
$819,76 $863,49 $909,83 $1 074,43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$648,04 $735,50 $828,18 $1 157,38 $1 758,74 |
$895,91 $983,37 $1 076,05 $1 405,25 |
$1 143,78 $1 231,24 $1 323,92 $1 653,12 |
Toc - Plan #37 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 7000 Select No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$253,14 $287,31 $323,51 $452,10 $687,01 |
$446,79 $480,96 $517,16 $645,75 |
$640,44 $674,61 $710,81 $839,40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$506,28 $574,62 $647,02 $904,20 $1 374,02 |
$699,93 $768,27 $840,67 $1 097,85 |
$893,58 $961,92 $1 034,32 $1 291,50 |
ADVERTISEMENT
Anthem Blue Cross and Blue ShieldLocal: 1-855-748-1808 | Toll Free: 1-855-748-1808 |
Toc - Plan #38 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$254,86 $289,27 $325,71 $455,18 $691,69 |
$449,83 $484,24 $520,68 $650,15 |
$644,80 $679,21 $715,65 $845,12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$509,72 $578,54 $651,42 $910,36 $1 383,38 |
$704,69 $773,51 $846,39 $1 105,33 |
$899,66 $968,48 $1 041,36 $1 300,30 |
Toc - Plan #39 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$241,56 $274,17 $308,71 $431,43 $655,59 |
$426,35 $458,96 $493,50 $616,22 |
$611,14 $643,75 $678,29 $801,01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$483,12 $548,34 $617,42 $862,86 $1 311,18 |
$667,91 $733,13 $802,21 $1 047,65 |
$852,70 $917,92 $987,00 $1 232,44 |
Toc - Plan #40 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338,63 $384,35 $432,77 $604,79 $919,04 |
$597,68 $643,40 $691,82 $863,84 |
$856,73 $902,45 $950,87 $1 122,89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$677,26 $768,70 $865,54 $1 209,58 $1 838,08 |
$936,31 $1 027,75 $1 124,59 $1 468,63 |
$1 195,36 $1 286,80 $1 383,64 $1 727,68 |
Toc - Plan #41 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371,69 $421,87 $475,02 $663,84 $1 008,77 |
$656,03 $706,21 $759,36 $948,18 |
$940,37 $990,55 $1 043,70 $1 232,52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$743,38 $843,74 $950,04 $1 327,68 $2 017,54 |
$1 027,72 $1 128,08 $1 234,38 $1 612,02 |
$1 312,06 $1 412,42 $1 518,72 $1 896,36 |
Toc - Plan #42 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$258,82 $293,76 $330,77 $462,25 $702,44 |
$456,82 $491,76 $528,77 $660,25 |
$654,82 $689,76 $726,77 $858,25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$517,64 $587,52 $661,54 $924,50 $1 404,88 |
$715,64 $785,52 $859,54 $1 122,50 |
$913,64 $983,52 $1 057,54 $1 320,50 |
Toc - Plan #43 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340,98 $387,01 $435,77 $608,99 $925,42 |
$601,83 $647,86 $696,62 $869,84 |
$862,68 $908,71 $957,47 $1 130,69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$681,96 $774,02 $871,54 $1 217,98 $1 850,84 |
$942,81 $1 034,87 $1 132,39 $1 478,83 |
$1 203,66 $1 295,72 $1 393,24 $1 739,68 |
Toc - Plan #44 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348,21 $395,22 $445,01 $621,90 $945,04 |
$614,59 $661,60 $711,39 $888,28 |
$880,97 $927,98 $977,77 $1 154,66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$696,42 $790,44 $890,02 $1 243,80 $1 890,08 |
$962,80 $1 056,82 $1 156,40 $1 510,18 |
$1 229,18 $1 323,20 $1 422,78 $1 776,56 |
Toc - Plan #45 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$258,07 $292,91 $329,81 $460,91 $700,40 |
$455,49 $490,33 $527,23 $658,33 |
$652,91 $687,75 $724,65 $855,75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$516,14 $585,82 $659,62 $921,82 $1 400,80 |
$713,56 $783,24 $857,04 $1 119,24 |
$910,98 $980,66 $1 054,46 $1 316,66 |
Toc - Plan #46 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316,00 $358,66 $403,85 $564,38 $857,62 |
$557,74 $600,40 $645,59 $806,12 |
$799,48 $842,14 $887,33 $1 047,86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$632,00 $717,32 $807,70 $1 128,76 $1 715,24 |
$873,74 $959,06 $1 049,44 $1 370,50 |
$1 115,48 $1 200,80 $1 291,18 $1 612,24 |
Toc - Plan #47 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337,68 $383,27 $431,56 $603,10 $916,46 |
$596,01 $641,60 $689,89 $861,43 |
$854,34 $899,93 $948,22 $1 119,76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$675,36 $766,54 $863,12 $1 206,20 $1 832,92 |
$933,69 $1 024,87 $1 121,45 $1 464,53 |
$1 192,02 $1 283,20 $1 379,78 $1 722,86 |
Toc - Plan #48 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$350,87 $398,24 $448,41 $626,65 $952,26 |
$619,29 $666,66 $716,83 $895,07 |
$887,71 $935,08 $985,25 $1 163,49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$701,74 $796,48 $896,82 $1 253,30 $1 904,52 |
$970,16 $1 064,90 $1 165,24 $1 521,72 |
$1 238,58 $1 333,32 $1 433,66 $1 790,14 |
Toc - Plan #49 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$322,12 $365,61 $411,67 $575,31 $874,23 |
$568,54 $612,03 $658,09 $821,73 |
$814,96 $858,45 $904,51 $1 068,15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$644,24 $731,22 $823,34 $1 150,62 $1 748,46 |
$890,66 $977,64 $1 069,76 $1 397,04 |
$1 137,08 $1 224,06 $1 316,18 $1 643,46 |
Toc - Plan #50 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$193,54 $219,67 $247,34 $345,66 $525,27 |
$341,60 $367,73 $395,40 $493,72 |
$489,66 $515,79 $543,46 $641,78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$387,08 $439,34 $494,68 $691,32 $1 050,54 |
$535,14 $587,40 $642,74 $839,38 |
$683,20 $735,46 $790,80 $987,44 |
Toc - Plan #51 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359,59 $408,13 $459,56 $642,23 $975,93 |
$634,68 $683,22 $734,65 $917,32 |
$909,77 $958,31 $1 009,74 $1 192,41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$719,18 $816,26 $919,12 $1 284,46 $1 951,86 |
$994,27 $1 091,35 $1 194,21 $1 559,55 |
$1 269,36 $1 366,44 $1 469,30 $1 834,64 |
Toc - Plan #52 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313,90 $356,28 $401,16 $560,63 $851,92 |
$554,03 $596,41 $641,29 $800,76 |
$794,16 $836,54 $881,42 $1 040,89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$627,80 $712,56 $802,32 $1 121,26 $1 703,84 |
$867,93 $952,69 $1 042,45 $1 361,39 |
$1 108,06 $1 192,82 $1 282,58 $1 601,52 |
Toc - Plan #53 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$263,00 $298,51 $336,11 $469,72 $713,78 |
$464,20 $499,71 $537,31 $670,92 |
$665,40 $700,91 $738,51 $872,12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$526,00 $597,02 $672,22 $939,44 $1 427,56 |
$727,20 $798,22 $873,42 $1 140,64 |
$928,40 $999,42 $1 074,62 $1 341,84 |
Toc - Plan #54 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$249,51 $283,19 $318,87 $445,62 $677,17 |
$440,39 $474,07 $509,75 $636,50 |
$631,27 $664,95 $700,63 $827,38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$499,02 $566,38 $637,74 $891,24 $1 354,34 |
$689,90 $757,26 $828,62 $1 082,12 |
$880,78 $948,14 $1 019,50 $1 273,00 |
ADVERTISEMENT
Ambetter from Buckeye HealthLocal: 1-877-687-1189 | Toll Free: 1-877-687-1189 | TTY: 1-877-941-9236 |
Toc - Plan #55 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$274,84 $311,93 $351,24 $490,85 $745,90 |
$485,09 $522,18 $561,49 $701,10 |
$695,34 $732,43 $771,74 $911,35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$549,68 $623,86 $702,48 $981,70 $1 491,80 |
$759,93 $834,11 $912,73 $1 191,95 |
$970,18 $1 044,36 $1 122,98 $1 402,20 |
Toc - Plan #56 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$269,84 $306,26 $344,84 $481,92 $732,32 |
$476,26 $512,68 $551,26 $688,34 |
$682,68 $719,10 $757,68 $894,76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$539,68 $612,52 $689,68 $963,84 $1 464,64 |
$746,10 $818,94 $896,10 $1 170,26 |
$952,52 $1 025,36 $1 102,52 $1 376,68 |
Toc - Plan #57 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316,75 $359,50 $404,80 $565,71 $859,64 |
$559,06 $601,81 $647,11 $808,02 |
$801,37 $844,12 $889,42 $1 050,33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$633,50 $719,00 $809,60 $1 131,42 $1 719,28 |
$875,81 $961,31 $1 051,91 $1 373,73 |
$1 118,12 $1 203,62 $1 294,22 $1 616,04 |
Toc - Plan #58 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$208,14 $236,23 $265,99 $371,72 $564,87 |
$367,36 $395,45 $425,21 $530,94 |
$526,58 $554,67 $584,43 $690,16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$416,28 $472,46 $531,98 $743,44 $1 129,74 |
$575,50 $631,68 $691,20 $902,66 |
$734,72 $790,90 $850,42 $1 061,88 |
Toc - Plan #59 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$225,29 $255,69 $287,91 $402,35 $611,41 |
$397,63 $428,03 $460,25 $574,69 |
$569,97 $600,37 $632,59 $747,03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$450,58 $511,38 $575,82 $804,70 $1 222,82 |
$622,92 $683,72 $748,16 $977,04 |
$795,26 $856,06 $920,50 $1 149,38 |
Toc - Plan #60 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$214,24 $243,15 $273,79 $382,62 $581,43 |
$378,13 $407,04 $437,68 $546,51 |
$542,02 $570,93 $601,57 $710,40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$428,48 $486,30 $547,58 $765,24 $1 162,86 |
$592,37 $650,19 $711,47 $929,13 |
$756,26 $814,08 $875,36 $1 093,02 |
Toc - Plan #61 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$279,35 $317,05 $357,00 $498,90 $758,13 |
$493,04 $530,74 $570,69 $712,59 |
$706,73 $744,43 $784,38 $926,28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$558,70 $634,10 $714,00 $997,80 $1 516,26 |
$772,39 $847,79 $927,69 $1 211,49 |
$986,08 $1 061,48 $1 141,38 $1 425,18 |
Toc - Plan #62 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$267,50 $303,61 $341,86 $477,74 $725,98 |
$472,13 $508,24 $546,49 $682,37 |
$676,76 $712,87 $751,12 $887,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$535,00 $607,22 $683,72 $955,48 $1 451,96 |
$739,63 $811,85 $888,35 $1 160,11 |
$944,26 $1 016,48 $1 092,98 $1 364,74 |
Toc - Plan #63 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$281,96 $320,01 $360,33 $503,56 $765,21 |
$497,65 $535,70 $576,02 $719,25 |
$713,34 $751,39 $791,71 $934,94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$563,92 $640,02 $720,66 $1 007,12 $1 530,42 |
$779,61 $855,71 $936,35 $1 222,81 |
$995,30 $1 071,40 $1 152,04 $1 438,50 |
Toc - Plan #64 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$292,21 $331,65 $373,43 $521,87 $793,04 |
$515,74 $555,18 $596,96 $745,40 |
$739,27 $778,71 $820,49 $968,93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$584,42 $663,30 $746,86 $1 043,74 $1 586,08 |
$807,95 $886,83 $970,39 $1 267,27 |
$1 031,48 $1 110,36 $1 193,92 $1 490,80 |
Toc - Plan #65 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$282,86 $321,04 $361,49 $505,18 $767,67 |
$499,24 $537,42 $577,87 $721,56 |
$715,62 $753,80 $794,25 $937,94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$565,72 $642,08 $722,98 $1 010,36 $1 535,34 |
$782,10 $858,46 $939,36 $1 226,74 |
$998,48 $1 074,84 $1 155,74 $1 443,12 |
Toc - Plan #66 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$288,11 $326,99 $368,19 $514,54 $781,90 |
$508,50 $547,38 $588,58 $734,93 |
$728,89 $767,77 $808,97 $955,32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$576,22 $653,98 $736,38 $1 029,08 $1 563,80 |
$796,61 $874,37 $956,77 $1 249,47 |
$1 017,00 $1 094,76 $1 177,16 $1 469,86 |
Toc - Plan #67 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332,04 $376,86 $424,34 $593,01 $901,14 |
$586,05 $630,87 $678,35 $847,02 |
$840,06 $884,88 $932,36 $1 101,03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$664,08 $753,72 $848,68 $1 186,02 $1 802,28 |
$918,09 $1 007,73 $1 102,69 $1 440,03 |
$1 172,10 $1 261,74 $1 356,70 $1 694,04 |
Toc - Plan #68 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$218,19 $247,63 $278,83 $389,66 $592,13 |
$385,10 $414,54 $445,74 $556,57 |
$552,01 $581,45 $612,65 $723,48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$436,38 $495,26 $557,66 $779,32 $1 184,26 |
$603,29 $662,17 $724,57 $946,23 |
$770,20 $829,08 $891,48 $1 113,14 |
Toc - Plan #69 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$236,16 $268,03 $301,80 $421,77 $640,92 |
$416,82 $448,69 $482,46 $602,43 |
$597,48 $629,35 $663,12 $783,09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$472,32 $536,06 $603,60 $843,54 $1 281,84 |
$652,98 $716,72 $784,26 $1 024,20 |
$833,64 $897,38 $964,92 $1 204,86 |
Toc - Plan #70 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$224,58 $254,89 $287,00 $401,09 $609,49 |
$396,38 $426,69 $458,80 $572,89 |
$568,18 $598,49 $630,60 $744,69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$449,16 $509,78 $574,00 $802,18 $1 218,98 |
$620,96 $681,58 $745,80 $973,98 |
$792,76 $853,38 $917,60 $1 145,78 |
Toc - Plan #71 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$292,83 $332,35 $374,23 $522,98 $794,72 |
$516,84 $556,36 $598,24 $746,99 |
$740,85 $780,37 $822,25 $971,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$585,66 $664,70 $748,46 $1 045,96 $1 589,44 |
$809,67 $888,71 $972,47 $1 269,97 |
$1 033,68 $1 112,72 $1 196,48 $1 493,98 |
Toc - Plan #72 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$295,57 $335,46 $377,73 $527,87 $802,15 |
$521,67 $561,56 $603,83 $753,97 |
$747,77 $787,66 $829,93 $980,07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$591,14 $670,92 $755,46 $1 055,74 $1 604,30 |
$817,24 $897,02 $981,56 $1 281,84 |
$1 043,34 $1 123,12 $1 207,66 $1 507,94 |
Toc - Plan #73 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306,32 $347,66 $391,46 $547,06 $831,31 |
$540,64 $581,98 $625,78 $781,38 |
$774,96 $816,30 $860,10 $1 015,70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$612,64 $695,32 $782,92 $1 094,12 $1 662,62 |
$846,96 $929,64 $1 017,24 $1 328,44 |
$1 081,28 $1 163,96 $1 251,56 $1 562,76 |
ADVERTISEMENT
Oscar Insurance Corporation of OhioLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #74 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) Oscar Bronze Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$319,95 $363,13 $408,88 $571,41 $868,32 |
$564,70 $607,88 $653,63 $816,16 |
$809,45 $852,63 $898,38 $1 060,91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$639,90 $726,26 $817,76 $1 142,82 $1 736,64 |
$884,65 $971,01 $1 062,51 $1 387,57 |
$1 129,40 $1 215,76 $1 307,26 $1 632,32 |
Toc - Plan #75 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) Oscar Bronze Classic PCP Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$329,05 $373,46 $420,51 $587,66 $893,00 |
$580,76 $625,17 $672,22 $839,37 |
$832,47 $876,88 $923,93 $1 091,08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$658,10 $746,92 $841,02 $1 175,32 $1 786,00 |
$909,81 $998,63 $1 092,73 $1 427,03 |
$1 161,52 $1 250,34 $1 344,44 $1 678,74 |
Toc - Plan #76 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) Oscar Bronze Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$321,98 $365,43 $411,47 $575,03 $873,82 |
$568,28 $611,73 $657,77 $821,33 |
$814,58 $858,03 $904,07 $1 067,63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$643,96 $730,86 $822,94 $1 150,06 $1 747,64 |
$890,26 $977,16 $1 069,24 $1 396,36 |
$1 136,56 $1 223,46 $1 315,54 $1 642,66 |
Toc - Plan #77 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) Oscar Bronze Classic Next |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383,24 $434,97 $489,77 $684,45 $1 040,09 |
$676,41 $728,14 $782,94 $977,62 |
$969,58 $1 021,31 $1 076,11 $1 270,79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$766,48 $869,94 $979,54 $1 368,90 $2 080,18 |
$1 059,65 $1 163,11 $1 272,71 $1 662,07 |
$1 352,82 $1 456,28 $1 565,88 $1 955,24 |
Toc - Plan #78 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) Oscar Silver Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382,82 $434,49 $489,23 $683,70 $1 038,95 |
$675,67 $727,34 $782,08 $976,55 |
$968,52 $1 020,19 $1 074,93 $1 269,40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765,64 $868,98 $978,46 $1 367,40 $2 077,90 |
$1 058,49 $1 161,83 $1 271,31 $1 660,25 |
$1 351,34 $1 454,68 $1 564,16 $1 953,10 |
Toc - Plan #79 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) Oscar Silver Saver 2 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375,46 $426,13 $479,82 $670,55 $1 018,96 |
$662,68 $713,35 $767,04 $957,77 |
$949,90 $1 000,57 $1 054,26 $1 244,99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$750,92 $852,26 $959,64 $1 341,10 $2 037,92 |
$1 038,14 $1 139,48 $1 246,86 $1 628,32 |
$1 325,36 $1 426,70 $1 534,08 $1 915,54 |
Toc - Plan #80 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) Oscar Silver Classic Next |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388,68 $441,15 $496,73 $694,17 $1 054,86 |
$686,02 $738,49 $794,07 $991,51 |
$983,36 $1 035,83 $1 091,41 $1 288,85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$777,36 $882,30 $993,46 $1 388,34 $2 109,72 |
$1 074,70 $1 179,64 $1 290,80 $1 685,68 |
$1 372,04 $1 476,98 $1 588,14 $1 983,02 |
Toc - Plan #81 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Catastrophic
(HMO) Oscar Secure |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$224,67 $254,99 $287,12 $401,25 $609,73 |
$396,54 $426,86 $458,99 $573,12 |
$568,41 $598,73 $630,86 $744,99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$449,34 $509,98 $574,24 $802,50 $1 219,46 |
$621,21 $681,85 $746,11 $974,37 |
$793,08 $853,72 $917,98 $1 146,24 |
Toc - Plan #82 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Gold
(HMO) Oscar Gold Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$445,13 $505,21 $568,87 $794,99 $1 208,06 |
$785,65 $845,73 $909,39 $1 135,51 |
$1 126,17 $1 186,25 $1 249,91 $1 476,03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$890,26 $1 010,42 $1 137,74 $1 589,98 $2 416,12 |
$1 230,78 $1 350,94 $1 478,26 $1 930,50 |
$1 571,30 $1 691,46 $1 818,78 $2 271,02 |
Toc - Plan #83 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) Oscar Bronze HDHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344,52 $391,01 $440,28 $615,29 $934,99 |
$608,07 $654,56 $703,83 $878,84 |
$871,62 $918,11 $967,38 $1 142,39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$689,04 $782,02 $880,56 $1 230,58 $1 869,98 |
$952,59 $1 045,57 $1 144,11 $1 494,13 |
$1 216,14 $1 309,12 $1 407,66 $1 757,68 |
Toc - Plan #84 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) Oscar Silver Classic Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392,23 $445,17 $501,25 $700,50 $1 064,48 |
$692,28 $745,22 $801,30 $1 000,55 |
$992,33 $1 045,27 $1 101,35 $1 300,60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$784,46 $890,34 $1 002,50 $1 401,00 $2 128,96 |
$1 084,51 $1 190,39 $1 302,55 $1 701,05 |
$1 384,56 $1 490,44 $1 602,60 $2 001,10 |
Toc - Plan #85 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) Oscar Silver Classic $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$419,44 $476,05 $536,03 $749,10 $1 138,32 |
$740,30 $796,91 $856,89 $1 069,96 |
$1 061,16 $1 117,77 $1 177,75 $1 390,82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$838,88 $952,10 $1 072,06 $1 498,20 $2 276,64 |
$1 159,74 $1 272,96 $1 392,92 $1 819,06 |
$1 480,60 $1 593,82 $1 713,78 $2 139,92 |
ADVERTISEMENT
SummaCareLocal: 1-330-996-8675 | Toll Free: 1-888-996-8675 | TTY: 1-800-750-0750 |
Toc - Plan #86 SummaCare | ||||||||||||||||||||
Catastrophic
(HMO) SummaCare Value with SCConnect Network and 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$230,82 $261,97 $294,98 $412,23 $626,43 |
$407,39 $438,54 $471,55 $588,80 |
$583,96 $615,11 $648,12 $765,37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$461,64 $523,94 $589,96 $824,46 $1 252,86 |
$638,21 $700,51 $766,53 $1 001,03 |
$814,78 $877,08 $943,10 $1 177,60 |
Toc - Plan #87 SummaCare | ||||||||||||||||||||
Expanded Bronze
(HMO) SummaCare Bronze 8550 with SCConnect Network and 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294,79 $334,58 $376,73 $526,48 $800,04 |
$520,30 $560,09 $602,24 $751,99 |
$745,81 $785,60 $827,75 $977,50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$589,58 $669,16 $753,46 $1 052,96 $1 600,08 |
$815,09 $894,67 $978,97 $1 278,47 |
$1 040,60 $1 120,18 $1 204,48 $1 503,98 |
Toc - Plan #88 SummaCare | ||||||||||||||||||||
Silver
(HMO) SummaCare Silver 3500 with SCConnect Network and 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$417,72 $474,10 $533,83 $746,02 $1 133,65 |
$737,27 $793,65 $853,38 $1 065,57 |
$1 056,82 $1 113,20 $1 172,93 $1 385,12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$835,44 $948,20 $1 067,66 $1 492,04 $2 267,30 |
$1 154,99 $1 267,75 $1 387,21 $1 811,59 |
$1 474,54 $1 587,30 $1 706,76 $2 131,14 |
Toc - Plan #89 SummaCare | ||||||||||||||||||||
Silver
(HMO) SummaCare Silver 5000 with SCConnect Network and 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413,59 $469,41 $528,55 $738,65 $1 122,45 |
$729,98 $785,80 $844,94 $1 055,04 |
$1 046,37 $1 102,19 $1 161,33 $1 371,43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$827,18 $938,82 $1 057,10 $1 477,30 $2 244,90 |
$1 143,57 $1 255,21 $1 373,49 $1 793,69 |
$1 459,96 $1 571,60 $1 689,88 $2 110,08 |
Toc - Plan #90 SummaCare | ||||||||||||||||||||
Silver
(HMO) SummaCare Silver 5000 40 with SCConnect Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369,37 $419,23 $472,04 $659,68 $1 002,45 |
$651,93 $701,79 $754,60 $942,24 |
$934,49 $984,35 $1 037,16 $1 224,80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738,74 $838,46 $944,08 $1 319,36 $2 004,90 |
$1 021,30 $1 121,02 $1 226,64 $1 601,92 |
$1 303,86 $1 403,58 $1 509,20 $1 884,48 |
Toc - Plan #91 SummaCare | ||||||||||||||||||||
Gold
(HMO) SummaCare Gold 1800 with SCConnect Network and 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$435,70 $494,51 $556,81 $778,14 $1 182,46 |
$769,00 $827,81 $890,11 $1 111,44 |
$1 102,30 $1 161,11 $1 223,41 $1 444,74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$871,40 $989,02 $1 113,62 $1 556,28 $2 364,92 |
$1 204,70 $1 322,32 $1 446,92 $1 889,58 |
$1 538,00 $1 655,62 $1 780,22 $2 222,88 |
Toc - Plan #92 SummaCare | ||||||||||||||||||||
Expanded Bronze
(HMO) SummaCare Bronze 6850 HSA with SCConnect Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$329,58 $374,06 $421,19 $588,61 $894,44 |
$581,70 $626,18 $673,31 $840,73 |
$833,82 $878,30 $925,43 $1 092,85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$659,16 $748,12 $842,38 $1 177,22 $1 788,88 |
$911,28 $1 000,24 $1 094,50 $1 429,34 |
$1 163,40 $1 252,36 $1 346,62 $1 681,46 |
Toc - Plan #93 SummaCare | ||||||||||||||||||||
Silver
(HMO) SummaCare Silver 6000 with SCConnect Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354,63 $402,50 $453,21 $633,36 $962,45 |
$625,92 $673,79 $724,50 $904,65 |
$897,21 $945,08 $995,79 $1 175,94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$709,26 $805,00 $906,42 $1 266,72 $1 924,90 |
$980,55 $1 076,29 $1 177,71 $1 538,01 |
$1 251,84 $1 347,58 $1 449,00 $1 809,30 |
ADVERTISEMENT
Molina HealthcareLocal: 1-888-296-7677 | Toll Free: 1-888-296-7677 |
Toc - Plan #94 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-296-7677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$330,42 $375,03 $422,28 $590,13 $896,76 |
$583,19 $627,80 $675,05 $842,90 |
$835,96 $880,57 $927,82 $1 095,67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$660,84 $750,06 $844,56 $1 180,26 $1 793,52 |
$913,61 $1 002,83 $1 097,33 $1 433,03 |
$1 166,38 $1 255,60 $1 350,10 $1 685,80 |
Toc - Plan #95 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 250 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-296-7677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$282,44 $320,57 $360,96 $504,44 $766,54 |
$498,51 $536,64 $577,03 $720,51 |
$714,58 $752,71 $793,10 $936,58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$564,88 $641,14 $721,92 $1 008,88 $1 533,08 |
$780,95 $857,21 $937,99 $1 224,95 |
$997,02 $1 073,28 $1 154,06 $1 441,02 |
Toc - Plan #96 Molina Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Core Care Bronze 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-296-7677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$230,19 $261,26 $294,18 $411,12 $624,73 |
$406,28 $437,35 $470,27 $587,21 |
$582,37 $613,44 $646,36 $763,30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$460,38 $522,52 $588,36 $822,24 $1 249,46 |
$636,47 $698,61 $764,45 $998,33 |
$812,56 $874,70 $940,54 $1 174,42 |
Toc - Plan #97 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 4 250 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-296-7677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$279,78 $317,56 $357,56 $499,70 $759,33 |
$493,82 $531,60 $571,60 $713,74 |
$707,86 $745,64 $785,64 $927,78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$559,56 $635,12 $715,12 $999,40 $1 518,66 |
$773,60 $849,16 $929,16 $1 213,44 |
$987,64 $1 063,20 $1 143,20 $1 427,48 |
Toc - Plan #98 Molina Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Core Care Bronze 4 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-296-7677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$241,10 $273,64 $308,12 $430,60 $654,33 |
$425,54 $458,08 $492,56 $615,04 |
$609,98 $642,52 $677,00 $799,48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$482,20 $547,28 $616,24 $861,20 $1 308,66 |
$666,64 $731,72 $800,68 $1 045,64 |
$851,08 $916,16 $985,12 $1 230,08 |
Toc - Plan #99 Molina Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Core Care Bronze 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-296-7677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$234,43 $266,08 $299,60 $418,69 $636,24 |
$413,77 $445,42 $478,94 $598,03 |
$593,11 $624,76 $658,28 $777,37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$468,86 $532,16 $599,20 $837,38 $1 272,48 |
$648,20 $711,50 $778,54 $1 016,72 |
$827,54 $890,84 $957,88 $1 196,06 |
Toc - Plan #100 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 +Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-296-7677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333,33 $378,33 $425,99 $595,32 $904,65 |
$588,32 $633,32 $680,98 $850,31 |
$843,31 $888,31 $935,97 $1 105,30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$666,66 $756,66 $851,98 $1 190,64 $1 809,30 |
$921,65 $1 011,65 $1 106,97 $1 445,63 |
$1 176,64 $1 266,64 $1 361,96 $1 700,62 |
Toc - Plan #101 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 250 +Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-296-7677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285,35 $323,87 $364,67 $509,63 $774,43 |
$503,64 $542,16 $582,96 $727,92 |
$721,93 $760,45 $801,25 $946,21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$570,70 $647,74 $729,34 $1 019,26 $1 548,86 |
$788,99 $866,03 $947,63 $1 237,55 |
$1 007,28 $1 084,32 $1 165,92 $1 455,84 |
Toc - Plan #102 Molina Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Core Care Bronze 1 +Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-296-7677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$233,09 $264,56 $297,89 $416,31 $632,62 |
$411,41 $442,88 $476,21 $594,63 |
$589,73 $621,20 $654,53 $772,95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$466,18 $529,12 $595,78 $832,62 $1 265,24 |
$644,50 $707,44 $774,10 $1 010,94 |
$822,82 $885,76 $952,42 $1 189,26 |
Toc - Plan #103 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 2 250 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-296-7677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$281,84 $319,88 $360,19 $503,36 $764,90 |
$497,44 $535,48 $575,79 $718,96 |
$713,04 $751,08 $791,39 $934,56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$563,68 $639,76 $720,38 $1 006,72 $1 529,80 |
$779,28 $855,36 $935,98 $1 222,32 |
$994,88 $1 070,96 $1 151,58 $1 437,92 |
Toc - Plan #104 Molina Healthcare | ||||||||||||||||||||
Bronze
(HMO) Core Care Bronze 2 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-296-7677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$228,16 $258,96 $291,59 $407,49 $619,23 |
$402,70 $433,50 $466,13 $582,03 |
$577,24 $608,04 $640,67 $756,57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$456,32 $517,92 $583,18 $814,98 $1 238,46 |
$630,86 $692,46 $757,72 $989,52 |
$805,40 $867,00 $932,26 $1 164,06 |
ADVERTISEMENT
CareSourceLocal: 1-800-479-9502 | Toll Free: 1-800-479-9502 | TTY: 1-800-750-0750 |
Toc - Plan #105 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$269,46 $305,84 $344,37 $481,25 $731,31 |
$475,60 $511,98 $550,51 $687,39 |
$681,74 $718,12 $756,65 $893,53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$538,92 $611,68 $688,74 $962,50 $1 462,62 |
$745,06 $817,82 $894,88 $1 168,64 |
$951,20 $1 023,96 $1 101,02 $1 374,78 |
Toc - Plan #106 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342,63 $388,88 $437,88 $611,93 $929,89 |
$604,74 $650,99 $699,99 $874,04 |
$866,85 $913,10 $962,10 $1 136,15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$685,26 $777,76 $875,76 $1 223,86 $1 859,78 |
$947,37 $1 039,87 $1 137,87 $1 485,97 |
$1 209,48 $1 301,98 $1 399,98 $1 748,08 |
Toc - Plan #107 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-479-9502
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$461,95 $524,31 $590,37 $825,05 $1 253,74 |
$815,34 $877,70 $943,76 $1 178,44 |
$1 168,73 $1 231,09 $1 297,15 $1 531,83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$923,90 $1 048,62 $1 180,74 $1 650,10 $2 507,48 |
$1 277,29 $1 402,01 $1 534,13 $2 003,49 |
$1 630,68 $1 755,40 $1 887,52 $2 356,88 |
Toc - Plan #108 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360,59 $409,26 $460,83 $644,00 $978,63 |
$636,44 $685,11 $736,68 $919,85 |
$912,29 $960,96 $1 012,53 $1 195,70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721,18 $818,52 $921,66 $1 288,00 $1 957,26 |
$997,03 $1 094,37 $1 197,51 $1 563,85 |
$1 272,88 $1 370,22 $1 473,36 $1 839,70 |
Toc - Plan #109 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$242,97 $275,77 $310,51 $433,94 $659,41 |
$428,84 $461,64 $496,38 $619,81 |
$614,71 $647,51 $682,25 $805,68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$485,94 $551,54 $621,02 $867,88 $1 318,82 |
$671,81 $737,41 $806,89 $1 053,75 |
$857,68 $923,28 $992,76 $1 239,62 |
Toc - Plan #110 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370,21 $420,18 $473,12 $661,19 $1 004,74 |
$653,42 $703,39 $756,33 $944,40 |
$936,63 $986,60 $1 039,54 $1 227,61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$740,42 $840,36 $946,24 $1 322,38 $2 009,48 |
$1 023,63 $1 123,57 $1 229,45 $1 605,59 |
$1 306,84 $1 406,78 $1 512,66 $1 888,80 |
Toc - Plan #111 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356,97 $405,16 $456,21 $637,55 $968,82 |
$630,05 $678,24 $729,29 $910,63 |
$903,13 $951,32 $1 002,37 $1 183,71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$713,94 $810,32 $912,42 $1 275,10 $1 937,64 |
$987,02 $1 083,40 $1 185,50 $1 548,18 |
$1 260,10 $1 356,48 $1 458,58 $1 821,26 |
Toc - Plan #112 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$482,00 $547,07 $616,00 $860,85 $1 308,15 |
$850,73 $915,80 $984,73 $1 229,58 |
$1 219,46 $1 284,53 $1 353,46 $1 598,31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$964,00 $1 094,14 $1 232,00 $1 721,70 $2 616,30 |
$1 332,73 $1 462,87 $1 600,73 $2 090,43 |
$1 701,46 $1 831,60 $1 969,46 $2 459,16 |
Toc - Plan #113 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376,05 $426,82 $480,59 $671,62 $1 020,60 |
$663,73 $714,50 $768,27 $959,30 |
$951,41 $1 002,18 $1 055,95 $1 246,98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$752,10 $853,64 $961,18 $1 343,24 $2 041,20 |
$1 039,78 $1 141,32 $1 248,86 $1 630,92 |
$1 327,46 $1 429,00 $1 536,54 $1 918,60 |
Toc - Plan #114 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$253,95 $288,23 $324,54 $453,55 $689,21 |
$448,22 $482,50 $518,81 $647,82 |
$642,49 $676,77 $713,08 $842,09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$507,90 $576,46 $649,08 $907,10 $1 378,42 |
$702,17 $770,73 $843,35 $1 101,37 |
$896,44 $965,00 $1 037,62 $1 295,64 |
Toc - Plan #115 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Low Deductible Silver Dental, Vision, & Fitness |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-479-9502
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386,76 $438,97 $494,28 $690,75 $1 049,66 |
$682,63 $734,84 $790,15 $986,62 |
$978,50 $1 030,71 $1 086,02 $1 282,49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$773,52 $877,94 $988,56 $1 381,50 $2 099,32 |
$1 069,39 $1 173,81 $1 284,43 $1 677,37 |
$1 365,26 $1 469,68 $1 580,30 $1 973,24 |
ADVERTISEMENT
MedMutualLocal: 1-888-308-0357 | Toll Free: 1-888-308-0357 |
Toc - Plan #116 MedMutual | ||||||||||||||||||||
Gold
(HMO) Market HMO 2000 - NE Ohio |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$490,08 $556,24 $626,32 $875,28 $1 330,07 |
$864,99 $931,15 $1 001,23 $1 250,19 |
$1 239,90 $1 306,06 $1 376,14 $1 625,10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$980,16 $1 112,48 $1 252,64 $1 750,56 $2 660,14 |
$1 355,07 $1 487,39 $1 627,55 $2 125,47 |
$1 729,98 $1 862,30 $2 002,46 $2 500,38 |
Toc - Plan #117 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO 3000 - NE Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381,83 $433,38 $487,98 $681,95 $1 036,29 |
$673,93 $725,48 $780,08 $974,05 |
$966,03 $1 017,58 $1 072,18 $1 266,15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$763,66 $866,76 $975,96 $1 363,90 $2 072,58 |
$1 055,76 $1 158,86 $1 268,06 $1 656,00 |
$1 347,86 $1 450,96 $1 560,16 $1 948,10 |
Toc - Plan #118 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO 4000 HSA - NE Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$380,35 $431,70 $486,09 $679,31 $1 032,27 |
$671,32 $722,67 $777,06 $970,28 |
$962,29 $1 013,64 $1 068,03 $1 261,25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$760,70 $863,40 $972,18 $1 358,62 $2 064,54 |
$1 051,67 $1 154,37 $1 263,15 $1 649,59 |
$1 342,64 $1 445,34 $1 554,12 $1 940,56 |
Toc - Plan #119 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO 6500 - NE Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395,43 $448,82 $505,37 $706,25 $1 073,21 |
$697,94 $751,33 $807,88 $1 008,76 |
$1 000,45 $1 053,84 $1 110,39 $1 311,27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790,86 $897,64 $1 010,74 $1 412,50 $2 146,42 |
$1 093,37 $1 200,15 $1 313,25 $1 715,01 |
$1 395,88 $1 502,66 $1 615,76 $2 017,52 |
Toc - Plan #120 MedMutual | ||||||||||||||||||||
Expanded Bronze
(HMO) Market HMO 5850 HSA - NE Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$314,40 $356,84 $401,80 $561,51 $853,27 |
$554,91 $597,35 $642,31 $802,02 |
$795,42 $837,86 $882,82 $1 042,53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$628,80 $713,68 $803,60 $1 123,02 $1 706,54 |
$869,31 $954,19 $1 044,11 $1 363,53 |
$1 109,82 $1 194,70 $1 284,62 $1 604,04 |
Toc - Plan #121 MedMutual | ||||||||||||||||||||
Expanded Bronze
(HMO) Market HMO 7000 HSA - NE Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$293,40 $333,01 $374,96 $524,01 $796,28 |
$517,85 $557,46 $599,41 $748,46 |
$742,30 $781,91 $823,86 $972,91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$586,80 $666,02 $749,92 $1 048,02 $1 592,56 |
$811,25 $890,47 $974,37 $1 272,47 |
$1 035,70 $1 114,92 $1 198,82 $1 496,92 |
Toc - Plan #122 MedMutual | ||||||||||||||||||||
Bronze
(HMO) Market HMO 8500 - NE Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$282,16 $320,25 $360,60 $503,93 $765,78 |
$498,01 $536,10 $576,45 $719,78 |
$713,86 $751,95 $792,30 $935,63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$564,32 $640,50 $721,20 $1 007,86 $1 531,56 |
$780,17 $856,35 $937,05 $1 223,71 |
$996,02 $1 072,20 $1 152,90 $1 439,56 |
Toc - Plan #123 MedMutual | ||||||||||||||||||||
Expanded Bronze
(HMO) Market HMO $0 Deductible - NE Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327,11 $371,27 $418,05 $584,23 $887,79 |
$577,35 $621,51 $668,29 $834,47 |
$827,59 $871,75 $918,53 $1 084,71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$654,22 $742,54 $836,10 $1 168,46 $1 775,58 |
$904,46 $992,78 $1 086,34 $1 418,70 |
$1 154,70 $1 243,02 $1 336,58 $1 668,94 |
Toc - Plan #124 MedMutual | ||||||||||||||||||||
Catastrophic
(HMO) Market HMO Young Adult Essentials - NE Ohio |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$176,87 $200,74 $226,04 $315,88 $480,01 |
$312,17 $336,04 $361,34 $451,18 |
$447,47 $471,34 $496,64 $586,48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$353,74 $401,48 $452,08 $631,76 $960,02 |
$489,04 $536,78 $587,38 $767,06 |
$624,34 $672,08 $722,68 $902,36 |
‡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 Stark County here.
Stark County is in “Rating Area 15” of Ohio.
Currently, there are 124 plans offered in Rating Area 15.