Obamacare 2021 Rates for Rogers County

Obamacare > Rates > Oklahoma > Rogers County

Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Rogers County, OK.

The health insurance rates listed below are for calendar year 2021.

For information on subsidies to make your coverage affordable, you must take one of the following actions:

  • Contact a licensed health insurance agent
  • Complete an application at Healthcare.gov
  • Contact the provider directly

Obamacare Providers, 26 Plans and 2021 Rates for Rogers County, Oklahoma

Below, you’ll find a summary of the 26 plans for Rogers County, Oklahoma and rates for each of these providers. This chart is designed to give you a preview of your health insurance options.

You may also be interested in:

Obamacare Rates and Providers for Other Years

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Medica

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

Toc - Plan #1 Medica
Gold

(PPO) Harmony by Medica Gold Copay

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

Annual Out of Pocket Expenses:

Individual Family
$1,200 $3,600 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$372,63
$422,92
$476,20
$665,49
$1 011,28
$657,68
$707,97
$761,25
$950,54
$942,73
$993,02
$1 046,30
$1 235,59
$1 227,78
$1 278,07
$1 331,35
$1 520,64
$285,05
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$745,26
$845,84
$952,40
$1 330,98
$2 022,56
$1 030,31
$1 130,89
$1 237,45
$1 616,03
$1 315,36
$1 415,94
$1 522,50
$1 901,08
$1 600,41
$1 700,99
$1 807,55
$2 186,13
$285,05
Toc - Plan #2 Medica
Silver

(PPO) Harmony by Medica Silver Copay

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

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$374,30
$424,82
$478,34
$668,48
$1 015,81
$660,63
$711,15
$764,67
$954,81
$946,96
$997,48
$1 051,00
$1 241,14
$1 233,29
$1 283,81
$1 337,33
$1 527,47
$286,33
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$748,60
$849,64
$956,68
$1 336,96
$2 031,62
$1 034,93
$1 135,97
$1 243,01
$1 623,29
$1 321,26
$1 422,30
$1 529,34
$1 909,62
$1 607,59
$1 708,63
$1 815,67
$2 195,95
$286,33
Toc - Plan #3 Medica
Expanded Bronze

(PPO) Harmony by Medica Bronze Copay

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

Annual Out of Pocket Expenses:

Individual Family
$7,000 $14,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$268,65
$304,90
$343,32
$479,78
$729,08
$474,16
$510,41
$548,83
$685,29
$679,67
$715,92
$754,34
$890,80
$885,18
$921,43
$959,85
$1 096,31
$205,51
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$537,30
$609,80
$686,64
$959,56
$1 458,16
$742,81
$815,31
$892,15
$1 165,07
$948,32
$1 020,82
$1 097,66
$1 370,58
$1 153,83
$1 226,33
$1 303,17
$1 576,09
$205,51
Toc - Plan #4 Medica
Expanded Bronze

(PPO) Harmony by Medica Bronze H S A

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

Annual Out of Pocket Expenses:

Individual Family
$6,700 $13,400 Annual Deductible
$7,000 $14,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$295,50
$335,38
$377,63
$527,74
$801,95
$521,55
$561,43
$603,68
$753,79
$747,60
$787,48
$829,73
$979,84
$973,65
$1 013,53
$1 055,78
$1 205,89
$226,05
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$591,00
$670,76
$755,26
$1 055,48
$1 603,90
$817,05
$896,81
$981,31
$1 281,53
$1 043,10
$1 122,86
$1 207,36
$1 507,58
$1 269,15
$1 348,91
$1 433,41
$1 733,63
$226,05
Toc - Plan #5 Medica
Catastrophic

(PPO) Harmony by Medica Catastrophic

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

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$195,44
$221,82
$249,76
$349,04
$530,40
$344,95
$371,33
$399,27
$498,55
$494,46
$520,84
$548,78
$648,06
$643,97
$670,35
$698,29
$797,57
$149,51
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$390,88
$443,64
$499,52
$698,08
$1 060,80
$540,39
$593,15
$649,03
$847,59
$689,90
$742,66
$798,54
$997,10
$839,41
$892,17
$948,05
$1 146,61
$149,51
Toc - Plan #6 Medica
Gold

(PPO) Harmony by Medica Gold Share

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

Annual Out of Pocket Expenses:

Individual Family
$550 $1,650 Annual Deductible
$7,900 $15,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$371,37
$421,50
$474,60
$663,26
$1 007,88
$655,46
$705,59
$758,69
$947,35
$939,55
$989,68
$1 042,78
$1 231,44
$1 223,64
$1 273,77
$1 326,87
$1 515,53
$284,09
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$742,74
$843,00
$949,20
$1 326,52
$2 015,76
$1 026,83
$1 127,09
$1 233,29
$1 610,61
$1 310,92
$1 411,18
$1 517,38
$1 894,70
$1 595,01
$1 695,27
$1 801,47
$2 178,79
$284,09
Toc - Plan #7 Medica
Silver

(PPO) Harmony by Medica Silver Share

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

Annual Out of Pocket Expenses:

Individual Family
$2,200 $6,600 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$378,72
$429,84
$484,00
$676,38
$1 027,83
$668,44
$719,56
$773,72
$966,10
$958,16
$1 009,28
$1 063,44
$1 255,82
$1 247,88
$1 299,00
$1 353,16
$1 545,54
$289,72
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$757,44
$859,68
$968,00
$1 352,76
$2 055,66
$1 047,16
$1 149,40
$1 257,72
$1 642,48
$1 336,88
$1 439,12
$1 547,44
$1 932,20
$1 626,60
$1 728,84
$1 837,16
$2 221,92
$289,72
Toc - Plan #8 Medica
Expanded Bronze

(PPO) Harmony by Medica Bronze Share Plus

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

Annual Out of Pocket Expenses:

Individual Family
$2,300 $6,900 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$275,70
$312,91
$352,34
$492,39
$748,23
$486,61
$523,82
$563,25
$703,30
$697,52
$734,73
$774,16
$914,21
$908,43
$945,64
$985,07
$1 125,12
$210,91
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$551,40
$625,82
$704,68
$984,78
$1 496,46
$762,31
$836,73
$915,59
$1 195,69
$973,22
$1 047,64
$1 126,50
$1 406,60
$1 184,13
$1 258,55
$1 337,41
$1 617,51
$210,91
Toc - Plan #9 Medica
Bronze

(PPO) Harmony by Medica Bronze Value

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

Annual Out of Pocket Expenses:

Individual Family
$7,900 $15,800 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$269,02
$305,33
$343,80
$480,46
$730,10
$474,81
$511,12
$549,59
$686,25
$680,60
$716,91
$755,38
$892,04
$886,39
$922,70
$961,17
$1 097,83
$205,79
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$538,04
$610,66
$687,60
$960,92
$1 460,20
$743,83
$816,45
$893,39
$1 166,71
$949,62
$1 022,24
$1 099,18
$1 372,50
$1 155,41
$1 228,03
$1 304,97
$1 578,29
$205,79

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UnitedHealthcare

Local: 1-800-980-5319 | Toll Free: 1-800-980-5319 | TTY: 1-800-980-5319

Toc - Plan #10 UnitedHealthcare
Gold

(HMO) Value Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5319

Annual Out of Pocket Expenses:

Individual Family
$1,750 $3,500 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$429,98
$488,03
$549,51
$767,94
$1 166,96
$758,91
$816,96
$878,44
$1 096,87
$1 087,84
$1 145,89
$1 207,37
$1 425,80
$1 416,77
$1 474,82
$1 536,30
$1 754,73
$328,93
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$859,96
$976,06
$1 099,02
$1 535,88
$2 333,92
$1 188,89
$1 304,99
$1 427,95
$1 864,81
$1 517,82
$1 633,92
$1 756,88
$2 193,74
$1 846,75
$1 962,85
$2 085,81
$2 522,67
$328,93
Toc - Plan #11 UnitedHealthcare
Silver

(HMO) Value Silver 3 Free Visits

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5319

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$432,41
$490,79
$552,62
$772,28
$1 173,56
$763,20
$821,58
$883,41
$1 103,07
$1 093,99
$1 152,37
$1 214,20
$1 433,86
$1 424,78
$1 483,16
$1 544,99
$1 764,65
$330,79
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$864,82
$981,58
$1 105,24
$1 544,56
$2 347,12
$1 195,61
$1 312,37
$1 436,03
$1 875,35
$1 526,40
$1 643,16
$1 766,82
$2 206,14
$1 857,19
$1 973,95
$2 097,61
$2 536,93
$330,79
Toc - Plan #12 UnitedHealthcare
Silver

(HMO) Balance Plus Silver 3 Free Visits

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5319

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$431,75
$490,04
$551,78
$771,11
$1 171,77
$762,04
$820,33
$882,07
$1 101,40
$1 092,33
$1 150,62
$1 212,36
$1 431,69
$1 422,62
$1 480,91
$1 542,65
$1 761,98
$330,29
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$863,50
$980,08
$1 103,56
$1 542,22
$2 343,54
$1 193,79
$1 310,37
$1 433,85
$1 872,51
$1 524,08
$1 640,66
$1 764,14
$2 202,80
$1 854,37
$1 970,95
$2 094,43
$2 533,09
$330,29
Toc - Plan #13 UnitedHealthcare
Silver

(HMO) Balance Silver 3 Free Visits

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5319

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$432,66
$491,07
$552,94
$772,74
$1 174,25
$763,65
$822,06
$883,93
$1 103,73
$1 094,64
$1 153,05
$1 214,92
$1 434,72
$1 425,63
$1 484,04
$1 545,91
$1 765,71
$330,99
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$865,32
$982,14
$1 105,88
$1 545,48
$2 348,50
$1 196,31
$1 313,13
$1 436,87
$1 876,47
$1 527,30
$1 644,12
$1 767,86
$2 207,46
$1 858,29
$1 975,11
$2 098,85
$2 538,45
$330,99
Toc - Plan #14 UnitedHealthcare
Expanded Bronze

(HMO) Balance Bronze 3 Free Telehealth Visits

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5319

Annual Out of Pocket Expenses:

Individual Family
$7,000 $14,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$308,75
$350,43
$394,58
$551,42
$837,94
$544,94
$586,62
$630,77
$787,61
$781,13
$822,81
$866,96
$1 023,80
$1 017,32
$1 059,00
$1 103,15
$1 259,99
$236,19
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$617,50
$700,86
$789,16
$1 102,84
$1 675,88
$853,69
$937,05
$1 025,35
$1 339,03
$1 089,88
$1 173,24
$1 261,54
$1 575,22
$1 326,07
$1 409,43
$1 497,73
$1 811,41
$236,19
Toc - Plan #15 UnitedHealthcare
Expanded Bronze

(HMO) Balance Bronze 3 Free Visits

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5319

Annual Out of Pocket Expenses:

Individual Family
$7,500 $15,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$304,12
$345,17
$388,66
$543,15
$825,37
$536,77
$577,82
$621,31
$775,80
$769,42
$810,47
$853,96
$1 008,45
$1 002,07
$1 043,12
$1 086,61
$1 241,10
$232,65
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$608,24
$690,34
$777,32
$1 086,30
$1 650,74
$840,89
$922,99
$1 009,97
$1 318,95
$1 073,54
$1 155,64
$1 242,62
$1 551,60
$1 306,19
$1 388,29
$1 475,27
$1 784,25
$232,65
Toc - Plan #16 UnitedHealthcare
Expanded Bronze

(HMO) Value Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5319

Annual Out of Pocket Expenses:

Individual Family
$5,750 $11,500 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$308,67
$350,34
$394,48
$551,29
$837,73
$544,80
$586,47
$630,61
$787,42
$780,93
$822,60
$866,74
$1 023,55
$1 017,06
$1 058,73
$1 102,87
$1 259,68
$236,13
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$617,34
$700,68
$788,96
$1 102,58
$1 675,46
$853,47
$936,81
$1 025,09
$1 338,71
$1 089,60
$1 172,94
$1 261,22
$1 574,84
$1 325,73
$1 409,07
$1 497,35
$1 810,97
$236,13

ADVERTISEMENT

Blue Cross and Blue Shield of Oklahoma

Local: 1-866-520-2507 | Toll Free: 1-866-520-2507 | TTY: 1-800-722-0353

Toc - Plan #17 Blue Cross and Blue Shield of Oklahoma
Silver

(PPO) Blue Preferred Silver PPO_ 201

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-520-2507

Annual Out of Pocket Expenses:

Individual Family
$1,200 $3,600 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$533,69
$605,74
$682,05
$953,17
$1 448,43
$941,96
$1 014,01
$1 090,32
$1 361,44
$1 350,23
$1 422,28
$1 498,59
$1 769,71
$1 758,50
$1 830,55
$1 906,86
$2 177,98
$408,27
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1 067,38
$1 211,48
$1 364,10
$1 906,34
$2 896,86
$1 475,65
$1 619,75
$1 772,37
$2 314,61
$1 883,92
$2 028,02
$2 180,64
$2 722,88
$2 292,19
$2 436,29
$2 588,91
$3 131,15
$408,27
Toc - Plan #18 Blue Cross and Blue Shield of Oklahoma
Catastrophic

(PPO) Blue Preferred Security PPO_ 200

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-520-2507

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$328,70
$373,08
$420,08
$587,07
$892,11
$580,16
$624,54
$671,54
$838,53
$831,62
$876,00
$923,00
$1 089,99
$1 083,08
$1 127,46
$1 174,46
$1 341,45
$251,46
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$657,40
$746,16
$840,16
$1 174,14
$1 784,22
$908,86
$997,62
$1 091,62
$1 425,60
$1 160,32
$1 249,08
$1 343,08
$1 677,06
$1 411,78
$1 500,54
$1 594,54
$1 928,52
$251,46
Toc - Plan #19 Blue Cross and Blue Shield of Oklahoma
Gold

(PPO) Blue Preferred Gold PPO_ 205

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-520-2507

Annual Out of Pocket Expenses:

Individual Family
$500 $1,500 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$495,76
$562,69
$633,58
$885,43
$1 345,50
$875,02
$941,95
$1 012,84
$1 264,69
$1 254,28
$1 321,21
$1 392,10
$1 643,95
$1 633,54
$1 700,47
$1 771,36
$2 023,21
$379,26
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$991,52
$1 125,38
$1 267,16
$1 770,86
$2 691,00
$1 370,78
$1 504,64
$1 646,42
$2 150,12
$1 750,04
$1 883,90
$2 025,68
$2 529,38
$2 129,30
$2 263,16
$2 404,94
$2 908,64
$379,26
Toc - Plan #20 Blue Cross and Blue Shield of Oklahoma
Bronze

(PPO) Blue Preferred Bronze PPO_ 206

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-520-2507

Annual Out of Pocket Expenses:

Individual Family
$5,000 $15,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$363,06
$412,07
$463,99
$648,42
$985,34
$640,80
$689,81
$741,73
$926,16
$918,54
$967,55
$1 019,47
$1 203,90
$1 196,28
$1 245,29
$1 297,21
$1 481,64
$277,74
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$726,12
$824,14
$927,98
$1 296,84
$1 970,68
$1 003,86
$1 101,88
$1 205,72
$1 574,58
$1 281,60
$1 379,62
$1 483,46
$1 852,32
$1 559,34
$1 657,36
$1 761,20
$2 130,06
$277,74
Toc - Plan #21 Blue Cross and Blue Shield of Oklahoma
Expanded Bronze

(PPO) Blue Advantage Bronze PPO_ 203

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-520-2507

Annual Out of Pocket Expenses:

Individual Family
$4,500 $13,300 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$331,43
$376,18
$423,57
$591,94
$899,51
$584,98
$629,73
$677,12
$845,49
$838,53
$883,28
$930,67
$1 099,04
$1 092,08
$1 136,83
$1 184,22
$1 352,59
$253,55
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$662,86
$752,36
$847,14
$1 183,88
$1 799,02
$916,41
$1 005,91
$1 100,69
$1 437,43
$1 169,96
$1 259,46
$1 354,24
$1 690,98
$1 423,51
$1 513,01
$1 607,79
$1 944,53
$253,55
Toc - Plan #22 Blue Cross and Blue Shield of Oklahoma
Silver

(PPO) Blue Advantage Silver PPO_ 204

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-520-2507

Annual Out of Pocket Expenses:

Individual Family
$1,500 $4,500 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$427,38
$485,08
$546,20
$763,31
$1 159,92
$754,33
$812,03
$873,15
$1 090,26
$1 081,28
$1 138,98
$1 200,10
$1 417,21
$1 408,23
$1 465,93
$1 527,05
$1 744,16
$326,95
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$854,76
$970,16
$1 092,40
$1 526,62
$2 319,84
$1 181,71
$1 297,11
$1 419,35
$1 853,57
$1 508,66
$1 624,06
$1 746,30
$2 180,52
$1 835,61
$1 951,01
$2 073,25
$2 507,47
$326,95
Toc - Plan #23 Blue Cross and Blue Shield of Oklahoma
Bronze

(PPO) Blue Advantage Bronze PPO_ 202

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-520-2507

Annual Out of Pocket Expenses:

Individual Family
$5,000 $15,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$305,90
$347,20
$390,94
$546,34
$830,21
$539,91
$581,21
$624,95
$780,35
$773,92
$815,22
$858,96
$1 014,36
$1 007,93
$1 049,23
$1 092,97
$1 248,37
$234,01
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$611,80
$694,40
$781,88
$1 092,68
$1 660,42
$845,81
$928,41
$1 015,89
$1 326,69
$1 079,82
$1 162,42
$1 249,90
$1 560,70
$1 313,83
$1 396,43
$1 483,91
$1 794,71
$234,01
Toc - Plan #24 Blue Cross and Blue Shield of Oklahoma
Gold

(PPO) Blue Advantage Gold PPO_ 309

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-520-2507

Annual Out of Pocket Expenses:

Individual Family
$1,200 $3,600 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$423,36
$480,52
$541,06
$756,12
$1 149,00
$747,23
$804,39
$864,93
$1 079,99
$1 071,10
$1 128,26
$1 188,80
$1 403,86
$1 394,97
$1 452,13
$1 512,67
$1 727,73
$323,87
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$846,72
$961,04
$1 082,12
$1 512,24
$2 298,00
$1 170,59
$1 284,91
$1 405,99
$1 836,11
$1 494,46
$1 608,78
$1 729,86
$2 159,98
$1 818,33
$1 932,65
$2 053,73
$2 483,85
$323,87

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CommunityCare

Local: 1-918-594-5242 | Toll Free: 1-800-777-4890 | TTY: 1-800-722-0353

Toc - Plan #25 CommunityCare
Gold

(HMO) CommunityCare Gold L21 Select Plus

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-777-4890

Annual Out of Pocket Expenses:

Individual Family
$4,000 $12,000 Annual Deductible
$8,100 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$368,61
$418,37
$471,08
$658,33
$1 000,39
$650,59
$700,35
$753,06
$940,31
$932,57
$982,33
$1 035,04
$1 222,29
$1 214,55
$1 264,31
$1 317,02
$1 504,27
$281,98
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$737,22
$836,74
$942,16
$1 316,66
$2 000,78
$1 019,20
$1 118,72
$1 224,14
$1 598,64
$1 301,18
$1 400,70
$1 506,12
$1 880,62
$1 583,16
$1 682,68
$1 788,10
$2 162,60
$281,98
Toc - Plan #26 CommunityCare
Silver

(HMO) CommunityCare Silver L21 Select Plus

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-777-4890

Annual Out of Pocket Expenses:

Individual Family
$7,700 $17,100 Annual Deductible
$8,100 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$385,87
$437,96
$493,14
$689,16
$1 047,24
$681,06
$733,15
$788,33
$984,35
$976,25
$1 028,34
$1 083,52
$1 279,54
$1 271,44
$1 323,53
$1 378,71
$1 574,73
$295,19
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$771,74
$875,92
$986,28
$1 378,32
$2 094,48
$1 066,93
$1 171,11
$1 281,47
$1 673,51
$1 362,12
$1 466,30
$1 576,66
$1 968,70
$1 657,31
$1 761,49
$1 871,85
$2 263,89
$295,19

‡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 Rogers County here.

Rogers County is in “Rating Area 4” of Oklahoma.

Currently, there are 26 plans offered in Rating Area 4.

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2021 Obamacare Plans for Rogers County, OK

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