Obamacare 2021 Rates for Clackamas County
Obamacare > Rates > Oregon > Clackamas County
Obamacare > Rates > Oregon > Clackamas County
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PacificSource Health PlansLocal: 1-541-684-5582 | Toll Free: 1-888-977-9299 | TTY: 1-800-735-2900 |
Toc - Plan #1 PacificSource Health Plans | ||||||||||||||||||||
Catastrophic
(PPO) Navigator Catastrophic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-977-9299
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 |
$185,00 $210,00 $237,00 $331,00 $503,00 |
$303,00 $328,00 $355,00 $449,00 |
$421,00 $446,00 $473,00 $567,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$370,00 $420,00 $474,00 $662,00 $1 006,00 |
$488,00 $538,00 $592,00 $780,00 |
$606,00 $656,00 $710,00 $898,00 |
Toc - Plan #2 PacificSource Health Plans | ||||||||||||||||||||
Expanded Bronze
(PPO) PacificSource Oregon Standard Bronze Plan NAV |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-977-9299
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 |
$274,00 $311,00 $350,00 $490,00 $744,00 |
$448,00 $485,00 $524,00 $664,00 |
$622,00 $659,00 $698,00 $838,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$548,00 $622,00 $700,00 $980,00 $1 488,00 |
$722,00 $796,00 $874,00 $1 154,00 |
$896,00 $970,00 $1 048,00 $1 328,00 |
Toc - Plan #3 PacificSource Health Plans | ||||||||||||||||||||
Silver
(PPO) PacificSource Oregon Standard Silver Plan NAV |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-977-9299
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 |
$360,00 $408,00 $460,00 $642,00 $976,00 |
$588,00 $636,00 $688,00 $870,00 |
$816,00 $864,00 $916,00 $1 098,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$720,00 $816,00 $920,00 $1 284,00 $1 952,00 |
$948,00 $1 044,00 $1 148,00 $1 512,00 |
$1 176,00 $1 272,00 $1 376,00 $1 740,00 |
Toc - Plan #4 PacificSource Health Plans | ||||||||||||||||||||
Gold
(PPO) PacificSource Oregon Standard Gold Plan NAV |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-977-9299
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 |
$399,00 $453,00 $510,00 $713,00 $1 083,00 |
$652,00 $706,00 $763,00 $966,00 |
$905,00 $959,00 $1 016,00 $1 219,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$798,00 $906,00 $1 020,00 $1 426,00 $2 166,00 |
$1 051,00 $1 159,00 $1 273,00 $1 679,00 |
$1 304,00 $1 412,00 $1 526,00 $1 932,00 |
Toc - Plan #5 PacificSource Health Plans | ||||||||||||||||||||
Expanded Bronze
(PPO) Navigator Bronze HSA 6900 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-977-9299
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 |
$277,00 $315,00 $355,00 $496,00 $753,00 |
$453,00 $491,00 $531,00 $672,00 |
$629,00 $667,00 $707,00 $848,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$554,00 $630,00 $710,00 $992,00 $1 506,00 |
$730,00 $806,00 $886,00 $1 168,00 |
$906,00 $982,00 $1 062,00 $1 344,00 |
Toc - Plan #6 PacificSource Health Plans | ||||||||||||||||||||
Expanded Bronze
(PPO) Navigator Bronze 7000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-977-9299
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 |
$281,00 $319,00 $360,00 $503,00 $764,00 |
$460,00 $498,00 $539,00 $682,00 |
$639,00 $677,00 $718,00 $861,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$562,00 $638,00 $720,00 $1 006,00 $1 528,00 |
$741,00 $817,00 $899,00 $1 185,00 |
$920,00 $996,00 $1 078,00 $1 364,00 |
Toc - Plan #7 PacificSource Health Plans | ||||||||||||||||||||
Silver
(PPO) Navigator Silver 4000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-977-9299
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363,00 $412,00 $464,00 $649,00 $986,00 |
$594,00 $643,00 $695,00 $880,00 |
$825,00 $874,00 $926,00 $1 111,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$726,00 $824,00 $928,00 $1 298,00 $1 972,00 |
$957,00 $1 055,00 $1 159,00 $1 529,00 |
$1 188,00 $1 286,00 $1 390,00 $1 760,00 |
Toc - Plan #8 PacificSource Health Plans | ||||||||||||||||||||
Silver
(PPO) Navigator Silver 3000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-977-9299
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 |
$375,00 $426,00 $479,00 $670,00 $1 018,00 |
$613,00 $664,00 $717,00 $908,00 |
$851,00 $902,00 $955,00 $1 146,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$750,00 $852,00 $958,00 $1 340,00 $2 036,00 |
$988,00 $1 090,00 $1 196,00 $1 578,00 |
$1 226,00 $1 328,00 $1 434,00 $1 816,00 |
Toc - Plan #9 PacificSource Health Plans | ||||||||||||||||||||
Gold
(PPO) Navigator Gold 1500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-977-9299
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 |
$410,00 $466,00 $524,00 $733,00 $1 114,00 |
$671,00 $727,00 $785,00 $994,00 |
$932,00 $988,00 $1 046,00 $1 255,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$820,00 $932,00 $1 048,00 $1 466,00 $2 228,00 |
$1 081,00 $1 193,00 $1 309,00 $1 727,00 |
$1 342,00 $1 454,00 $1 570,00 $1 988,00 |
ADVERTISEMENT
Moda Health Plan, Inc.Local: 1-888-393-2940 | Toll Free: 1-888-393-2940 | TTY: 1-888-393-2940 |
Toc - Plan #10 Moda Health Plan, Inc. | ||||||||||||||||||||
Gold
(EPO) Moda Health Beacon Gold 1000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-393-2940
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 |
$399,00 $453,00 $510,00 $713,00 $1 084,00 |
$653,00 $707,00 $764,00 $967,00 |
$907,00 $961,00 $1 018,00 $1 221,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$798,00 $906,00 $1 020,00 $1 426,00 $2 168,00 |
$1 052,00 $1 160,00 $1 274,00 $1 680,00 |
$1 306,00 $1 414,00 $1 528,00 $1 934,00 |
Toc - Plan #11 Moda Health Plan, Inc. | ||||||||||||||||||||
Silver
(EPO) Moda Health Beacon Silver 3000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-393-2940
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351,00 $398,00 $449,00 $627,00 $953,00 |
$574,00 $621,00 $672,00 $850,00 |
$797,00 $844,00 $895,00 $1 073,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$702,00 $796,00 $898,00 $1 254,00 $1 906,00 |
$925,00 $1 019,00 $1 121,00 $1 477,00 |
$1 148,00 $1 242,00 $1 344,00 $1 700,00 |
Toc - Plan #12 Moda Health Plan, Inc. | ||||||||||||||||||||
Gold
(EPO) Moda Health Oregon Standard Gold (Beacon) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-393-2940
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 |
$395,00 $449,00 $505,00 $706,00 $1 073,00 |
$646,00 $700,00 $756,00 $957,00 |
$897,00 $951,00 $1 007,00 $1 208,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$790,00 $898,00 $1 010,00 $1 412,00 $2 146,00 |
$1 041,00 $1 149,00 $1 261,00 $1 663,00 |
$1 292,00 $1 400,00 $1 512,00 $1 914,00 |
Toc - Plan #13 Moda Health Plan, Inc. | ||||||||||||||||||||
Silver
(EPO) Moda Health Oregon Standard Silver (Beacon) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-393-2940
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 |
$346,00 $392,00 $442,00 $617,00 $938,00 |
$566,00 $612,00 $662,00 $837,00 |
$786,00 $832,00 $882,00 $1 057,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$692,00 $784,00 $884,00 $1 234,00 $1 876,00 |
$912,00 $1 004,00 $1 104,00 $1 454,00 |
$1 132,00 $1 224,00 $1 324,00 $1 674,00 |
Toc - Plan #14 Moda Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(EPO) Moda Health Oregon Standard Bronze Plan (Beacon) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-393-2940
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$265,00 $300,00 $338,00 $473,00 $718,00 |
$433,00 $468,00 $506,00 $641,00 |
$601,00 $636,00 $674,00 $809,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$530,00 $600,00 $676,00 $946,00 $1 436,00 |
$698,00 $768,00 $844,00 $1 114,00 |
$866,00 $936,00 $1 012,00 $1 282,00 |
Toc - Plan #15 Moda Health Plan, Inc. | ||||||||||||||||||||
Gold
(EPO) Moda Health Beacon Gold 1500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-393-2940
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 |
$381,00 $433,00 $487,00 $681,00 $1 035,00 |
$623,00 $675,00 $729,00 $923,00 |
$865,00 $917,00 $971,00 $1 165,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$762,00 $866,00 $974,00 $1 362,00 $2 070,00 |
$1 004,00 $1 108,00 $1 216,00 $1 604,00 |
$1 246,00 $1 350,00 $1 458,00 $1 846,00 |
Toc - Plan #16 Moda Health Plan, Inc. | ||||||||||||||||||||
Silver
(EPO) Moda Health Beacon Silver 3500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-393-2940
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 |
$327,00 $371,00 $418,00 $584,00 $888,00 |
$535,00 $579,00 $626,00 $792,00 |
$743,00 $787,00 $834,00 $1 000,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$654,00 $742,00 $836,00 $1 168,00 $1 776,00 |
$862,00 $950,00 $1 044,00 $1 376,00 |
$1 070,00 $1 158,00 $1 252,00 $1 584,00 |
Toc - Plan #17 Moda Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(EPO) Moda Health Beacon Bronze HSA 6900 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-393-2940
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$283,00 $322,00 $362,00 $506,00 $769,00 |
$463,00 $502,00 $542,00 $686,00 |
$643,00 $682,00 $722,00 $866,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$566,00 $644,00 $724,00 $1 012,00 $1 538,00 |
$746,00 $824,00 $904,00 $1 192,00 |
$926,00 $1 004,00 $1 084,00 $1 372,00 |
Toc - Plan #18 Moda Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(EPO) Moda Health Beacon Bronze 7000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-393-2940
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$267,00 $303,00 $341,00 $477,00 $724,00 |
$437,00 $473,00 $511,00 $647,00 |
$607,00 $643,00 $681,00 $817,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$534,00 $606,00 $682,00 $954,00 $1 448,00 |
$704,00 $776,00 $852,00 $1 124,00 |
$874,00 $946,00 $1 022,00 $1 294,00 |
Toc - Plan #19 Moda Health Plan, Inc. | ||||||||||||||||||||
Gold
(EPO) Moda Health Beacon Gold 250 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-393-2940
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399,00 $453,00 $510,00 $713,00 $1 083,00 |
$652,00 $706,00 $763,00 $966,00 |
$905,00 $959,00 $1 016,00 $1 219,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$798,00 $906,00 $1 020,00 $1 426,00 $2 166,00 |
$1 051,00 $1 159,00 $1 273,00 $1 679,00 |
$1 304,00 $1 412,00 $1 526,00 $1 932,00 |
ADVERTISEMENT
Providence Health PlanLocal: 1-503-574-5000 | Toll Free: 1-800-878-4445 | TTY: 1-888-244-6642 |
Toc - Plan #20 Providence Health Plan | ||||||||||||||||||||
Gold
(EPO) Providence Oregon Standard Gold Plan - Choice Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-878-4445
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398,00 $452,00 $509,00 $712,00 $1 081,00 |
$651,00 $705,00 $762,00 $965,00 |
$904,00 $958,00 $1 015,00 $1 218,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$796,00 $904,00 $1 018,00 $1 424,00 $2 162,00 |
$1 049,00 $1 157,00 $1 271,00 $1 677,00 |
$1 302,00 $1 410,00 $1 524,00 $1 930,00 |
Toc - Plan #21 Providence Health Plan | ||||||||||||||||||||
Silver
(EPO) Providence Oregon Standard Silver Plan - Choice Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-878-4445
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351,00 $399,00 $449,00 $628,00 $954,00 |
$574,00 $622,00 $672,00 $851,00 |
$797,00 $845,00 $895,00 $1 074,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$702,00 $798,00 $898,00 $1 256,00 $1 908,00 |
$925,00 $1 021,00 $1 121,00 $1 479,00 |
$1 148,00 $1 244,00 $1 344,00 $1 702,00 |
Toc - Plan #22 Providence Health Plan | ||||||||||||||||||||
Gold
(EPO) Connect 1500 Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-878-4445
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 |
$346,00 $393,00 $442,00 $618,00 $939,00 |
$566,00 $613,00 $662,00 $838,00 |
$786,00 $833,00 $882,00 $1 058,00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$692,00 $786,00 $884,00 $1 236,00 $1 878,00 |
$912,00 $1 006,00 $1 104,00 $1 456,00 |
$1 132,00 $1 226,00 $1 324,00 $1 676,00 |
Toc - Plan #23 Providence Health Plan | ||||||||||||||||||||
Silver
(EPO) Connect 4500 Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-878-4445
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 |
$314,00 $357,00 $402,00 $562,00 $853,00 |
$514,00 $557,00 $602,00 $762,00 |
$714,00 $757,00 $802,00 $962,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$628,00 $714,00 $804,00 $1 124,00 $1 706,00 |
$828,00 $914,00 $1 004,00 $1 324,00 |
$1 028,00 $1 114,00 $1 204,00 $1 524,00 |
Toc - Plan #24 Providence Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Connect 8550 Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-878-4445
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$241,00 $274,00 $309,00 $431,00 $655,00 |
$394,00 $427,00 $462,00 $584,00 |
$547,00 $580,00 $615,00 $737,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$482,00 $548,00 $618,00 $862,00 $1 310,00 |
$635,00 $701,00 $771,00 $1 015,00 |
$788,00 $854,00 $924,00 $1 168,00 |
Toc - Plan #25 Providence Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Providence Oregon Standard Bronze Plan - Choice Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-878-4445
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$275,00 $312,00 $352,00 $491,00 $747,00 |
$450,00 $487,00 $527,00 $666,00 |
$625,00 $662,00 $702,00 $841,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$550,00 $624,00 $704,00 $982,00 $1 494,00 |
$725,00 $799,00 $879,00 $1 157,00 |
$900,00 $974,00 $1 054,00 $1 332,00 |
Toc - Plan #26 Providence Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) HSA Qualified 7000 Bronze - Choice Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-878-4445
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$277,00 $314,00 $354,00 $494,00 $751,00 |
$453,00 $490,00 $530,00 $670,00 |
$629,00 $666,00 $706,00 $846,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$554,00 $628,00 $708,00 $988,00 $1 502,00 |
$730,00 $804,00 $884,00 $1 164,00 |
$906,00 $980,00 $1 060,00 $1 340,00 |
ADVERTISEMENT
BridgeSpan Health CompanyLocal: 1-855-857-9943 | Toll Free: 1-855-857-9943 | TTY: 1-800-735-2900 |
Toc - Plan #27 BridgeSpan Health Company | ||||||||||||||||||||
Gold
(EPO) BridgeSpan Standard Gold Plan EPO OHSU Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-857-9943
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$429,37 $487,34 $548,74 $766,86 $1 165,31 |
$702,02 $759,99 $821,39 $1 039,51 |
$974,67 $1 032,64 $1 094,04 $1 312,16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$858,74 $974,68 $1 097,48 $1 533,72 $2 330,62 |
$1 131,39 $1 247,33 $1 370,13 $1 806,37 |
$1 404,04 $1 519,98 $1 642,78 $2 079,02 |
Toc - Plan #28 BridgeSpan Health Company | ||||||||||||||||||||
Silver
(EPO) BridgeSpan Standard Silver Plan EPO OHSU Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-857-9943
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372,23 $422,48 $475,70 $664,80 $1 010,22 |
$608,59 $658,84 $712,06 $901,16 |
$844,95 $895,20 $948,42 $1 137,52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$744,46 $844,96 $951,40 $1 329,60 $2 020,44 |
$980,82 $1 081,32 $1 187,76 $1 565,96 |
$1 217,18 $1 317,68 $1 424,12 $1 802,32 |
Toc - Plan #29 BridgeSpan Health Company | ||||||||||||||||||||
Expanded Bronze
(EPO) BridgeSpan Standard Bronze Plan EPO OHSU Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-857-9943
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$270,48 $306,99 $345,67 $483,07 $734,08 |
$442,23 $478,74 $517,42 $654,82 |
$613,98 $650,49 $689,17 $826,57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$540,96 $613,98 $691,34 $966,14 $1 468,16 |
$712,71 $785,73 $863,09 $1 137,89 |
$884,46 $957,48 $1 034,84 $1 309,64 |
Toc - Plan #30 BridgeSpan Health Company | ||||||||||||||||||||
Gold
(EPO) BridgeSpan Standard Gold Plan EPO RealValue |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-857-9943
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$442,65 $502,40 $565,70 $790,57 $1 201,35 |
$723,73 $783,48 $846,78 $1 071,65 |
$1 004,81 $1 064,56 $1 127,86 $1 352,73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$885,30 $1 004,80 $1 131,40 $1 581,14 $2 402,70 |
$1 166,38 $1 285,88 $1 412,48 $1 862,22 |
$1 447,46 $1 566,96 $1 693,56 $2 143,30 |
Toc - Plan #31 BridgeSpan Health Company | ||||||||||||||||||||
Expanded Bronze
(EPO) BridgeSpan Standard Bronze Plan EPO RealValue |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-857-9943
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$278,81 $316,45 $356,32 $497,96 $756,70 |
$455,86 $493,50 $533,37 $675,01 |
$632,91 $670,55 $710,42 $852,06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$557,62 $632,90 $712,64 $995,92 $1 513,40 |
$734,67 $809,95 $889,69 $1 172,97 |
$911,72 $987,00 $1 066,74 $1 350,02 |
Toc - Plan #32 BridgeSpan Health Company | ||||||||||||||||||||
Silver
(EPO) BridgeSpan Standard Silver Plan EPO RealValue |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-857-9943
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383,73 $435,53 $490,40 $685,34 $1 041,43 |
$627,40 $679,20 $734,07 $929,01 |
$871,07 $922,87 $977,74 $1 172,68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767,46 $871,06 $980,80 $1 370,68 $2 082,86 |
$1 011,13 $1 114,73 $1 224,47 $1 614,35 |
$1 254,80 $1 358,40 $1 468,14 $1 858,02 |
Toc - Plan #33 BridgeSpan Health Company | ||||||||||||||||||||
Gold
(EPO) BridgeSpan Standard Gold Plan EPO Legacy LHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-857-9943
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$420,52 $477,29 $537,42 $751,04 $1 141,28 |
$687,55 $744,32 $804,45 $1 018,07 |
$954,58 $1 011,35 $1 071,48 $1 285,10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$841,04 $954,58 $1 074,84 $1 502,08 $2 282,56 |
$1 108,07 $1 221,61 $1 341,87 $1 769,11 |
$1 375,10 $1 488,64 $1 608,90 $2 036,14 |
Toc - Plan #34 BridgeSpan Health Company | ||||||||||||||||||||
Silver
(EPO) BridgeSpan Standard Silver Plan EPO Legacy LHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-857-9943
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364,52 $413,74 $465,86 $651,04 $989,32 |
$595,99 $645,21 $697,33 $882,51 |
$827,46 $876,68 $928,80 $1 113,98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$729,04 $827,48 $931,72 $1 302,08 $1 978,64 |
$960,51 $1 058,95 $1 163,19 $1 533,55 |
$1 191,98 $1 290,42 $1 394,66 $1 765,02 |
Toc - Plan #35 BridgeSpan Health Company | ||||||||||||||||||||
Expanded Bronze
(EPO) BridgeSpan Standard Bronze Plan EPO Legacy LHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-857-9943
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$264,90 $300,66 $338,55 $473,12 $718,95 |
$433,11 $468,87 $506,76 $641,33 |
$601,32 $637,08 $674,97 $809,54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$529,80 $601,32 $677,10 $946,24 $1 437,90 |
$698,01 $769,53 $845,31 $1 114,45 |
$866,22 $937,74 $1 013,52 $1 282,66 |
ADVERTISEMENT
Kaiser PermanenteLocal: 1-800-801-1270 | Toll Free: 1-800-801-1270 | TTY: 1-800-735-2900 |
Toc - Plan #36 Kaiser Permanente | ||||||||||||||||||||
Gold
(EPO) KP OR Gold 0/20 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-801-1270
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351,00 $398,00 $448,00 $626,00 $952,00 |
$574,00 $621,00 $671,00 $849,00 |
$797,00 $844,00 $894,00 $1 072,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$702,00 $796,00 $896,00 $1 252,00 $1 904,00 |
$925,00 $1 019,00 $1 119,00 $1 475,00 |
$1 148,00 $1 242,00 $1 342,00 $1 698,00 |
Toc - Plan #37 Kaiser Permanente | ||||||||||||||||||||
Gold
(EPO) KP Oregon Standard Gold Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-801-1270
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344,00 $391,00 $440,00 $615,00 $934,00 |
$563,00 $610,00 $659,00 $834,00 |
$782,00 $829,00 $878,00 $1 053,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$688,00 $782,00 $880,00 $1 230,00 $1 868,00 |
$907,00 $1 001,00 $1 099,00 $1 449,00 |
$1 126,00 $1 220,00 $1 318,00 $1 668,00 |
Toc - Plan #38 Kaiser Permanente | ||||||||||||||||||||
Silver
(EPO) KP Oregon Standard Silver Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-801-1270
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333,00 $378,00 $425,00 $594,00 $903,00 |
$544,00 $589,00 $636,00 $805,00 |
$755,00 $800,00 $847,00 $1 016,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$666,00 $756,00 $850,00 $1 188,00 $1 806,00 |
$877,00 $967,00 $1 061,00 $1 399,00 |
$1 088,00 $1 178,00 $1 272,00 $1 610,00 |
Toc - Plan #39 Kaiser Permanente | ||||||||||||||||||||
Expanded Bronze
(EPO) KP Oregon Standard Bronze Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-801-1270
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$239,00 $271,00 $305,00 $426,00 $648,00 |
$391,00 $423,00 $457,00 $578,00 |
$543,00 $575,00 $609,00 $730,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$478,00 $542,00 $610,00 $852,00 $1 296,00 |
$630,00 $694,00 $762,00 $1 004,00 |
$782,00 $846,00 $914,00 $1 156,00 |
Toc - Plan #40 Kaiser Permanente | ||||||||||||||||||||
Gold
(EPO) KP OR Gold 1500/30 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-801-1270
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326,00 $370,00 $417,00 $582,00 $885,00 |
$533,00 $577,00 $624,00 $789,00 |
$740,00 $784,00 $831,00 $996,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$652,00 $740,00 $834,00 $1 164,00 $1 770,00 |
$859,00 $947,00 $1 041,00 $1 371,00 |
$1 066,00 $1 154,00 $1 248,00 $1 578,00 |
Toc - Plan #41 Kaiser Permanente | ||||||||||||||||||||
Silver
(EPO) KP OR Silver 2500/40 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-801-1270
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344,00 $391,00 $440,00 $615,00 $935,00 |
$563,00 $610,00 $659,00 $834,00 |
$782,00 $829,00 $878,00 $1 053,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$688,00 $782,00 $880,00 $1 230,00 $1 870,00 |
$907,00 $1 001,00 $1 099,00 $1 449,00 |
$1 126,00 $1 220,00 $1 318,00 $1 668,00 |
Toc - Plan #42 Kaiser Permanente | ||||||||||||||||||||
Silver
(EPO) KP OR Silver 4500/40 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-801-1270
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317,00 $360,00 $406,00 $567,00 $861,00 |
$519,00 $562,00 $608,00 $769,00 |
$721,00 $764,00 $810,00 $971,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$634,00 $720,00 $812,00 $1 134,00 $1 722,00 |
$836,00 $922,00 $1 014,00 $1 336,00 |
$1 038,00 $1 124,00 $1 216,00 $1 538,00 |
Toc - Plan #43 Kaiser Permanente | ||||||||||||||||||||
Expanded Bronze
(EPO) KP OR Bronze 5500/50 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-801-1270
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$242,00 $275,00 $310,00 $433,00 $657,00 |
$396,00 $429,00 $464,00 $587,00 |
$550,00 $583,00 $618,00 $741,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$484,00 $550,00 $620,00 $866,00 $1 314,00 |
$638,00 $704,00 $774,00 $1 020,00 |
$792,00 $858,00 $928,00 $1 174,00 |
Toc - Plan #44 Kaiser Permanente | ||||||||||||||||||||
Expanded Bronze
(EPO) KP OR Bronze 6900/0% HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-801-1270
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$240,00 $272,00 $306,00 $428,00 $650,00 |
$392,00 $424,00 $458,00 $580,00 |
$544,00 $576,00 $610,00 $732,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$480,00 $544,00 $612,00 $856,00 $1 300,00 |
$632,00 $696,00 $764,00 $1 008,00 |
$784,00 $848,00 $916,00 $1 160,00 |
Toc - Plan #45 Kaiser Permanente | ||||||||||||||||||||
Expanded Bronze
(EPO) KP OR Bronze 8550/75 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-801-1270
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$233,00 $265,00 $298,00 $416,00 $633,00 |
$381,00 $413,00 $446,00 $564,00 |
$529,00 $561,00 $594,00 $712,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$466,00 $530,00 $596,00 $832,00 $1 266,00 |
$614,00 $678,00 $744,00 $980,00 |
$762,00 $826,00 $892,00 $1 128,00 |
ADVERTISEMENT
Regence BlueCross BlueShield of OregonLocal: 1-888-675-6570 | Toll Free: 1-888-675-6570 |
Toc - Plan #46 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze HDHP 5700 EPO Individual and Family Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$270,98 $307,56 $346,31 $483,97 $735,44 |
$443,05 $479,63 $518,38 $656,04 |
$615,12 $651,70 $690,45 $828,11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$541,96 $615,12 $692,62 $967,94 $1 470,88 |
$714,03 $787,19 $864,69 $1 140,01 |
$886,10 $959,26 $1 036,76 $1 312,08 |
Toc - Plan #47 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze HDHP 5700 EPO OHSU Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$262,86 $298,35 $335,94 $469,47 $713,41 |
$429,78 $465,27 $502,86 $636,39 |
$596,70 $632,19 $669,78 $803,31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$525,72 $596,70 $671,88 $938,94 $1 426,82 |
$692,64 $763,62 $838,80 $1 105,86 |
$859,56 $930,54 $1 005,72 $1 272,78 |
Toc - Plan #48 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Silver
(EPO) Silver 3500 EPO OHSU Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344,26 $390,74 $439,97 $614,85 $934,33 |
$562,87 $609,35 $658,58 $833,46 |
$781,48 $827,96 $877,19 $1 052,07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$688,52 $781,48 $879,94 $1 229,70 $1 868,66 |
$907,13 $1 000,09 $1 098,55 $1 448,31 |
$1 125,74 $1 218,70 $1 317,16 $1 666,92 |
Toc - Plan #49 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Silver
(EPO) Silver Care on Demand 4000 EPO Individual and Family Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341,13 $387,18 $435,96 $609,25 $925,82 |
$557,75 $603,80 $652,58 $825,87 |
$774,37 $820,42 $869,20 $1 042,49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$682,26 $774,36 $871,92 $1 218,50 $1 851,64 |
$898,88 $990,98 $1 088,54 $1 435,12 |
$1 115,50 $1 207,60 $1 305,16 $1 651,74 |
Toc - Plan #50 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Silver
(EPO) Silver Care on Demand 4000 EPO OHSU Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$330,88 $375,55 $422,87 $590,96 $898,01 |
$540,99 $585,66 $632,98 $801,07 |
$751,10 $795,77 $843,09 $1 011,18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$661,76 $751,10 $845,74 $1 181,92 $1 796,02 |
$871,87 $961,21 $1 055,85 $1 392,03 |
$1 081,98 $1 171,32 $1 265,96 $1 602,14 |
Toc - Plan #51 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Essential 7500 EPO Individual and Family Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$266,50 $302,48 $340,59 $475,97 $723,28 |
$435,73 $471,71 $509,82 $645,20 |
$604,96 $640,94 $679,05 $814,43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$533,00 $604,96 $681,18 $951,94 $1 446,56 |
$702,23 $774,19 $850,41 $1 121,17 |
$871,46 $943,42 $1 019,64 $1 290,40 |
Toc - Plan #52 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Essential 7500 EPO OHSU Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$258,49 $293,38 $330,34 $461,66 $701,53 |
$422,63 $457,52 $494,48 $625,80 |
$586,77 $621,66 $658,62 $789,94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$516,98 $586,76 $660,68 $923,32 $1 403,06 |
$681,12 $750,90 $824,82 $1 087,46 |
$845,26 $915,04 $988,96 $1 251,60 |
Toc - Plan #53 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Care on Demand 8000 EPO Individual and Family Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$253,06 $287,22 $323,41 $451,97 $686,81 |
$413,75 $447,91 $484,10 $612,66 |
$574,44 $608,60 $644,79 $773,35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$506,12 $574,44 $646,82 $903,94 $1 373,62 |
$666,81 $735,13 $807,51 $1 064,63 |
$827,50 $895,82 $968,20 $1 225,32 |
Toc - Plan #54 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Care on Demand 8000 EPO OHSU Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$245,44 $278,58 $313,68 $438,36 $666,14 |
$401,30 $434,44 $469,54 $594,22 |
$557,16 $590,30 $625,40 $750,08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$490,88 $557,16 $627,36 $876,72 $1 332,28 |
$646,74 $713,02 $783,22 $1 032,58 |
$802,60 $868,88 $939,08 $1 188,44 |
Toc - Plan #55 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Silver
(EPO) Silver 3500 EPO Individual and Family Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354,89 $402,81 $453,56 $633,84 $963,18 |
$580,25 $628,17 $678,92 $859,20 |
$805,61 $853,53 $904,28 $1 084,56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$709,78 $805,62 $907,12 $1 267,68 $1 926,36 |
$935,14 $1 030,98 $1 132,48 $1 493,04 |
$1 160,50 $1 256,34 $1 357,84 $1 718,40 |
Toc - Plan #56 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Silver
(EPO) Alliance Silver 3500 EPO Legacy LHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337,15 $382,66 $430,87 $602,15 $915,02 |
$551,24 $596,75 $644,96 $816,24 |
$765,33 $810,84 $859,05 $1 030,33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$674,30 $765,32 $861,74 $1 204,30 $1 830,04 |
$888,39 $979,41 $1 075,83 $1 418,39 |
$1 102,48 $1 193,50 $1 289,92 $1 632,48 |
Toc - Plan #57 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Silver
(EPO) Alliance Silver Care on Demand 4000 EPO Legacy LHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$324,05 $367,80 $414,14 $578,75 $879,47 |
$529,82 $573,57 $619,91 $784,52 |
$735,59 $779,34 $825,68 $990,29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$648,10 $735,60 $828,28 $1 157,50 $1 758,94 |
$853,87 $941,37 $1 034,05 $1 363,27 |
$1 059,64 $1 147,14 $1 239,82 $1 569,04 |
Toc - Plan #58 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Expanded Bronze
(EPO) Alliance Bronze Essential 7500 EPO Legacy LHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$253,17 $287,35 $323,56 $452,17 $687,12 |
$413,94 $448,12 $484,33 $612,94 |
$574,71 $608,89 $645,10 $773,71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$506,34 $574,70 $647,12 $904,34 $1 374,24 |
$667,11 $735,47 $807,89 $1 065,11 |
$827,88 $896,24 $968,66 $1 225,88 |
Toc - Plan #59 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Expanded Bronze
(EPO) Alliance Bronze HDHP 5700 EPO Legacy LHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$257,43 $292,18 $328,99 $459,77 $698,66 |
$420,90 $455,65 $492,46 $623,24 |
$584,37 $619,12 $655,93 $786,71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$514,86 $584,36 $657,98 $919,54 $1 397,32 |
$678,33 $747,83 $821,45 $1 083,01 |
$841,80 $911,30 $984,92 $1 246,48 |
Toc - Plan #60 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Expanded Bronze
(EPO) Alliance Bronze Care on Demand 8000 EPO Legacy LHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$240,41 $272,86 $307,24 $429,37 $652,47 |
$393,07 $425,52 $459,90 $582,03 |
$545,73 $578,18 $612,56 $734,69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$480,82 $545,72 $614,48 $858,74 $1 304,94 |
$633,48 $698,38 $767,14 $1 011,40 |
$786,14 $851,04 $919,80 $1 164,06 |
Toc - Plan #61 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Silver
(EPO) Regence Standard Silver Plan EPO Individual and Family Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373,71 $424,16 $477,60 $667,45 $1 014,25 |
$611,02 $661,47 $714,91 $904,76 |
$848,33 $898,78 $952,22 $1 142,07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747,42 $848,32 $955,20 $1 334,90 $2 028,50 |
$984,73 $1 085,63 $1 192,51 $1 572,21 |
$1 222,04 $1 322,94 $1 429,82 $1 809,52 |
Toc - Plan #62 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Expanded Bronze
(EPO) Regence Standard Bronze Plan EPO Individual and Family Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$271,54 $308,19 $347,02 $484,96 $736,95 |
$443,97 $480,62 $519,45 $657,39 |
$616,40 $653,05 $691,88 $829,82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$543,08 $616,38 $694,04 $969,92 $1 473,90 |
$715,51 $788,81 $866,47 $1 142,35 |
$887,94 $961,24 $1 038,90 $1 314,78 |
Toc - Plan #63 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Silver
(EPO) Regence Standard Silver Plan EPO OHSU Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362,51 $411,45 $463,29 $647,45 $983,86 |
$592,70 $641,64 $693,48 $877,64 |
$822,89 $871,83 $923,67 $1 107,83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725,02 $822,90 $926,58 $1 294,90 $1 967,72 |
$955,21 $1 053,09 $1 156,77 $1 525,09 |
$1 185,40 $1 283,28 $1 386,96 $1 755,28 |
Toc - Plan #64 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Expanded Bronze
(EPO) Regence Standard Bronze Plan EPO OHSU Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$263,42 $298,98 $336,65 $470,47 $714,92 |
$430,69 $466,25 $503,92 $637,74 |
$597,96 $633,52 $671,19 $805,01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$526,84 $597,96 $673,30 $940,94 $1 429,84 |
$694,11 $765,23 $840,57 $1 108,21 |
$861,38 $932,50 $1 007,84 $1 275,48 |
Toc - Plan #65 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Gold
(EPO) Regence Standard Gold Plan EPO Individual and Family Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$431,10 $489,30 $550,95 $769,94 $1 170,00 |
$704,85 $763,05 $824,70 $1 043,69 |
$978,60 $1 036,80 $1 098,45 $1 317,44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$862,20 $978,60 $1 101,90 $1 539,88 $2 340,00 |
$1 135,95 $1 252,35 $1 375,65 $1 813,63 |
$1 409,70 $1 526,10 $1 649,40 $2 087,38 |
Toc - Plan #66 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Gold
(EPO) Regence Standard Gold Plan EPO OHSU Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418,16 $474,61 $534,41 $746,84 $1 134,89 |
$683,69 $740,14 $799,94 $1 012,37 |
$949,22 $1 005,67 $1 065,47 $1 277,90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$836,32 $949,22 $1 068,82 $1 493,68 $2 269,78 |
$1 101,85 $1 214,75 $1 334,35 $1 759,21 |
$1 367,38 $1 480,28 $1 599,88 $2 024,74 |
Toc - Plan #67 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Gold
(EPO) Regence Standard Gold Plan EPO Legacy LHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$409,54 $464,83 $523,40 $731,45 $1 111,50 |
$669,60 $724,89 $783,46 $991,51 |
$929,66 $984,95 $1 043,52 $1 251,57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$819,08 $929,66 $1 046,80 $1 462,90 $2 223,00 |
$1 079,14 $1 189,72 $1 306,86 $1 722,96 |
$1 339,20 $1 449,78 $1 566,92 $1 983,02 |
Toc - Plan #68 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Silver
(EPO) Regence Standard Silver Plan EPO Legacy LHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355,01 $402,93 $453,70 $634,04 $963,49 |
$580,44 $628,36 $679,13 $859,47 |
$805,87 $853,79 $904,56 $1 084,90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$710,02 $805,86 $907,40 $1 268,08 $1 926,98 |
$935,45 $1 031,29 $1 132,83 $1 493,51 |
$1 160,88 $1 256,72 $1 358,26 $1 718,94 |
Toc - Plan #69 Regence BlueCross BlueShield of Oregon | ||||||||||||||||||||
Expanded Bronze
(EPO) Regence Standard Bronze Plan EPO Legacy LHP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-675-6570
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 |
$257,99 $292,81 $329,70 $460,76 $700,17 |
$421,81 $456,63 $493,52 $624,58 |
$585,63 $620,45 $657,34 $788,40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$515,98 $585,62 $659,40 $921,52 $1 400,34 |
$679,80 $749,44 $823,22 $1 085,34 |
$843,62 $913,26 $987,04 $1 249,16 |
‡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 Clackamas County here.
Clackamas County is in “Rating Area 1” of Oregon.
Currently, there are 69 plans offered in Rating Area 1.