Obamacare 2021 Rates for Hamilton County
Obamacare > Rates > Texas > Hamilton County
Obamacare > Rates > Texas > Hamilton County
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FirstCare Health PlansLocal: 1-855-572-7238 | Toll Free: 1-855-572-7238 | TTY: 1-800-562-5259 |
Toc - Plan #1 FirstCare Health Plans | ||||||||||||||||||||
Gold
(HMO) FirstCare Elite Gold HMO 001 ($0 Preventive Care and Preventive Rx Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-572-7238
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 |
$499,71 $567,17 $638,62 $892,47 $1 356,20 |
$881,98 $949,44 $1 020,89 $1 274,74 |
$1 264,25 $1 331,71 $1 403,16 $1 657,01 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$999,42 $1 134,34 $1 277,24 $1 784,94 $2 712,40 |
$1 381,69 $1 516,61 $1 659,51 $2 167,21 |
$1 763,96 $1 898,88 $2 041,78 $2 549,48 |
Toc - Plan #2 FirstCare Health Plans | ||||||||||||||||||||
Gold
(HMO) FirstCare Elite Gold HMO 002 ($0 deductible, $0 Preventive Care and Preventive Rx Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-572-7238
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 |
$530,01 $601,56 $677,35 $946,60 $1 438,45 |
$935,47 $1 007,02 $1 082,81 $1 352,06 |
$1 340,93 $1 412,48 $1 488,27 $1 757,52 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1 060,02 $1 203,12 $1 354,70 $1 893,20 $2 876,90 |
$1 465,48 $1 608,58 $1 760,16 $2 298,66 |
$1 870,94 $2 014,04 $2 165,62 $2 704,12 |
Toc - Plan #3 FirstCare Health Plans | ||||||||||||||||||||
Silver
(HMO) FirstCare Prime Silver HMO 003 ($0 Preventive Care and Preventive Rx Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-572-7238
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 |
$485,37 $550,89 $620,30 $866,86 $1 317,28 |
$856,67 $922,19 $991,60 $1 238,16 |
$1 227,97 $1 293,49 $1 362,90 $1 609,46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$970,74 $1 101,78 $1 240,60 $1 733,72 $2 634,56 |
$1 342,04 $1 473,08 $1 611,90 $2 105,02 |
$1 713,34 $1 844,38 $1 983,20 $2 476,32 |
Toc - Plan #4 FirstCare Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) FirstCare Savers Bronze HMO H S A 006 ($0 Preventive Care and Preventive Rx Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-572-7238
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 |
$405,60 $460,35 $518,35 $724,39 $1 100,79 |
$715,88 $770,63 $828,63 $1 034,67 |
$1 026,16 $1 080,91 $1 138,91 $1 344,95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$811,20 $920,70 $1 036,70 $1 448,78 $2 201,58 |
$1 121,48 $1 230,98 $1 346,98 $1 759,06 |
$1 431,76 $1 541,26 $1 657,26 $2 069,34 |
Toc - Plan #5 FirstCare Health Plans | ||||||||||||||||||||
Silver
(HMO) FirstCare Prime Silver HMO 008 ($25 PCP visit, $0 Preventive Care and Preventive Rx Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-572-7238
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 |
$472,77 $536,60 $604,21 $844,37 $1 283,11 |
$834,44 $898,27 $965,88 $1 206,04 |
$1 196,11 $1 259,94 $1 327,55 $1 567,71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$945,54 $1 073,20 $1 208,42 $1 688,74 $2 566,22 |
$1 307,21 $1 434,87 $1 570,09 $2 050,41 |
$1 668,88 $1 796,54 $1 931,76 $2 412,08 |
Toc - Plan #6 FirstCare Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) FirstCare Vital Bronze HMO 009 (No limit on PCP visit copay, $0 Preventive Care and Preventive Rx Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-572-7238
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 |
$402,76 $457,14 $514,73 $719,34 $1 093,10 |
$710,87 $765,25 $822,84 $1 027,45 |
$1 018,98 $1 073,36 $1 130,95 $1 335,56 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$805,52 $914,28 $1 029,46 $1 438,68 $2 186,20 |
$1 113,63 $1 222,39 $1 337,57 $1 746,79 |
$1 421,74 $1 530,50 $1 645,68 $2 054,90 |
Toc - Plan #7 FirstCare Health Plans | ||||||||||||||||||||
Gold
(HMO) FirstCare Elite Gold HMO 011 ($0 deductible, $15 PCP visit, $0 Preventive Care and Preventive Rx Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-572-7238
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 |
$537,72 $610,31 $687,21 $960,37 $1 459,38 |
$949,08 $1 021,67 $1 098,57 $1 371,73 |
$1 360,44 $1 433,03 $1 509,93 $1 783,09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1 075,44 $1 220,62 $1 374,42 $1 920,74 $2 918,76 |
$1 486,80 $1 631,98 $1 785,78 $2 332,10 |
$1 898,16 $2 043,34 $2 197,14 $2 743,46 |
Toc - Plan #8 FirstCare Health Plans | ||||||||||||||||||||
Silver
(HMO) FirstCare Prime Silver HMO 012 ($0 deductible copay only, $0 Preventive Care and Preventive Rx Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-572-7238
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 |
$517,42 $587,27 $661,26 $924,11 $1 404,27 |
$913,25 $983,10 $1 057,09 $1 319,94 |
$1 309,08 $1 378,93 $1 452,92 $1 715,77 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1 034,84 $1 174,54 $1 322,52 $1 848,22 $2 808,54 |
$1 430,67 $1 570,37 $1 718,35 $2 244,05 |
$1 826,50 $1 966,20 $2 114,18 $2 639,88 |
Toc - Plan #9 FirstCare Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) FirstCare Vital Bronze HMO 013 ($20 Generic Rx Drugs, $0 Preventive Care and Preventive Rx Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-572-7238
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 |
$413,79 $469,65 $528,82 $739,03 $1 123,03 |
$730,34 $786,20 $845,37 $1 055,58 |
$1 046,89 $1 102,75 $1 161,92 $1 372,13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$827,58 $939,30 $1 057,64 $1 478,06 $2 246,06 |
$1 144,13 $1 255,85 $1 374,19 $1 794,61 |
$1 460,68 $1 572,40 $1 690,74 $2 111,16 |
ADVERTISEMENT
Ambetter from Superior HealthPlanLocal: 1-877-687-1196 | Toll Free: 1-877-687-1196 | TTY: 1-800-735-2989 |
Toc - Plan #10 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$378,59 $429,69 $483,83 $676,15 $1 027,47 |
$668,21 $719,31 $773,45 $965,77 |
$957,83 $1 008,93 $1 063,07 $1 255,39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$757,18 $859,38 $967,66 $1 352,30 $2 054,94 |
$1 046,80 $1 149,00 $1 257,28 $1 641,92 |
$1 336,42 $1 438,62 $1 546,90 $1 931,54 |
Toc - Plan #11 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$318,74 $361,76 $407,33 $569,25 $865,03 |
$562,57 $605,59 $651,16 $813,08 |
$806,40 $849,42 $894,99 $1 056,91 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$637,48 $723,52 $814,66 $1 138,50 $1 730,06 |
$881,31 $967,35 $1 058,49 $1 382,33 |
$1 125,14 $1 211,18 $1 302,32 $1 626,16 |
Toc - Plan #12 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 10 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$330,36 $374,95 $422,19 $590,01 $896,57 |
$583,08 $627,67 $674,91 $842,73 |
$835,80 $880,39 $927,63 $1 095,45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$660,72 $749,90 $844,38 $1 180,02 $1 793,14 |
$913,44 $1 002,62 $1 097,10 $1 432,74 |
$1 166,16 $1 255,34 $1 349,82 $1 685,46 |
Toc - Plan #13 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$504,09 $572,13 $644,22 $900,29 $1 368,08 |
$889,71 $957,75 $1 029,84 $1 285,91 |
$1 275,33 $1 343,37 $1 415,46 $1 671,53 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1 008,18 $1 144,26 $1 288,44 $1 800,58 $2 736,16 |
$1 393,80 $1 529,88 $1 674,06 $2 186,20 |
$1 779,42 $1 915,50 $2 059,68 $2 571,82 |
Toc - Plan #14 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$344,52 $391,02 $440,28 $615,29 $935,00 |
$608,07 $654,57 $703,83 $878,84 |
$871,62 $918,12 $967,38 $1 142,39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$689,04 $782,04 $880,56 $1 230,58 $1 870,00 |
$952,59 $1 045,59 $1 144,11 $1 494,13 |
$1 216,14 $1 309,14 $1 407,66 $1 757,68 |
Toc - Plan #15 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 5 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$377,57 $428,53 $482,52 $674,32 $1 024,70 |
$666,40 $717,36 $771,35 $963,15 |
$955,23 $1 006,19 $1 060,18 $1 251,98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$755,14 $857,06 $965,04 $1 348,64 $2 049,40 |
$1 043,97 $1 145,89 $1 253,87 $1 637,47 |
$1 332,80 $1 434,72 $1 542,70 $1 926,30 |
Toc - Plan #16 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$370,79 $420,84 $473,86 $662,22 $1 006,31 |
$654,44 $704,49 $757,51 $945,87 |
$938,09 $988,14 $1 041,16 $1 229,52 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$741,58 $841,68 $947,72 $1 324,44 $2 012,62 |
$1 025,23 $1 125,33 $1 231,37 $1 608,09 |
$1 308,88 $1 408,98 $1 515,02 $1 891,74 |
Toc - Plan #17 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 29 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$367,54 $417,14 $469,70 $656,40 $997,47 |
$648,70 $698,30 $750,86 $937,56 |
$929,86 $979,46 $1 032,02 $1 218,72 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$735,08 $834,28 $939,40 $1 312,80 $1 994,94 |
$1 016,24 $1 115,44 $1 220,56 $1 593,96 |
$1 297,40 $1 396,60 $1 501,72 $1 875,12 |
Toc - Plan #18 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 25 HSA (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$382,87 $434,55 $489,30 $683,79 $1 039,08 |
$675,76 $727,44 $782,19 $976,68 |
$968,65 $1 020,33 $1 075,08 $1 269,57 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$765,74 $869,10 $978,60 $1 367,58 $2 078,16 |
$1 058,63 $1 161,99 $1 271,49 $1 660,47 |
$1 351,52 $1 454,88 $1 564,38 $1 953,36 |
Toc - Plan #19 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 27 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$404,68 $459,30 $517,16 $722,73 $1 098,26 |
$714,25 $768,87 $826,73 $1 032,30 |
$1 023,82 $1 078,44 $1 136,30 $1 341,87 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$809,36 $918,60 $1 034,32 $1 445,46 $2 196,52 |
$1 118,93 $1 228,17 $1 343,89 $1 755,03 |
$1 428,50 $1 537,74 $1 653,46 $2 064,60 |
Toc - Plan #20 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 28 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$407,97 $463,03 $521,37 $728,62 $1 107,20 |
$720,06 $775,12 $833,46 $1 040,71 |
$1 032,15 $1 087,21 $1 145,55 $1 352,80 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$815,94 $926,06 $1 042,74 $1 457,24 $2 214,40 |
$1 128,03 $1 238,15 $1 354,83 $1 769,33 |
$1 440,12 $1 550,24 $1 666,92 $2 081,42 |
Toc - Plan #21 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 15 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$514,88 $584,38 $658,01 $919,56 $1 397,36 |
$908,76 $978,26 $1 051,89 $1 313,44 |
$1 302,64 $1 372,14 $1 445,77 $1 707,32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1 029,76 $1 168,76 $1 316,02 $1 839,12 $2 794,72 |
$1 423,64 $1 562,64 $1 709,90 $2 233,00 |
$1 817,52 $1 956,52 $2 103,78 $2 626,88 |
Toc - Plan #22 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 (2021) + Vision |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$509,88 $578,70 $651,61 $910,63 $1 383,79 |
$899,93 $968,75 $1 041,66 $1 300,68 |
$1 289,98 $1 358,80 $1 431,71 $1 690,73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 019,76 $1 157,40 $1 303,22 $1 821,26 $2 767,58 |
$1 409,81 $1 547,45 $1 693,27 $2 211,31 |
$1 799,86 $1 937,50 $2 083,32 $2 601,36 |
Toc - Plan #23 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 (2021) + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$322,40 $365,91 $412,01 $575,78 $874,96 |
$569,03 $612,54 $658,64 $822,41 |
$815,66 $859,17 $905,27 $1 069,04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$644,80 $731,82 $824,02 $1 151,56 $1 749,92 |
$891,43 $978,45 $1 070,65 $1 398,19 |
$1 138,06 $1 225,08 $1 317,28 $1 644,82 |
Toc - Plan #24 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 10 (2021) + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334,15 $379,25 $427,04 $596,78 $906,87 |
$589,77 $634,87 $682,66 $852,40 |
$845,39 $890,49 $938,28 $1 108,02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$668,30 $758,50 $854,08 $1 193,56 $1 813,74 |
$923,92 $1 014,12 $1 109,70 $1 449,18 |
$1 179,54 $1 269,74 $1 365,32 $1 704,80 |
Toc - Plan #25 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 (2021) + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382,94 $434,62 $489,38 $683,91 $1 039,27 |
$675,88 $727,56 $782,32 $976,85 |
$968,82 $1 020,50 $1 075,26 $1 269,79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765,88 $869,24 $978,76 $1 367,82 $2 078,54 |
$1 058,82 $1 162,18 $1 271,70 $1 660,76 |
$1 351,76 $1 455,12 $1 564,64 $1 953,70 |
Toc - Plan #26 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA (2021) + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348,47 $395,51 $445,34 $622,36 $945,73 |
$615,05 $662,09 $711,92 $888,94 |
$881,63 $928,67 $978,50 $1 155,52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$696,94 $791,02 $890,68 $1 244,72 $1 891,46 |
$963,52 $1 057,60 $1 157,26 $1 511,30 |
$1 230,10 $1 324,18 $1 423,84 $1 777,88 |
Toc - Plan #27 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 5 (2021) + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381,90 $433,45 $488,06 $682,06 $1 036,46 |
$674,05 $725,60 $780,21 $974,21 |
$966,20 $1 017,75 $1 072,36 $1 266,36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$763,80 $866,90 $976,12 $1 364,12 $2 072,92 |
$1 055,95 $1 159,05 $1 268,27 $1 656,27 |
$1 348,10 $1 451,20 $1 560,42 $1 948,42 |
Toc - Plan #28 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 (2021) + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375,05 $425,67 $479,30 $669,82 $1 017,86 |
$661,96 $712,58 $766,21 $956,73 |
$948,87 $999,49 $1 053,12 $1 243,64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$750,10 $851,34 $958,60 $1 339,64 $2 035,72 |
$1 037,01 $1 138,25 $1 245,51 $1 626,55 |
$1 323,92 $1 425,16 $1 532,42 $1 913,46 |
Toc - Plan #29 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 25 HSA (2021) + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387,27 $439,54 $494,91 $691,64 $1 051,01 |
$683,52 $735,79 $791,16 $987,89 |
$979,77 $1 032,04 $1 087,41 $1 284,14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$774,54 $879,08 $989,82 $1 383,28 $2 102,02 |
$1 070,79 $1 175,33 $1 286,07 $1 679,53 |
$1 367,04 $1 471,58 $1 582,32 $1 975,78 |
Toc - Plan #30 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 27 (2021) + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$409,32 $464,57 $523,10 $731,03 $1 110,87 |
$722,44 $777,69 $836,22 $1 044,15 |
$1 035,56 $1 090,81 $1 149,34 $1 357,27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$818,64 $929,14 $1 046,20 $1 462,06 $2 221,74 |
$1 131,76 $1 242,26 $1 359,32 $1 775,18 |
$1 444,88 $1 555,38 $1 672,44 $2 088,30 |
Toc - Plan #31 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 28 (2021) + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412,65 $468,35 $527,36 $736,98 $1 119,92 |
$728,32 $784,02 $843,03 $1 052,65 |
$1 043,99 $1 099,69 $1 158,70 $1 368,32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$825,30 $936,70 $1 054,72 $1 473,96 $2 239,84 |
$1 140,97 $1 252,37 $1 370,39 $1 789,63 |
$1 456,64 $1 568,04 $1 686,06 $2 105,30 |
Toc - Plan #32 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 15 (2021) + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$520,79 $591,09 $665,56 $930,12 $1 413,40 |
$919,19 $989,49 $1 063,96 $1 328,52 |
$1 317,59 $1 387,89 $1 462,36 $1 726,92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 041,58 $1 182,18 $1 331,12 $1 860,24 $2 826,80 |
$1 439,98 $1 580,58 $1 729,52 $2 258,64 |
$1 838,38 $1 978,98 $2 127,92 $2 657,04 |
Toc - Plan #33 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$528,16 $599,45 $674,97 $943,27 $1 433,39 |
$932,19 $1 003,48 $1 079,00 $1 347,30 |
$1 336,22 $1 407,51 $1 483,03 $1 751,33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 056,32 $1 198,90 $1 349,94 $1 886,54 $2 866,78 |
$1 460,35 $1 602,93 $1 753,97 $2 290,57 |
$1 864,38 $2 006,96 $2 158,00 $2 694,60 |
Toc - Plan #34 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333,95 $379,03 $426,78 $596,42 $906,32 |
$589,42 $634,50 $682,25 $851,89 |
$844,89 $889,97 $937,72 $1 107,36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$667,90 $758,06 $853,56 $1 192,84 $1 812,64 |
$923,37 $1 013,53 $1 109,03 $1 448,31 |
$1 178,84 $1 269,00 $1 364,50 $1 703,78 |
Toc - Plan #35 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 10 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$346,13 $392,85 $442,34 $618,17 $939,37 |
$610,91 $657,63 $707,12 $882,95 |
$875,69 $922,41 $971,90 $1 147,73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$692,26 $785,70 $884,68 $1 236,34 $1 878,74 |
$957,04 $1 050,48 $1 149,46 $1 501,12 |
$1 221,82 $1 315,26 $1 414,24 $1 765,90 |
Toc - Plan #36 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396,66 $450,20 $506,92 $708,43 $1 076,52 |
$700,10 $753,64 $810,36 $1 011,87 |
$1 003,54 $1 057,08 $1 113,80 $1 315,31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$793,32 $900,40 $1 013,84 $1 416,86 $2 153,04 |
$1 096,76 $1 203,84 $1 317,28 $1 720,30 |
$1 400,20 $1 507,28 $1 620,72 $2 023,74 |
Toc - Plan #37 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360,97 $409,68 $461,30 $644,67 $979,63 |
$637,10 $685,81 $737,43 $920,80 |
$913,23 $961,94 $1 013,56 $1 196,93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721,94 $819,36 $922,60 $1 289,34 $1 959,26 |
$998,07 $1 095,49 $1 198,73 $1 565,47 |
$1 274,20 $1 371,62 $1 474,86 $1 841,60 |
Toc - Plan #38 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 5 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395,59 $448,99 $505,56 $706,51 $1 073,61 |
$698,21 $751,61 $808,18 $1 009,13 |
$1 000,83 $1 054,23 $1 110,80 $1 311,75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$791,18 $897,98 $1 011,12 $1 413,02 $2 147,22 |
$1 093,80 $1 200,60 $1 313,74 $1 715,64 |
$1 396,42 $1 503,22 $1 616,36 $2 018,26 |
Toc - Plan #39 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388,49 $440,93 $496,48 $693,83 $1 054,34 |
$685,68 $738,12 $793,67 $991,02 |
$982,87 $1 035,31 $1 090,86 $1 288,21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$776,98 $881,86 $992,96 $1 387,66 $2 108,68 |
$1 074,17 $1 179,05 $1 290,15 $1 684,85 |
$1 371,36 $1 476,24 $1 587,34 $1 982,04 |
Toc - Plan #40 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 25 HSA (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401,15 $455,29 $512,65 $716,43 $1 088,69 |
$708,02 $762,16 $819,52 $1 023,30 |
$1 014,89 $1 069,03 $1 126,39 $1 330,17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$802,30 $910,58 $1 025,30 $1 432,86 $2 177,38 |
$1 109,17 $1 217,45 $1 332,17 $1 739,73 |
$1 416,04 $1 524,32 $1 639,04 $2 046,60 |
Toc - Plan #41 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 27 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$423,99 $481,22 $541,85 $757,24 $1 150,69 |
$748,34 $805,57 $866,20 $1 081,59 |
$1 072,69 $1 129,92 $1 190,55 $1 405,94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$847,98 $962,44 $1 083,70 $1 514,48 $2 301,38 |
$1 172,33 $1 286,79 $1 408,05 $1 838,83 |
$1 496,68 $1 611,14 $1 732,40 $2 163,18 |
Toc - Plan #42 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 28 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$427,45 $485,14 $546,26 $763,40 $1 160,06 |
$754,44 $812,13 $873,25 $1 090,39 |
$1 081,43 $1 139,12 $1 200,24 $1 417,38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$854,90 $970,28 $1 092,52 $1 526,80 $2 320,12 |
$1 181,89 $1 297,27 $1 419,51 $1 853,79 |
$1 508,88 $1 624,26 $1 746,50 $2 180,78 |
Toc - Plan #43 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 15 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$539,46 $612,28 $689,42 $963,46 $1 464,07 |
$952,14 $1 024,96 $1 102,10 $1 376,14 |
$1 364,82 $1 437,64 $1 514,78 $1 788,82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 078,92 $1 224,56 $1 378,84 $1 926,92 $2 928,14 |
$1 491,60 $1 637,24 $1 791,52 $2 339,60 |
$1 904,28 $2 049,92 $2 204,20 $2 752,28 |
ADVERTISEMENT
Blue Cross and Blue Shield of TexasLocal: 1-888-697-0683 | Toll Free: 1-888-697-0683 | TTY: 1-800-735-2989 |
Toc - Plan #44 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Gold HMO_ 206 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396,26 $449,75 $506,41 $707,71 $1 075,44 |
$699,40 $752,89 $809,55 $1 010,85 |
$1 002,54 $1 056,03 $1 112,69 $1 313,99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792,52 $899,50 $1 012,82 $1 415,42 $2 150,88 |
$1 095,66 $1 202,64 $1 315,96 $1 718,56 |
$1 398,80 $1 505,78 $1 619,10 $2 021,70 |
Toc - Plan #45 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Catastrophic
(HMO) Blue Advantage Security HMO_ 200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$270,03 $306,49 $345,10 $482,28 $732,87 |
$476,61 $513,07 $551,68 $688,86 |
$683,19 $719,65 $758,26 $895,44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$540,06 $612,98 $690,20 $964,56 $1 465,74 |
$746,64 $819,56 $896,78 $1 171,14 |
$953,22 $1 026,14 $1 103,36 $1 377,72 |
Toc - Plan #46 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Silver HMO_ 205 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395,27 $448,63 $505,15 $705,94 $1 072,75 |
$697,65 $751,01 $807,53 $1 008,32 |
$1 000,03 $1 053,39 $1 109,91 $1 310,70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790,54 $897,26 $1 010,30 $1 411,88 $2 145,50 |
$1 092,92 $1 199,64 $1 312,68 $1 714,26 |
$1 395,30 $1 502,02 $1 615,06 $2 016,64 |
Toc - Plan #47 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Bronze HMO_ 204 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$297,45 $337,60 $380,14 $531,24 $807,27 |
$525,00 $565,15 $607,69 $758,79 |
$752,55 $792,70 $835,24 $986,34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$594,90 $675,20 $760,28 $1 062,48 $1 614,54 |
$822,45 $902,75 $987,83 $1 290,03 |
$1 050,00 $1 130,30 $1 215,38 $1 517,58 |
Toc - Plan #48 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Bronze
(HMO) Blue Advantage Bronze HMO_ 301 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294,66 $334,44 $376,58 $526,27 $799,71 |
$520,08 $559,86 $602,00 $751,69 |
$745,50 $785,28 $827,42 $977,11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$589,32 $668,88 $753,16 $1 052,54 $1 599,42 |
$814,74 $894,30 $978,58 $1 277,96 |
$1 040,16 $1 119,72 $1 204,00 $1 503,38 |
Toc - Plan #49 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Plus Gold_ 203 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$438,55 $497,76 $560,47 $783,26 $1 190,24 |
$774,04 $833,25 $895,96 $1 118,75 |
$1 109,53 $1 168,74 $1 231,45 $1 454,24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$877,10 $995,52 $1 120,94 $1 566,52 $2 380,48 |
$1 212,59 $1 331,01 $1 456,43 $1 902,01 |
$1 548,08 $1 666,50 $1 791,92 $2 237,50 |
Toc - Plan #50 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Plus Silver_ 202 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$435,03 $493,76 $555,97 $776,97 $1 180,68 |
$767,83 $826,56 $888,77 $1 109,77 |
$1 100,63 $1 159,36 $1 221,57 $1 442,57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$870,06 $987,52 $1 111,94 $1 553,94 $2 361,36 |
$1 202,86 $1 320,32 $1 444,74 $1 886,74 |
$1 535,66 $1 653,12 $1 777,54 $2 219,54 |
Toc - Plan #51 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Plus Bronze_ 303 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$329,35 $373,82 $420,92 $588,23 $893,87 |
$581,31 $625,78 $672,88 $840,19 |
$833,27 $877,74 $924,84 $1 092,15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$658,70 $747,64 $841,84 $1 176,46 $1 787,74 |
$910,66 $999,60 $1 093,80 $1 428,42 |
$1 162,62 $1 251,56 $1 345,76 $1 680,38 |
Toc - Plan #52 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Bronze
(HMO) Blue Advantage Plus Bronze_ 305 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$307,39 $348,89 $392,84 $549,00 $834,25 |
$542,54 $584,04 $627,99 $784,15 |
$777,69 $819,19 $863,14 $1 019,30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$614,78 $697,78 $785,68 $1 098,00 $1 668,50 |
$849,93 $932,93 $1 020,83 $1 333,15 |
$1 085,08 $1 168,08 $1 255,98 $1 568,30 |
‡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 Hamilton County here.
Hamilton County is in “Rating Area 26” of Texas.
Currently, there are 52 plans offered in Rating Area 26.