Obamacare 2021 Rates for Fairfax County
Obamacare > Rates > Virginia > Fairfax County
Obamacare > Rates > Virginia > Fairfax County
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CareFirst BlueChoiceLocal: 1-855-444-3119 | Toll Free: 1-855-444-3119 | TTY: 1-202-479-3546 |
Toc - Plan #1 CareFirst BlueChoice | ||||||||||||||||||||
Silver
(HMO) BlueChoice HMO HSA Silver 3000 |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-855-444-3119
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 |
$467,88 $531,04 $597,95 $835,63 $1 269,83 |
$825,81 $888,97 $955,88 $1 193,56 |
$1 183,74 $1 246,90 $1 313,81 $1 551,49 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$935,76 $1 062,08 $1 195,90 $1 671,26 $2 539,66 |
$1 293,69 $1 420,01 $1 553,83 $2 029,19 |
$1 651,62 $1 777,94 $1 911,76 $2 387,12 |
Toc - Plan #2 CareFirst BlueChoice | ||||||||||||||||||||
Gold
(HMO) BlueChoice HMO Gold 1750 |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-855-444-3119
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 |
$448,95 $509,56 $573,76 $801,82 $1 218,45 |
$792,40 $853,01 $917,21 $1 145,27 |
$1 135,85 $1 196,46 $1 260,66 $1 488,72 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$897,90 $1 019,12 $1 147,52 $1 603,64 $2 436,90 |
$1 241,35 $1 362,57 $1 490,97 $1 947,09 |
$1 584,80 $1 706,02 $1 834,42 $2 290,54 |
Toc - Plan #3 CareFirst BlueChoice | ||||||||||||||||||||
Catastrophic
(HMO) BlueChoice HMO Young Adult 8550 |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-855-444-3119
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 |
$185,92 $211,02 $237,61 $332,05 $504,59 |
$328,15 $353,25 $379,84 $474,28 |
$470,38 $495,48 $522,07 $616,51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$371,84 $422,04 $475,22 $664,10 $1 009,18 |
$514,07 $564,27 $617,45 $806,33 |
$656,30 $706,50 $759,68 $948,56 |
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UnitedHealthcareLocal: 1-877-265-9199 | Toll Free: | TTY: 1-877-265-9199 |
Toc - Plan #4 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) Value Gold |
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Benefits & Coverage
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Customer Service Phone:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$382,19 $433,78 $488,44 $682,59 $1 037,26 |
$674,56 $726,15 $780,81 $974,96 |
$966,93 $1 018,52 $1 073,18 $1 267,33 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$764,38 $867,56 $976,88 $1 365,18 $2 074,52 |
$1 056,75 $1 159,93 $1 269,25 $1 657,55 |
$1 349,12 $1 452,30 $1 561,62 $1 949,92 |
Toc - Plan #5 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) Balance Silver 3 No Copay PCP Visits |
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Benefits & Coverage
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Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$403,19 $457,62 $515,27 $720,09 $1 094,25 |
$711,63 $766,06 $823,71 $1 028,53 |
$1 020,07 $1 074,50 $1 132,15 $1 336,97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$806,38 $915,24 $1 030,54 $1 440,18 $2 188,50 |
$1 114,82 $1 223,68 $1 338,98 $1 748,62 |
$1 423,26 $1 532,12 $1 647,42 $2 057,06 |
Toc - Plan #6 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) Balance Plus Silver 3 No Copay PCP Visits |
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Benefits & Coverage
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Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$404,65 $459,28 $517,15 $722,71 $1 098,23 |
$714,21 $768,84 $826,71 $1 032,27 |
$1 023,77 $1 078,40 $1 136,27 $1 341,83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$809,30 $918,56 $1 034,30 $1 445,42 $2 196,46 |
$1 118,86 $1 228,12 $1 343,86 $1 754,98 |
$1 428,42 $1 537,68 $1 653,42 $2 064,54 |
Toc - Plan #7 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) Value Silver |
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Benefits & Coverage
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$406,33 $461,18 $519,28 $725,70 $1 102,77 |
$717,17 $772,02 $830,12 $1 036,54 |
$1 028,01 $1 082,86 $1 140,96 $1 347,38 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$812,66 $922,36 $1 038,56 $1 451,40 $2 205,54 |
$1 123,50 $1 233,20 $1 349,40 $1 762,24 |
$1 434,34 $1 544,04 $1 660,24 $2 073,08 |
Toc - Plan #8 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Balance Bronze 3 No Copay Telehealth Visits |
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Benefits & Coverage
Plan Brochure
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Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$305,34 $346,56 $390,23 $545,34 $828,70 |
$538,93 $580,15 $623,82 $778,93 |
$772,52 $813,74 $857,41 $1 012,52 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$610,68 $693,12 $780,46 $1 090,68 $1 657,40 |
$844,27 $926,71 $1 014,05 $1 324,27 |
$1 077,86 $1 160,30 $1 247,64 $1 557,86 |
Toc - Plan #9 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Balance Bronze 3 No Copay PCP Visits |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$302,49 $343,33 $386,59 $540,25 $820,96 |
$533,90 $574,74 $618,00 $771,66 |
$765,31 $806,15 $849,41 $1 003,07 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$604,98 $686,66 $773,18 $1 080,50 $1 641,92 |
$836,39 $918,07 $1 004,59 $1 311,91 |
$1 067,80 $1 149,48 $1 236,00 $1 543,32 |
Toc - Plan #10 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Value Bronze |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$306,50 $347,88 $391,71 $547,41 $831,84 |
$540,97 $582,35 $626,18 $781,88 |
$775,44 $816,82 $860,65 $1 016,35 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$613,00 $695,76 $783,42 $1 094,82 $1 663,68 |
$847,47 $930,23 $1 017,89 $1 329,29 |
$1 081,94 $1 164,70 $1 252,36 $1 563,76 |
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CareFirst BlueCross BlueShieldLocal: 1-855-444-3119 | Toll Free: 1-855-444-3119 | TTY: 1-202-479-3546 |
Toc - Plan #11 CareFirst BlueCross BlueShield | ||||||||||||||||||||
Gold
(PPO) BluePreferred PPO Gold 1750 |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-855-444-3119
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 |
$1 055,82 $1 198,36 $1 349,34 $1 885,69 $2 865,50 |
$1 863,52 $2 006,06 $2 157,04 $2 693,39 |
$2 671,22 $2 813,76 $2 964,74 $3 501,09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$2 111,64 $2 396,72 $2 698,68 $3 771,38 $5 731,00 |
$2 919,34 $3 204,42 $3 506,38 $4 579,08 |
$3 727,04 $4 012,12 $4 314,08 $5 386,78 |
Toc - Plan #12 CareFirst BlueCross BlueShield | ||||||||||||||||||||
Silver
(PPO) BluePreferred PPO HSA Silver 3000 |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-855-444-3119
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 |
$1 070,02 $1 214,47 $1 367,49 $1 911,06 $2 904,03 |
$1 888,59 $2 033,04 $2 186,06 $2 729,63 |
$2 707,16 $2 851,61 $3 004,63 $3 548,20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$2 140,04 $2 428,94 $2 734,98 $3 822,12 $5 808,06 |
$2 958,61 $3 247,51 $3 553,55 $4 640,69 |
$3 777,18 $4 066,08 $4 372,12 $5 459,26 |
ADVERTISEMENT
Cigna Health and Life Insurance CompanyLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #13 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Bronze
(EPO) Cigna Connect 7000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
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 |
$277,06 $314,46 $354,08 $494,83 $751,94 |
$489,01 $526,41 $566,03 $706,78 |
$700,96 $738,36 $777,98 $918,73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$554,12 $628,92 $708,16 $989,66 $1 503,88 |
$766,07 $840,87 $920,11 $1 201,61 |
$978,02 $1 052,82 $1 132,06 $1 413,56 |
Toc - Plan #14 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 6750 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
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 |
$289,18 $328,22 $369,58 $516,48 $784,84 |
$510,41 $549,45 $590,81 $737,71 |
$731,64 $770,68 $812,04 $958,94 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$578,36 $656,44 $739,16 $1 032,96 $1 569,68 |
$799,59 $877,67 $960,39 $1 254,19 |
$1 020,82 $1 098,90 $1 181,62 $1 475,42 |
Toc - Plan #15 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4500 +Acupuncture |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
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 |
$372,13 $422,37 $475,59 $664,63 $1 009,97 |
$656,81 $707,05 $760,27 $949,31 |
$941,49 $991,73 $1 044,95 $1 233,99 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$744,26 $844,74 $951,18 $1 329,26 $2 019,94 |
$1 028,94 $1 129,42 $1 235,86 $1 613,94 |
$1 313,62 $1 414,10 $1 520,54 $1 898,62 |
Toc - Plan #16 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 1500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
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 |
$352,59 $400,19 $450,61 $629,72 $956,92 |
$622,32 $669,92 $720,34 $899,45 |
$892,05 $939,65 $990,07 $1 169,18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$705,18 $800,38 $901,22 $1 259,44 $1 913,84 |
$974,91 $1 070,11 $1 170,95 $1 529,17 |
$1 244,64 $1 339,84 $1 440,68 $1 798,90 |
Toc - Plan #17 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 6500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
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 |
$368,05 $417,73 $470,37 $657,33 $998,88 |
$649,61 $699,29 $751,93 $938,89 |
$931,17 $980,85 $1 033,49 $1 220,45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$736,10 $835,46 $940,74 $1 314,66 $1 997,76 |
$1 017,66 $1 117,02 $1 222,30 $1 596,22 |
$1 299,22 $1 398,58 $1 503,86 $1 877,78 |
Toc - Plan #18 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 5500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
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 |
$289,39 $328,46 $369,85 $516,86 $785,42 |
$510,78 $549,85 $591,24 $738,25 |
$732,17 $771,24 $812,63 $959,64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$578,78 $656,92 $739,70 $1 033,72 $1 570,84 |
$800,17 $878,31 $961,09 $1 255,11 |
$1 021,56 $1 099,70 $1 182,48 $1 476,50 |
Toc - Plan #19 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
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 |
$371,34 $421,47 $474,58 $663,22 $1 007,82 |
$655,42 $705,55 $758,66 $947,30 |
$939,50 $989,63 $1 042,74 $1 231,38 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$742,68 $842,94 $949,16 $1 326,44 $2 015,64 |
$1 026,76 $1 127,02 $1 233,24 $1 610,52 |
$1 310,84 $1 411,10 $1 517,32 $1 894,60 |
Toc - Plan #20 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3500 Diabetes Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
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 |
$372,44 $422,72 $475,98 $665,18 $1 010,80 |
$657,36 $707,64 $760,90 $950,10 |
$942,28 $992,56 $1 045,82 $1 235,02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$744,88 $845,44 $951,96 $1 330,36 $2 021,60 |
$1 029,80 $1 130,36 $1 236,88 $1 615,28 |
$1 314,72 $1 415,28 $1 521,80 $1 900,20 |
Toc - Plan #21 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 2000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
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 |
$356,05 $404,12 $455,03 $635,91 $966,32 |
$628,43 $676,50 $727,41 $908,29 |
$900,81 $948,88 $999,79 $1 180,67 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$712,10 $808,24 $910,06 $1 271,82 $1 932,64 |
$984,48 $1 080,62 $1 182,44 $1 544,20 |
$1 256,86 $1 353,00 $1 454,82 $1 816,58 |
ADVERTISEMENT
Anthem HealthKeepersLocal: 1-855-748-1810 | Toll Free: 1-855-748-1810 |
Toc - Plan #22 Anthem HealthKeepers | ||||||||||||||||||||
Catastrophic
(HMO) Anthem HealthKeepers Catastrophic X 8550 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
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 |
$224,13 $254,39 $286,44 $400,30 $608,29 |
$395,59 $425,85 $457,90 $571,76 |
$567,05 $597,31 $629,36 $743,22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$448,26 $508,78 $572,88 $800,60 $1 216,58 |
$619,72 $680,24 $744,34 $972,06 |
$791,18 $851,70 $915,80 $1 143,52 |
Toc - Plan #23 Anthem HealthKeepers | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem HealthKeepers Bronze X 5500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$293,50 $333,12 $375,09 $524,19 $796,56 |
$518,03 $557,65 $599,62 $748,72 |
$742,56 $782,18 $824,15 $973,25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$587,00 $666,24 $750,18 $1 048,38 $1 593,12 |
$811,53 $890,77 $974,71 $1 272,91 |
$1 036,06 $1 115,30 $1 199,24 $1 497,44 |
Toc - Plan #24 Anthem HealthKeepers | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem HealthKeepers Bronze X 5900 for HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$298,31 $338,58 $381,24 $532,78 $809,61 |
$526,52 $566,79 $609,45 $760,99 |
$754,73 $795,00 $837,66 $989,20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$596,62 $677,16 $762,48 $1 065,56 $1 619,22 |
$824,83 $905,37 $990,69 $1 293,77 |
$1 053,04 $1 133,58 $1 218,90 $1 521,98 |
Toc - Plan #25 Anthem HealthKeepers | ||||||||||||||||||||
Bronze
(HMO) Anthem HealthKeepers Bronze X 8200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$281,87 $319,92 $360,23 $503,42 $765,00 |
$497,50 $535,55 $575,86 $719,05 |
$713,13 $751,18 $791,49 $934,68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$563,74 $639,84 $720,46 $1 006,84 $1 530,00 |
$779,37 $855,47 $936,09 $1 222,47 |
$995,00 $1 071,10 $1 151,72 $1 438,10 |
Toc - Plan #26 Anthem HealthKeepers | ||||||||||||||||||||
Gold
(HMO) Anthem HealthKeepers Gold X 2000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371,67 $421,85 $474,99 $663,80 $1 008,71 |
$656,00 $706,18 $759,32 $948,13 |
$940,33 $990,51 $1 043,65 $1 232,46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$743,34 $843,70 $949,98 $1 327,60 $2 017,42 |
$1 027,67 $1 128,03 $1 234,31 $1 611,93 |
$1 312,00 $1 412,36 $1 518,64 $1 896,26 |
Toc - Plan #27 Anthem HealthKeepers | ||||||||||||||||||||
Silver
(HMO) Anthem HealthKeepers Silver X 2200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395,10 $448,44 $504,94 $705,65 $1 072,30 |
$697,35 $750,69 $807,19 $1 007,90 |
$999,60 $1 052,94 $1 109,44 $1 310,15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790,20 $896,88 $1 009,88 $1 411,30 $2 144,60 |
$1 092,45 $1 199,13 $1 312,13 $1 713,55 |
$1 394,70 $1 501,38 $1 614,38 $2 015,80 |
Toc - Plan #28 Anthem HealthKeepers | ||||||||||||||||||||
Silver
(HMO) Anthem HealthKeepers Silver X 6250 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368,45 $418,19 $470,88 $658,05 $999,97 |
$650,31 $700,05 $752,74 $939,91 |
$932,17 $981,91 $1 034,60 $1 221,77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736,90 $836,38 $941,76 $1 316,10 $1 999,94 |
$1 018,76 $1 118,24 $1 223,62 $1 597,96 |
$1 300,62 $1 400,10 $1 505,48 $1 879,82 |
Toc - Plan #29 Anthem HealthKeepers | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem HealthKeepers Bronze X 5800 Online Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302,27 $343,08 $386,30 $539,85 $820,36 |
$533,51 $574,32 $617,54 $771,09 |
$764,75 $805,56 $848,78 $1 002,33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$604,54 $686,16 $772,60 $1 079,70 $1 640,72 |
$835,78 $917,40 $1 003,84 $1 310,94 |
$1 067,02 $1 148,64 $1 235,08 $1 542,18 |
Toc - Plan #30 Anthem HealthKeepers | ||||||||||||||||||||
Silver
(HMO) Anthem HealthKeepers Silver X 5300 Online Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374,02 $424,51 $478,00 $668,00 $1 015,09 |
$660,15 $710,64 $764,13 $954,13 |
$946,28 $996,77 $1 050,26 $1 240,26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$748,04 $849,02 $956,00 $1 336,00 $2 030,18 |
$1 034,17 $1 135,15 $1 242,13 $1 622,13 |
$1 320,30 $1 421,28 $1 528,26 $1 908,26 |
ADVERTISEMENT
Kaiser PermanenteLocal: 1-800-807-1140 | Toll Free: 1-800-807-1140 | TTY: 1-703-359-7616 |
Toc - Plan #31 Kaiser Permanente | ||||||||||||||||||||
Gold
(HMO) KP VA Gold 0/20/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413,56 $469,40 $528,54 $738,63 $1 122,41 |
$729,94 $785,78 $844,92 $1 055,01 |
$1 046,32 $1 102,16 $1 161,30 $1 371,39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$827,12 $938,80 $1 057,08 $1 477,26 $2 244,82 |
$1 143,50 $1 255,18 $1 373,46 $1 793,64 |
$1 459,88 $1 571,56 $1 689,84 $2 110,02 |
Toc - Plan #32 Kaiser Permanente | ||||||||||||||||||||
Silver
(HMO) KP VA Silver 2500/35/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$432,90 $491,34 $553,25 $773,16 $1 174,90 |
$764,07 $822,51 $884,42 $1 104,33 |
$1 095,24 $1 153,68 $1 215,59 $1 435,50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$865,80 $982,68 $1 106,50 $1 546,32 $2 349,80 |
$1 196,97 $1 313,85 $1 437,67 $1 877,49 |
$1 528,14 $1 645,02 $1 768,84 $2 208,66 |
Toc - Plan #33 Kaiser Permanente | ||||||||||||||||||||
Expanded Bronze
(HMO) KP VA Bronze 6000/55/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326,92 $371,06 $417,81 $583,89 $887,27 |
$577,02 $621,16 $667,91 $833,99 |
$827,12 $871,26 $918,01 $1 084,09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$653,84 $742,12 $835,62 $1 167,78 $1 774,54 |
$903,94 $992,22 $1 085,72 $1 417,88 |
$1 154,04 $1 242,32 $1 335,82 $1 667,98 |
Toc - Plan #34 Kaiser Permanente | ||||||||||||||||||||
Catastrophic
(HMO) KP VA Catastrophic 8550/0/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$227,15 $257,82 $290,30 $405,69 $616,49 |
$400,92 $431,59 $464,07 $579,46 |
$574,69 $605,36 $637,84 $753,23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$454,30 $515,64 $580,60 $811,38 $1 232,98 |
$628,07 $689,41 $754,37 $985,15 |
$801,84 $863,18 $928,14 $1 158,92 |
Toc - Plan #35 Kaiser Permanente | ||||||||||||||||||||
Platinum
(HMO) KP VA Platinum 0/15/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$477,88 $542,39 $610,73 $853,49 $1 296,97 |
$843,46 $907,97 $976,31 $1 219,07 |
$1 209,04 $1 273,55 $1 341,89 $1 584,65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$955,76 $1 084,78 $1 221,46 $1 706,98 $2 593,94 |
$1 321,34 $1 450,36 $1 587,04 $2 072,56 |
$1 686,92 $1 815,94 $1 952,62 $2 438,14 |
Toc - Plan #36 Kaiser Permanente | ||||||||||||||||||||
Silver
(HMO) KP VA Silver 5000/40/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$419,82 $476,49 $536,53 $749,79 $1 139,38 |
$740,98 $797,65 $857,69 $1 070,95 |
$1 062,14 $1 118,81 $1 178,85 $1 392,11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$839,64 $952,98 $1 073,06 $1 499,58 $2 278,76 |
$1 160,80 $1 274,14 $1 394,22 $1 820,74 |
$1 481,96 $1 595,30 $1 715,38 $2 141,90 |
Toc - Plan #37 Kaiser Permanente | ||||||||||||||||||||
Gold
(HMO) KP VA Gold 1250/20/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$405,32 $460,04 $518,00 $723,91 $1 100,05 |
$715,39 $770,11 $828,07 $1 033,98 |
$1 025,46 $1 080,18 $1 138,14 $1 344,05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$810,64 $920,08 $1 036,00 $1 447,82 $2 200,10 |
$1 120,71 $1 230,15 $1 346,07 $1 757,89 |
$1 430,78 $1 540,22 $1 656,14 $2 067,96 |
Toc - Plan #38 Kaiser Permanente | ||||||||||||||||||||
Gold
(HMO) KP VA Gold 1700/25/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396,40 $449,91 $506,60 $707,97 $1 075,83 |
$699,65 $753,16 $809,85 $1 011,22 |
$1 002,90 $1 056,41 $1 113,10 $1 314,47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792,80 $899,82 $1 013,20 $1 415,94 $2 151,66 |
$1 096,05 $1 203,07 $1 316,45 $1 719,19 |
$1 399,30 $1 506,32 $1 619,70 $2 022,44 |
Toc - Plan #39 Kaiser Permanente | ||||||||||||||||||||
Silver
(HMO) KP VA Silver 6500/40/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413,00 $468,76 $527,82 $737,63 $1 120,89 |
$728,95 $784,71 $843,77 $1 053,58 |
$1 044,90 $1 100,66 $1 159,72 $1 369,53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$826,00 $937,52 $1 055,64 $1 475,26 $2 241,78 |
$1 141,95 $1 253,47 $1 371,59 $1 791,21 |
$1 457,90 $1 569,42 $1 687,54 $2 107,16 |
Toc - Plan #40 Kaiser Permanente | ||||||||||||||||||||
Bronze
(HMO) KP VA Bronze 7500/40%/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312,23 $354,38 $399,03 $557,65 $847,40 |
$551,09 $593,24 $637,89 $796,51 |
$789,95 $832,10 $876,75 $1 035,37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$624,46 $708,76 $798,06 $1 115,30 $1 694,80 |
$863,32 $947,62 $1 036,92 $1 354,16 |
$1 102,18 $1 186,48 $1 275,78 $1 593,02 |
Toc - Plan #41 Kaiser Permanente | ||||||||||||||||||||
Expanded Bronze
(HMO) KP VA Bronze 6900/0%/HSA/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$329,17 $373,61 $420,68 $587,90 $893,37 |
$580,99 $625,43 $672,50 $839,72 |
$832,81 $877,25 $924,32 $1 091,54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$658,34 $747,22 $841,36 $1 175,80 $1 786,74 |
$910,16 $999,04 $1 093,18 $1 427,62 |
$1 161,98 $1 250,86 $1 345,00 $1 679,44 |
‡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 Fairfax County here.
Fairfax County is in “Rating Area 10” of Virginia.
Currently, there are 41 plans offered in Rating Area 10.