Mississippi Obamacare 2021 Rates

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Molina Healthcare

Local: 1-866-472-9484 | Toll Free: 1-866-472-9484 | TTY: 1-800-659-8331

Toc - Plan #1 Molina Healthcare
Gold

(HMO) Confident Care Gold 1

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$2,925 $5,850 Annual Deductible
$6,500 $13,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$421,83
$478,77
$539,09
$753,38
$1 144,83
$689,69
$746,63
$806,95
$1 021,24
$957,55
$1 014,49
$1 074,81
$1 289,10
$1 225,41
$1 282,35
$1 342,67
$1 556,96
$267,86
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$843,66
$957,54
$1 078,18
$1 506,76
$2 289,66
$1 111,52
$1 225,40
$1 346,04
$1 774,62
$1 379,38
$1 493,26
$1 613,90
$2 042,48
$1 647,24
$1 761,12
$1 881,76
$2 310,34
$267,86
Toc - Plan #2 Molina Healthcare
Silver

(HMO) Constant Care Silver 1

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$364,45
$413,66
$465,77
$650,92
$989,13
$595,88
$645,09
$697,20
$882,35
$827,31
$876,52
$928,63
$1 113,78
$1 058,74
$1 107,95
$1 160,06
$1 345,21
$231,43
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$728,90
$827,32
$931,54
$1 301,84
$1 978,26
$960,33
$1 058,75
$1 162,97
$1 533,27
$1 191,76
$1 290,18
$1 394,40
$1 764,70
$1 423,19
$1 521,61
$1 625,83
$1 996,13
$231,43
Toc - Plan #3 Molina Healthcare
Bronze

(HMO) Core Care Bronze 1

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$6,100 $12,200 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$320,18
$363,40
$409,18
$571,83
$868,96
$523,49
$566,71
$612,49
$775,14
$726,80
$770,02
$815,80
$978,45
$930,11
$973,33
$1 019,11
$1 181,76
$203,31
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$640,36
$726,80
$818,36
$1 143,66
$1 737,92
$843,67
$930,11
$1 021,67
$1 346,97
$1 046,98
$1 133,42
$1 224,98
$1 550,28
$1 250,29
$1 336,73
$1 428,29
$1 753,59
$203,31
Toc - Plan #4 Molina Healthcare
Silver

(HMO) Constant Care Silver 4

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$7,450 $14,900 Annual Deductible
$7,450 $14,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$359,89
$408,47
$459,93
$642,76
$976,73
$588,42
$637,00
$688,46
$871,29
$816,95
$865,53
$916,99
$1 099,82
$1 045,48
$1 094,06
$1 145,52
$1 328,35
$228,53
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$719,78
$816,94
$919,86
$1 285,52
$1 953,46
$948,31
$1 045,47
$1 148,39
$1 514,05
$1 176,84
$1 274,00
$1 376,92
$1 742,58
$1 405,37
$1 502,53
$1 605,45
$1 971,11
$228,53
Toc - Plan #5 Molina Healthcare
Expanded Bronze

(HMO) Core Care Bronze 4

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$335,14
$380,39
$428,31
$598,57
$909,58
$547,96
$593,21
$641,13
$811,39
$760,78
$806,03
$853,95
$1 024,21
$973,60
$1 018,85
$1 066,77
$1 237,03
$212,82
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$670,28
$760,78
$856,62
$1 197,14
$1 819,16
$883,10
$973,60
$1 069,44
$1 409,96
$1 095,92
$1 186,42
$1 282,26
$1 622,78
$1 308,74
$1 399,24
$1 495,08
$1 835,60
$212,82
Toc - Plan #6 Molina Healthcare
Expanded Bronze

(HMO) Core Care Bronze 5

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$325,99
$370,00
$416,62
$582,23
$884,75
$533,00
$577,01
$623,63
$789,24
$740,01
$784,02
$830,64
$996,25
$947,02
$991,03
$1 037,65
$1 203,26
$207,01
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$651,98
$740,00
$833,24
$1 164,46
$1 769,50
$858,99
$947,01
$1 040,25
$1 371,47
$1 066,00
$1 154,02
$1 247,26
$1 578,48
$1 273,01
$1 361,03
$1 454,27
$1 785,49
$207,01
Toc - Plan #7 Molina Healthcare
Gold

(HMO) Confident Care Gold 1 + Vision

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$2,925 $5,850 Annual Deductible
$6,500 $13,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$425,29
$482,70
$543,51
$759,56
$1 154,22
$695,35
$752,76
$813,57
$1 029,62
$965,41
$1 022,82
$1 083,63
$1 299,68
$1 235,47
$1 292,88
$1 353,69
$1 569,74
$270,06
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$850,58
$965,40
$1 087,02
$1 519,12
$2 308,44
$1 120,64
$1 235,46
$1 357,08
$1 789,18
$1 390,70
$1 505,52
$1 627,14
$2 059,24
$1 660,76
$1 775,58
$1 897,20
$2 329,30
$270,06
Toc - Plan #8 Molina Healthcare
Silver

(HMO) Constant Care Silver 1 + Vision

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$367,91
$417,58
$470,19
$657,09
$998,52
$601,54
$651,21
$703,82
$890,72
$835,17
$884,84
$937,45
$1 124,35
$1 068,80
$1 118,47
$1 171,08
$1 357,98
$233,63
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$735,82
$835,16
$940,38
$1 314,18
$1 997,04
$969,45
$1 068,79
$1 174,01
$1 547,81
$1 203,08
$1 302,42
$1 407,64
$1 781,44
$1 436,71
$1 536,05
$1 641,27
$2 015,07
$233,63
Toc - Plan #9 Molina Healthcare
Bronze

(HMO) Core Care Bronze 1 + Vision

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$6,100 $12,200 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$323,64
$367,33
$413,61
$578,01
$878,35
$529,15
$572,84
$619,12
$783,52
$734,66
$778,35
$824,63
$989,03
$940,17
$983,86
$1 030,14
$1 194,54
$205,51
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$647,28
$734,66
$827,22
$1 156,02
$1 756,70
$852,79
$940,17
$1 032,73
$1 361,53
$1 058,30
$1 145,68
$1 238,24
$1 567,04
$1 263,81
$1 351,19
$1 443,75
$1 772,55
$205,51
Toc - Plan #10 Molina Healthcare
Silver

(HMO) Constant Care Silver 2

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$5,200 $10,400 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$359,23
$407,73
$459,10
$641,59
$974,96
$587,34
$635,84
$687,21
$869,70
$815,45
$863,95
$915,32
$1 097,81
$1 043,56
$1 092,06
$1 143,43
$1 325,92
$228,11
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$718,46
$815,46
$918,20
$1 283,18
$1 949,92
$946,57
$1 043,57
$1 146,31
$1 511,29
$1 174,68
$1 271,68
$1 374,42
$1 739,40
$1 402,79
$1 499,79
$1 602,53
$1 967,51
$228,11
Toc - Plan #11 Molina Healthcare
Bronze

(HMO) Core Care Bronze 2

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$8,000 $16,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$317,39
$360,24
$405,63
$566,86
$861,40
$518,93
$561,78
$607,17
$768,40
$720,47
$763,32
$808,71
$969,94
$922,01
$964,86
$1 010,25
$1 171,48
$201,54
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$634,78
$720,48
$811,26
$1 133,72
$1 722,80
$836,32
$922,02
$1 012,80
$1 335,26
$1 037,86
$1 123,56
$1 214,34
$1 536,80
$1 239,40
$1 325,10
$1 415,88
$1 738,34
$201,54

ADVERTISEMENT

Ambetter from Magnolia Health

Local: 1-877-687-1187 | Toll Free: 1-877-687-1187 | TTY: 1-877-941-9235

Toc - Plan #12 Ambetter from Magnolia Health
Silver

(HMO) Ambetter Balanced Care 11 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$372,74
$423,05
$476,35
$665,69
$1 011,59
$609,42
$659,73
$713,03
$902,37
$846,10
$896,41
$949,71
$1 139,05
$1 082,78
$1 133,09
$1 186,39
$1 375,73
$236,68
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$745,48
$846,10
$952,70
$1 331,38
$2 023,18
$982,16
$1 082,78
$1 189,38
$1 568,06
$1 218,84
$1 319,46
$1 426,06
$1 804,74
$1 455,52
$1 556,14
$1 662,74
$2 041,42
$236,68
Toc - Plan #13 Ambetter from Magnolia Health
Expanded Bronze

(HMO) Ambetter Essential Care 2 HSA (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$344,04
$390,47
$439,67
$614,44
$933,69
$562,50
$608,93
$658,13
$832,90
$780,96
$827,39
$876,59
$1 051,36
$999,42
$1 045,85
$1 095,05
$1 269,82
$218,46
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$688,08
$780,94
$879,34
$1 228,88
$1 867,38
$906,54
$999,40
$1 097,80
$1 447,34
$1 125,00
$1 217,86
$1 316,26
$1 665,80
$1 343,46
$1 436,32
$1 534,72
$1 884,26
$218,46
Toc - Plan #14 Ambetter from Magnolia Health
Silver

(HMO) Ambetter Balanced Care 14 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$408,19
$463,28
$521,65
$729,00
$1 107,79
$667,38
$722,47
$780,84
$988,19
$926,57
$981,66
$1 040,03
$1 247,38
$1 185,76
$1 240,85
$1 299,22
$1 506,57
$259,19
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$816,38
$926,56
$1 043,30
$1 458,00
$2 215,58
$1 075,57
$1 185,75
$1 302,49
$1 717,19
$1 334,76
$1 444,94
$1 561,68
$1 976,38
$1 593,95
$1 704,13
$1 820,87
$2 235,57
$259,19
Toc - Plan #15 Ambetter from Magnolia Health
Expanded Bronze

(HMO) Ambetter Essential Care 5 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$8,100 $16,200 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$341,77
$387,89
$436,76
$610,37
$927,52
$558,78
$604,90
$653,77
$827,38
$775,79
$821,91
$870,78
$1 044,39
$992,80
$1 038,92
$1 087,79
$1 261,40
$217,01
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$683,54
$775,78
$873,52
$1 220,74
$1 855,04
$900,55
$992,79
$1 090,53
$1 437,75
$1 117,56
$1 209,80
$1 307,54
$1 654,76
$1 334,57
$1 426,81
$1 524,55
$1 871,77
$217,01
Toc - Plan #16 Ambetter from Magnolia Health
Gold

(HMO) Ambetter Secure Care 5 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$1,450 $2,900 Annual Deductible
$6,300 $12,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$493,54
$560,16
$630,73
$881,45
$1 339,44
$806,93
$873,55
$944,12
$1 194,84
$1 120,32
$1 186,94
$1 257,51
$1 508,23
$1 433,71
$1 500,33
$1 570,90
$1 821,62
$313,39
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$987,08
$1 120,32
$1 261,46
$1 762,90
$2 678,88
$1 300,47
$1 433,71
$1 574,85
$2 076,29
$1 613,86
$1 747,10
$1 888,24
$2 389,68
$1 927,25
$2 060,49
$2 201,63
$2 703,07
$313,39
Toc - Plan #17 Ambetter from Magnolia Health
Silver

(HMO) Ambetter Balanced Care 12 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$6,500 $13,000 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$365,69
$415,05
$467,34
$653,11
$992,47
$597,90
$647,26
$699,55
$885,32
$830,11
$879,47
$931,76
$1 117,53
$1 062,32
$1 111,68
$1 163,97
$1 349,74
$232,21
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$731,38
$830,10
$934,68
$1 306,22
$1 984,94
$963,59
$1 062,31
$1 166,89
$1 538,43
$1 195,80
$1 294,52
$1 399,10
$1 770,64
$1 428,01
$1 526,73
$1 631,31
$2 002,85
$232,21
Toc - Plan #18 Ambetter from Magnolia Health
Expanded Bronze

(HMO) Ambetter Essential Care 5 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$8,100 $16,200 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$355,63
$403,63
$454,49
$635,14
$965,16
$581,45
$629,45
$680,31
$860,96
$807,27
$855,27
$906,13
$1 086,78
$1 033,09
$1 081,09
$1 131,95
$1 312,60
$225,82
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$711,26
$807,26
$908,98
$1 270,28
$1 930,32
$937,08
$1 033,08
$1 134,80
$1 496,10
$1 162,90
$1 258,90
$1 360,62
$1 721,92
$1 388,72
$1 484,72
$1 586,44
$1 947,74
$225,82
Toc - Plan #19 Ambetter from Magnolia Health
Expanded Bronze

(HMO) Ambetter Essential Care 2 HSA (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$358,00
$406,32
$457,51
$639,37
$971,58
$585,32
$633,64
$684,83
$866,69
$812,64
$860,96
$912,15
$1 094,01
$1 039,96
$1 088,28
$1 139,47
$1 321,33
$227,32
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$716,00
$812,64
$915,02
$1 278,74
$1 943,16
$943,32
$1 039,96
$1 142,34
$1 506,06
$1 170,64
$1 267,28
$1 369,66
$1 733,38
$1 397,96
$1 494,60
$1 596,98
$1 960,70
$227,32
Toc - Plan #20 Ambetter from Magnolia Health
Silver

(HMO) Ambetter Balanced Care 14 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$424,75
$482,08
$542,82
$758,58
$1 152,74
$694,46
$751,79
$812,53
$1 028,29
$964,17
$1 021,50
$1 082,24
$1 298,00
$1 233,88
$1 291,21
$1 351,95
$1 567,71
$269,71
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$849,50
$964,16
$1 085,64
$1 517,16
$2 305,48
$1 119,21
$1 233,87
$1 355,35
$1 786,87
$1 388,92
$1 503,58
$1 625,06
$2 056,58
$1 658,63
$1 773,29
$1 894,77
$2 326,29
$269,71
Toc - Plan #21 Ambetter from Magnolia Health
Gold

(HMO) Ambetter Secure Care 5 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$1,450 $2,900 Annual Deductible
$6,300 $12,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$513,57
$582,89
$656,32
$917,21
$1 393,79
$839,68
$909,00
$982,43
$1 243,32
$1 165,79
$1 235,11
$1 308,54
$1 569,43
$1 491,90
$1 561,22
$1 634,65
$1 895,54
$326,11
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1 027,14
$1 165,78
$1 312,64
$1 834,42
$2 787,58
$1 353,25
$1 491,89
$1 638,75
$2 160,53
$1 679,36
$1 818,00
$1 964,86
$2 486,64
$2 005,47
$2 144,11
$2 290,97
$2 812,75
$326,11
Toc - Plan #22 Ambetter from Magnolia Health
Silver

(HMO) Ambetter Balanced Care 11 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$387,86
$440,21
$495,68
$692,71
$1 052,63
$634,15
$686,50
$741,97
$939,00
$880,44
$932,79
$988,26
$1 185,29
$1 126,73
$1 179,08
$1 234,55
$1 431,58
$246,29
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$775,72
$880,42
$991,36
$1 385,42
$2 105,26
$1 022,01
$1 126,71
$1 237,65
$1 631,71
$1 268,30
$1 373,00
$1 483,94
$1 878,00
$1 514,59
$1 619,29
$1 730,23
$2 124,29
$246,29

‡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 Hinds County here.

Hinds County is in “Rating Area 3” of Mississippi.

Currently, there are 22 plans offered in Rating Area 3.

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