The health insurance rates listed below are for calendar year 2016.
2016 Rates and Providers
(click here for 2014)
(click here for 2015)
This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Ormond Beach, FL.
Obamacare Providers, Plans and 2016 Rates for Volusia County
Volusia County is in “Rating Area 64” of Florida.
Currently, there are 5 providers offering 147 plans to Rating Area 64. †
Below, you’ll find a summary of plans and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must complete an application at HealthCare.gov or contact the provider directly.
The table below shows premiums for the following scenarios for:
- Individual
- Couple
- Couple with 1 2 or 3 children
- Individual with 1 2 or 3 children
- A child alone
Each scenario is covered for age
- Age 21, 30, 40, 50
- Age 60 (Individual and Couple only)
For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:
- a summary of plan benefits and costs,
- a plan brochure, and
- a "Provider Directory" -- where you can find out which doctors and hospitals in the Ormond Beach, FL area accept this insurance coverage as within the plan's "network".
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Blue Cross and Blue Shield of FloridaLocal: 1-855-805-8175 | Toll Free: 1-855-805-8175 |
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Plan: (EPO) BlueOptions Everyday Health 1423Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$310.41 $352.32 $396.70 $554.39 $842.45 |
$620.82 $704.64 $793.40 $1108.78 $1684.90 |
$817.93 $901.75 $990.51 $1305.89 |
$1015.04 $1098.86 $1187.62 $1503.00 |
$1212.15 $1295.97 $1384.73 $1700.11 |
$507.52 $549.43 $593.81 $751.50 |
$704.63 $746.54 $790.92 $948.61 |
$901.74 $943.65 $988.03 $1145.72 |
$197.11 |
Plan: (EPO) BlueOptions Essential 1419Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$263.14 $298.66 $336.29 $469.97 $714.16 |
$526.28 $597.32 $672.58 $939.94 $1428.32 |
$693.37 $764.41 $839.67 $1107.03 |
$860.46 $931.50 $1006.76 $1274.12 |
$1027.55 $1098.59 $1173.85 $1441.21 |
$430.23 $465.75 $503.38 $637.06 |
$597.32 $632.84 $670.47 $804.15 |
$764.41 $799.93 $837.56 $971.24 |
$167.09 |
Plan: (EPO) BlueOptions Everyday Health 1431Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$341.38 $387.47 $436.28 $609.70 $926.51 |
$682.76 $774.94 $872.56 $1219.40 $1853.02 |
$899.54 $991.72 $1089.34 $1436.18 |
$1116.32 $1208.50 $1306.12 $1652.96 |
$1333.10 $1425.28 $1522.90 $1869.74 |
$558.16 $604.25 $653.06 $826.48 |
$774.94 $821.03 $869.84 $1043.26 |
$991.72 $1037.81 $1086.62 $1260.04 |
$216.78 |
Plan: (EPO) BlueOptions Everyday Health 1418Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$800
: Family:
$1,600 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$456.19 $517.78 $583.01 $814.76 $1238.10 |
$912.38 $1035.56 $1166.02 $1629.52 $2476.20 |
$1202.06 $1325.24 $1455.70 $1919.20 |
$1491.74 $1614.92 $1745.38 $2208.88 |
$1781.42 $1904.60 $2035.06 $2498.56 |
$745.87 $807.46 $872.69 $1104.44 |
$1035.55 $1097.14 $1162.37 $1394.12 |
$1325.23 $1386.82 $1452.05 $1683.80 |
$289.68 |
Plan: (EPO) BlueOptions Everyday Health Premier 1418VSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$800
: Family:
$1,600 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$492.05 $558.48 $628.84 $878.80 $1335.42 |
$984.10 $1116.96 $1257.68 $1757.60 $2670.84 |
$1296.55 $1429.41 $1570.13 $2070.05 |
$1609.00 $1741.86 $1882.58 $2382.50 |
$1921.45 $2054.31 $2195.03 $2694.95 |
$804.50 $870.93 $941.29 $1191.25 |
$1116.95 $1183.38 $1253.74 $1503.70 |
$1429.40 $1495.83 $1566.19 $1816.15 |
$312.45 |
Plan: (EPO) BlueOptions Everyday Health 1416Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$6,700
: Family:
$13,400 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$291.81 $331.20 $372.93 $521.17 $791.97 |
$583.62 $662.40 $745.86 $1042.34 $1583.94 |
$768.92 $847.70 $931.16 $1227.64 |
$954.22 $1033.00 $1116.46 $1412.94 |
$1139.52 $1218.30 $1301.76 $1598.24 |
$477.11 $516.50 $558.23 $706.47 |
$662.41 $701.80 $743.53 $891.77 |
$847.71 $887.10 $928.83 $1077.07 |
$185.30 |
Plan: (EPO) BlueOptions All Copay 1424Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$474.06 $538.06 $605.85 $846.67 $1286.60 |
$948.12 $1076.12 $1211.70 $1693.34 $2573.20 |
$1249.15 $1377.15 $1512.73 $1994.37 |
$1550.18 $1678.18 $1813.76 $2295.40 |
$1851.21 $1979.21 $2114.79 $2596.43 |
$775.09 $839.09 $906.88 $1147.70 |
$1076.12 $1140.12 $1207.91 $1448.73 |
$1377.15 $1441.15 $1508.94 $1749.76 |
$301.03 |
Plan: (EPO) BlueOptions Everyday Health 1410Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$6,100
: Family:
$12,200 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$288.91 $327.91 $369.23 $515.99 $784.10 |
$577.82 $655.82 $738.46 $1031.98 $1568.20 |
$761.28 $839.28 $921.92 $1215.44 |
$944.74 $1022.74 $1105.38 $1398.90 |
$1128.20 $1206.20 $1288.84 $1582.36 |
$472.37 $511.37 $552.69 $699.45 |
$655.83 $694.83 $736.15 $882.91 |
$839.29 $878.29 $919.61 $1066.37 |
$183.46 |
Plan: (EPO) BlueOptions All Copay 1505Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$404.43 $459.03 $516.86 $722.31 $1097.62 |
$808.86 $918.06 $1033.72 $1444.62 $2195.24 |
$1065.67 $1174.87 $1290.53 $1701.43 |
$1322.48 $1431.68 $1547.34 $1958.24 |
$1579.29 $1688.49 $1804.15 $2215.05 |
$661.24 $715.84 $773.67 $979.12 |
$918.05 $972.65 $1030.48 $1235.93 |
$1174.86 $1229.46 $1287.29 $1492.74 |
$256.81 |
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Health First Health Plans, Inc.Local: 1-855-443-4735 | Toll Free: 1-855-443-4735 TTY: 1-800-955-8771 |
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Plan: (HMO) Florida Hospital Platinum HMO 100 1500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$800
: Family:
$1,600 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$360.30 $408.93 $460.45 $643.48 $977.83 |
$720.60 $817.86 $920.90 $1286.96 $1955.66 |
$949.38 $1046.64 $1149.68 $1515.74 |
$1178.16 $1275.42 $1378.46 $1744.52 |
$1406.94 $1504.20 $1607.24 $1973.30 |
$589.08 $637.71 $689.23 $872.26 |
$817.86 $866.49 $918.01 $1101.04 |
$1046.64 $1095.27 $1146.79 $1329.82 |
$228.78 |
Plan: (HMO) Florida Hospital Platinum HMO 90 1501Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$750
: Family:
$1,500 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$360.53 $409.19 $460.74 $643.89 $978.45 |
$721.06 $818.38 $921.48 $1287.78 $1956.90 |
$949.99 $1047.31 $1150.41 $1516.71 |
$1178.92 $1276.24 $1379.34 $1745.64 |
$1407.85 $1505.17 $1608.27 $1974.57 |
$589.46 $638.12 $689.67 $872.82 |
$818.39 $867.05 $918.60 $1101.75 |
$1047.32 $1095.98 $1147.53 $1330.68 |
$228.93 |
Plan: (HMO) Florida Hospital Platinum HMO 80 1502Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$450
: Family:
$900 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$360.06 $408.66 $460.14 $643.05 $977.18 |
$720.12 $817.32 $920.28 $1286.10 $1954.36 |
$948.75 $1045.95 $1148.91 $1514.73 |
$1177.38 $1274.58 $1377.54 $1743.36 |
$1406.01 $1503.21 $1606.17 $1971.99 |
$588.69 $637.29 $688.77 $871.68 |
$817.32 $865.92 $917.40 $1100.31 |
$1045.95 $1094.55 $1146.03 $1328.94 |
$228.63 |
Plan: (HMO) Florida Hospital Gold HMO 100 1503Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$307.02 $348.46 $392.36 $548.32 $833.23 |
$614.04 $696.92 $784.72 $1096.64 $1666.46 |
$808.99 $891.87 $979.67 $1291.59 |
$1003.94 $1086.82 $1174.62 $1486.54 |
$1198.89 $1281.77 $1369.57 $1681.49 |
$501.97 $543.41 $587.31 $743.27 |
$696.92 $738.36 $782.26 $938.22 |
$891.87 $933.31 $977.21 $1133.17 |
$194.95 |
Plan: (HMO) Florida Hospital Gold HMO 90 1505Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$297.02 $337.11 $379.58 $530.46 $806.09 |
$594.04 $674.22 $759.16 $1060.92 $1612.18 |
$782.64 $862.82 $947.76 $1249.52 |
$971.24 $1051.42 $1136.36 $1438.12 |
$1159.84 $1240.02 $1324.96 $1626.72 |
$485.62 $525.71 $568.18 $719.06 |
$674.22 $714.31 $756.78 $907.66 |
$862.82 $902.91 $945.38 $1096.26 |
$188.60 |
Plan: (HMO) Florida Hospital Gold HMO 80 1507Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$320.06 $363.26 $409.02 $571.61 $868.62 |
$640.12 $726.52 $818.04 $1143.22 $1737.24 |
$843.35 $929.75 $1021.27 $1346.45 |
$1046.58 $1132.98 $1224.50 $1549.68 |
$1249.81 $1336.21 $1427.73 $1752.91 |
$523.29 $566.49 $612.25 $774.84 |
$726.52 $769.72 $815.48 $978.07 |
$929.75 $972.95 $1018.71 $1181.30 |
$203.23 |
Plan: (HMO) Florida Hospital Gold HMO 80 1509Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$314.79 $357.28 $402.29 $562.20 $854.31 |
$629.58 $714.56 $804.58 $1124.40 $1708.62 |
$829.47 $914.45 $1004.47 $1324.29 |
$1029.36 $1114.34 $1204.36 $1524.18 |
$1229.25 $1314.23 $1404.25 $1724.07 |
$514.68 $557.17 $602.18 $762.09 |
$714.57 $757.06 $802.07 $961.98 |
$914.46 $956.95 $1001.96 $1161.87 |
$199.89 |
Plan: (HMO) Florida Hospital Gold HMO 80 1510Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$305.36 $346.57 $390.24 $545.36 $828.72 |
$610.72 $693.14 $780.48 $1090.72 $1657.44 |
$804.62 $887.04 $974.38 $1284.62 |
$998.52 $1080.94 $1168.28 $1478.52 |
$1192.42 $1274.84 $1362.18 $1672.42 |
$499.26 $540.47 $584.14 $739.26 |
$693.16 $734.37 $778.04 $933.16 |
$887.06 $928.27 $971.94 $1127.06 |
$193.90 |
Plan: (HMO) Florida Hospital Gold HMO 70 1512Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$312.68 $354.88 $399.59 $558.43 $848.59 |
$625.36 $709.76 $799.18 $1116.86 $1697.18 |
$823.91 $908.31 $997.73 $1315.41 |
$1022.46 $1106.86 $1196.28 $1513.96 |
$1221.01 $1305.41 $1394.83 $1712.51 |
$511.23 $553.43 $598.14 $756.98 |
$709.78 $751.98 $796.69 $955.53 |
$908.33 $950.53 $995.24 $1154.08 |
$198.55 |
Plan: (HMO) Florida Hospital Silver HMO 100 1514Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$4,400
: Family:
$8,800 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$261.27 $296.53 $333.89 $466.61 $709.06 |
$522.54 $593.06 $667.78 $933.22 $1418.12 |
$688.44 $758.96 $833.68 $1099.12 |
$854.34 $924.86 $999.58 $1265.02 |
$1020.24 $1090.76 $1165.48 $1430.92 |
$427.17 $462.43 $499.79 $632.51 |
$593.07 $628.33 $665.69 $798.41 |
$758.97 $794.23 $831.59 $964.31 |
$165.90 |
Plan: (HMO) Florida Hospital Silver HMO 100 1522Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$3,800
: Family:
$7,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$262.63 $298.07 $335.63 $469.04 $712.75 |
$525.26 $596.14 $671.26 $938.08 $1425.50 |
$692.02 $762.90 $838.02 $1104.84 |
$858.78 $929.66 $1004.78 $1271.60 |
$1025.54 $1096.42 $1171.54 $1438.36 |
$429.39 $464.83 $502.39 $635.80 |
$596.15 $631.59 $669.15 $802.56 |
$762.91 $798.35 $835.91 $969.32 |
$166.76 |
Plan: (HMO) Florida Hospital Silver HMO 90 1526Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$3,900
: Family:
$7,800 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$264.16 $299.81 $337.58 $471.77 $716.90 |
$528.32 $599.62 $675.16 $943.54 $1433.80 |
$696.06 $767.36 $842.90 $1111.28 |
$863.80 $935.10 $1010.64 $1279.02 |
$1031.54 $1102.84 $1178.38 $1446.76 |
$431.90 $467.55 $505.32 $639.51 |
$599.64 $635.29 $673.06 $807.25 |
$767.38 $803.03 $840.80 $974.99 |
$167.74 |
Plan: (HMO) Florida Hospital Silver HMO 80 1534Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$251.61 $285.57 $321.54 $449.36 $682.84 |
$503.22 $571.14 $643.08 $898.72 $1365.68 |
$662.99 $730.91 $802.85 $1058.49 |
$822.76 $890.68 $962.62 $1218.26 |
$982.53 $1050.45 $1122.39 $1378.03 |
$411.38 $445.34 $481.31 $609.13 |
$571.15 $605.11 $641.08 $768.90 |
$730.92 $764.88 $800.85 $928.67 |
$159.77 |
Plan: (HMO) Florida Hospital Silver HMO 80 1542Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$253.49 $287.70 $323.95 $452.72 $687.94 |
$506.98 $575.40 $647.90 $905.44 $1375.88 |
$667.94 $736.36 $808.86 $1066.40 |
$828.90 $897.32 $969.82 $1227.36 |
$989.86 $1058.28 $1130.78 $1388.32 |
$414.45 $448.66 $484.91 $613.68 |
$575.41 $609.62 $645.87 $774.64 |
$736.37 $770.58 $806.83 $935.60 |
$160.96 |
Plan: (HMO) Florida Hospital Silver HMO 70 1546Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$256.08 $290.64 $327.26 $457.34 $694.97 |
$512.16 $581.28 $654.52 $914.68 $1389.94 |
$674.76 $743.88 $817.12 $1077.28 |
$837.36 $906.48 $979.72 $1239.88 |
$999.96 $1069.08 $1142.32 $1402.48 |
$418.68 $453.24 $489.86 $619.94 |
$581.28 $615.84 $652.46 $782.54 |
$743.88 $778.44 $815.06 $945.14 |
$162.60 |
Plan: (HMO) Florida Hospital Silver HMO 70 1554Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$253.05 $287.20 $323.39 $451.93 $686.75 |
$506.10 $574.40 $646.78 $903.86 $1373.50 |
$666.78 $735.08 $807.46 $1064.54 |
$827.46 $895.76 $968.14 $1225.22 |
$988.14 $1056.44 $1128.82 $1385.90 |
$413.73 $447.88 $484.07 $612.61 |
$574.41 $608.56 $644.75 $773.29 |
$735.09 $769.24 $805.43 $933.97 |
$160.68 |
Plan: (HMO) Florida Hospital Bronze HMO 100 1562Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$211.17 $239.67 $269.86 $377.13 $573.09 |
$422.34 $479.34 $539.72 $754.26 $1146.18 |
$556.43 $613.43 $673.81 $888.35 |
$690.52 $747.52 $807.90 $1022.44 |
$824.61 $881.61 $941.99 $1156.53 |
$345.26 $373.76 $403.95 $511.22 |
$479.35 $507.85 $538.04 $645.31 |
$613.44 $641.94 $672.13 $779.40 |
$134.09 |
Plan: (HMO) Florida Hospital Bronze HMO 90 1564Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$225.78 $256.25 $288.53 $403.23 $612.74 |
$451.56 $512.50 $577.06 $806.46 $1225.48 |
$594.92 $655.86 $720.42 $949.82 |
$738.28 $799.22 $863.78 $1093.18 |
$881.64 $942.58 $1007.14 $1236.54 |
$369.14 $399.61 $431.89 $546.59 |
$512.50 $542.97 $575.25 $689.95 |
$655.86 $686.33 $718.61 $833.31 |
$143.36 |
Plan: (HMO) Florida Hospital Bronze HMO 70 1565Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$211.35 $239.87 $270.09 $377.45 $573.58 |
$422.70 $479.74 $540.18 $754.90 $1147.16 |
$556.90 $613.94 $674.38 $889.10 |
$691.10 $748.14 $808.58 $1023.30 |
$825.30 $882.34 $942.78 $1157.50 |
$345.55 $374.07 $404.29 $511.65 |
$479.75 $508.27 $538.49 $645.85 |
$613.95 $642.47 $672.69 $780.05 |
$134.20 |
Plan: (HMO) Florida Hospital Bronze HMO 70 1567Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$5,300
: Family:
$10,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$208.58 $236.73 $266.55 $372.51 $566.06 |
$417.16 $473.46 $533.10 $745.02 $1132.12 |
$549.60 $605.90 $665.54 $877.46 |
$682.04 $738.34 $797.98 $1009.90 |
$814.48 $870.78 $930.42 $1142.34 |
$341.02 $369.17 $398.99 $504.95 |
$473.46 $501.61 $531.43 $637.39 |
$605.90 $634.05 $663.87 $769.83 |
$132.44 |
Plan: (HMO) Florida Hospital Catastrophic HMO 1569Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$197.79 $224.48 $252.76 $353.24 $536.77 |
$395.58 $448.96 $505.52 $706.48 $1073.54 |
$521.17 $574.55 $631.11 $832.07 |
$646.76 $700.14 $756.70 $957.66 |
$772.35 $825.73 $882.29 $1083.25 |
$323.38 $350.07 $378.35 $478.83 |
$448.97 $475.66 $503.94 $604.42 |
$574.56 $601.25 $629.53 $730.01 |
$125.59 |
Plan: (POS) Florida Hospital Gold POS 100 1504Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$315.70 $358.31 $403.45 $563.82 $856.78 |
$631.40 $716.62 $806.90 $1127.64 $1713.56 |
$831.86 $917.08 $1007.36 $1328.10 |
$1032.32 $1117.54 $1207.82 $1528.56 |
$1232.78 $1318.00 $1408.28 $1729.02 |
$516.16 $558.77 $603.91 $764.28 |
$716.62 $759.23 $804.37 $964.74 |
$917.08 $959.69 $1004.83 $1165.20 |
$200.46 |
Plan: (POS) Florida Hospital Gold POS 90 1506Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$306.80 $348.21 $392.08 $547.93 $832.63 |
$613.60 $696.42 $784.16 $1095.86 $1665.26 |
$808.41 $891.23 $978.97 $1290.67 |
$1003.22 $1086.04 $1173.78 $1485.48 |
$1198.03 $1280.85 $1368.59 $1680.29 |
$501.61 $543.02 $586.89 $742.74 |
$696.42 $737.83 $781.70 $937.55 |
$891.23 $932.64 $976.51 $1132.36 |
$194.81 |
Plan: (POS) Florida Hospital Gold POS 80 1508Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$328.35 $372.67 $419.62 $586.42 $891.11 |
$656.70 $745.34 $839.24 $1172.84 $1782.22 |
$865.20 $953.84 $1047.74 $1381.34 |
$1073.70 $1162.34 $1256.24 $1589.84 |
$1282.20 $1370.84 $1464.74 $1798.34 |
$536.85 $581.17 $628.12 $794.92 |
$745.35 $789.67 $836.62 $1003.42 |
$953.85 $998.17 $1045.12 $1211.92 |
$208.50 |
Plan: (POS) Florida Hospital Gold POS 80 1511Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$312.58 $354.77 $399.46 $558.25 $848.31 |
$625.16 $709.54 $798.92 $1116.50 $1696.62 |
$823.64 $908.02 $997.40 $1314.98 |
$1022.12 $1106.50 $1195.88 $1513.46 |
$1220.60 $1304.98 $1394.36 $1711.94 |
$511.06 $553.25 $597.94 $756.73 |
$709.54 $751.73 $796.42 $955.21 |
$908.02 $950.21 $994.90 $1153.69 |
$198.48 |
Plan: (POS) Florida Hospital Gold POS 70 1513Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$322.48 $366.00 $412.12 $575.93 $875.18 |
$644.96 $732.00 $824.24 $1151.86 $1750.36 |
$849.73 $936.77 $1029.01 $1356.63 |
$1054.50 $1141.54 $1233.78 $1561.40 |
$1259.27 $1346.31 $1438.55 $1766.17 |
$527.25 $570.77 $616.89 $780.70 |
$732.02 $775.54 $821.66 $985.47 |
$936.79 $980.31 $1026.43 $1190.24 |
$204.77 |
Plan: (POS) Florida Hospital Silver POS 100 1515Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$4,400
: Family:
$8,800 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$267.49 $303.59 $341.84 $477.72 $725.94 |
$534.98 $607.18 $683.68 $955.44 $1451.88 |
$704.83 $777.03 $853.53 $1125.29 |
$874.68 $946.88 $1023.38 $1295.14 |
$1044.53 $1116.73 $1193.23 $1464.99 |
$437.34 $473.44 $511.69 $647.57 |
$607.19 $643.29 $681.54 $817.42 |
$777.04 $813.14 $851.39 $987.27 |
$169.85 |
Plan: (POS) Florida Hospital Silver POS 90 1527Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$3,900
: Family:
$7,800 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$269.54 $305.92 $344.46 $481.38 $731.50 |
$539.08 $611.84 $688.92 $962.76 $1463.00 |
$710.23 $782.99 $860.07 $1133.91 |
$881.38 $954.14 $1031.22 $1305.06 |
$1052.53 $1125.29 $1202.37 $1476.21 |
$440.69 $477.07 $515.61 $652.53 |
$611.84 $648.22 $686.76 $823.68 |
$782.99 $819.37 $857.91 $994.83 |
$171.15 |
Plan: (POS) Florida Hospital Silver POS 80 1535Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$258.81 $293.74 $330.75 $462.22 $702.38 |
$517.62 $587.48 $661.50 $924.44 $1404.76 |
$681.96 $751.82 $825.84 $1088.78 |
$846.30 $916.16 $990.18 $1253.12 |
$1010.64 $1080.50 $1154.52 $1417.46 |
$423.15 $458.08 $495.09 $626.56 |
$587.49 $622.42 $659.43 $790.90 |
$751.83 $786.76 $823.77 $955.24 |
$164.34 |
Plan: (POS) Florida Hospital Silver POS 70 1547Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$261.03 $296.26 $333.58 $466.18 $708.41 |
$522.06 $592.52 $667.16 $932.36 $1416.82 |
$687.81 $758.27 $832.91 $1098.11 |
$853.56 $924.02 $998.66 $1263.86 |
$1019.31 $1089.77 $1164.41 $1429.61 |
$426.78 $462.01 $499.33 $631.93 |
$592.53 $627.76 $665.08 $797.68 |
$758.28 $793.51 $830.83 $963.43 |
$165.75 |
Plan: (POS) Florida Hospital Silver POS 70 1555Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$259.88 $294.95 $332.11 $464.13 $705.29 |
$519.76 $589.90 $664.22 $928.26 $1410.58 |
$684.78 $754.92 $829.24 $1093.28 |
$849.80 $919.94 $994.26 $1258.30 |
$1014.82 $1084.96 $1159.28 $1423.32 |
$424.90 $459.97 $497.13 $629.15 |
$589.92 $624.99 $662.15 $794.17 |
$754.94 $790.01 $827.17 $959.19 |
$165.02 |
Plan: (POS) Florida Hospital Bronze POS 100 1563Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$216.47 $245.68 $276.64 $386.60 $587.47 |
$432.94 $491.36 $553.28 $773.20 $1174.94 |
$570.39 $628.81 $690.73 $910.65 |
$707.84 $766.26 $828.18 $1048.10 |
$845.29 $903.71 $965.63 $1185.55 |
$353.92 $383.13 $414.09 $524.05 |
$491.37 $520.58 $551.54 $661.50 |
$628.82 $658.03 $688.99 $798.95 |
$137.45 |
Plan: (POS) Florida Hospital Bronze POS 70 1566Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$216.98 $246.26 $277.29 $387.51 $588.86 |
$433.96 $492.52 $554.58 $775.02 $1177.72 |
$571.74 $630.30 $692.36 $912.80 |
$709.52 $768.08 $830.14 $1050.58 |
$847.30 $905.86 $967.92 $1188.36 |
$354.76 $384.04 $415.07 $525.29 |
$492.54 $521.82 $552.85 $663.07 |
$630.32 $659.60 $690.63 $800.85 |
$137.78 |
Plan: (POS) Florida Hospital Bronze POS 70 1568Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$5,300
: Family:
$10,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$213.79 $242.64 $273.21 $381.81 $580.20 |
$427.58 $485.28 $546.42 $763.62 $1160.40 |
$563.33 $621.03 $682.17 $899.37 |
$699.08 $756.78 $817.92 $1035.12 |
$834.83 $892.53 $953.67 $1170.87 |
$349.54 $378.39 $408.96 $517.56 |
$485.29 $514.14 $544.71 $653.31 |
$621.04 $649.89 $680.46 $789.06 |
$135.75 |
Plan: (POS) Florida Hospital Catastrophic POS 1570Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$202.27 $229.57 $258.49 $361.24 $548.93 |
$404.54 $459.14 $516.98 $722.48 $1097.86 |
$532.98 $587.58 $645.42 $850.92 |
$661.42 $716.02 $773.86 $979.36 |
$789.86 $844.46 $902.30 $1107.80 |
$330.71 $358.01 $386.93 $489.68 |
$459.15 $486.45 $515.37 $618.12 |
$587.59 $614.89 $643.81 $746.56 |
$128.44 |
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Health Options, Inc.Local: 1-855-805-8175 | Toll Free: 1-855-805-8175 |
||||||||||
Plan: (HMO) BlueCare Everyday Health 1490Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$251.95 $285.96 $321.99 $449.98 $683.79 |
$503.90 $571.92 $643.98 $899.96 $1367.58 |
$663.89 $731.91 $803.97 $1059.95 |
$823.88 $891.90 $963.96 $1219.94 |
$983.87 $1051.89 $1123.95 $1379.93 |
$411.94 $445.95 $481.98 $609.97 |
$571.93 $605.94 $641.97 $769.96 |
$731.92 $765.93 $801.96 $929.95 |
$159.99 |
Plan: (HMO) BlueCare Essential 1486Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$214.67 $243.65 $274.35 $383.40 $582.61 |
$429.34 $487.30 $548.70 $766.80 $1165.22 |
$565.66 $623.62 $685.02 $903.12 |
$701.98 $759.94 $821.34 $1039.44 |
$838.30 $896.26 $957.66 $1175.76 |
$350.99 $379.97 $410.67 $519.72 |
$487.31 $516.29 $546.99 $656.04 |
$623.63 $652.61 $683.31 $792.36 |
$136.32 |
Plan: (HMO) BlueCare Everyday Health 1498Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$284.70 $323.13 $363.85 $508.47 $772.68 |
$569.40 $646.26 $727.70 $1016.94 $1545.36 |
$750.18 $827.04 $908.48 $1197.72 |
$930.96 $1007.82 $1089.26 $1378.50 |
$1111.74 $1188.60 $1270.04 $1559.28 |
$465.48 $503.91 $544.63 $689.25 |
$646.26 $684.69 $725.41 $870.03 |
$827.04 $865.47 $906.19 $1050.81 |
$180.78 |
Plan: (HMO) BlueCare Everyday Health 1485Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$800
: Family:
$1,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$369.35 $419.21 $472.03 $659.66 $1002.42 |
$738.70 $838.42 $944.06 $1319.32 $2004.84 |
$973.24 $1072.96 $1178.60 $1553.86 |
$1207.78 $1307.50 $1413.14 $1788.40 |
$1442.32 $1542.04 $1647.68 $2022.94 |
$603.89 $653.75 $706.57 $894.20 |
$838.43 $888.29 $941.11 $1128.74 |
$1072.97 $1122.83 $1175.65 $1363.28 |
$234.54 |
Plan: (HMO) BlueCare Everyday Health 1483Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$6,700
: Family:
$13,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$245.05 $278.13 $313.17 $437.66 $665.07 |
$490.10 $556.26 $626.34 $875.32 $1330.14 |
$645.71 $711.87 $781.95 $1030.93 |
$801.32 $867.48 $937.56 $1186.54 |
$956.93 $1023.09 $1093.17 $1342.15 |
$400.66 $433.74 $468.78 $593.27 |
$556.27 $589.35 $624.39 $748.88 |
$711.88 $744.96 $780.00 $904.49 |
$155.61 |
Plan: (HMO) BlueCare All Copay 1491Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$384.53 $436.44 $491.43 $686.77 $1043.61 |
$769.06 $872.88 $982.86 $1373.54 $2087.22 |
$1013.24 $1117.06 $1227.04 $1617.72 |
$1257.42 $1361.24 $1471.22 $1861.90 |
$1501.60 $1605.42 $1715.40 $2106.08 |
$628.71 $680.62 $735.61 $930.95 |
$872.89 $924.80 $979.79 $1175.13 |
$1117.07 $1168.98 $1223.97 $1419.31 |
$244.18 |
Plan: (HMO) BlueCare Everyday Health 1477Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$6,100
: Family:
$12,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$241.56 $274.17 $308.71 $431.43 $655.59 |
$483.12 $548.34 $617.42 $862.86 $1311.18 |
$636.51 $701.73 $770.81 $1016.25 |
$789.90 $855.12 $924.20 $1169.64 |
$943.29 $1008.51 $1077.59 $1323.03 |
$394.95 $427.56 $462.10 $584.82 |
$548.34 $580.95 $615.49 $738.21 |
$701.73 $734.34 $768.88 $891.60 |
$153.39 |
Plan: (HMO) BlueCare All Copay 1565Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$335.35 $380.62 $428.58 $598.94 $910.14 |
$670.70 $761.24 $857.16 $1197.88 $1820.28 |
$883.65 $974.19 $1070.11 $1410.83 |
$1096.60 $1187.14 $1283.06 $1623.78 |
$1309.55 $1400.09 $1496.01 $1836.73 |
$548.30 $593.57 $641.53 $811.89 |
$761.25 $806.52 $854.48 $1024.84 |
$974.20 $1019.47 $1067.43 $1237.79 |
$212.95 |
ADVERTISEMENT
|
||||||||||
Humana Medical Plan, Inc.Local: 1-877-720-4854 | Toll Free: 1-877-720-4854 TTY: 1-800-325-2028 |
||||||||||
Plan: (HMO) Humana Basic 6850/Volusia HUMx (HMOx)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$145.17 $164.77 $185.53 $259.27 $393.99 |
$290.34 $329.54 $371.06 $518.54 $787.98 |
$382.52 $421.72 $463.24 $610.72 |
$474.70 $513.90 $555.42 $702.90 |
$566.88 $606.08 $647.60 $795.08 |
$237.35 $256.95 $277.71 $351.45 |
$329.53 $349.13 $369.89 $443.63 |
$421.71 $441.31 $462.07 $535.81 |
$92.18 |
Plan: (HMO) Humana Bronze 6450/Volusia HUMx (HMOx)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)
Deductible: Individual:
$6,450
: Family:
$12,900 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$194.97 $221.29 $249.17 $348.22 $529.15 |
$389.94 $442.58 $498.34 $696.44 $1058.30 |
$513.75 $566.39 $622.15 $820.25 |
$637.56 $690.20 $745.96 $944.06 |
$761.37 $814.01 $869.77 $1067.87 |
$318.78 $345.10 $372.98 $472.03 |
$442.59 $468.91 $496.79 $595.84 |
$566.40 $592.72 $620.60 $719.65 |
$123.81 |
Plan: (HMO) Humana Silver 3800/Volusia HUMx (HMOx)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)
Deductible: Individual:
$3,800
: Family:
$7,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$229.90 $260.94 $293.81 $410.60 $623.95 |
$459.80 $521.88 $587.62 $821.20 $1247.90 |
$605.79 $667.87 $733.61 $967.19 |
$751.78 $813.86 $879.60 $1113.18 |
$897.77 $959.85 $1025.59 $1259.17 |
$375.89 $406.93 $439.80 $556.59 |
$521.88 $552.92 $585.79 $702.58 |
$667.87 $698.91 $731.78 $848.57 |
$145.99 |
Plan: (HMO) Humana Gold 2250/Volusia HUMx (HMOx)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)
Deductible: Individual:
$2,250
: Family:
$4,500 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$272.62 $309.42 $348.41 $486.90 $739.89 |
$545.24 $618.84 $696.82 $973.80 $1479.78 |
$718.35 $791.95 $869.93 $1146.91 |
$891.46 $965.06 $1043.04 $1320.02 |
$1064.57 $1138.17 $1216.15 $1493.13 |
$445.73 $482.53 $521.52 $660.01 |
$618.84 $655.64 $694.63 $833.12 |
$791.95 $828.75 $867.74 $1006.23 |
$173.11 |
Plan: (HMO) Humana Platinum 500/Volusia HUMx (HMOx)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)
Deductible: Individual:
$500
: Family:
$1,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$324.85 $368.70 $415.16 $580.18 $881.64 |
$649.70 $737.40 $830.32 $1160.36 $1763.28 |
$855.98 $943.68 $1036.60 $1366.64 |
$1062.26 $1149.96 $1242.88 $1572.92 |
$1268.54 $1356.24 $1449.16 $1779.20 |
$531.13 $574.98 $621.44 $786.46 |
$737.41 $781.26 $827.72 $992.74 |
$943.69 $987.54 $1034.00 $1199.02 |
$206.28 |
ADVERTISEMENT
|
||||||||||
Florida Health Care Plan, Inc.Local: 1-386-676-7110 | Toll Free: 1-800-232-0578 TTY: 1-800-955-8771 |
||||||||||
Plan: (HMO) Gym Access IND Essential Plus Catastrophic HMO 36Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$169.08 $191.90 $216.08 $301.97 $458.87 |
$338.16 $383.80 $432.16 $603.94 $917.74 |
$445.52 $491.16 $539.52 $711.30 |
$552.88 $598.52 $646.88 $818.66 |
$660.24 $705.88 $754.24 $926.02 |
$276.44 $299.26 $323.44 $409.33 |
$383.80 $406.62 $430.80 $516.69 |
$491.16 $513.98 $538.16 $624.05 |
$107.36 |
Plan: (HMO) IND Essential Plus Catastrophic HMO 36Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$166.75 $189.27 $213.11 $297.82 $452.57 |
$333.50 $378.54 $426.22 $595.64 $905.14 |
$439.39 $484.43 $532.11 $701.53 |
$545.28 $590.32 $638.00 $807.42 |
$651.17 $696.21 $743.89 $913.31 |
$272.64 $295.16 $319.00 $403.71 |
$378.53 $401.05 $424.89 $509.60 |
$484.42 $506.94 $530.78 $615.49 |
$105.89 |
Plan: (POS) Gym Access IND Essential Plus Catastrophic POS 37Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$187.74 $213.08 $239.93 $335.30 $509.51 |
$375.48 $426.16 $479.86 $670.60 $1019.02 |
$494.69 $545.37 $599.07 $789.81 |
$613.90 $664.58 $718.28 $909.02 |
$733.11 $783.79 $837.49 $1028.23 |
$306.95 $332.29 $359.14 $454.51 |
$426.16 $451.50 $478.35 $573.72 |
$545.37 $570.71 $597.56 $692.93 |
$119.21 |
Plan: (POS) IND Essential Plus Catastrophic POS 37Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$185.18 $210.18 $236.66 $330.73 $502.58 |
$370.36 $420.36 $473.32 $661.46 $1005.16 |
$487.95 $537.95 $590.91 $779.05 |
$605.54 $655.54 $708.50 $896.64 |
$723.13 $773.13 $826.09 $1014.23 |
$302.77 $327.77 $354.25 $448.32 |
$420.36 $445.36 $471.84 $565.91 |
$537.95 $562.95 $589.43 $683.50 |
$117.59 |
Plan: (HMO) Gym Access IND Essential Plus Silver HMO 53Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$1,700
: Family:
$3,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$244.30 $277.28 $312.22 $436.32 $663.04 |
$488.60 $554.56 $624.44 $872.64 $1326.08 |
$643.73 $709.69 $779.57 $1027.77 |
$798.86 $864.82 $934.70 $1182.90 |
$953.99 $1019.95 $1089.83 $1338.03 |
$399.43 $432.41 $467.35 $591.45 |
$554.56 $587.54 $622.48 $746.58 |
$709.69 $742.67 $777.61 $901.71 |
$155.13 |
Plan: (HMO) IND Essential Plus Silver HMO 53Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$1,700
: Family:
$3,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$241.05 $273.59 $308.06 $430.51 $654.20 |
$482.10 $547.18 $616.12 $861.02 $1308.40 |
$635.16 $700.24 $769.18 $1014.08 |
$788.22 $853.30 $922.24 $1167.14 |
$941.28 $1006.36 $1075.30 $1320.20 |
$394.11 $426.65 $461.12 $583.57 |
$547.17 $579.71 $614.18 $736.63 |
$700.23 $732.77 $767.24 $889.69 |
$153.06 |
Plan: (HMO) Gym Access IND Essential Plus Bronze HMO 41Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$185.47 $210.51 $237.04 $331.26 $503.38 |
$370.94 $421.02 $474.08 $662.52 $1006.76 |
$488.72 $538.80 $591.86 $780.30 |
$606.50 $656.58 $709.64 $898.08 |
$724.28 $774.36 $827.42 $1015.86 |
$303.25 $328.29 $354.82 $449.04 |
$421.03 $446.07 $472.60 $566.82 |
$538.81 $563.85 $590.38 $684.60 |
$117.78 |
Plan: (HMO) IND Essential Plus Bronze HMO 41Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$182.95 $207.65 $233.81 $326.74 $496.52 |
$365.90 $415.30 $467.62 $653.48 $993.04 |
$482.07 $531.47 $583.79 $769.65 |
$598.24 $647.64 $699.96 $885.82 |
$714.41 $763.81 $816.13 $1001.99 |
$299.12 $323.82 $349.98 $442.91 |
$415.29 $439.99 $466.15 $559.08 |
$531.46 $556.16 $582.32 $675.25 |
$116.17 |
Plan: (HMO) Gym Access IND Essential Plus Gold HMO 63Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$287.88 $326.75 $367.91 $514.16 $781.32 |
$575.76 $653.50 $735.82 $1028.32 $1562.64 |
$758.57 $836.31 $918.63 $1211.13 |
$941.38 $1019.12 $1101.44 $1393.94 |
$1124.19 $1201.93 $1284.25 $1576.75 |
$470.69 $509.56 $550.72 $696.97 |
$653.50 $692.37 $733.53 $879.78 |
$836.31 $875.18 $916.34 $1062.59 |
$182.81 |
Plan: (HMO) IND Essential Plus Gold HMO 63Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$284.08 $322.43 $363.06 $507.37 $771.00 |
$568.16 $644.86 $726.12 $1014.74 $1542.00 |
$748.55 $825.25 $906.51 $1195.13 |
$928.94 $1005.64 $1086.90 $1375.52 |
$1109.33 $1186.03 $1267.29 $1555.91 |
$464.47 $502.82 $543.45 $687.76 |
$644.86 $683.21 $723.84 $868.15 |
$825.25 $863.60 $904.23 $1048.54 |
$180.39 |
Plan: (HMO) Gym Access IND Essential Plus Platinum HMO 65Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$343.45 $389.82 $438.93 $613.41 $932.13 |
$686.90 $779.64 $877.86 $1226.82 $1864.26 |
$904.99 $997.73 $1095.95 $1444.91 |
$1123.08 $1215.82 $1314.04 $1663.00 |
$1341.17 $1433.91 $1532.13 $1881.09 |
$561.54 $607.91 $657.02 $831.50 |
$779.63 $826.00 $875.11 $1049.59 |
$997.72 $1044.09 $1093.20 $1267.68 |
$218.09 |
Plan: (HMO) IND Essential Plus Platinum HMO 65Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$338.96 $384.72 $433.20 $605.39 $919.95 |
$677.92 $769.44 $866.40 $1210.78 $1839.90 |
$893.16 $984.68 $1081.64 $1426.02 |
$1108.40 $1199.92 $1296.88 $1641.26 |
$1323.64 $1415.16 $1512.12 $1856.50 |
$554.20 $599.96 $648.44 $820.63 |
$769.44 $815.20 $863.68 $1035.87 |
$984.68 $1030.44 $1078.92 $1251.11 |
$215.24 |
Plan: (POS) Gym Access IND Essential Plus Silver POS 54Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$271.83 $308.53 $347.40 $485.49 $737.74 |
$543.66 $617.06 $694.80 $970.98 $1475.48 |
$716.27 $789.67 $867.41 $1143.59 |
$888.88 $962.28 $1040.02 $1316.20 |
$1061.49 $1134.89 $1212.63 $1488.81 |
$444.44 $481.14 $520.01 $658.10 |
$617.05 $653.75 $692.62 $830.71 |
$789.66 $826.36 $865.23 $1003.32 |
$172.61 |
Plan: (POS) IND Essential Plus Silver POS 54Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$268.23 $304.44 $342.79 $479.05 $727.97 |
$536.46 $608.88 $685.58 $958.10 $1455.94 |
$706.78 $779.20 $855.90 $1128.42 |
$877.10 $949.52 $1026.22 $1298.74 |
$1047.42 $1119.84 $1196.54 $1469.06 |
$438.55 $474.76 $513.11 $649.37 |
$608.87 $645.08 $683.43 $819.69 |
$779.19 $815.40 $853.75 $990.01 |
$170.32 |
Plan: (POS) Gym Access IND Essential Plus Bronze POS 42Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$206.61 $234.50 $264.05 $369.01 $560.74 |
$413.22 $469.00 $528.10 $738.02 $1121.48 |
$544.42 $600.20 $659.30 $869.22 |
$675.62 $731.40 $790.50 $1000.42 |
$806.82 $862.60 $921.70 $1131.62 |
$337.81 $365.70 $395.25 $500.21 |
$469.01 $496.90 $526.45 $631.41 |
$600.21 $628.10 $657.65 $762.61 |
$131.20 |
Plan: (POS) IND Essential Plus Bronze POS 42Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$203.82 $231.34 $260.48 $364.02 $553.17 |
$407.64 $462.68 $520.96 $728.04 $1106.34 |
$537.07 $592.11 $650.39 $857.47 |
$666.50 $721.54 $779.82 $986.90 |
$795.93 $850.97 $909.25 $1116.33 |
$333.25 $360.77 $389.91 $493.45 |
$462.68 $490.20 $519.34 $622.88 |
$592.11 $619.63 $648.77 $752.31 |
$129.43 |
Plan: (POS) Gym Access IND Essential Plus Gold POS 64Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$1,600
: Family:
$3,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$328.65 $373.02 $420.02 $586.98 $891.97 |
$657.30 $746.04 $840.04 $1173.96 $1783.94 |
$865.99 $954.73 $1048.73 $1382.65 |
$1074.68 $1163.42 $1257.42 $1591.34 |
$1283.37 $1372.11 $1466.11 $1800.03 |
$537.34 $581.71 $628.71 $795.67 |
$746.03 $790.40 $837.40 $1004.36 |
$954.72 $999.09 $1046.09 $1213.05 |
$208.69 |
Plan: (POS) IND Essential Plus Gold POS 64Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$1,600
: Family:
$3,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$324.35 $368.14 $414.52 $579.29 $880.28 |
$648.70 $736.28 $829.04 $1158.58 $1760.56 |
$854.66 $942.24 $1035.00 $1364.54 |
$1060.62 $1148.20 $1240.96 $1570.50 |
$1266.58 $1354.16 $1446.92 $1776.46 |
$530.31 $574.10 $620.48 $785.25 |
$736.27 $780.06 $826.44 $991.21 |
$942.23 $986.02 $1032.40 $1197.17 |
$205.96 |
Plan: (POS) Gym Access IND Essential Plus Platinum POS 66Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$379.81 $431.09 $485.40 $678.34 $1030.81 |
$759.62 $862.18 $970.80 $1356.68 $2061.62 |
$1000.80 $1103.36 $1211.98 $1597.86 |
$1241.98 $1344.54 $1453.16 $1839.04 |
$1483.16 $1585.72 $1694.34 $2080.22 |
$620.99 $672.27 $726.58 $919.52 |
$862.17 $913.45 $967.76 $1160.70 |
$1103.35 $1154.63 $1208.94 $1401.88 |
$241.18 |
Plan: (POS) IND Essential Plus Platinum POS 66Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$374.87 $425.48 $479.08 $669.52 $1017.40 |
$749.74 $850.96 $958.16 $1339.04 $2034.80 |
$987.78 $1089.00 $1196.20 $1577.08 |
$1225.82 $1327.04 $1434.24 $1815.12 |
$1463.86 $1565.08 $1672.28 $2053.16 |
$612.91 $663.52 $717.12 $907.56 |
$850.95 $901.56 $955.16 $1145.60 |
$1088.99 $1139.60 $1193.20 $1383.64 |
$238.04 |
Plan: (HMO) Gym Access IND Platinum HMO 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$336.84 $382.32 $430.48 $601.60 $914.19 |
$673.68 $764.64 $860.96 $1203.20 $1828.38 |
$887.57 $978.53 $1074.85 $1417.09 |
$1101.46 $1192.42 $1288.74 $1630.98 |
$1315.35 $1406.31 $1502.63 $1844.87 |
$550.73 $596.21 $644.37 $815.49 |
$764.62 $810.10 $858.26 $1029.38 |
$978.51 $1023.99 $1072.15 $1243.27 |
$213.89 |
Plan: (HMO) IND Platinum HMO 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$332.43 $377.31 $424.85 $593.73 $902.23 |
$664.86 $754.62 $849.70 $1187.46 $1804.46 |
$875.96 $965.72 $1060.80 $1398.56 |
$1087.06 $1176.82 $1271.90 $1609.66 |
$1298.16 $1387.92 $1483.00 $1820.76 |
$543.53 $588.41 $635.95 $804.83 |
$754.63 $799.51 $847.05 $1015.93 |
$965.73 $1010.61 $1058.15 $1227.03 |
$211.10 |
Plan: (POS) Gym Access Platinum POS 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$372.28 $422.54 $475.77 $664.89 $1010.37 |
$744.56 $845.08 $951.54 $1329.78 $2020.74 |
$980.96 $1081.48 $1187.94 $1566.18 |
$1217.36 $1317.88 $1424.34 $1802.58 |
$1453.76 $1554.28 $1660.74 $2038.98 |
$608.68 $658.94 $712.17 $901.29 |
$845.08 $895.34 $948.57 $1137.69 |
$1081.48 $1131.74 $1184.97 $1374.09 |
$236.40 |
Plan: (POS) IND Platinum POS 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$367.43 $417.03 $469.58 $656.23 $997.21 |
$734.86 $834.06 $939.16 $1312.46 $1994.42 |
$968.18 $1067.38 $1172.48 $1545.78 |
$1201.50 $1300.70 $1405.80 $1779.10 |
$1434.82 $1534.02 $1639.12 $2012.42 |
$600.75 $650.35 $702.90 $889.55 |
$834.07 $883.67 $936.22 $1122.87 |
$1067.39 $1116.99 $1169.54 $1356.19 |
$233.32 |
Plan: (HMO) Gym Access IND Gold HMO 5500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$295.11 $334.95 $377.15 $527.07 $800.93 |
$590.22 $669.90 $754.30 $1054.14 $1601.86 |
$777.62 $857.30 $941.70 $1241.54 |
$965.02 $1044.70 $1129.10 $1428.94 |
$1152.42 $1232.10 $1316.50 $1616.34 |
$482.51 $522.35 $564.55 $714.47 |
$669.91 $709.75 $751.95 $901.87 |
$857.31 $897.15 $939.35 $1089.27 |
$187.40 |
Plan: (HMO) IND Gold HMO 5500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$291.22 $330.53 $372.18 $520.11 $790.36 |
$582.44 $661.06 $744.36 $1040.22 $1580.72 |
$767.36 $845.98 $929.28 $1225.14 |
$952.28 $1030.90 $1114.20 $1410.06 |
$1137.20 $1215.82 $1299.12 $1594.98 |
$476.14 $515.45 $557.10 $705.03 |
$661.06 $700.37 $742.02 $889.95 |
$845.98 $885.29 $926.94 $1074.87 |
$184.92 |
Plan: (POS) Gym Access IND Gold POS 5500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$326.38 $370.44 $417.11 $582.91 $885.79 |
$652.76 $740.88 $834.22 $1165.82 $1771.58 |
$860.01 $948.13 $1041.47 $1373.07 |
$1067.26 $1155.38 $1248.72 $1580.32 |
$1274.51 $1362.63 $1455.97 $1787.57 |
$533.63 $577.69 $624.36 $790.16 |
$740.88 $784.94 $831.61 $997.41 |
$948.13 $992.19 $1038.86 $1204.66 |
$207.25 |
Plan: (POS) IND Gold POS 5500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$322.10 $365.58 $411.64 $575.27 $874.17 |
$644.20 $731.16 $823.28 $1150.54 $1748.34 |
$848.73 $935.69 $1027.81 $1355.07 |
$1053.26 $1140.22 $1232.34 $1559.60 |
$1257.79 $1344.75 $1436.87 $1764.13 |
$526.63 $570.11 $616.17 $779.80 |
$731.16 $774.64 $820.70 $984.33 |
$935.69 $979.17 $1025.23 $1188.86 |
$204.53 |
Plan: (HMO) Gym Access IND Silver HMO 6400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$264.95 $300.72 $338.61 $473.20 $719.07 |
$529.90 $601.44 $677.22 $946.40 $1438.14 |
$698.14 $769.68 $845.46 $1114.64 |
$866.38 $937.92 $1013.70 $1282.88 |
$1034.62 $1106.16 $1181.94 $1451.12 |
$433.19 $468.96 $506.85 $641.44 |
$601.43 $637.20 $675.09 $809.68 |
$769.67 $805.44 $843.33 $977.92 |
$168.24 |
Plan: (HMO) IND Silver HMO 6400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$261.44 $296.73 $334.12 $466.92 $709.54 |
$522.88 $593.46 $668.24 $933.84 $1419.08 |
$688.89 $759.47 $834.25 $1099.85 |
$854.90 $925.48 $1000.26 $1265.86 |
$1020.91 $1091.49 $1166.27 $1431.87 |
$427.45 $462.74 $500.13 $632.93 |
$593.46 $628.75 $666.14 $798.94 |
$759.47 $794.76 $832.15 $964.95 |
$166.01 |
Plan: (HMO) Gym Access IND Silver HMO 6600Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$244.45 $277.45 $312.41 $436.59 $663.44 |
$488.90 $554.90 $624.82 $873.18 $1326.88 |
$644.13 $710.13 $780.05 $1028.41 |
$799.36 $865.36 $935.28 $1183.64 |
$954.59 $1020.59 $1090.51 $1338.87 |
$399.68 $432.68 $467.64 $591.82 |
$554.91 $587.91 $622.87 $747.05 |
$710.14 $743.14 $778.10 $902.28 |
$155.23 |
Plan: (HMO) IND Silver HMO 6600Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$241.19 $273.75 $308.24 $430.76 $654.59 |
$482.38 $547.50 $616.48 $861.52 $1309.18 |
$635.54 $700.66 $769.64 $1014.68 |
$788.70 $853.82 $922.80 $1167.84 |
$941.86 $1006.98 $1075.96 $1321.00 |
$394.35 $426.91 $461.40 $583.92 |
$547.51 $580.07 $614.56 $737.08 |
$700.67 $733.23 $767.72 $890.24 |
$153.16 |
Plan: (HMO) Gym Access IND Bronze HMO 6850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$190.13 $215.80 $242.99 $339.57 $516.01 |
$380.26 $431.60 $485.98 $679.14 $1032.02 |
$500.99 $552.33 $606.71 $799.87 |
$621.72 $673.06 $727.44 $920.60 |
$742.45 $793.79 $848.17 $1041.33 |
$310.86 $336.53 $363.72 $460.30 |
$431.59 $457.26 $484.45 $581.03 |
$552.32 $577.99 $605.18 $701.76 |
$120.73 |
Plan: (HMO) IND Bronze HMO 6850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$187.55 $212.86 $239.68 $334.96 $509.00 |
$375.10 $425.72 $479.36 $669.92 $1018.00 |
$494.19 $544.81 $598.45 $789.01 |
$613.28 $663.90 $717.54 $908.10 |
$732.37 $782.99 $836.63 $1027.19 |
$306.64 $331.95 $358.77 $454.05 |
$425.73 $451.04 $477.86 $573.14 |
$544.82 $570.13 $596.95 $692.23 |
$119.09 |
Plan: (HMO) Gym Access IND Bronze HMO HSA 4700/6450Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$4,700
: Family:
$9,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$191.49 $217.34 $244.73 $342.00 $519.71 |
$382.98 $434.68 $489.46 $684.00 $1039.42 |
$504.58 $556.28 $611.06 $805.60 |
$626.18 $677.88 $732.66 $927.20 |
$747.78 $799.48 $854.26 $1048.80 |
$313.09 $338.94 $366.33 $463.60 |
$434.69 $460.54 $487.93 $585.20 |
$556.29 $582.14 $609.53 $706.80 |
$121.60 |
Plan: (HMO) IND Bronze HMO HSA 4700/6450Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$4,700
: Family:
$9,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$188.89 $214.39 $241.40 $337.36 $512.65 |
$377.78 $428.78 $482.80 $674.72 $1025.30 |
$497.73 $548.73 $602.75 $794.67 |
$617.68 $668.68 $722.70 $914.62 |
$737.63 $788.63 $842.65 $1034.57 |
$308.84 $334.34 $361.35 $457.31 |
$428.79 $454.29 $481.30 $577.26 |
$548.74 $574.24 $601.25 $697.21 |
$119.95 |
Plan: (HMO) Gym Access IND Bronze HMO HSA 6000/6450Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$188.90 $214.40 $241.42 $337.38 $512.68 |
$377.80 $428.80 $482.84 $674.76 $1025.36 |
$497.75 $548.75 $602.79 $794.71 |
$617.70 $668.70 $722.74 $914.66 |
$737.65 $788.65 $842.69 $1034.61 |
$308.85 $334.35 $361.37 $457.33 |
$428.80 $454.30 $481.32 $577.28 |
$548.75 $574.25 $601.27 $697.23 |
$119.95 |
Plan: (HMO) IND Bronze HMO HSA 6000/6450Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$186.33 $211.49 $238.13 $332.79 $505.71 |
$372.66 $422.98 $476.26 $665.58 $1011.42 |
$490.98 $541.30 $594.58 $783.90 |
$609.30 $659.62 $712.90 $902.22 |
$727.62 $777.94 $831.22 $1020.54 |
$304.65 $329.81 $356.45 $451.11 |
$422.97 $448.13 $474.77 $569.43 |
$541.29 $566.45 $593.09 $687.75 |
$118.32 |
Plan: (HMO) IND Bronze HMO BC 3841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,700
: Family:
$13,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$194.91 $221.22 $249.09 $348.10 $528.98 |
$389.82 $442.44 $498.18 $696.20 $1057.96 |
$513.59 $566.21 $621.95 $819.97 |
$637.36 $689.98 $745.72 $943.74 |
$761.13 $813.75 $869.49 $1067.51 |
$318.68 $344.99 $372.86 $471.87 |
$442.45 $468.76 $496.63 $595.64 |
$566.22 $592.53 $620.40 $719.41 |
$123.77 |
Plan: (HMO) Gym Access IND Bronze HMO BC 3841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,700
: Family:
$13,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$197.58 $224.26 $252.51 $352.88 $536.24 |
$395.16 $448.52 $505.02 $705.76 $1072.48 |
$520.63 $573.99 $630.49 $831.23 |
$646.10 $699.46 $755.96 $956.70 |
$771.57 $824.93 $881.43 $1082.17 |
$323.05 $349.73 $377.98 $478.35 |
$448.52 $475.20 $503.45 $603.82 |
$573.99 $600.67 $628.92 $729.29 |
$125.47 |
Plan: (POS) IND Bronze POS BC 3841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,700
: Family:
$13,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$216.15 $245.33 $276.24 $386.04 $586.63 |
$432.30 $490.66 $552.48 $772.08 $1173.26 |
$569.56 $627.92 $689.74 $909.34 |
$706.82 $765.18 $827.00 $1046.60 |
$844.08 $902.44 $964.26 $1183.86 |
$353.41 $382.59 $413.50 $523.30 |
$490.67 $519.85 $550.76 $660.56 |
$627.93 $657.11 $688.02 $797.82 |
$137.26 |
Plan: (POS) Gym Access IND Bronze POS BC 3841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,700
: Family:
$13,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$219.09 $248.67 $280.00 $391.30 $594.62 |
$438.18 $497.34 $560.00 $782.60 $1189.24 |
$577.30 $636.46 $699.12 $921.72 |
$716.42 $775.58 $838.24 $1060.84 |
$855.54 $914.70 $977.36 $1199.96 |
$358.21 $387.79 $419.12 $530.42 |
$497.33 $526.91 $558.24 $669.54 |
$636.45 $666.03 $697.36 $808.66 |
$139.12 |
Plan: (HMO) IND Silver HMO BC 0941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$232.61 $264.01 $297.27 $415.43 $631.29 |
$465.22 $528.02 $594.54 $830.86 $1262.58 |
$612.92 $675.72 $742.24 $978.56 |
$760.62 $823.42 $889.94 $1126.26 |
$908.32 $971.12 $1037.64 $1273.96 |
$380.31 $411.71 $444.97 $563.13 |
$528.01 $559.41 $592.67 $710.83 |
$675.71 $707.11 $740.37 $858.53 |
$147.70 |
Plan: (HMO) Gym Access IND Silver HMO BC 0941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$235.75 $267.58 $301.29 $421.06 $639.84 |
$471.50 $535.16 $602.58 $842.12 $1279.68 |
$621.20 $684.86 $752.28 $991.82 |
$770.90 $834.56 $901.98 $1141.52 |
$920.60 $984.26 $1051.68 $1291.22 |
$385.45 $417.28 $450.99 $570.76 |
$535.15 $566.98 $600.69 $720.46 |
$684.85 $716.68 $750.39 $870.16 |
$149.70 |
Plan: (POS) IND Silver POS BC 0941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$257.62 $292.40 $329.24 $460.11 $699.18 |
$515.24 $584.80 $658.48 $920.22 $1398.36 |
$678.83 $748.39 $822.07 $1083.81 |
$842.42 $911.98 $985.66 $1247.40 |
$1006.01 $1075.57 $1149.25 $1410.99 |
$421.21 $455.99 $492.83 $623.70 |
$584.80 $619.58 $656.42 $787.29 |
$748.39 $783.17 $820.01 $950.88 |
$163.59 |
Plan: (POS) Gym Access IND Silver POS BC 0941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$261.09 $296.33 $333.67 $466.30 $708.59 |
$522.18 $592.66 $667.34 $932.60 $1417.18 |
$687.97 $758.45 $833.13 $1098.39 |
$853.76 $924.24 $998.92 $1264.18 |
$1019.55 $1090.03 $1164.71 $1429.97 |
$426.88 $462.12 $499.46 $632.09 |
$592.67 $627.91 $665.25 $797.88 |
$758.46 $793.70 $831.04 $963.67 |
$165.79 |
Plan: (HMO) IND Silver HMO BC 7741Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,200
: Family:
$10,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$240.11 $272.53 $306.86 $428.84 $651.66 |
$480.22 $545.06 $613.72 $857.68 $1303.32 |
$632.69 $697.53 $766.19 $1010.15 |
$785.16 $850.00 $918.66 $1162.62 |
$937.63 $1002.47 $1071.13 $1315.09 |
$392.58 $425.00 $459.33 $581.31 |
$545.05 $577.47 $611.80 $733.78 |
$697.52 $729.94 $764.27 $886.25 |
$152.47 |
Plan: (HMO) Gym Access IND Silver HMO BC 7741Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,200
: Family:
$10,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$243.36 $276.21 $311.01 $434.64 $660.47 |
$486.72 $552.42 $622.02 $869.28 $1320.94 |
$641.25 $706.95 $776.55 $1023.81 |
$795.78 $861.48 $931.08 $1178.34 |
$950.31 $1016.01 $1085.61 $1332.87 |
$397.89 $430.74 $465.54 $589.17 |
$552.42 $585.27 $620.07 $743.70 |
$706.95 $739.80 $774.60 $898.23 |
$154.53 |
Plan: (POS) IND Silver POS BC 7741Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,200
: Family:
$10,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$265.87 $301.77 $339.79 $474.85 $721.58 |
$531.74 $603.54 $679.58 $949.70 $1443.16 |
$700.57 $772.37 $848.41 $1118.53 |
$869.40 $941.20 $1017.24 $1287.36 |
$1038.23 $1110.03 $1186.07 $1456.19 |
$434.70 $470.60 $508.62 $643.68 |
$603.53 $639.43 $677.45 $812.51 |
$772.36 $808.26 $846.28 $981.34 |
$168.83 |
Plan: (POS) Gym Access IND Silver POS BC 7741Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,200
: Family:
$10,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$269.45 $305.82 $344.35 $481.23 $731.27 |
$538.90 $611.64 $688.70 $962.46 $1462.54 |
$710.00 $782.74 $859.80 $1133.56 |
$881.10 $953.84 $1030.90 $1304.66 |
$1052.20 $1124.94 $1202.00 $1475.76 |
$440.55 $476.92 $515.45 $652.33 |
$611.65 $648.02 $686.55 $823.43 |
$782.75 $819.12 $857.65 $994.53 |
$171.10 |
Plan: (HMO) IND Gold HMO BC 5651Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$320.70 $363.99 $409.85 $572.76 $870.37 |
$641.40 $727.98 $819.70 $1145.52 $1740.74 |
$845.04 $931.62 $1023.34 $1349.16 |
$1048.68 $1135.26 $1226.98 $1552.80 |
$1252.32 $1338.90 $1430.62 $1756.44 |
$524.34 $567.63 $613.49 $776.40 |
$727.98 $771.27 $817.13 $980.04 |
$931.62 $974.91 $1020.77 $1183.68 |
$203.64 |
Plan: (HMO) Gym Access IND Gold HMO BC 5651Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$324.95 $368.82 $415.29 $580.37 $881.93 |
$649.90 $737.64 $830.58 $1160.74 $1763.86 |
$856.25 $943.99 $1036.93 $1367.09 |
$1062.60 $1150.34 $1243.28 $1573.44 |
$1268.95 $1356.69 $1449.63 $1779.79 |
$531.30 $575.17 $621.64 $786.72 |
$737.65 $781.52 $827.99 $993.07 |
$944.00 $987.87 $1034.34 $1199.42 |
$206.35 |
Plan: (POS) IND Gold POS BC 5651Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$355.98 $404.04 $454.94 $635.78 $966.13 |
$711.96 $808.08 $909.88 $1271.56 $1932.26 |
$938.01 $1034.13 $1135.93 $1497.61 |
$1164.06 $1260.18 $1361.98 $1723.66 |
$1390.11 $1486.23 $1588.03 $1949.71 |
$582.03 $630.09 $680.99 $861.83 |
$808.08 $856.14 $907.04 $1087.88 |
$1034.13 $1082.19 $1133.09 $1313.93 |
$226.05 |
Plan: (POS) Gym Access IND Gold POS BC 5651Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$360.69 $409.38 $460.96 $644.18 $978.90 |
$721.38 $818.76 $921.92 $1288.36 $1957.80 |
$950.42 $1047.80 $1150.96 $1517.40 |
$1179.46 $1276.84 $1380.00 $1746.44 |
$1408.50 $1505.88 $1609.04 $1975.48 |
$589.73 $638.42 $690.00 $873.22 |
$818.77 $867.46 $919.04 $1102.26 |
$1047.81 $1096.50 $1148.08 $1331.30 |
$229.04 |
Plan: (HMO) IND Platinum HMO BC 5841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$800
: Family:
$1,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$321.06 $364.40 $410.31 $573.40 $871.34 |
$642.12 $728.80 $820.62 $1146.80 $1742.68 |
$845.99 $932.67 $1024.49 $1350.67 |
$1049.86 $1136.54 $1228.36 $1554.54 |
$1253.73 $1340.41 $1432.23 $1758.41 |
$524.93 $568.27 $614.18 $777.27 |
$728.80 $772.14 $818.05 $981.14 |
$932.67 $976.01 $1021.92 $1185.01 |
$203.87 |
Plan: (HMO) Gym Access IND Platinum HMO BC 5841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$800
: Family:
$1,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$325.32 $369.24 $415.76 $581.02 $882.92 |
$650.64 $738.48 $831.52 $1162.04 $1765.84 |
$857.22 $945.06 $1038.10 $1368.62 |
$1063.80 $1151.64 $1244.68 $1575.20 |
$1270.38 $1358.22 $1451.26 $1781.78 |
$531.90 $575.82 $622.34 $787.60 |
$738.48 $782.40 $828.92 $994.18 |
$945.06 $988.98 $1035.50 $1200.76 |
$206.58 |
Plan: (POS) IND Platinum POS BC 5841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$800
: Family:
$1,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$356.37 $404.49 $455.45 $636.49 $967.20 |
$712.74 $808.98 $910.90 $1272.98 $1934.40 |
$939.04 $1035.28 $1137.20 $1499.28 |
$1165.34 $1261.58 $1363.50 $1725.58 |
$1391.64 $1487.88 $1589.80 $1951.88 |
$582.67 $630.79 $681.75 $862.79 |
$808.97 $857.09 $908.05 $1089.09 |
$1035.27 $1083.39 $1134.35 $1315.39 |
$226.30 |
Plan: (POS) Gym Access IND Platinum POS BC 5841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$800
: Family:
$1,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$361.09 $409.83 $461.47 $644.90 $979.99 |
$722.18 $819.66 $922.94 $1289.80 $1959.98 |
$951.47 $1048.95 $1152.23 $1519.09 |
$1180.76 $1278.24 $1381.52 $1748.38 |
$1410.05 $1507.53 $1610.81 $1977.67 |
$590.38 $639.12 $690.76 $874.19 |
$819.67 $868.41 $920.05 $1103.48 |
$1048.96 $1097.70 $1149.34 $1332.77 |
$229.29 |
Plan: (HMO) IND Platinum HMO BC 1941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$338.32 $383.99 $432.37 $604.23 $918.19 |
$676.64 $767.98 $864.74 $1208.46 $1836.38 |
$891.47 $982.81 $1079.57 $1423.29 |
$1106.30 $1197.64 $1294.40 $1638.12 |
$1321.13 $1412.47 $1509.23 $1852.95 |
$553.15 $598.82 $647.20 $819.06 |
$767.98 $813.65 $862.03 $1033.89 |
$982.81 $1028.48 $1076.86 $1248.72 |
$214.83 |
Plan: (HMO) Gym Access IND Platinum HMO BC 1941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$342.80 $389.08 $438.10 $612.24 $930.36 |
$685.60 $778.16 $876.20 $1224.48 $1860.72 |
$903.28 $995.84 $1093.88 $1442.16 |
$1120.96 $1213.52 $1311.56 $1659.84 |
$1338.64 $1431.20 $1529.24 $1877.52 |
$560.48 $606.76 $655.78 $829.92 |
$778.16 $824.44 $873.46 $1047.60 |
$995.84 $1042.12 $1091.14 $1265.28 |
$217.68 |
Plan: (POS) IND Platinum POS BC 1941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$375.44 $426.13 $479.82 $670.54 $1018.96 |
$750.88 $852.26 $959.64 $1341.08 $2037.92 |
$989.29 $1090.67 $1198.05 $1579.49 |
$1227.70 $1329.08 $1436.46 $1817.90 |
$1466.11 $1567.49 $1674.87 $2056.31 |
$613.85 $664.54 $718.23 $908.95 |
$852.26 $902.95 $956.64 $1147.36 |
$1090.67 $1141.36 $1195.05 $1385.77 |
$238.41 |
Plan: (POS) Gym Access IND Platinum POS BC 1941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$380.39 $431.74 $486.14 $679.38 $1032.38 |
$760.78 $863.48 $972.28 $1358.76 $2064.76 |
$1002.33 $1105.03 $1213.83 $1600.31 |
$1243.88 $1346.58 $1455.38 $1841.86 |
$1485.43 $1588.13 $1696.93 $2083.41 |
$621.94 $673.29 $727.69 $920.93 |
$863.49 $914.84 $969.24 $1162.48 |
$1105.04 $1156.39 $1210.79 $1404.03 |
$241.55 |
Plan: (HMO) IND Platinum HMO 91Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$250
: Family:
$750 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$330.31 $374.90 $422.13 $589.93 $896.46 |
$660.62 $749.80 $844.26 $1179.86 $1792.92 |
$870.37 $959.55 $1054.01 $1389.61 |
$1080.12 $1169.30 $1263.76 $1599.36 |
$1289.87 $1379.05 $1473.51 $1809.11 |
$540.06 $584.65 $631.88 $799.68 |
$749.81 $794.40 $841.63 $1009.43 |
$959.56 $1004.15 $1051.38 $1219.18 |
$209.75 |
Plan: (HMO) Gym Access IND Platinum HMO 91Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$250
: Family:
$750 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$334.70 $379.88 $427.74 $597.77 $908.36 |
$669.40 $759.76 $855.48 $1195.54 $1816.72 |
$881.93 $972.29 $1068.01 $1408.07 |
$1094.46 $1184.82 $1280.54 $1620.60 |
$1306.99 $1397.35 $1493.07 $1833.13 |
$547.23 $592.41 $640.27 $810.30 |
$759.76 $804.94 $852.80 $1022.83 |
$972.29 $1017.47 $1065.33 $1235.36 |
$212.53 |
Plan: (HMO) IND Platinum HMO 92Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$500
: Family:
$1,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$325.75 $369.73 $416.31 $581.79 $884.09 |
$651.50 $739.46 $832.62 $1163.58 $1768.18 |
$858.35 $946.31 $1039.47 $1370.43 |
$1065.20 $1153.16 $1246.32 $1577.28 |
$1272.05 $1360.01 $1453.17 $1784.13 |
$532.60 $576.58 $623.16 $788.64 |
$739.45 $783.43 $830.01 $995.49 |
$946.30 $990.28 $1036.86 $1202.34 |
$206.85 |
Plan: (HMO) Gym Acccess IND Platinum HMO 92Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$500
: Family:
$1,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$330.08 $374.64 $421.84 $589.52 $895.83 |
$660.16 $749.28 $843.68 $1179.04 $1791.66 |
$869.76 $958.88 $1053.28 $1388.64 |
$1079.36 $1168.48 $1262.88 $1598.24 |
$1288.96 $1378.08 $1472.48 $1807.84 |
$539.68 $584.24 $631.44 $799.12 |
$749.28 $793.84 $841.04 $1008.72 |
$958.88 $1003.44 $1050.64 $1218.32 |
$209.60 |
ADVERTISEMENT
|
||||||||||
Coventry Health Care of Florida, Inc.Local: 1-855-449-2889 | Toll Free: 1-855-449-2889 TTY: 1-888-444-7352 |
||||||||||
Plan: (HMO) Coventry Gold $10 Copay Carelink HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Coventry Health Care of Florida, Inc.)
Deductible: Individual:
$1,400
: Family:
$2,800 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$283.78 $322.09 $362.67 $506.83 $770.17 |
$567.56 $644.18 $725.34 $1013.66 $1540.34 |
$747.76 $824.38 $905.54 $1193.86 |
$927.96 $1004.58 $1085.74 $1374.06 |
$1108.16 $1184.78 $1265.94 $1554.26 |
$463.98 $502.29 $542.87 $687.03 |
$644.18 $682.49 $723.07 $867.23 |
$824.38 $862.69 $903.27 $1047.43 |
$180.20 |
Plan: (HMO) Coventry Bronze $15 Copay Carelink HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Coventry Health Care of Florida, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$200.27 $227.31 $255.95 $357.69 $543.54 |
$400.54 $454.62 $511.90 $715.38 $1087.08 |
$527.71 $581.79 $639.07 $842.55 |
$654.88 $708.96 $766.24 $969.72 |
$782.05 $836.13 $893.41 $1096.89 |
$327.44 $354.48 $383.12 $484.86 |
$454.61 $481.65 $510.29 $612.03 |
$581.78 $608.82 $637.46 $739.20 |
$127.17 |
Plan: (HMO) Coventry Bronze Ded Only HSA Eligible Carelink HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Coventry Health Care of Florida, Inc.)
Deductible: Individual:
$6,450
: Family:
$12,900 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$195.95 $222.41 $250.43 $349.97 $531.81 |
$391.90 $444.82 $500.86 $699.94 $1063.62 |
$516.33 $569.25 $625.29 $824.37 |
$640.76 $693.68 $749.72 $948.80 |
$765.19 $818.11 $874.15 $1073.23 |
$320.38 $346.84 $374.86 $474.40 |
$444.81 $471.27 $499.29 $598.83 |
$569.24 $595.70 $623.72 $723.26 |
$124.43 |
Plan: (HMO) Coventry Silver $10 Copay 2750 Carelink HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Coventry Health Care of Florida, Inc.)
Deductible: Individual:
$2,750
: Family:
$5,500 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$238.73 $270.96 $305.10 $426.38 $647.92 |
$477.46 $541.92 $610.20 $852.76 $1295.84 |
$629.05 $693.51 $761.79 $1004.35 |
$780.64 $845.10 $913.38 $1155.94 |
$932.23 $996.69 $1064.97 $1307.53 |
$390.32 $422.55 $456.69 $577.97 |
$541.91 $574.14 $608.28 $729.56 |
$693.50 $725.73 $759.87 $881.15 |
$151.59 |
Plan: (HMO) Coventry Catastrophic Carelink HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Coventry Health Care of Florida, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$172.36 $195.63 $220.27 $307.83 $467.78 |
$344.72 $391.26 $440.54 $615.66 $935.56 |
$454.17 $500.71 $549.99 $725.11 |
$563.62 $610.16 $659.44 $834.56 |
$673.07 $719.61 $768.89 $944.01 |
$281.81 $305.08 $329.72 $417.28 |
$391.26 $414.53 $439.17 $526.73 |
$500.71 $523.98 $548.62 $636.18 |
$109.45 |
ADVERTISEMENT
|
||||||||||
UnitedHealthcare of Florida, Inc.Local: 1-877-887-0441 | Toll Free: 1-877-887-0441 |
||||||||||
Plan: (HMO) Gold Compass 1500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$321.82 $365.25 $411.27 $574.75 $873.38 |
$643.64 $730.50 $822.54 $1149.50 $1746.76 |
$847.99 $934.85 $1026.89 $1353.85 |
$1052.34 $1139.20 $1231.24 $1558.20 |
$1256.69 $1343.55 $1435.59 $1762.55 |
$526.17 $569.60 $615.62 $779.10 |
$730.52 $773.95 $819.97 $983.45 |
$934.87 $978.30 $1024.32 $1187.80 |
$204.35 |
Plan: (HMO) Gold Compass HSA 1600Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$1,600
: Family:
$3,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$295.71 $335.62 $377.91 $528.13 $802.54 |
$591.42 $671.24 $755.82 $1056.26 $1605.08 |
$779.19 $859.01 $943.59 $1244.03 |
$966.96 $1046.78 $1131.36 $1431.80 |
$1154.73 $1234.55 $1319.13 $1619.57 |
$483.48 $523.39 $565.68 $715.90 |
$671.25 $711.16 $753.45 $903.67 |
$859.02 $898.93 $941.22 $1091.44 |
$187.77 |
Plan: (HMO) Silver Compass 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$270.78 $307.32 $346.04 $483.59 $734.87 |
$541.56 $614.64 $692.08 $967.18 $1469.74 |
$713.50 $786.58 $864.02 $1139.12 |
$885.44 $958.52 $1035.96 $1311.06 |
$1057.38 $1130.46 $1207.90 $1483.00 |
$442.72 $479.26 $517.98 $655.53 |
$614.66 $651.20 $689.92 $827.47 |
$786.60 $823.14 $861.86 $999.41 |
$171.94 |
Plan: (HMO) Silver Compass HSA 3600Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$3,600
: Family:
$7,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$272.73 $309.53 $348.53 $487.07 $740.16 |
$545.46 $619.06 $697.06 $974.14 $1480.32 |
$718.64 $792.24 $870.24 $1147.32 |
$891.82 $965.42 $1043.42 $1320.50 |
$1065.00 $1138.60 $1216.60 $1493.68 |
$445.91 $482.71 $521.71 $660.25 |
$619.09 $655.89 $694.89 $833.43 |
$792.27 $829.07 $868.07 $1006.61 |
$173.18 |
Plan: (HMO) Bronze Compass 4200Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$4,200
: Family:
$8,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$231.04 $262.22 $295.26 $412.62 $627.02 |
$462.08 $524.44 $590.52 $825.24 $1254.04 |
$608.78 $671.14 $737.22 $971.94 |
$755.48 $817.84 $883.92 $1118.64 |
$902.18 $964.54 $1030.62 $1265.34 |
$377.74 $408.92 $441.96 $559.32 |
$524.44 $555.62 $588.66 $706.02 |
$671.14 $702.32 $735.36 $852.72 |
$146.70 |
Plan: (HMO) Bronze Compass 6400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$6,400
: Family:
$12,800 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$237.27 $269.30 $303.22 $423.75 $643.94 |
$474.54 $538.60 $606.44 $847.50 $1287.88 |
$625.20 $689.26 $757.10 $998.16 |
$775.86 $839.92 $907.76 $1148.82 |
$926.52 $990.58 $1058.42 $1299.48 |
$387.93 $419.96 $453.88 $574.41 |
$538.59 $570.62 $604.54 $725.07 |
$689.25 $721.28 $755.20 $875.73 |
$150.66 |
Plan: (HMO) Catastrophic Compass 6850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$190.91 $216.67 $243.97 $340.95 $518.11 |
$381.82 $433.34 $487.94 $681.90 $1036.22 |
$503.04 $554.56 $609.16 $803.12 |
$624.26 $675.78 $730.38 $924.34 |
$745.48 $797.00 $851.60 $1045.56 |
$312.13 $337.89 $365.19 $462.17 |
$433.35 $459.11 $486.41 $583.39 |
$554.57 $580.33 $607.63 $704.61 |
$121.22 |
†Source: Our summary of lowest costs and numbers of providers is based on a government report released September 25, 2013. For more detailed information about specific plans and providers, see HealthCare.gov.
‡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 Volusia County here.