Obamacare 2022 Rates for Polk County
Obamacare > Rates > Florida > Polk County
Obamacare > Rates > Florida > Polk County
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Florida Blue (BlueCross BlueShield FL)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #1 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1423 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$737.25 $836.78 $942.21 $1,316.73 $2,000.90 |
$1,301.25 $1,400.78 $1,506.21 $1,880.73 |
$1,865.25 $1,964.78 $2,070.21 $2,444.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,474.50 $1,673.56 $1,884.42 $2,633.46 $4,001.80 |
$2,038.50 $2,237.56 $2,448.42 $3,197.46 |
$2,602.50 $2,801.56 $3,012.42 $3,761.46 |
Toc - Plan #2 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueOptions Bronze 1419 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$459.97 $522.07 $587.84 $821.51 $1,248.36 |
$811.85 $873.95 $939.72 $1,173.39 |
$1,163.73 $1,225.83 $1,291.60 $1,525.27 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$919.94 $1,044.14 $1,175.68 $1,643.02 $2,496.72 |
$1,271.82 $1,396.02 $1,527.56 $1,994.90 |
$1,623.70 $1,747.90 $1,879.44 $2,346.78 |
Toc - Plan #3 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1431 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$754.43 $856.28 $964.16 $1,347.41 $2,047.52 |
$1,331.57 $1,433.42 $1,541.30 $1,924.55 |
$1,908.71 $2,010.56 $2,118.44 $2,501.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,508.86 $1,712.56 $1,928.32 $2,694.82 $4,095.04 |
$2,086.00 $2,289.70 $2,505.46 $3,271.96 |
$2,663.14 $2,866.84 $3,082.60 $3,849.10 |
Toc - Plan #4 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1418 ($0 Virtual Visits /Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$919.07 $1,043.14 $1,174.57 $1,641.46 $2,494.36 |
$1,622.16 $1,746.23 $1,877.66 $2,344.55 |
$2,325.25 $2,449.32 $2,580.75 $3,047.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,838.14 $2,086.28 $2,349.14 $3,282.92 $4,988.72 |
$2,541.23 $2,789.37 $3,052.23 $3,986.01 |
$3,244.32 $3,492.46 $3,755.32 $4,689.10 |
Toc - Plan #5 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1416 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$494.22 $560.94 $631.61 $882.68 $1,341.31 |
$872.30 $939.02 $1,009.69 $1,260.76 |
$1,250.38 $1,317.10 $1,387.77 $1,638.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$988.44 $1,121.88 $1,263.22 $1,765.36 $2,682.62 |
$1,366.52 $1,499.96 $1,641.30 $2,143.44 |
$1,744.60 $1,878.04 $2,019.38 $2,521.52 |
Toc - Plan #6 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1424 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$969.57 $1,100.46 $1,239.11 $1,731.65 $2,631.41 |
$1,711.29 $1,842.18 $1,980.83 $2,473.37 |
$2,453.01 $2,583.90 $2,722.55 $3,215.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,939.14 $2,200.92 $2,478.22 $3,463.30 $5,262.82 |
$2,680.86 $2,942.64 $3,219.94 $4,205.02 |
$3,422.58 $3,684.36 $3,961.66 $4,946.74 |
Toc - Plan #7 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1410 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$681.33 $773.31 $870.74 $1,216.86 $1,849.13 |
$1,202.55 $1,294.53 $1,391.96 $1,738.08 |
$1,723.77 $1,815.75 $1,913.18 $2,259.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,362.66 $1,546.62 $1,741.48 $2,433.72 $3,698.26 |
$1,883.88 $2,067.84 $2,262.70 $2,954.94 |
$2,405.10 $2,589.06 $2,783.92 $3,476.16 |
Toc - Plan #8 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1505 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$777.78 $882.78 $994.00 $1,389.12 $2,110.89 |
$1,372.78 $1,477.78 $1,589.00 $1,984.12 |
$1,967.78 $2,072.78 $2,184.00 $2,579.12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,555.56 $1,765.56 $1,988.00 $2,778.24 $4,221.78 |
$2,150.56 $2,360.56 $2,583.00 $3,373.24 |
$2,745.56 $2,955.56 $3,178.00 $3,968.24 |
Toc - Plan #9 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze (HSA) 1705 (Rewards $$$ / $4 Condition Care Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$480.52 $545.39 $614.10 $858.21 $1,304.13 |
$848.12 $912.99 $981.70 $1,225.81 |
$1,215.72 $1,280.59 $1,349.30 $1,593.41 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$961.04 $1,090.78 $1,228.20 $1,716.42 $2,608.26 |
$1,328.64 $1,458.38 $1,595.80 $2,084.02 |
$1,696.24 $1,825.98 $1,963.40 $2,451.62 |
Toc - Plan #10 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1706S ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$749.39 $850.56 $957.72 $1,338.41 $2,033.84 |
$1,322.67 $1,423.84 $1,531.00 $1,911.69 |
$1,895.95 $1,997.12 $2,104.28 $2,484.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,498.78 $1,701.12 $1,915.44 $2,676.82 $4,067.68 |
$2,072.06 $2,274.40 $2,488.72 $3,250.10 |
$2,645.34 $2,847.68 $3,062.00 $3,823.38 |
Toc - Plan #11 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1707S ($0 Virtual Visits / $30 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$493.59 $560.22 $630.81 $881.55 $1,339.60 |
$871.19 $937.82 $1,008.41 $1,259.15 |
$1,248.79 $1,315.42 $1,386.01 $1,636.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$987.18 $1,120.44 $1,261.62 $1,763.10 $2,679.20 |
$1,364.78 $1,498.04 $1,639.22 $2,140.70 |
$1,742.38 $1,875.64 $2,016.82 $2,518.30 |
Toc - Plan #12 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1805 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$751.38 $852.82 $960.26 $1,341.96 $2,039.25 |
$1,326.19 $1,427.63 $1,535.07 $1,916.77 |
$1,901.00 $2,002.44 $2,109.88 $2,491.58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,502.76 $1,705.64 $1,920.52 $2,683.92 $4,078.50 |
$2,077.57 $2,280.45 $2,495.33 $3,258.73 |
$2,652.38 $2,855.26 $3,070.14 $3,833.54 |
Toc - Plan #13 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2119 ($0 Deductible / $30 PCP Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$525.98 $596.99 $672.20 $939.40 $1,427.51 |
$928.35 $999.36 $1,074.57 $1,341.77 |
$1,330.72 $1,401.73 $1,476.94 $1,744.14 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,051.96 $1,193.98 $1,344.40 $1,878.80 $2,855.02 |
$1,454.33 $1,596.35 $1,746.77 $2,281.17 |
$1,856.70 $1,998.72 $2,149.14 $2,683.54 |
Toc - Plan #14 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1456 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$479.64 $544.39 $612.98 $856.64 $1,301.74 |
$846.56 $911.31 $979.90 $1,223.56 |
$1,213.48 $1,278.23 $1,346.82 $1,590.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$959.28 $1,088.78 $1,225.96 $1,713.28 $2,603.48 |
$1,326.20 $1,455.70 $1,592.88 $2,080.20 |
$1,693.12 $1,822.62 $1,959.80 $2,447.12 |
Toc - Plan #15 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueSelect Bronze 1452 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$345.35 $391.97 $441.36 $616.80 $937.28 |
$609.54 $656.16 $705.55 $880.99 |
$873.73 $920.35 $969.74 $1,145.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$690.70 $783.94 $882.72 $1,233.60 $1,874.56 |
$954.89 $1,048.13 $1,146.91 $1,497.79 |
$1,219.08 $1,312.32 $1,411.10 $1,761.98 |
Toc - Plan #16 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1464 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$490.84 $557.10 $627.29 $876.64 $1,332.14 |
$866.33 $932.59 $1,002.78 $1,252.13 |
$1,241.82 $1,308.08 $1,378.27 $1,627.62 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$981.68 $1,114.20 $1,254.58 $1,753.28 $2,664.28 |
$1,357.17 $1,489.69 $1,630.07 $2,128.77 |
$1,732.66 $1,865.18 $2,005.56 $2,504.26 |
Toc - Plan #17 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1451 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$599.66 $680.61 $766.37 $1,070.99 $1,627.48 |
$1,058.40 $1,139.35 $1,225.11 $1,529.73 |
$1,517.14 $1,598.09 $1,683.85 $1,988.47 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,199.32 $1,361.22 $1,532.74 $2,141.98 $3,254.96 |
$1,658.06 $1,819.96 $1,991.48 $2,600.72 |
$2,116.80 $2,278.70 $2,450.22 $3,059.46 |
Toc - Plan #18 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1449 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371.04 $421.13 $474.19 $662.68 $1,007.00 |
$654.89 $704.98 $758.04 $946.53 |
$938.74 $988.83 $1,041.89 $1,230.38 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$742.08 $842.26 $948.38 $1,325.36 $2,014.00 |
$1,025.93 $1,126.11 $1,232.23 $1,609.21 |
$1,309.78 $1,409.96 $1,516.08 $1,893.06 |
Toc - Plan #19 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1457 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$632.19 $717.54 $807.94 $1,129.09 $1,715.76 |
$1,115.82 $1,201.17 $1,291.57 $1,612.72 |
$1,599.45 $1,684.80 $1,775.20 $2,096.35 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,264.38 $1,435.08 $1,615.88 $2,258.18 $3,431.52 |
$1,748.01 $1,918.71 $2,099.51 $2,741.81 |
$2,231.64 $2,402.34 $2,583.14 $3,225.44 |
Toc - Plan #20 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1443 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$443.29 $503.13 $566.52 $791.72 $1,203.09 |
$782.41 $842.25 $905.64 $1,130.84 |
$1,121.53 $1,181.37 $1,244.76 $1,469.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$886.58 $1,006.26 $1,133.04 $1,583.44 $2,406.18 |
$1,225.70 $1,345.38 $1,472.16 $1,922.56 |
$1,564.82 $1,684.50 $1,811.28 $2,261.68 |
Toc - Plan #21 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1535 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$514.68 $584.16 $657.76 $919.22 $1,396.84 |
$908.41 $977.89 $1,051.49 $1,312.95 |
$1,302.14 $1,371.62 $1,445.22 $1,706.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,029.36 $1,168.32 $1,315.52 $1,838.44 $2,793.68 |
$1,423.09 $1,562.05 $1,709.25 $2,232.17 |
$1,816.82 $1,955.78 $2,102.98 $2,625.90 |
Toc - Plan #22 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze (HSA) 1735 (Rewards $$$ / $4 Condition Care Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.74 $409.44 $461.03 $644.28 $979.05 |
$636.71 $685.41 $737.00 $920.25 |
$912.68 $961.38 $1,012.97 $1,196.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721.48 $818.88 $922.06 $1,288.56 $1,958.10 |
$997.45 $1,094.85 $1,198.03 $1,564.53 |
$1,273.42 $1,370.82 $1,474.00 $1,840.50 |
Toc - Plan #23 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1736S ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$487.56 $553.38 $623.10 $870.78 $1,323.24 |
$860.54 $926.36 $996.08 $1,243.76 |
$1,233.52 $1,299.34 $1,369.06 $1,616.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$975.12 $1,106.76 $1,246.20 $1,741.56 $2,646.48 |
$1,348.10 $1,479.74 $1,619.18 $2,114.54 |
$1,721.08 $1,852.72 $1,992.16 $2,487.52 |
Toc - Plan #24 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1737S ($0 Virtual Visits / $40 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370.60 $420.63 $473.63 $661.89 $1,005.81 |
$654.11 $704.14 $757.14 $945.40 |
$937.62 $987.65 $1,040.65 $1,228.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$741.20 $841.26 $947.26 $1,323.78 $2,011.62 |
$1,024.71 $1,124.77 $1,230.77 $1,607.29 |
$1,308.22 $1,408.28 $1,514.28 $1,890.80 |
Toc - Plan #25 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1835 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$497.99 $565.22 $636.43 $889.41 $1,351.54 |
$878.95 $946.18 $1,017.39 $1,270.37 |
$1,259.91 $1,327.14 $1,398.35 $1,651.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$995.98 $1,130.44 $1,272.86 $1,778.82 $2,703.08 |
$1,376.94 $1,511.40 $1,653.82 $2,159.78 |
$1,757.90 $1,892.36 $2,034.78 $2,540.74 |
Toc - Plan #26 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 2139 ($0 Deductible / $50 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.53 $447.79 $504.21 $704.63 $1,070.75 |
$696.35 $749.61 $806.03 $1,006.45 |
$998.17 $1,051.43 $1,107.85 $1,308.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$789.06 $895.58 $1,008.42 $1,409.26 $2,141.50 |
$1,090.88 $1,197.40 $1,310.24 $1,711.08 |
$1,392.70 $1,499.22 $1,612.06 $2,012.90 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #27 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.94 $451.65 $508.55 $710.69 $1,079.97 |
$702.35 $756.06 $812.96 $1,015.10 |
$1,006.76 $1,060.47 $1,117.37 $1,319.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795.88 $903.30 $1,017.10 $1,421.38 $2,159.94 |
$1,100.29 $1,207.71 $1,321.51 $1,725.79 |
$1,404.70 $1,512.12 $1,625.92 $2,030.20 |
Toc - Plan #28 Ambetter from Sunshine Health | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$279.98 $317.76 $357.80 $500.02 $759.83 |
$494.16 $531.94 $571.98 $714.20 |
$708.34 $746.12 $786.16 $928.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$559.96 $635.52 $715.60 $1,000.04 $1,519.66 |
$774.14 $849.70 $929.78 $1,214.22 |
$988.32 $1,063.88 $1,143.96 $1,428.40 |
Toc - Plan #29 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$307.87 $349.42 $393.45 $549.84 $835.54 |
$543.39 $584.94 $628.97 $785.36 |
$778.91 $820.46 $864.49 $1,020.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$615.74 $698.84 $786.90 $1,099.68 $1,671.08 |
$851.26 $934.36 $1,022.42 $1,335.20 |
$1,086.78 $1,169.88 $1,257.94 $1,570.72 |
Toc - Plan #30 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.25 $444.05 $500.00 $698.75 $1,061.81 |
$690.55 $743.35 $799.30 $998.05 |
$989.85 $1,042.65 $1,098.60 $1,297.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$782.50 $888.10 $1,000.00 $1,397.50 $2,123.62 |
$1,081.80 $1,187.40 $1,299.30 $1,696.80 |
$1,381.10 $1,486.70 $1,598.60 $1,996.10 |
Toc - Plan #31 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.85 $437.92 $493.10 $689.10 $1,047.16 |
$681.01 $733.08 $788.26 $984.26 |
$976.17 $1,028.24 $1,083.42 $1,279.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$771.70 $875.84 $986.20 $1,378.20 $2,094.32 |
$1,066.86 $1,171.00 $1,281.36 $1,673.36 |
$1,362.02 $1,466.16 $1,576.52 $1,968.52 |
Toc - Plan #32 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 24 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.21 $451.96 $508.90 $711.18 $1,080.71 |
$702.83 $756.58 $813.52 $1,015.80 |
$1,007.45 $1,061.20 $1,118.14 $1,320.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$796.42 $903.92 $1,017.80 $1,422.36 $2,161.42 |
$1,101.04 $1,208.54 $1,322.42 $1,726.98 |
$1,405.66 $1,513.16 $1,627.04 $2,031.60 |
Toc - Plan #33 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 29 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.35 $432.82 $487.35 $681.07 $1,034.95 |
$673.07 $724.54 $779.07 $972.79 |
$964.79 $1,016.26 $1,070.79 $1,264.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$762.70 $865.64 $974.70 $1,362.14 $2,069.90 |
$1,054.42 $1,157.36 $1,266.42 $1,653.86 |
$1,346.14 $1,449.08 $1,558.14 $1,945.58 |
Toc - Plan #34 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$304.55 $345.65 $389.20 $543.90 $826.51 |
$537.52 $578.62 $622.17 $776.87 |
$770.49 $811.59 $855.14 $1,009.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$609.10 $691.30 $778.40 $1,087.80 $1,653.02 |
$842.07 $924.27 $1,011.37 $1,320.77 |
$1,075.04 $1,157.24 $1,244.34 $1,553.74 |
Toc - Plan #35 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 22 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$325.67 $369.63 $416.20 $581.64 $883.85 |
$574.80 $618.76 $665.33 $830.77 |
$823.93 $867.89 $914.46 $1,079.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$651.34 $739.26 $832.40 $1,163.28 $1,767.70 |
$900.47 $988.39 $1,081.53 $1,412.41 |
$1,149.60 $1,237.52 $1,330.66 $1,661.54 |
Toc - Plan #36 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $1,500 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.59 $379.75 $427.60 $597.57 $908.06 |
$590.55 $635.71 $683.56 $853.53 |
$846.51 $891.67 $939.52 $1,109.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$669.18 $759.50 $855.20 $1,195.14 $1,816.12 |
$925.14 $1,015.46 $1,111.16 $1,451.10 |
$1,181.10 $1,271.42 $1,367.12 $1,707.06 |
Toc - Plan #37 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $0 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.02 $402.93 $453.70 $634.04 $963.49 |
$626.60 $674.51 $725.28 $905.62 |
$898.18 $946.09 $996.86 $1,177.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$710.04 $805.86 $907.40 $1,268.08 $1,926.98 |
$981.62 $1,077.44 $1,178.98 $1,539.66 |
$1,253.20 $1,349.02 $1,450.56 $1,811.24 |
Toc - Plan #38 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 30 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.05 $415.46 $467.80 $653.75 $993.43 |
$646.07 $695.48 $747.82 $933.77 |
$926.09 $975.50 $1,027.84 $1,213.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$732.10 $830.92 $935.60 $1,307.50 $1,986.86 |
$1,012.12 $1,110.94 $1,215.62 $1,587.52 |
$1,292.14 $1,390.96 $1,495.64 $1,867.54 |
Toc - Plan #39 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 31 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.83 $416.34 $468.80 $655.14 $995.56 |
$647.45 $696.96 $749.42 $935.76 |
$928.07 $977.58 $1,030.04 $1,216.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$733.66 $832.68 $937.60 $1,310.28 $1,991.12 |
$1,014.28 $1,113.30 $1,218.22 $1,590.90 |
$1,294.90 $1,393.92 $1,498.84 $1,871.52 |
Toc - Plan #40 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 32 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.94 $423.27 $476.60 $666.04 $1,012.12 |
$658.23 $708.56 $761.89 $951.33 |
$943.52 $993.85 $1,047.18 $1,236.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745.88 $846.54 $953.20 $1,332.08 $2,024.24 |
$1,031.17 $1,131.83 $1,238.49 $1,617.37 |
$1,316.46 $1,417.12 $1,523.78 $1,902.66 |
Toc - Plan #41 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 20 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.15 $422.38 $475.60 $664.65 $1,010.00 |
$656.84 $707.07 $760.29 $949.34 |
$941.53 $991.76 $1,044.98 $1,234.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$744.30 $844.76 $951.20 $1,329.30 $2,020.00 |
$1,028.99 $1,129.45 $1,235.89 $1,613.99 |
$1,313.68 $1,414.14 $1,520.58 $1,898.68 |
Toc - Plan #42 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.61 $453.54 $510.69 $713.68 $1,084.51 |
$705.30 $759.23 $816.38 $1,019.37 |
$1,010.99 $1,064.92 $1,122.07 $1,325.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$799.22 $907.08 $1,021.38 $1,427.36 $2,169.02 |
$1,104.91 $1,212.77 $1,327.07 $1,733.05 |
$1,410.60 $1,518.46 $1,632.76 $2,038.74 |
Toc - Plan #43 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.85 $361.89 $407.48 $569.45 $865.34 |
$562.76 $605.80 $651.39 $813.36 |
$806.67 $849.71 $895.30 $1,057.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$637.70 $723.78 $814.96 $1,138.90 $1,730.68 |
$881.61 $967.69 $1,058.87 $1,382.81 |
$1,125.52 $1,211.60 $1,302.78 $1,626.72 |
Toc - Plan #44 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412.13 $467.75 $526.69 $736.04 $1,118.49 |
$727.40 $783.02 $841.96 $1,051.31 |
$1,042.67 $1,098.29 $1,157.23 $1,366.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$824.26 $935.50 $1,053.38 $1,472.08 $2,236.98 |
$1,139.53 $1,250.77 $1,368.65 $1,787.35 |
$1,454.80 $1,566.04 $1,683.92 $2,102.62 |
Toc - Plan #45 Ambetter from Sunshine Health | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289.96 $329.10 $370.56 $517.86 $786.93 |
$511.77 $550.91 $592.37 $739.67 |
$733.58 $772.72 $814.18 $961.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$579.92 $658.20 $741.12 $1,035.72 $1,573.86 |
$801.73 $880.01 $962.93 $1,257.53 |
$1,023.54 $1,101.82 $1,184.74 $1,479.34 |
Toc - Plan #46 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$405.20 $459.89 $517.83 $723.67 $1,099.68 |
$715.17 $769.86 $827.80 $1,033.64 |
$1,025.14 $1,079.83 $1,137.77 $1,343.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$810.40 $919.78 $1,035.66 $1,447.34 $2,199.36 |
$1,120.37 $1,229.75 $1,345.63 $1,757.31 |
$1,430.34 $1,539.72 $1,655.60 $2,067.28 |
Toc - Plan #47 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 24 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412.41 $468.08 $527.05 $736.55 $1,119.26 |
$727.90 $783.57 $842.54 $1,052.04 |
$1,043.39 $1,099.06 $1,158.03 $1,367.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$824.82 $936.16 $1,054.10 $1,473.10 $2,238.52 |
$1,140.31 $1,251.65 $1,369.59 $1,788.59 |
$1,455.80 $1,567.14 $1,685.08 $2,104.08 |
Toc - Plan #48 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.41 $357.98 $403.08 $563.30 $855.99 |
$556.69 $599.26 $644.36 $804.58 |
$797.97 $840.54 $885.64 $1,045.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$630.82 $715.96 $806.16 $1,126.60 $1,711.98 |
$872.10 $957.24 $1,047.44 $1,367.88 |
$1,113.38 $1,198.52 $1,288.72 $1,609.16 |
Toc - Plan #49 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 22 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337.29 $382.81 $431.04 $602.38 $915.38 |
$595.31 $640.83 $689.06 $860.40 |
$853.33 $898.85 $947.08 $1,118.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$674.58 $765.62 $862.08 $1,204.76 $1,830.76 |
$932.60 $1,023.64 $1,120.10 $1,462.78 |
$1,190.62 $1,281.66 $1,378.12 $1,720.80 |
Toc - Plan #50 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$346.53 $393.30 $442.85 $618.88 $940.45 |
$611.62 $658.39 $707.94 $883.97 |
$876.71 $923.48 $973.03 $1,149.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$693.06 $786.60 $885.70 $1,237.76 $1,880.90 |
$958.15 $1,051.69 $1,150.79 $1,502.85 |
$1,223.24 $1,316.78 $1,415.88 $1,767.94 |
Toc - Plan #51 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.68 $417.30 $469.88 $656.66 $997.85 |
$648.95 $698.57 $751.15 $937.93 |
$930.22 $979.84 $1,032.42 $1,219.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$735.36 $834.60 $939.76 $1,313.32 $1,995.70 |
$1,016.63 $1,115.87 $1,221.03 $1,594.59 |
$1,297.90 $1,397.14 $1,502.30 $1,875.86 |
Toc - Plan #52 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 31 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$379.91 $431.19 $485.52 $678.51 $1,031.06 |
$670.54 $721.82 $776.15 $969.14 |
$961.17 $1,012.45 $1,066.78 $1,259.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$759.82 $862.38 $971.04 $1,357.02 $2,062.12 |
$1,050.45 $1,153.01 $1,261.67 $1,647.65 |
$1,341.08 $1,443.64 $1,552.30 $1,938.28 |
Toc - Plan #53 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 32 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.24 $438.37 $493.60 $689.80 $1,048.22 |
$681.70 $733.83 $789.06 $985.26 |
$977.16 $1,029.29 $1,084.52 $1,280.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$772.48 $876.74 $987.20 $1,379.60 $2,096.44 |
$1,067.94 $1,172.20 $1,282.66 $1,675.06 |
$1,363.40 $1,467.66 $1,578.12 $1,970.52 |
Toc - Plan #54 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 20 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.43 $437.45 $492.56 $688.35 $1,046.02 |
$680.27 $732.29 $787.40 $983.19 |
$975.11 $1,027.13 $1,082.24 $1,278.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$770.86 $874.90 $985.12 $1,376.70 $2,092.04 |
$1,065.70 $1,169.74 $1,279.96 $1,671.54 |
$1,360.54 $1,464.58 $1,574.80 $1,966.38 |
Toc - Plan #55 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 29 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.95 $448.25 $504.73 $705.36 $1,071.86 |
$697.08 $750.38 $806.86 $1,007.49 |
$999.21 $1,052.51 $1,108.99 $1,309.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$789.90 $896.50 $1,009.46 $1,410.72 $2,143.72 |
$1,092.03 $1,198.63 $1,311.59 $1,712.85 |
$1,394.16 $1,500.76 $1,613.72 $2,014.98 |
ADVERTISEMENT
Florida Blue HMO (a BlueCross BlueShield FL company)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #56 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 1490 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$498.75 $566.08 $637.40 $890.77 $1,353.61 |
$880.29 $947.62 $1,018.94 $1,272.31 |
$1,261.83 $1,329.16 $1,400.48 $1,653.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$997.50 $1,132.16 $1,274.80 $1,781.54 $2,707.22 |
$1,379.04 $1,513.70 $1,656.34 $2,163.08 |
$1,760.58 $1,895.24 $2,037.88 $2,544.62 |
Toc - Plan #57 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Bronze
(HMO) BlueCare Bronze 1486 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333.12 $378.09 $425.73 $594.95 $904.09 |
$587.96 $632.93 $680.57 $849.79 |
$842.80 $887.77 $935.41 $1,104.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$666.24 $756.18 $851.46 $1,189.90 $1,808.18 |
$921.08 $1,011.02 $1,106.30 $1,444.74 |
$1,175.92 $1,265.86 $1,361.14 $1,699.58 |
Toc - Plan #58 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 1498 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$520.77 $591.07 $665.54 $930.10 $1,413.37 |
$919.16 $989.46 $1,063.93 $1,328.49 |
$1,317.55 $1,387.85 $1,462.32 $1,726.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,041.54 $1,182.14 $1,331.08 $1,860.20 $2,826.74 |
$1,439.93 $1,580.53 $1,729.47 $2,258.59 |
$1,838.32 $1,978.92 $2,127.86 $2,656.98 |
Toc - Plan #59 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 1485 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$581.50 $660.00 $743.16 $1,038.56 $1,578.19 |
$1,026.35 $1,104.85 $1,188.01 $1,483.41 |
$1,471.20 $1,549.70 $1,632.86 $1,928.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,163.00 $1,320.00 $1,486.32 $2,077.12 $3,156.38 |
$1,607.85 $1,764.85 $1,931.17 $2,521.97 |
$2,052.70 $2,209.70 $2,376.02 $2,966.82 |
Toc - Plan #60 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 1483 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.75 $418.53 $471.26 $658.59 $1,000.79 |
$650.84 $700.62 $753.35 $940.68 |
$932.93 $982.71 $1,035.44 $1,222.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737.50 $837.06 $942.52 $1,317.18 $2,001.58 |
$1,019.59 $1,119.15 $1,224.61 $1,599.27 |
$1,301.68 $1,401.24 $1,506.70 $1,881.36 |
Toc - Plan #61 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 1491 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$623.97 $708.21 $797.43 $1,114.41 $1,693.45 |
$1,101.31 $1,185.55 $1,274.77 $1,591.75 |
$1,578.65 $1,662.89 $1,752.11 $2,069.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,247.94 $1,416.42 $1,594.86 $2,228.82 $3,386.90 |
$1,725.28 $1,893.76 $2,072.20 $2,706.16 |
$2,202.62 $2,371.10 $2,549.54 $3,183.50 |
Toc - Plan #62 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 1477 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$449.84 $510.57 $574.90 $803.41 $1,220.87 |
$793.97 $854.70 $919.03 $1,147.54 |
$1,138.10 $1,198.83 $1,263.16 $1,491.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$899.68 $1,021.14 $1,149.80 $1,606.82 $2,441.74 |
$1,243.81 $1,365.27 $1,493.93 $1,950.95 |
$1,587.94 $1,709.40 $1,838.06 $2,295.08 |
Toc - Plan #63 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) BlueCare Gold 1565 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$536.75 $609.21 $685.97 $958.64 $1,456.74 |
$947.36 $1,019.82 $1,096.58 $1,369.25 |
$1,357.97 $1,430.43 $1,507.19 $1,779.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,073.50 $1,218.42 $1,371.94 $1,917.28 $2,913.48 |
$1,484.11 $1,629.03 $1,782.55 $2,327.89 |
$1,894.72 $2,039.64 $2,193.16 $2,738.50 |
Toc - Plan #64 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze (HSA) 1765 (Rewards $$$ / $4 Condition Care Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.19 $399.74 $450.10 $629.01 $955.84 |
$621.62 $669.17 $719.53 $898.44 |
$891.05 $938.60 $988.96 $1,167.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.38 $799.48 $900.20 $1,258.02 $1,911.68 |
$973.81 $1,068.91 $1,169.63 $1,527.45 |
$1,243.24 $1,338.34 $1,439.06 $1,796.88 |
Toc - Plan #65 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 1766S ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$511.65 $580.72 $653.89 $913.81 $1,388.62 |
$903.06 $972.13 $1,045.30 $1,305.22 |
$1,294.47 $1,363.54 $1,436.71 $1,696.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,023.30 $1,161.44 $1,307.78 $1,827.62 $2,777.24 |
$1,414.71 $1,552.85 $1,699.19 $2,219.03 |
$1,806.12 $1,944.26 $2,090.60 $2,610.44 |
Toc - Plan #66 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 1767S ($0 Virtual Visits / $40 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.41 $417.01 $469.55 $656.19 $997.15 |
$648.48 $698.08 $750.62 $937.26 |
$929.55 $979.15 $1,031.69 $1,218.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734.82 $834.02 $939.10 $1,312.38 $1,994.30 |
$1,015.89 $1,115.09 $1,220.17 $1,593.45 |
$1,296.96 $1,396.16 $1,501.24 $1,874.52 |
Toc - Plan #67 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) BlueCare Gold 1865 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$512.99 $582.24 $655.60 $916.20 $1,392.25 |
$905.43 $974.68 $1,048.04 $1,308.64 |
$1,297.87 $1,367.12 $1,440.48 $1,701.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,025.98 $1,164.48 $1,311.20 $1,832.40 $2,784.50 |
$1,418.42 $1,556.92 $1,703.64 $2,224.84 |
$1,810.86 $1,949.36 $2,096.08 $2,617.28 |
Toc - Plan #68 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2179 ($0 Deductible / $35 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.81 $454.92 $512.24 $715.85 $1,087.80 |
$707.43 $761.54 $818.86 $1,022.47 |
$1,014.05 $1,068.16 $1,125.48 $1,329.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$801.62 $909.84 $1,024.48 $1,431.70 $2,175.60 |
$1,108.24 $1,216.46 $1,331.10 $1,738.32 |
$1,414.86 $1,523.08 $1,637.72 $2,044.94 |
Toc - Plan #69 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1601 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339.96 $385.85 $434.47 $607.17 $922.65 |
$600.03 $645.92 $694.54 $867.24 |
$860.10 $905.99 $954.61 $1,127.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$679.92 $771.70 $868.94 $1,214.34 $1,845.30 |
$939.99 $1,031.77 $1,129.01 $1,474.41 |
$1,200.06 $1,291.84 $1,389.08 $1,734.48 |
Toc - Plan #70 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1602 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.18 $342.97 $386.19 $539.69 $820.12 |
$533.35 $574.14 $617.36 $770.86 |
$764.52 $805.31 $848.53 $1,002.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$604.36 $685.94 $772.38 $1,079.38 $1,640.24 |
$835.53 $917.11 $1,003.55 $1,310.55 |
$1,066.70 $1,148.28 $1,234.72 $1,541.72 |
Toc - Plan #71 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1603 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$431.96 $490.27 $552.04 $771.48 $1,172.34 |
$762.41 $820.72 $882.49 $1,101.93 |
$1,092.86 $1,151.17 $1,212.94 $1,432.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$863.92 $980.54 $1,104.08 $1,542.96 $2,344.68 |
$1,194.37 $1,310.99 $1,434.53 $1,873.41 |
$1,524.82 $1,641.44 $1,764.98 $2,203.86 |
Toc - Plan #72 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1604 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408.81 $464.00 $522.46 $730.13 $1,109.51 |
$721.55 $776.74 $835.20 $1,042.87 |
$1,034.29 $1,089.48 $1,147.94 $1,355.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$817.62 $928.00 $1,044.92 $1,460.26 $2,219.02 |
$1,130.36 $1,240.74 $1,357.66 $1,773.00 |
$1,443.10 $1,553.48 $1,670.40 $2,085.74 |
Toc - Plan #73 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 1605 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$453.94 $515.22 $580.14 $810.74 $1,231.99 |
$801.20 $862.48 $927.40 $1,158.00 |
$1,148.46 $1,209.74 $1,274.66 $1,505.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$907.88 $1,030.44 $1,160.28 $1,621.48 $2,463.98 |
$1,255.14 $1,377.70 $1,507.54 $1,968.74 |
$1,602.40 $1,724.96 $1,854.80 $2,316.00 |
Toc - Plan #74 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1710 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$444.34 $504.33 $567.87 $793.59 $1,205.94 |
$784.26 $844.25 $907.79 $1,133.51 |
$1,124.18 $1,184.17 $1,247.71 $1,473.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$888.68 $1,008.66 $1,135.74 $1,587.18 $2,411.88 |
$1,228.60 $1,348.58 $1,475.66 $1,927.10 |
$1,568.52 $1,688.50 $1,815.58 $2,267.02 |
Toc - Plan #75 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1711S ($0 Virtual Visits / $60 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.02 $383.65 $431.99 $603.70 $917.39 |
$596.61 $642.24 $690.58 $862.29 |
$855.20 $900.83 $949.17 $1,120.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$676.04 $767.30 $863.98 $1,207.40 $1,834.78 |
$934.63 $1,025.89 $1,122.57 $1,465.99 |
$1,193.22 $1,284.48 $1,381.16 $1,724.58 |
Toc - Plan #76 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1712S ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$439.77 $499.14 $562.03 $785.43 $1,193.54 |
$776.19 $835.56 $898.45 $1,121.85 |
$1,112.61 $1,171.98 $1,234.87 $1,458.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$879.54 $998.28 $1,124.06 $1,570.86 $2,387.08 |
$1,215.96 $1,334.70 $1,460.48 $1,907.28 |
$1,552.38 $1,671.12 $1,796.90 $2,243.70 |
Toc - Plan #77 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2017 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.73 $455.96 $513.41 $717.49 $1,090.30 |
$709.05 $763.28 $820.73 $1,024.81 |
$1,016.37 $1,070.60 $1,128.05 $1,332.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$803.46 $911.92 $1,026.82 $1,434.98 $2,180.60 |
$1,110.78 $1,219.24 $1,334.14 $1,742.30 |
$1,418.10 $1,526.56 $1,641.46 $2,049.62 |
Toc - Plan #78 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2127 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.75 $445.77 $501.93 $701.45 $1,065.92 |
$693.20 $746.22 $802.38 $1,001.90 |
$993.65 $1,046.67 $1,102.83 $1,302.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$785.50 $891.54 $1,003.86 $1,402.90 $2,131.84 |
$1,085.95 $1,191.99 $1,304.31 $1,703.35 |
$1,386.40 $1,492.44 $1,604.76 $2,003.80 |
Toc - Plan #79 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2129 ($0 Deductible / $0 Virtual Visits / $35 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.48 $418.22 $470.92 $658.11 $1,000.05 |
$650.37 $700.11 $752.81 $940.00 |
$932.26 $982.00 $1,034.70 $1,221.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736.96 $836.44 $941.84 $1,316.22 $2,000.10 |
$1,018.85 $1,118.33 $1,223.73 $1,598.11 |
$1,300.74 $1,400.22 $1,505.62 $1,880.00 |
Toc - Plan #80 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2126 (3 PCP Visits for $0 / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339.91 $385.80 $434.40 $607.08 $922.52 |
$599.94 $645.83 $694.43 $867.11 |
$859.97 $905.86 $954.46 $1,127.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$679.82 $771.60 $868.80 $1,214.16 $1,845.04 |
$939.85 $1,031.63 $1,128.83 $1,474.19 |
$1,199.88 $1,291.66 $1,388.86 $1,734.22 |
Toc - Plan #81 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$379.96 $431.25 $485.59 $678.61 $1,031.21 |
$670.63 $721.92 $776.26 $969.28 |
$961.30 $1,012.59 $1,066.93 $1,259.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$759.92 $862.50 $971.18 $1,357.22 $2,062.42 |
$1,050.59 $1,153.17 $1,261.85 $1,647.89 |
$1,341.26 $1,443.84 $1,552.52 $1,938.56 |
Toc - Plan #82 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2219 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.12 $375.82 $423.17 $591.38 $898.66 |
$584.43 $629.13 $676.48 $844.69 |
$837.74 $882.44 $929.79 $1,098.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$662.24 $751.64 $846.34 $1,182.76 $1,797.32 |
$915.55 $1,004.95 $1,099.65 $1,436.07 |
$1,168.86 $1,258.26 $1,352.96 $1,689.38 |
Toc - Plan #83 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2266 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.06 $376.89 $424.37 $593.06 $901.21 |
$586.09 $630.92 $678.40 $847.09 |
$840.12 $884.95 $932.43 $1,101.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$664.12 $753.78 $848.74 $1,186.12 $1,802.42 |
$918.15 $1,007.81 $1,102.77 $1,440.15 |
$1,172.18 $1,261.84 $1,356.80 $1,694.18 |
Toc - Plan #84 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237D ($0 Labs / $0 Virtual Visits / Adult Dental / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.60 $441.06 $496.63 $694.04 $1,054.66 |
$685.88 $738.34 $793.91 $991.32 |
$983.16 $1,035.62 $1,091.19 $1,288.60 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$777.20 $882.12 $993.26 $1,388.08 $2,109.32 |
$1,074.48 $1,179.40 $1,290.54 $1,685.36 |
$1,371.76 $1,476.68 $1,587.82 $1,982.64 |
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Molina HealthcareLocal: 1-888-560-5716 | Toll Free: 1-888-560-5716 | TTY: 1-800-955-8771 |
Toc - Plan #85 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$483.35 $548.60 $617.72 $863.26 $1,311.80 |
$853.11 $918.36 $987.48 $1,233.02 |
$1,222.87 $1,288.12 $1,357.24 $1,602.78 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$966.70 $1,097.20 $1,235.44 $1,726.52 $2,623.60 |
$1,336.46 $1,466.96 $1,605.20 $2,096.28 |
$1,706.22 $1,836.72 $1,974.96 $2,466.04 |
Toc - Plan #86 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$430.09 $488.15 $549.65 $768.13 $1,167.25 |
$759.11 $817.17 $878.67 $1,097.15 |
$1,088.13 $1,146.19 $1,207.69 $1,426.17 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$860.18 $976.30 $1,099.30 $1,536.26 $2,334.50 |
$1,189.20 $1,305.32 $1,428.32 $1,865.28 |
$1,518.22 $1,634.34 $1,757.34 $2,194.30 |
Toc - Plan #87 Molina Healthcare | ||||||||||||||||||||
Bronze
(HMO) Core Care Bronze 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$325.86 $369.85 $416.45 $581.98 $884.38 |
$575.14 $619.13 $665.73 $831.26 |
$824.42 $868.41 $915.01 $1,080.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$651.72 $739.70 $832.90 $1,163.96 $1,768.76 |
$901.00 $988.98 $1,082.18 $1,413.24 |
$1,150.28 $1,238.26 $1,331.46 $1,662.52 |
Toc - Plan #88 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 4 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$425.79 $483.27 $544.16 $760.46 $1,155.59 |
$751.52 $809.00 $869.89 $1,086.19 |
$1,077.25 $1,134.73 $1,195.62 $1,411.92 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$851.58 $966.54 $1,088.32 $1,520.92 $2,311.18 |
$1,177.31 $1,292.27 $1,414.05 $1,846.65 |
$1,503.04 $1,618.00 $1,739.78 $2,172.38 |
Toc - Plan #89 Molina Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Core Care Bronze 4 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.51 $412.59 $464.57 $649.23 $986.57 |
$641.60 $690.68 $742.66 $927.32 |
$919.69 $968.77 $1,020.75 $1,205.41 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$727.02 $825.18 $929.14 $1,298.46 $1,973.14 |
$1,005.11 $1,103.27 $1,207.23 $1,576.55 |
$1,283.20 $1,381.36 $1,485.32 $1,854.64 |
Toc - Plan #90 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$421.10 $477.95 $538.17 $752.08 $1,142.87 |
$743.24 $800.09 $860.31 $1,074.22 |
$1,065.38 $1,122.23 $1,182.45 $1,396.36 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$842.20 $955.90 $1,076.34 $1,504.16 $2,285.74 |
$1,164.34 $1,278.04 $1,398.48 $1,826.30 |
$1,486.48 $1,600.18 $1,720.62 $2,148.44 |
Toc - Plan #91 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$488.93 $554.94 $624.85 $873.23 $1,326.96 |
$862.96 $928.97 $998.88 $1,247.26 |
$1,236.99 $1,303.00 $1,372.91 $1,621.29 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$977.86 $1,109.88 $1,249.70 $1,746.46 $2,653.92 |
$1,351.89 $1,483.91 $1,623.73 $2,120.49 |
$1,725.92 $1,857.94 $1,997.76 $2,494.52 |
Toc - Plan #92 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$433.72 $492.27 $554.29 $774.62 $1,177.11 |
$765.51 $824.06 $886.08 $1,106.41 |
$1,097.30 $1,155.85 $1,217.87 $1,438.20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$867.44 $984.54 $1,108.58 $1,549.24 $2,354.22 |
$1,199.23 $1,316.33 $1,440.37 $1,881.03 |
$1,531.02 $1,648.12 $1,772.16 $2,212.82 |
Toc - Plan #93 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 2 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$427.72 $485.47 $546.63 $763.91 $1,160.84 |
$754.93 $812.68 $873.84 $1,091.12 |
$1,082.14 $1,139.89 $1,201.05 $1,418.33 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$855.44 $970.94 $1,093.26 $1,527.82 $2,321.68 |
$1,182.65 $1,298.15 $1,420.47 $1,855.03 |
$1,509.86 $1,625.36 $1,747.68 $2,182.24 |
‡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 Polk County here.
Polk County is in “Rating Area 53” of Florida.
Currently, there are 93 plans offered in Rating Area 53.