Obamacare 2022 Rates for Pasco County
Obamacare > Rates > Florida > Pasco County
Obamacare > Rates > Florida > Pasco County
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Bright HealthCareLocal: 1-855-521-9335 | Toll Free: 1-855-521-9335 |
Toc - Plan #1 Bright HealthCare | ||||||||||||||||||||
Gold
(EPO) Gold 1000 ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
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Customer Service Phone: 1-855-521-9335
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 |
$454.19 $515.51 $580.46 $811.19 $1,232.68 |
$801.65 $862.97 $927.92 $1,158.65 |
$1,149.11 $1,210.43 $1,275.38 $1,506.11 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$908.38 $1,031.02 $1,160.92 $1,622.38 $2,465.36 |
$1,255.84 $1,378.48 $1,508.38 $1,969.84 |
$1,603.30 $1,725.94 $1,855.84 $2,317.30 |
Toc - Plan #2 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver 5000 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$425.57 $483.02 $543.88 $760.07 $1,155.00 |
$751.13 $808.58 $869.44 $1,085.63 |
$1,076.69 $1,134.14 $1,195.00 $1,411.19 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$851.14 $966.04 $1,087.76 $1,520.14 $2,310.00 |
$1,176.70 $1,291.60 $1,413.32 $1,845.70 |
$1,502.26 $1,617.16 $1,738.88 $2,171.26 |
Toc - Plan #3 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver 3000 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
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 |
$435.08 $493.82 $556.04 $777.06 $1,180.81 |
$767.92 $826.66 $888.88 $1,109.90 |
$1,100.76 $1,159.50 $1,221.72 $1,442.74 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$870.16 $987.64 $1,112.08 $1,554.12 $2,361.62 |
$1,203.00 $1,320.48 $1,444.92 $1,886.96 |
$1,535.84 $1,653.32 $1,777.76 $2,219.80 |
Toc - Plan #4 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver $0 Deductible ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$473.95 $537.93 $605.71 $846.48 $1,286.30 |
$836.52 $900.50 $968.28 $1,209.05 |
$1,199.09 $1,263.07 $1,330.85 $1,571.62 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$947.90 $1,075.86 $1,211.42 $1,692.96 $2,572.60 |
$1,310.47 $1,438.43 $1,573.99 $2,055.53 |
$1,673.04 $1,801.00 $1,936.56 $2,418.10 |
Toc - Plan #5 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 8700 + $0 Mental Health ($0 Telehealth + $0 Primary Care + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$319.06 $362.13 $407.75 $569.83 $865.92 |
$563.14 $606.21 $651.83 $813.91 |
$807.22 $850.29 $895.91 $1,057.99 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$638.12 $724.26 $815.50 $1,139.66 $1,731.84 |
$882.20 $968.34 $1,059.58 $1,383.74 |
$1,126.28 $1,212.42 $1,303.66 $1,627.82 |
Toc - Plan #6 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 5300 HSA |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$352.20 $399.74 $450.11 $629.02 $955.86 |
$621.63 $669.17 $719.54 $898.45 |
$891.06 $938.60 $988.97 $1,167.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$704.40 $799.48 $900.22 $1,258.04 $1,911.72 |
$973.83 $1,068.91 $1,169.65 $1,527.47 |
$1,243.26 $1,338.34 $1,439.08 $1,796.90 |
Toc - Plan #7 Bright HealthCare | ||||||||||||||||||||
Catastrophic
(EPO) Catastrophic 8700 ($0 Primary Care) |
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Benefits & Coverage
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$234.74 $266.43 $300.00 $419.25 $637.08 |
$414.32 $446.01 $479.58 $598.83 |
$593.90 $625.59 $659.16 $778.41 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$469.48 $532.86 $600.00 $838.50 $1,274.16 |
$649.06 $712.44 $779.58 $1,018.08 |
$828.64 $892.02 $959.16 $1,197.66 |
Toc - Plan #8 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver 6700 ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
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 |
$435.22 $493.97 $556.21 $777.30 $1,181.18 |
$768.16 $826.91 $889.15 $1,110.24 |
$1,101.10 $1,159.85 $1,222.09 $1,443.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$870.44 $987.94 $1,112.42 $1,554.60 $2,362.36 |
$1,203.38 $1,320.88 $1,445.36 $1,887.54 |
$1,536.32 $1,653.82 $1,778.30 $2,220.48 |
Toc - Plan #9 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 7200 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$332.30 $377.16 $424.68 $593.49 $901.86 |
$586.51 $631.37 $678.89 $847.70 |
$840.72 $885.58 $933.10 $1,101.91 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$664.60 $754.32 $849.36 $1,186.98 $1,803.72 |
$918.81 $1,008.53 $1,103.57 $1,441.19 |
$1,173.02 $1,262.74 $1,357.78 $1,695.40 |
Toc - Plan #10 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze $0 Medical Deductible ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$370.82 $420.88 $473.91 $662.28 $1,006.40 |
$654.50 $704.56 $757.59 $945.96 |
$938.18 $988.24 $1,041.27 $1,229.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$741.64 $841.76 $947.82 $1,324.56 $2,012.80 |
$1,025.32 $1,125.44 $1,231.50 $1,608.24 |
$1,309.00 $1,409.12 $1,515.18 $1,891.92 |
Toc - Plan #11 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 7200 + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$337.57 $383.15 $431.42 $602.91 $916.17 |
$595.81 $641.39 $689.66 $861.15 |
$854.05 $899.63 $947.90 $1,119.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$675.14 $766.30 $862.84 $1,205.82 $1,832.34 |
$933.38 $1,024.54 $1,121.08 $1,464.06 |
$1,191.62 $1,282.78 $1,379.32 $1,722.30 |
Toc - Plan #12 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver 6700 + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Presc |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$440.49 $499.96 $562.95 $786.72 $1,195.49 |
$777.47 $836.94 $899.93 $1,123.70 |
$1,114.45 $1,173.92 $1,236.91 $1,460.68 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$880.98 $999.92 $1,125.90 $1,573.44 $2,390.98 |
$1,217.96 $1,336.90 $1,462.88 $1,910.42 |
$1,554.94 $1,673.88 $1,799.86 $2,247.40 |
Toc - Plan #13 Bright HealthCare | ||||||||||||||||||||
Gold
(EPO) Gold $0 Deductible + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription L |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$492.36 $558.83 $629.24 $879.36 $1,336.27 |
$869.02 $935.49 $1,005.90 $1,256.02 |
$1,245.68 $1,312.15 $1,382.56 $1,632.68 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$984.72 $1,117.66 $1,258.48 $1,758.72 $2,672.54 |
$1,361.38 $1,494.32 $1,635.14 $2,135.38 |
$1,738.04 $1,870.98 $2,011.80 $2,512.04 |
Toc - Plan #14 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 8700 ($25 Generic) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$313.47 $355.78 $400.61 $559.85 $850.75 |
$553.27 $595.58 $640.41 $799.65 |
$793.07 $835.38 $880.21 $1,039.45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$626.94 $711.56 $801.22 $1,119.70 $1,701.50 |
$866.74 $951.36 $1,041.02 $1,359.50 |
$1,106.54 $1,191.16 $1,280.82 $1,599.30 |
Toc - Plan #15 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver 4000 ($35 Primary Care + $15 Generic) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$404.68 $459.31 $517.18 $722.76 $1,098.30 |
$714.26 $768.89 $826.76 $1,032.34 |
$1,023.84 $1,078.47 $1,136.34 $1,341.92 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$809.36 $918.62 $1,034.36 $1,445.52 $2,196.60 |
$1,118.94 $1,228.20 $1,343.94 $1,755.10 |
$1,428.52 $1,537.78 $1,653.52 $2,064.68 |
ADVERTISEMENT
Florida Blue (BlueCross BlueShield FL)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #16 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1423 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
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Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
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|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$795.45 $902.84 $1,016.59 $1,420.67 $2,158.85 |
$1,403.97 $1,511.36 $1,625.11 $2,029.19 |
$2,012.49 $2,119.88 $2,233.63 $2,637.71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,590.90 $1,805.68 $2,033.18 $2,841.34 $4,317.70 |
$2,199.42 $2,414.20 $2,641.70 $3,449.86 |
$2,807.94 $3,022.72 $3,250.22 $4,058.38 |
Toc - Plan #17 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueOptions Bronze 1419 ($0 Virtual Visits / Rewards $$$) |
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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:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$496.28 $563.28 $634.25 $886.36 $1,346.90 |
$875.93 $942.93 $1,013.90 $1,266.01 |
$1,255.58 $1,322.58 $1,393.55 $1,645.66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$992.56 $1,126.56 $1,268.50 $1,772.72 $2,693.80 |
$1,372.21 $1,506.21 $1,648.15 $2,152.37 |
$1,751.86 $1,885.86 $2,027.80 $2,532.02 |
Toc - Plan #18 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1431 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$813.99 $923.88 $1,040.28 $1,453.79 $2,209.17 |
$1,436.69 $1,546.58 $1,662.98 $2,076.49 |
$2,059.39 $2,169.28 $2,285.68 $2,699.19 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,627.98 $1,847.76 $2,080.56 $2,907.58 $4,418.34 |
$2,250.68 $2,470.46 $2,703.26 $3,530.28 |
$2,873.38 $3,093.16 $3,325.96 $4,152.98 |
Toc - Plan #19 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1418 ($0 Virtual Visits /Rewards $$$) |
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Benefits & Coverage
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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 |
$991.63 $1,125.50 $1,267.30 $1,771.05 $2,691.28 |
$1,750.23 $1,884.10 $2,025.90 $2,529.65 |
$2,508.83 $2,642.70 $2,784.50 $3,288.25 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,983.26 $2,251.00 $2,534.60 $3,542.10 $5,382.56 |
$2,741.86 $3,009.60 $3,293.20 $4,300.70 |
$3,500.46 $3,768.20 $4,051.80 $5,059.30 |
Toc - Plan #20 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1416 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
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Benefits & Coverage
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Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$533.24 $605.23 $681.48 $952.37 $1,447.21 |
$941.17 $1,013.16 $1,089.41 $1,360.30 |
$1,349.10 $1,421.09 $1,497.34 $1,768.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,066.48 $1,210.46 $1,362.96 $1,904.74 $2,894.42 |
$1,474.41 $1,618.39 $1,770.89 $2,312.67 |
$1,882.34 $2,026.32 $2,178.82 $2,720.60 |
Toc - Plan #21 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1424 ($0 Virtual Visits / Rewards $$$) |
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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 |
$1,046.12 $1,187.35 $1,336.94 $1,868.37 $2,839.17 |
$1,846.40 $1,987.63 $2,137.22 $2,668.65 |
$2,646.68 $2,787.91 $2,937.50 $3,468.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$2,092.24 $2,374.70 $2,673.88 $3,736.74 $5,678.34 |
$2,892.52 $3,174.98 $3,474.16 $4,537.02 |
$3,692.80 $3,975.26 $4,274.44 $5,337.30 |
Toc - Plan #22 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1410 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$735.12 $834.36 $939.48 $1,312.92 $1,995.12 |
$1,297.49 $1,396.73 $1,501.85 $1,875.29 |
$1,859.86 $1,959.10 $2,064.22 $2,437.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,470.24 $1,668.72 $1,878.96 $2,625.84 $3,990.24 |
$2,032.61 $2,231.09 $2,441.33 $3,188.21 |
$2,594.98 $2,793.46 $3,003.70 $3,750.58 |
Toc - Plan #23 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1505 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$839.19 $952.48 $1,072.48 $1,498.79 $2,277.56 |
$1,481.17 $1,594.46 $1,714.46 $2,140.77 |
$2,123.15 $2,236.44 $2,356.44 $2,782.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,678.38 $1,904.96 $2,144.96 $2,997.58 $4,555.12 |
$2,320.36 $2,546.94 $2,786.94 $3,639.56 |
$2,962.34 $3,188.92 $3,428.92 $4,281.54 |
Toc - Plan #24 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze (HSA) 1705 (Rewards $$$ / $4 Condition Care Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$518.46 $588.45 $662.59 $925.97 $1,407.10 |
$915.08 $985.07 $1,059.21 $1,322.59 |
$1,311.70 $1,381.69 $1,455.83 $1,719.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,036.92 $1,176.90 $1,325.18 $1,851.94 $2,814.20 |
$1,433.54 $1,573.52 $1,721.80 $2,248.56 |
$1,830.16 $1,970.14 $2,118.42 $2,645.18 |
Toc - Plan #25 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1706S ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$808.55 $917.70 $1,033.33 $1,444.07 $2,194.40 |
$1,427.09 $1,536.24 $1,651.87 $2,062.61 |
$2,045.63 $2,154.78 $2,270.41 $2,681.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,617.10 $1,835.40 $2,066.66 $2,888.14 $4,388.80 |
$2,235.64 $2,453.94 $2,685.20 $3,506.68 |
$2,854.18 $3,072.48 $3,303.74 $4,125.22 |
Toc - Plan #26 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1707S ($0 Virtual Visits / $30 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$532.56 $604.46 $680.61 $951.15 $1,445.37 |
$939.97 $1,011.87 $1,088.02 $1,358.56 |
$1,347.38 $1,419.28 $1,495.43 $1,765.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,065.12 $1,208.92 $1,361.22 $1,902.30 $2,890.74 |
$1,472.53 $1,616.33 $1,768.63 $2,309.71 |
$1,879.94 $2,023.74 $2,176.04 $2,717.12 |
Toc - Plan #27 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1805 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$810.70 $920.14 $1,036.07 $1,447.91 $2,200.24 |
$1,430.89 $1,540.33 $1,656.26 $2,068.10 |
$2,051.08 $2,160.52 $2,276.45 $2,688.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,621.40 $1,840.28 $2,072.14 $2,895.82 $4,400.48 |
$2,241.59 $2,460.47 $2,692.33 $3,516.01 |
$2,861.78 $3,080.66 $3,312.52 $4,136.20 |
Toc - Plan #28 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2119 ($0 Deductible / $30 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$567.50 $644.11 $725.27 $1,013.56 $1,540.20 |
$1,001.64 $1,078.25 $1,159.41 $1,447.70 |
$1,435.78 $1,512.39 $1,593.55 $1,881.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,135.00 $1,288.22 $1,450.54 $2,027.12 $3,080.40 |
$1,569.14 $1,722.36 $1,884.68 $2,461.26 |
$2,003.28 $2,156.50 $2,318.82 $2,895.40 |
Toc - Plan #29 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1456 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$517.50 $587.36 $661.37 $924.26 $1,404.50 |
$913.39 $983.25 $1,057.26 $1,320.15 |
$1,309.28 $1,379.14 $1,453.15 $1,716.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,035.00 $1,174.72 $1,322.74 $1,848.52 $2,809.00 |
$1,430.89 $1,570.61 $1,718.63 $2,244.41 |
$1,826.78 $1,966.50 $2,114.52 $2,640.30 |
Toc - Plan #30 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueSelect Bronze 1452 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.62 $422.92 $476.21 $665.50 $1,011.29 |
$657.67 $707.97 $761.26 $950.55 |
$942.72 $993.02 $1,046.31 $1,235.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745.24 $845.84 $952.42 $1,331.00 $2,022.58 |
$1,030.29 $1,130.89 $1,237.47 $1,616.05 |
$1,315.34 $1,415.94 $1,522.52 $1,901.10 |
Toc - Plan #31 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1464 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$529.59 $601.08 $676.82 $945.85 $1,437.31 |
$934.73 $1,006.22 $1,081.96 $1,350.99 |
$1,339.87 $1,411.36 $1,487.10 $1,756.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,059.18 $1,202.16 $1,353.64 $1,891.70 $2,874.62 |
$1,464.32 $1,607.30 $1,758.78 $2,296.84 |
$1,869.46 $2,012.44 $2,163.92 $2,701.98 |
Toc - Plan #32 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1451 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$647.00 $734.35 $826.87 $1,155.54 $1,755.96 |
$1,141.96 $1,229.31 $1,321.83 $1,650.50 |
$1,636.92 $1,724.27 $1,816.79 $2,145.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,294.00 $1,468.70 $1,653.74 $2,311.08 $3,511.92 |
$1,788.96 $1,963.66 $2,148.70 $2,806.04 |
$2,283.92 $2,458.62 $2,643.66 $3,301.00 |
Toc - Plan #33 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1449 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.33 $454.37 $511.62 $714.99 $1,086.50 |
$706.58 $760.62 $817.87 $1,021.24 |
$1,012.83 $1,066.87 $1,124.12 $1,327.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$800.66 $908.74 $1,023.24 $1,429.98 $2,173.00 |
$1,106.91 $1,214.99 $1,329.49 $1,736.23 |
$1,413.16 $1,521.24 $1,635.74 $2,042.48 |
Toc - Plan #34 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1457 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$682.10 $774.18 $871.72 $1,218.23 $1,851.22 |
$1,203.91 $1,295.99 $1,393.53 $1,740.04 |
$1,725.72 $1,817.80 $1,915.34 $2,261.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,364.20 $1,548.36 $1,743.44 $2,436.46 $3,702.44 |
$1,886.01 $2,070.17 $2,265.25 $2,958.27 |
$2,407.82 $2,591.98 $2,787.06 $3,480.08 |
Toc - Plan #35 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1443 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$478.29 $542.86 $611.25 $854.23 $1,298.08 |
$844.18 $908.75 $977.14 $1,220.12 |
$1,210.07 $1,274.64 $1,343.03 $1,586.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$956.58 $1,085.72 $1,222.50 $1,708.46 $2,596.16 |
$1,322.47 $1,451.61 $1,588.39 $2,074.35 |
$1,688.36 $1,817.50 $1,954.28 $2,440.24 |
Toc - Plan #36 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1535 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$555.31 $630.28 $709.69 $991.78 $1,507.11 |
$980.12 $1,055.09 $1,134.50 $1,416.59 |
$1,404.93 $1,479.90 $1,559.31 $1,841.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,110.62 $1,260.56 $1,419.38 $1,983.56 $3,014.22 |
$1,535.43 $1,685.37 $1,844.19 $2,408.37 |
$1,960.24 $2,110.18 $2,269.00 $2,833.18 |
Toc - Plan #37 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze (HSA) 1735 (Rewards $$$ / $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 |
$389.22 $441.76 $497.42 $695.15 $1,056.34 |
$686.97 $739.51 $795.17 $992.90 |
$984.72 $1,037.26 $1,092.92 $1,290.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$778.44 $883.52 $994.84 $1,390.30 $2,112.68 |
$1,076.19 $1,181.27 $1,292.59 $1,688.05 |
$1,373.94 $1,479.02 $1,590.34 $1,985.80 |
Toc - Plan #38 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1736S ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$526.05 $597.07 $672.29 $939.53 $1,427.70 |
$928.48 $999.50 $1,074.72 $1,341.96 |
$1,330.91 $1,401.93 $1,477.15 $1,744.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,052.10 $1,194.14 $1,344.58 $1,879.06 $2,855.40 |
$1,454.53 $1,596.57 $1,747.01 $2,281.49 |
$1,856.96 $1,999.00 $2,149.44 $2,683.92 |
Toc - Plan #39 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1737S ($0 Virtual Visits / $40 PCP Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$399.85 $453.83 $511.01 $714.13 $1,085.19 |
$705.74 $759.72 $816.90 $1,020.02 |
$1,011.63 $1,065.61 $1,122.79 $1,325.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$799.70 $907.66 $1,022.02 $1,428.26 $2,170.38 |
$1,105.59 $1,213.55 $1,327.91 $1,734.15 |
$1,411.48 $1,519.44 $1,633.80 $2,040.04 |
Toc - Plan #40 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1835 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$537.31 $609.85 $686.68 $959.64 $1,458.26 |
$948.35 $1,020.89 $1,097.72 $1,370.68 |
$1,359.39 $1,431.93 $1,508.76 $1,781.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,074.62 $1,219.70 $1,373.36 $1,919.28 $2,916.52 |
$1,485.66 $1,630.74 $1,784.40 $2,330.32 |
$1,896.70 $2,041.78 $2,195.44 $2,741.36 |
Toc - Plan #41 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 2139 ($0 Deductible / $50 PCP Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$425.67 $483.14 $544.01 $760.25 $1,155.27 |
$751.31 $808.78 $869.65 $1,085.89 |
$1,076.95 $1,134.42 $1,195.29 $1,411.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$851.34 $966.28 $1,088.02 $1,520.50 $2,310.54 |
$1,176.98 $1,291.92 $1,413.66 $1,846.14 |
$1,502.62 $1,617.56 $1,739.30 $2,171.78 |
ADVERTISEMENT
AvMedLocal: 1-800-477-8768 | Toll Free: |
Toc - Plan #42 AvMed | ||||||||||||||||||||
Gold
(HMO) AvMed Entrust Gold 125 (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$429.56 $487.55 $548.98 $767.19 $1,165.82 |
$758.17 $816.16 $877.59 $1,095.80 |
$1,086.78 $1,144.77 $1,206.20 $1,424.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$859.12 $975.10 $1,097.96 $1,534.38 $2,331.64 |
$1,187.73 $1,303.71 $1,426.57 $1,862.99 |
$1,516.34 $1,632.32 $1,755.18 $2,191.60 |
Toc - Plan #43 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 300 (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$419.20 $475.79 $535.74 $748.69 $1,137.71 |
$739.89 $796.48 $856.43 $1,069.38 |
$1,060.58 $1,117.17 $1,177.12 $1,390.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$838.40 $951.58 $1,071.48 $1,497.38 $2,275.42 |
$1,159.09 $1,272.27 $1,392.17 $1,818.07 |
$1,479.78 $1,592.96 $1,712.86 $2,138.76 |
Toc - Plan #44 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 350 (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.71 $447.99 $504.44 $704.95 $1,071.24 |
$696.66 $749.94 $806.39 $1,006.90 |
$998.61 $1,051.89 $1,108.34 $1,308.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$789.42 $895.98 $1,008.88 $1,409.90 $2,142.48 |
$1,091.37 $1,197.93 $1,310.83 $1,711.85 |
$1,393.32 $1,499.88 $1,612.78 $2,013.80 |
Toc - Plan #45 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 500 (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.04 $449.51 $506.14 $707.33 $1,074.86 |
$699.01 $752.48 $809.11 $1,010.30 |
$1,001.98 $1,055.45 $1,112.08 $1,313.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792.08 $899.02 $1,012.28 $1,414.66 $2,149.72 |
$1,095.05 $1,201.99 $1,315.25 $1,717.63 |
$1,398.02 $1,504.96 $1,618.22 $2,020.60 |
Toc - Plan #46 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 550 (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$390.35 $443.05 $498.87 $697.17 $1,059.41 |
$688.97 $741.67 $797.49 $995.79 |
$987.59 $1,040.29 $1,096.11 $1,294.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$780.70 $886.10 $997.74 $1,394.34 $2,118.82 |
$1,079.32 $1,184.72 $1,296.36 $1,692.96 |
$1,377.94 $1,483.34 $1,594.98 $1,991.58 |
Toc - Plan #47 AvMed | ||||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Bronze 600 (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316.30 $359.00 $404.23 $564.92 $858.44 |
$558.27 $600.97 $646.20 $806.89 |
$800.24 $842.94 $888.17 $1,048.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$632.60 $718.00 $808.46 $1,129.84 $1,716.88 |
$874.57 $959.97 $1,050.43 $1,371.81 |
$1,116.54 $1,201.94 $1,292.40 $1,613.78 |
Toc - Plan #48 AvMed | ||||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Bronze 650 (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.53 $343.37 $386.63 $540.31 $821.06 |
$533.96 $574.80 $618.06 $771.74 |
$765.39 $806.23 $849.49 $1,003.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$605.06 $686.74 $773.26 $1,080.62 $1,642.12 |
$836.49 $918.17 $1,004.69 $1,312.05 |
$1,067.92 $1,149.60 $1,236.12 $1,543.48 |
Toc - Plan #49 AvMed | ||||||||||||||||||||
Catastrophic
(HMO) AvMed Entrust Catastrophic 100 (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$278.55 $316.16 $355.99 $497.50 $755.99 |
$491.64 $529.25 $569.08 $710.59 |
$704.73 $742.34 $782.17 $923.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$557.10 $632.32 $711.98 $995.00 $1,511.98 |
$770.19 $845.41 $925.07 $1,208.09 |
$983.28 $1,058.50 $1,138.16 $1,421.18 |
Toc - Plan #50 AvMed | ||||||||||||||||||||
Gold
(HMO) AvMed Entrust Gold 125 Dental+Vision (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$433.98 $492.57 $554.63 $775.09 $1,177.82 |
$765.98 $824.57 $886.63 $1,107.09 |
$1,097.98 $1,156.57 $1,218.63 $1,439.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$867.96 $985.14 $1,109.26 $1,550.18 $2,355.64 |
$1,199.96 $1,317.14 $1,441.26 $1,882.18 |
$1,531.96 $1,649.14 $1,773.26 $2,214.18 |
Toc - Plan #51 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 300 Dental+Vision (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$423.63 $480.82 $541.40 $756.60 $1,149.73 |
$747.71 $804.90 $865.48 $1,080.68 |
$1,071.79 $1,128.98 $1,189.56 $1,404.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$847.26 $961.64 $1,082.80 $1,513.20 $2,299.46 |
$1,171.34 $1,285.72 $1,406.88 $1,837.28 |
$1,495.42 $1,609.80 $1,730.96 $2,161.36 |
Toc - Plan #52 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 350 Dental+Vision (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.13 $453.01 $510.09 $712.85 $1,083.24 |
$704.46 $758.34 $815.42 $1,018.18 |
$1,009.79 $1,063.67 $1,120.75 $1,323.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$798.26 $906.02 $1,020.18 $1,425.70 $2,166.48 |
$1,103.59 $1,211.35 $1,325.51 $1,731.03 |
$1,408.92 $1,516.68 $1,630.84 $2,036.36 |
Toc - Plan #53 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 500 Dental+Vision (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.47 $454.53 $511.80 $715.23 $1,086.86 |
$706.83 $760.89 $818.16 $1,021.59 |
$1,013.19 $1,067.25 $1,124.52 $1,327.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$800.94 $909.06 $1,023.60 $1,430.46 $2,173.72 |
$1,107.30 $1,215.42 $1,329.96 $1,736.82 |
$1,413.66 $1,521.78 $1,636.32 $2,043.18 |
Toc - Plan #54 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 550 Dental+Vision (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.77 $448.07 $504.52 $705.07 $1,071.42 |
$696.77 $750.07 $806.52 $1,007.07 |
$998.77 $1,052.07 $1,108.52 $1,309.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$789.54 $896.14 $1,009.04 $1,410.14 $2,142.84 |
$1,091.54 $1,198.14 $1,311.04 $1,712.14 |
$1,393.54 $1,500.14 $1,613.04 $2,014.14 |
Toc - Plan #55 AvMed | ||||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Bronze 625 Dental+Vision (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.85 $449.29 $505.89 $706.98 $1,074.33 |
$698.67 $752.11 $808.71 $1,009.80 |
$1,001.49 $1,054.93 $1,111.53 $1,312.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$791.70 $898.58 $1,011.78 $1,413.96 $2,148.66 |
$1,094.52 $1,201.40 $1,314.60 $1,716.78 |
$1,397.34 $1,504.22 $1,617.42 $2,019.60 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #56 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 |
$395.93 $449.36 $505.98 $707.11 $1,074.52 |
$698.81 $752.24 $808.86 $1,009.99 |
$1,001.69 $1,055.12 $1,111.74 $1,312.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$791.86 $898.72 $1,011.96 $1,414.22 $2,149.04 |
$1,094.74 $1,201.60 $1,314.84 $1,717.10 |
$1,397.62 $1,504.48 $1,617.72 $2,019.98 |
Toc - Plan #57 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 |
$278.56 $316.16 $355.99 $497.50 $756.00 |
$491.65 $529.25 $569.08 $710.59 |
$704.74 $742.34 $782.17 $923.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$557.12 $632.32 $711.98 $995.00 $1,512.00 |
$770.21 $845.41 $925.07 $1,208.09 |
$983.30 $1,058.50 $1,138.16 $1,421.18 |
Toc - Plan #58 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 |
$306.32 $347.66 $391.46 $547.07 $831.32 |
$540.65 $581.99 $625.79 $781.40 |
$774.98 $816.32 $860.12 $1,015.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$612.64 $695.32 $782.92 $1,094.14 $1,662.64 |
$846.97 $929.65 $1,017.25 $1,328.47 |
$1,081.30 $1,163.98 $1,251.58 $1,562.80 |
Toc - Plan #59 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 |
$389.27 $441.81 $497.47 $695.22 $1,056.45 |
$687.05 $739.59 $795.25 $993.00 |
$984.83 $1,037.37 $1,093.03 $1,290.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$778.54 $883.62 $994.94 $1,390.44 $2,112.90 |
$1,076.32 $1,181.40 $1,292.72 $1,688.22 |
$1,374.10 $1,479.18 $1,590.50 $1,986.00 |
Toc - Plan #60 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 |
$383.90 $435.71 $490.61 $685.62 $1,041.87 |
$677.57 $729.38 $784.28 $979.29 |
$971.24 $1,023.05 $1,077.95 $1,272.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.80 $871.42 $981.22 $1,371.24 $2,083.74 |
$1,061.47 $1,165.09 $1,274.89 $1,664.91 |
$1,355.14 $1,458.76 $1,568.56 $1,958.58 |
Toc - Plan #61 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 |
$396.20 $449.67 $506.33 $707.59 $1,075.26 |
$699.28 $752.75 $809.41 $1,010.67 |
$1,002.36 $1,055.83 $1,112.49 $1,313.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792.40 $899.34 $1,012.66 $1,415.18 $2,150.52 |
$1,095.48 $1,202.42 $1,315.74 $1,718.26 |
$1,398.56 $1,505.50 $1,618.82 $2,021.34 |
Toc - Plan #62 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 |
$379.42 $430.63 $484.89 $677.63 $1,029.72 |
$669.67 $720.88 $775.14 $967.88 |
$959.92 $1,011.13 $1,065.39 $1,258.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$758.84 $861.26 $969.78 $1,355.26 $2,059.44 |
$1,049.09 $1,151.51 $1,260.03 $1,645.51 |
$1,339.34 $1,441.76 $1,550.28 $1,935.76 |
Toc - Plan #63 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 |
$303.01 $343.90 $387.23 $541.16 $822.34 |
$534.80 $575.69 $619.02 $772.95 |
$766.59 $807.48 $850.81 $1,004.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$606.02 $687.80 $774.46 $1,082.32 $1,644.68 |
$837.81 $919.59 $1,006.25 $1,314.11 |
$1,069.60 $1,151.38 $1,238.04 $1,545.90 |
Toc - Plan #64 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 |
$324.03 $367.76 $414.10 $578.70 $879.39 |
$571.91 $615.64 $661.98 $826.58 |
$819.79 $863.52 $909.86 $1,074.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$648.06 $735.52 $828.20 $1,157.40 $1,758.78 |
$895.94 $983.40 $1,076.08 $1,405.28 |
$1,143.82 $1,231.28 $1,323.96 $1,653.16 |
Toc - Plan #65 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 |
$332.90 $377.84 $425.44 $594.55 $903.48 |
$587.56 $632.50 $680.10 $849.21 |
$842.22 $887.16 $934.76 $1,103.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$665.80 $755.68 $850.88 $1,189.10 $1,806.96 |
$920.46 $1,010.34 $1,105.54 $1,443.76 |
$1,175.12 $1,265.00 $1,360.20 $1,698.42 |
Toc - Plan #66 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 |
$353.22 $400.90 $451.41 $630.84 $958.62 |
$623.43 $671.11 $721.62 $901.05 |
$893.64 $941.32 $991.83 $1,171.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.44 $801.80 $902.82 $1,261.68 $1,917.24 |
$976.65 $1,072.01 $1,173.03 $1,531.89 |
$1,246.86 $1,342.22 $1,443.24 $1,802.10 |
Toc - Plan #67 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 |
$364.20 $413.36 $465.44 $650.45 $988.42 |
$642.81 $691.97 $744.05 $929.06 |
$921.42 $970.58 $1,022.66 $1,207.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$728.40 $826.72 $930.88 $1,300.90 $1,976.84 |
$1,007.01 $1,105.33 $1,209.49 $1,579.51 |
$1,285.62 $1,383.94 $1,488.10 $1,858.12 |
Toc - Plan #68 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 |
$364.98 $414.24 $466.43 $651.84 $990.53 |
$644.18 $693.44 $745.63 $931.04 |
$923.38 $972.64 $1,024.83 $1,210.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$729.96 $828.48 $932.86 $1,303.68 $1,981.06 |
$1,009.16 $1,107.68 $1,212.06 $1,582.88 |
$1,288.36 $1,386.88 $1,491.26 $1,862.08 |
Toc - Plan #69 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 |
$371.05 $421.13 $474.19 $662.68 $1,007.01 |
$654.90 $704.98 $758.04 $946.53 |
$938.75 $988.83 $1,041.89 $1,230.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$742.10 $842.26 $948.38 $1,325.36 $2,014.02 |
$1,025.95 $1,126.11 $1,232.23 $1,609.21 |
$1,309.80 $1,409.96 $1,516.08 $1,893.06 |
Toc - Plan #70 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 |
$370.27 $420.25 $473.20 $661.29 $1,004.90 |
$653.52 $703.50 $756.45 $944.54 |
$936.77 $986.75 $1,039.70 $1,227.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$740.54 $840.50 $946.40 $1,322.58 $2,009.80 |
$1,023.79 $1,123.75 $1,229.65 $1,605.83 |
$1,307.04 $1,407.00 $1,512.90 $1,889.08 |
Toc - Plan #71 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 |
$397.59 $451.25 $508.11 $710.08 $1,079.03 |
$701.74 $755.40 $812.26 $1,014.23 |
$1,005.89 $1,059.55 $1,116.41 $1,318.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795.18 $902.50 $1,016.22 $1,420.16 $2,158.06 |
$1,099.33 $1,206.65 $1,320.37 $1,724.31 |
$1,403.48 $1,510.80 $1,624.52 $2,028.46 |
Toc - Plan #72 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 |
$317.24 $360.06 $405.42 $566.58 $860.97 |
$559.92 $602.74 $648.10 $809.26 |
$802.60 $845.42 $890.78 $1,051.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$634.48 $720.12 $810.84 $1,133.16 $1,721.94 |
$877.16 $962.80 $1,053.52 $1,375.84 |
$1,119.84 $1,205.48 $1,296.20 $1,618.52 |
Toc - Plan #73 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 |
$410.05 $465.39 $524.03 $732.32 $1,112.84 |
$723.73 $779.07 $837.71 $1,046.00 |
$1,037.41 $1,092.75 $1,151.39 $1,359.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$820.10 $930.78 $1,048.06 $1,464.64 $2,225.68 |
$1,133.78 $1,244.46 $1,361.74 $1,778.32 |
$1,447.46 $1,558.14 $1,675.42 $2,092.00 |
Toc - Plan #74 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 |
$288.50 $327.43 $368.69 $515.24 $782.96 |
$509.19 $548.12 $589.38 $735.93 |
$729.88 $768.81 $810.07 $956.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$577.00 $654.86 $737.38 $1,030.48 $1,565.92 |
$797.69 $875.55 $958.07 $1,251.17 |
$1,018.38 $1,096.24 $1,178.76 $1,471.86 |
Toc - Plan #75 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 |
$403.15 $457.57 $515.22 $720.01 $1,094.13 |
$711.55 $765.97 $823.62 $1,028.41 |
$1,019.95 $1,074.37 $1,132.02 $1,336.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$806.30 $915.14 $1,030.44 $1,440.02 $2,188.26 |
$1,114.70 $1,223.54 $1,338.84 $1,748.42 |
$1,423.10 $1,531.94 $1,647.24 $2,056.82 |
Toc - Plan #76 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 |
$410.33 $465.71 $524.39 $732.83 $1,113.60 |
$724.22 $779.60 $838.28 $1,046.72 |
$1,038.11 $1,093.49 $1,152.17 $1,360.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$820.66 $931.42 $1,048.78 $1,465.66 $2,227.20 |
$1,134.55 $1,245.31 $1,362.67 $1,779.55 |
$1,448.44 $1,559.20 $1,676.56 $2,093.44 |
Toc - Plan #77 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 |
$313.82 $356.17 $401.04 $560.46 $851.67 |
$553.88 $596.23 $641.10 $800.52 |
$793.94 $836.29 $881.16 $1,040.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$627.64 $712.34 $802.08 $1,120.92 $1,703.34 |
$867.70 $952.40 $1,042.14 $1,360.98 |
$1,107.76 $1,192.46 $1,282.20 $1,601.04 |
Toc - Plan #78 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 |
$335.59 $380.88 $428.87 $599.34 $910.75 |
$592.31 $637.60 $685.59 $856.06 |
$849.03 $894.32 $942.31 $1,112.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$671.18 $761.76 $857.74 $1,198.68 $1,821.50 |
$927.90 $1,018.48 $1,114.46 $1,455.40 |
$1,184.62 $1,275.20 $1,371.18 $1,712.12 |
Toc - Plan #79 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 |
$344.78 $391.31 $440.61 $615.75 $935.70 |
$608.53 $655.06 $704.36 $879.50 |
$872.28 $918.81 $968.11 $1,143.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$689.56 $782.62 $881.22 $1,231.50 $1,871.40 |
$953.31 $1,046.37 $1,144.97 $1,495.25 |
$1,217.06 $1,310.12 $1,408.72 $1,759.00 |
Toc - Plan #80 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 |
$365.82 $415.20 $467.51 $653.34 $992.81 |
$645.67 $695.05 $747.36 $933.19 |
$925.52 $974.90 $1,027.21 $1,213.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731.64 $830.40 $935.02 $1,306.68 $1,985.62 |
$1,011.49 $1,110.25 $1,214.87 $1,586.53 |
$1,291.34 $1,390.10 $1,494.72 $1,866.38 |
Toc - Plan #81 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 |
$378.00 $429.01 $483.07 $675.08 $1,025.85 |
$667.16 $718.17 $772.23 $964.24 |
$956.32 $1,007.33 $1,061.39 $1,253.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$756.00 $858.02 $966.14 $1,350.16 $2,051.70 |
$1,045.16 $1,147.18 $1,255.30 $1,639.32 |
$1,334.32 $1,436.34 $1,544.46 $1,928.48 |
Toc - Plan #82 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 |
$384.29 $436.15 $491.10 $686.32 $1,042.92 |
$678.26 $730.12 $785.07 $980.29 |
$972.23 $1,024.09 $1,079.04 $1,274.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$768.58 $872.30 $982.20 $1,372.64 $2,085.84 |
$1,062.55 $1,166.27 $1,276.17 $1,666.61 |
$1,356.52 $1,460.24 $1,570.14 $1,960.58 |
Toc - Plan #83 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 |
$383.48 $435.24 $490.07 $684.88 $1,040.74 |
$676.83 $728.59 $783.42 $978.23 |
$970.18 $1,021.94 $1,076.77 $1,271.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$766.96 $870.48 $980.14 $1,369.76 $2,081.48 |
$1,060.31 $1,163.83 $1,273.49 $1,663.11 |
$1,353.66 $1,457.18 $1,566.84 $1,956.46 |
Toc - Plan #84 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 |
$392.95 $445.99 $502.18 $701.80 $1,066.45 |
$693.55 $746.59 $802.78 $1,002.40 |
$994.15 $1,047.19 $1,103.38 $1,303.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$785.90 $891.98 $1,004.36 $1,403.60 $2,132.90 |
$1,086.50 $1,192.58 $1,304.96 $1,704.20 |
$1,387.10 $1,493.18 $1,605.56 $2,004.80 |
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 #85 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 2151 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$818.09 $928.53 $1,045.52 $1,461.11 $2,220.30 |
$1,443.93 $1,554.37 $1,671.36 $2,086.95 |
$2,069.77 $2,180.21 $2,297.20 $2,712.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,636.18 $1,857.06 $2,091.04 $2,922.22 $4,440.60 |
$2,262.02 $2,482.90 $2,716.88 $3,548.06 |
$2,887.86 $3,108.74 $3,342.72 $4,173.90 |
Toc - Plan #86 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2153 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
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 |
$483.46 $548.73 $617.86 $863.46 $1,312.11 |
$853.31 $918.58 $987.71 $1,233.31 |
$1,223.16 $1,288.43 $1,357.56 $1,603.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$966.92 $1,097.46 $1,235.72 $1,726.92 $2,624.22 |
$1,336.77 $1,467.31 $1,605.57 $2,096.77 |
$1,706.62 $1,837.16 $1,975.42 $2,466.62 |
Toc - Plan #87 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Bronze
(HMO) BlueCare Bronze 2154 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$436.76 $495.72 $558.18 $780.05 $1,185.37 |
$770.88 $829.84 $892.30 $1,114.17 |
$1,105.00 $1,163.96 $1,226.42 $1,448.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$873.52 $991.44 $1,116.36 $1,560.10 $2,370.74 |
$1,207.64 $1,325.56 $1,450.48 $1,894.22 |
$1,541.76 $1,659.68 $1,784.60 $2,228.34 |
Toc - Plan #88 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) BlueCare Gold 2156 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$703.73 $798.73 $899.37 $1,256.86 $1,909.92 |
$1,242.08 $1,337.08 $1,437.72 $1,795.21 |
$1,780.43 $1,875.43 $1,976.07 $2,333.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,407.46 $1,597.46 $1,798.74 $2,513.72 $3,819.84 |
$1,945.81 $2,135.81 $2,337.09 $3,052.07 |
$2,484.16 $2,674.16 $2,875.44 $3,590.42 |
Toc - Plan #89 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 2157 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$585.65 $664.71 $748.46 $1,045.97 $1,589.45 |
$1,033.67 $1,112.73 $1,196.48 $1,493.99 |
$1,481.69 $1,560.75 $1,644.50 $1,942.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,171.30 $1,329.42 $1,496.92 $2,091.94 $3,178.90 |
$1,619.32 $1,777.44 $1,944.94 $2,539.96 |
$2,067.34 $2,225.46 $2,392.96 $2,987.98 |
Toc - Plan #90 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2159 ($0 Deductible / $50 PCP Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$525.50 $596.44 $671.59 $938.54 $1,426.21 |
$927.51 $998.45 $1,073.60 $1,340.55 |
$1,329.52 $1,400.46 $1,475.61 $1,742.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,051.00 $1,192.88 $1,343.18 $1,877.08 $2,852.42 |
$1,453.01 $1,594.89 $1,745.19 $2,279.09 |
$1,855.02 $1,996.90 $2,147.20 $2,681.10 |
Toc - Plan #91 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1601 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.95 $380.17 $428.07 $598.22 $909.05 |
$591.19 $636.41 $684.31 $854.46 |
$847.43 $892.65 $940.55 $1,110.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$669.90 $760.34 $856.14 $1,196.44 $1,818.10 |
$926.14 $1,016.58 $1,112.38 $1,452.68 |
$1,182.38 $1,272.82 $1,368.62 $1,708.92 |
Toc - Plan #92 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1602 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$297.73 $337.92 $380.50 $531.75 $808.04 |
$525.49 $565.68 $608.26 $759.51 |
$753.25 $793.44 $836.02 $987.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$595.46 $675.84 $761.00 $1,063.50 $1,616.08 |
$823.22 $903.60 $988.76 $1,291.26 |
$1,050.98 $1,131.36 $1,216.52 $1,519.02 |
Toc - Plan #93 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1603 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$425.60 $483.06 $543.92 $760.12 $1,155.08 |
$751.18 $808.64 $869.50 $1,085.70 |
$1,076.76 $1,134.22 $1,195.08 $1,411.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$851.20 $966.12 $1,087.84 $1,520.24 $2,310.16 |
$1,176.78 $1,291.70 $1,413.42 $1,845.82 |
$1,502.36 $1,617.28 $1,739.00 $2,171.40 |
Toc - Plan #94 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1604 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$402.79 $457.17 $514.77 $719.38 $1,093.17 |
$710.92 $765.30 $822.90 $1,027.51 |
$1,019.05 $1,073.43 $1,131.03 $1,335.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$805.58 $914.34 $1,029.54 $1,438.76 $2,186.34 |
$1,113.71 $1,222.47 $1,337.67 $1,746.89 |
$1,421.84 $1,530.60 $1,645.80 $2,055.02 |
Toc - Plan #95 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 1605 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$447.26 $507.64 $571.60 $798.81 $1,213.86 |
$789.41 $849.79 $913.75 $1,140.96 |
$1,131.56 $1,191.94 $1,255.90 $1,483.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$894.52 $1,015.28 $1,143.20 $1,597.62 $2,427.72 |
$1,236.67 $1,357.43 $1,485.35 $1,939.77 |
$1,578.82 $1,699.58 $1,827.50 $2,281.92 |
Toc - Plan #96 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1710 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$437.80 $496.90 $559.51 $781.91 $1,188.19 |
$772.72 $831.82 $894.43 $1,116.83 |
$1,107.64 $1,166.74 $1,229.35 $1,451.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$875.60 $993.80 $1,119.02 $1,563.82 $2,376.38 |
$1,210.52 $1,328.72 $1,453.94 $1,898.74 |
$1,545.44 $1,663.64 $1,788.86 $2,233.66 |
Toc - Plan #97 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1711S ($0 Virtual Visits / $60 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333.04 $378.00 $425.63 $594.81 $903.87 |
$587.82 $632.78 $680.41 $849.59 |
$842.60 $887.56 $935.19 $1,104.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$666.08 $756.00 $851.26 $1,189.62 $1,807.74 |
$920.86 $1,010.78 $1,106.04 $1,444.40 |
$1,175.64 $1,265.56 $1,360.82 $1,699.18 |
Toc - Plan #98 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1712S ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$433.29 $491.78 $553.74 $773.86 $1,175.95 |
$764.76 $823.25 $885.21 $1,105.33 |
$1,096.23 $1,154.72 $1,216.68 $1,436.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$866.58 $983.56 $1,107.48 $1,547.72 $2,351.90 |
$1,198.05 $1,315.03 $1,438.95 $1,879.19 |
$1,529.52 $1,646.50 $1,770.42 $2,210.66 |
Toc - Plan #99 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2017 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.82 $449.26 $505.86 $706.93 $1,074.26 |
$698.62 $752.06 $808.66 $1,009.73 |
$1,001.42 $1,054.86 $1,111.46 $1,312.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$791.64 $898.52 $1,011.72 $1,413.86 $2,148.52 |
$1,094.44 $1,201.32 $1,314.52 $1,716.66 |
$1,397.24 $1,504.12 $1,617.32 $2,019.46 |
Toc - Plan #100 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2127 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$386.97 $439.21 $494.55 $691.13 $1,050.24 |
$683.00 $735.24 $790.58 $987.16 |
$979.03 $1,031.27 $1,086.61 $1,283.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$773.94 $878.42 $989.10 $1,382.26 $2,100.48 |
$1,069.97 $1,174.45 $1,285.13 $1,678.29 |
$1,366.00 $1,470.48 $1,581.16 $1,974.32 |
Toc - Plan #101 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2129 ($0 Deductible / $0 Virtual Visits / $35 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.06 $412.07 $463.99 $648.43 $985.34 |
$640.80 $689.81 $741.73 $926.17 |
$918.54 $967.55 $1,019.47 $1,203.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$726.12 $824.14 $927.98 $1,296.86 $1,970.68 |
$1,003.86 $1,101.88 $1,205.72 $1,574.60 |
$1,281.60 $1,379.62 $1,483.46 $1,852.34 |
Toc - Plan #102 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2126 (3 PCP Visits for $0 / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$334.91 $380.12 $428.01 $598.15 $908.95 |
$591.12 $636.33 $684.22 $854.36 |
$847.33 $892.54 $940.43 $1,110.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$669.82 $760.24 $856.02 $1,196.30 $1,817.90 |
$926.03 $1,016.45 $1,112.23 $1,452.51 |
$1,182.24 $1,272.66 $1,368.44 $1,708.72 |
Toc - Plan #103 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.37 $424.91 $478.44 $668.62 $1,016.04 |
$660.76 $711.30 $764.83 $955.01 |
$947.15 $997.69 $1,051.22 $1,241.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$748.74 $849.82 $956.88 $1,337.24 $2,032.08 |
$1,035.13 $1,136.21 $1,243.27 $1,623.63 |
$1,321.52 $1,422.60 $1,529.66 $1,910.02 |
Toc - Plan #104 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2219 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$326.24 $370.28 $416.93 $582.66 $885.42 |
$575.81 $619.85 $666.50 $832.23 |
$825.38 $869.42 $916.07 $1,081.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$652.48 $740.56 $833.86 $1,165.32 $1,770.84 |
$902.05 $990.13 $1,083.43 $1,414.89 |
$1,151.62 $1,239.70 $1,333.00 $1,664.46 |
Toc - Plan #105 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2266 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327.17 $371.34 $418.12 $584.33 $887.94 |
$577.46 $621.63 $668.41 $834.62 |
$827.75 $871.92 $918.70 $1,084.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$654.34 $742.68 $836.24 $1,168.66 $1,775.88 |
$904.63 $992.97 $1,086.53 $1,418.95 |
$1,154.92 $1,243.26 $1,336.82 $1,669.24 |
Toc - Plan #106 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237D ($0 Labs / $0 Virtual Visits / Adult Dental / Rewards $$$) |
||||||||||||||||||||
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 |
$382.88 $434.57 $489.32 $683.82 $1,039.14 |
$675.78 $727.47 $782.22 $976.72 |
$968.68 $1,020.37 $1,075.12 $1,269.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.76 $869.14 $978.64 $1,367.64 $2,078.28 |
$1,058.66 $1,162.04 $1,271.54 $1,660.54 |
$1,351.56 $1,454.94 $1,564.44 $1,953.44 |
ADVERTISEMENT
Oscar Insurance Company of FloridaLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #107 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285.20 $323.69 $364.47 $509.35 $774.00 |
$503.37 $541.86 $582.64 $727.52 |
$721.54 $760.03 $800.81 $945.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$570.40 $647.38 $728.94 $1,018.70 $1,548.00 |
$788.57 $865.55 $947.11 $1,236.87 |
$1,006.74 $1,083.72 $1,165.28 $1,455.04 |
Toc - Plan #108 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$293.06 $332.61 $374.52 $523.39 $795.34 |
$517.24 $556.79 $598.70 $747.57 |
$741.42 $780.97 $822.88 $971.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$586.12 $665.22 $749.04 $1,046.78 $1,590.68 |
$810.30 $889.40 $973.22 $1,270.96 |
$1,034.48 $1,113.58 $1,197.40 $1,495.14 |
Toc - Plan #109 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285.97 $324.57 $365.46 $510.73 $776.10 |
$504.73 $543.33 $584.22 $729.49 |
$723.49 $762.09 $802.98 $948.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$571.94 $649.14 $730.92 $1,021.46 $1,552.20 |
$790.70 $867.90 $949.68 $1,240.22 |
$1,009.46 $1,086.66 $1,168.44 $1,458.98 |
Toc - Plan #110 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded+PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333.83 $378.88 $426.62 $596.20 $905.98 |
$589.20 $634.25 $681.99 $851.57 |
$844.57 $889.62 $937.36 $1,106.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$667.66 $757.76 $853.24 $1,192.40 $1,811.96 |
$923.03 $1,013.13 $1,108.61 $1,447.77 |
$1,178.40 $1,268.50 $1,363.98 $1,703.14 |
Toc - Plan #111 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371.10 $421.18 $474.25 $662.76 $1,007.13 |
$654.98 $705.06 $758.13 $946.64 |
$938.86 $988.94 $1,042.01 $1,230.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$742.20 $842.36 $948.50 $1,325.52 $2,014.26 |
$1,026.08 $1,126.24 $1,232.38 $1,609.40 |
$1,309.96 $1,410.12 $1,516.26 $1,893.28 |
Toc - Plan #112 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.12 $418.94 $471.73 $659.23 $1,001.77 |
$651.49 $701.31 $754.10 $941.60 |
$933.86 $983.68 $1,036.47 $1,223.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.24 $837.88 $943.46 $1,318.46 $2,003.54 |
$1,020.61 $1,120.25 $1,225.83 $1,600.83 |
$1,302.98 $1,402.62 $1,508.20 $1,883.20 |
Toc - Plan #113 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371.42 $421.55 $474.66 $663.34 $1,008.00 |
$655.55 $705.68 $758.79 $947.47 |
$939.68 $989.81 $1,042.92 $1,231.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$742.84 $843.10 $949.32 $1,326.68 $2,016.00 |
$1,026.97 $1,127.23 $1,233.45 $1,610.81 |
$1,311.10 $1,411.36 $1,517.58 $1,894.94 |
Toc - Plan #114 Oscar Insurance Company of Florida | ||||||||||||||||||||
Catastrophic
(EPO) Secure |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$221.33 $251.20 $282.85 $395.29 $600.67 |
$390.64 $420.51 $452.16 $564.60 |
$559.95 $589.82 $621.47 $733.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$442.66 $502.40 $565.70 $790.58 $1,201.34 |
$611.97 $671.71 $735.01 $959.89 |
$781.28 $841.02 $904.32 $1,129.20 |
Toc - Plan #115 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded+Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.00 $379.07 $426.83 $596.50 $906.44 |
$589.50 $634.57 $682.33 $852.00 |
$845.00 $890.07 $937.83 $1,107.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$668.00 $758.14 $853.66 $1,193.00 $1,812.88 |
$923.50 $1,013.64 $1,109.16 $1,448.50 |
$1,179.00 $1,269.14 $1,364.66 $1,704.00 |
Toc - Plan #116 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.07 $451.80 $508.72 $710.93 $1,080.33 |
$702.59 $756.32 $813.24 $1,015.45 |
$1,007.11 $1,060.84 $1,117.76 $1,319.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$796.14 $903.60 $1,017.44 $1,421.86 $2,160.66 |
$1,100.66 $1,208.12 $1,321.96 $1,726.38 |
$1,405.18 $1,512.64 $1,626.48 $2,030.90 |
Toc - Plan #117 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Simple- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$308.29 $349.90 $393.99 $550.59 $836.68 |
$544.13 $585.74 $629.83 $786.43 |
$779.97 $821.58 $865.67 $1,022.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$616.58 $699.80 $787.98 $1,101.18 $1,673.36 |
$852.42 $935.64 $1,023.82 $1,337.02 |
$1,088.26 $1,171.48 $1,259.66 $1,572.86 |
Toc - Plan #118 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.07 $417.75 $470.39 $657.36 $998.93 |
$649.64 $699.32 $751.96 $938.93 |
$931.21 $980.89 $1,033.53 $1,220.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736.14 $835.50 $940.78 $1,314.72 $1,997.86 |
$1,017.71 $1,117.07 $1,222.35 $1,596.29 |
$1,299.28 $1,398.64 $1,503.92 $1,877.86 |
Toc - Plan #119 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375.80 $426.52 $480.26 $671.17 $1,019.90 |
$663.28 $714.00 $767.74 $958.65 |
$950.76 $1,001.48 $1,055.22 $1,246.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$751.60 $853.04 $960.52 $1,342.34 $2,039.80 |
$1,039.08 $1,140.52 $1,248.00 $1,629.82 |
$1,326.56 $1,428.00 $1,535.48 $1,917.30 |
Toc - Plan #120 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.09 $429.12 $483.18 $675.24 $1,026.10 |
$667.32 $718.35 $772.41 $964.47 |
$956.55 $1,007.58 $1,061.64 $1,253.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$756.18 $858.24 $966.36 $1,350.48 $2,052.20 |
$1,045.41 $1,147.47 $1,255.59 $1,639.71 |
$1,334.64 $1,436.70 $1,544.82 $1,928.94 |
Toc - Plan #121 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic- Low Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.05 $452.91 $509.97 $712.68 $1,082.99 |
$704.31 $758.17 $815.23 $1,017.94 |
$1,009.57 $1,063.43 $1,120.49 $1,323.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$798.10 $905.82 $1,019.94 $1,425.36 $2,165.98 |
$1,103.36 $1,211.08 $1,325.20 $1,730.62 |
$1,408.62 $1,516.34 $1,630.46 $2,035.88 |
Toc - Plan #122 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$300.94 $341.55 $384.59 $537.46 $816.72 |
$531.15 $571.76 $614.80 $767.67 |
$761.36 $801.97 $845.01 $997.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$601.88 $683.10 $769.18 $1,074.92 $1,633.44 |
$832.09 $913.31 $999.39 $1,305.13 |
$1,062.30 $1,143.52 $1,229.60 $1,535.34 |
Toc - Plan #123 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$320.67 $363.95 $409.81 $572.71 $870.28 |
$565.98 $609.26 $655.12 $818.02 |
$811.29 $854.57 $900.43 $1,063.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$641.34 $727.90 $819.62 $1,145.42 $1,740.56 |
$886.65 $973.21 $1,064.93 $1,390.73 |
$1,131.96 $1,218.52 $1,310.24 $1,636.04 |
Toc - Plan #124 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $4700 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.29 $347.62 $391.42 $547.01 $831.24 |
$540.59 $581.92 $625.72 $781.31 |
$774.89 $816.22 $860.02 $1,015.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$612.58 $695.24 $782.84 $1,094.02 $1,662.48 |
$846.88 $929.54 $1,017.14 $1,328.32 |
$1,081.18 $1,163.84 $1,251.44 $1,562.62 |
Toc - Plan #125 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365.10 $414.38 $466.59 $652.06 $990.86 |
$644.40 $693.68 $745.89 $931.36 |
$923.70 $972.98 $1,025.19 $1,210.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$730.20 $828.76 $933.18 $1,304.12 $1,981.72 |
$1,009.50 $1,108.06 $1,212.48 $1,583.42 |
$1,288.80 $1,387.36 $1,491.78 $1,862.72 |
Toc - Plan #126 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- Low Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370.21 $420.18 $473.12 $661.18 $1,004.73 |
$653.41 $703.38 $756.32 $944.38 |
$936.61 $986.58 $1,039.52 $1,227.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$740.42 $840.36 $946.24 $1,322.36 $2,009.46 |
$1,023.62 $1,123.56 $1,229.44 $1,605.56 |
$1,306.82 $1,406.76 $1,512.64 $1,888.76 |
Toc - Plan #127 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite- $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$379.68 $430.93 $485.22 $678.10 $1,030.43 |
$670.13 $721.38 $775.67 $968.55 |
$960.58 $1,011.83 $1,066.12 $1,259.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$759.36 $861.86 $970.44 $1,356.20 $2,060.86 |
$1,049.81 $1,152.31 $1,260.89 $1,646.65 |
$1,340.26 $1,442.76 $1,551.34 $1,937.10 |
Toc - Plan #128 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.40 $424.93 $478.46 $668.65 $1,016.08 |
$660.80 $711.33 $764.86 $955.05 |
$947.20 $997.73 $1,051.26 $1,241.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$748.80 $849.86 $956.92 $1,337.30 $2,032.16 |
$1,035.20 $1,136.26 $1,243.32 $1,623.70 |
$1,321.60 $1,422.66 $1,529.72 $1,910.10 |
Toc - Plan #129 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371.52 $421.66 $474.79 $663.51 $1,008.27 |
$655.72 $705.86 $758.99 $947.71 |
$939.92 $990.06 $1,043.19 $1,231.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$743.04 $843.32 $949.58 $1,327.02 $2,016.54 |
$1,027.24 $1,127.52 $1,233.78 $1,611.22 |
$1,311.44 $1,411.72 $1,517.98 $1,895.42 |
Toc - Plan #130 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.71 $435.50 $490.37 $685.28 $1,041.36 |
$677.24 $729.03 $783.90 $978.81 |
$970.77 $1,022.56 $1,077.43 $1,272.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.42 $871.00 $980.74 $1,370.56 $2,082.72 |
$1,060.95 $1,164.53 $1,274.27 $1,664.09 |
$1,354.48 $1,458.06 $1,567.80 $1,957.62 |
Toc - Plan #131 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic- $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$390.23 $442.89 $498.70 $696.92 $1,059.04 |
$688.74 $741.40 $797.21 $995.43 |
$987.25 $1,039.91 $1,095.72 $1,293.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$780.46 $885.78 $997.40 $1,393.84 $2,118.08 |
$1,078.97 $1,184.29 $1,295.91 $1,692.35 |
$1,377.48 $1,482.80 $1,594.42 $1,990.86 |
Toc - Plan #132 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.58 $486.43 $547.72 $765.43 $1,163.15 |
$756.44 $814.29 $875.58 $1,093.29 |
$1,084.30 $1,142.15 $1,203.44 $1,421.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$857.16 $972.86 $1,095.44 $1,530.86 $2,326.30 |
$1,185.02 $1,300.72 $1,423.30 $1,858.72 |
$1,512.88 $1,628.58 $1,751.16 $2,186.58 |
Toc - Plan #133 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.06 $462.00 $520.21 $726.99 $1,104.73 |
$718.45 $773.39 $831.60 $1,038.38 |
$1,029.84 $1,084.78 $1,142.99 $1,349.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$814.12 $924.00 $1,040.42 $1,453.98 $2,209.46 |
$1,125.51 $1,235.39 $1,351.81 $1,765.37 |
$1,436.90 $1,546.78 $1,663.20 $2,076.76 |
Toc - Plan #134 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.69 $434.34 $489.07 $683.47 $1,038.60 |
$675.44 $727.09 $781.82 $976.22 |
$968.19 $1,019.84 $1,074.57 $1,268.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.38 $868.68 $978.14 $1,366.94 $2,077.20 |
$1,058.13 $1,161.43 $1,270.89 $1,659.69 |
$1,350.88 $1,454.18 $1,563.64 $1,952.44 |
Toc - Plan #135 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $4000 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$322.21 $365.70 $411.77 $575.45 $874.45 |
$568.69 $612.18 $658.25 $821.93 |
$815.17 $858.66 $904.73 $1,068.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$644.42 $731.40 $823.54 $1,150.90 $1,748.90 |
$890.90 $977.88 $1,070.02 $1,397.38 |
$1,137.38 $1,224.36 $1,316.50 $1,643.86 |
Toc - Plan #136 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $1000 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$329.54 $374.02 $421.14 $588.54 $894.34 |
$581.63 $626.11 $673.23 $840.63 |
$833.72 $878.20 $925.32 $1,092.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$659.08 $748.04 $842.28 $1,177.08 $1,788.68 |
$911.17 $1,000.13 $1,094.37 $1,429.17 |
$1,163.26 $1,252.22 $1,346.46 $1,681.26 |
Toc - Plan #137 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$330.61 $375.23 $422.51 $590.45 $897.25 |
$583.52 $628.14 $675.42 $843.36 |
$836.43 $881.05 $928.33 $1,096.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$661.22 $750.46 $845.02 $1,180.90 $1,794.50 |
$914.13 $1,003.37 $1,097.93 $1,433.81 |
$1,167.04 $1,256.28 $1,350.84 $1,686.72 |
Toc - Plan #138 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- For Diabetes |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370.19 $420.15 $473.09 $661.14 $1,004.67 |
$653.38 $703.34 $756.28 $944.33 |
$936.57 $986.53 $1,039.47 $1,227.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$740.38 $840.30 $946.18 $1,322.28 $2,009.34 |
$1,023.57 $1,123.49 $1,229.37 $1,605.47 |
$1,306.76 $1,406.68 $1,512.56 $1,888.66 |
ADVERTISEMENT
Molina HealthcareLocal: 1-888-560-5716 | Toll Free: 1-888-560-5716 | TTY: 1-800-955-8771 |
Toc - Plan #139 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 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 |
$441.74 $501.37 $564.54 $788.94 $1,198.88 |
$779.67 $839.30 $902.47 $1,126.87 |
$1,117.60 $1,177.23 $1,240.40 $1,464.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$883.48 $1,002.74 $1,129.08 $1,577.88 $2,397.76 |
$1,221.41 $1,340.67 $1,467.01 $1,915.81 |
$1,559.34 $1,678.60 $1,804.94 $2,253.74 |
Toc - Plan #140 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 |
$393.06 $446.13 $502.34 $702.01 $1,066.77 |
$693.75 $746.82 $803.03 $1,002.70 |
$994.44 $1,047.51 $1,103.72 $1,303.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$786.12 $892.26 $1,004.68 $1,404.02 $2,133.54 |
$1,086.81 $1,192.95 $1,305.37 $1,704.71 |
$1,387.50 $1,493.64 $1,606.06 $2,005.40 |
Toc - Plan #141 Molina Healthcare | ||||||||||||||||||||
Bronze
(HMO) Core Care Bronze 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 |
$297.81 $338.01 $380.60 $531.89 $808.25 |
$525.63 $565.83 $608.42 $759.71 |
$753.45 $793.65 $836.24 $987.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$595.62 $676.02 $761.20 $1,063.78 $1,616.50 |
$823.44 $903.84 $989.02 $1,291.60 |
$1,051.26 $1,131.66 $1,216.84 $1,519.42 |
Toc - Plan #142 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 |
|||||||||||||||||
21 30 40 50 60 |
$389.13 $441.67 $497.31 $694.99 $1,056.11 |
$686.82 $739.36 $795.00 $992.68 |
$984.51 $1,037.05 $1,092.69 $1,290.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$778.26 $883.34 $994.62 $1,389.98 $2,112.22 |
$1,075.95 $1,181.03 $1,292.31 $1,687.67 |
$1,373.64 $1,478.72 $1,590.00 $1,985.36 |
Toc - Plan #143 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 |
$332.22 $377.07 $424.58 $593.35 $901.65 |
$586.37 $631.22 $678.73 $847.50 |
$840.52 $885.37 $932.88 $1,101.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$664.44 $754.14 $849.16 $1,186.70 $1,803.30 |
$918.59 $1,008.29 $1,103.31 $1,440.85 |
$1,172.74 $1,262.44 $1,357.46 $1,695.00 |
Toc - Plan #144 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 |
|||||||||||||||||
21 30 40 50 60 |
$384.85 $436.81 $491.84 $687.34 $1,044.49 |
$679.26 $731.22 $786.25 $981.75 |
$973.67 $1,025.63 $1,080.66 $1,276.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$769.70 $873.62 $983.68 $1,374.68 $2,088.98 |
$1,064.11 $1,168.03 $1,278.09 $1,669.09 |
$1,358.52 $1,462.44 $1,572.50 $1,963.50 |
Toc - Plan #145 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 |
$446.84 $507.17 $571.07 $798.06 $1,212.73 |
$788.68 $849.01 $912.91 $1,139.90 |
$1,130.52 $1,190.85 $1,254.75 $1,481.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$893.68 $1,014.34 $1,142.14 $1,596.12 $2,425.46 |
$1,235.52 $1,356.18 $1,483.98 $1,937.96 |
$1,577.36 $1,698.02 $1,825.82 $2,279.80 |
Toc - Plan #146 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 |
$396.38 $449.89 $506.58 $707.94 $1,075.78 |
$699.61 $753.12 $809.81 $1,011.17 |
$1,002.84 $1,056.35 $1,113.04 $1,314.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792.76 $899.78 $1,013.16 $1,415.88 $2,151.56 |
$1,095.99 $1,203.01 $1,316.39 $1,719.11 |
$1,399.22 $1,506.24 $1,619.62 $2,022.34 |
Toc - Plan #147 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 |
$390.90 $443.68 $499.58 $698.16 $1,060.92 |
$689.94 $742.72 $798.62 $997.20 |
$988.98 $1,041.76 $1,097.66 $1,296.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$781.80 $887.36 $999.16 $1,396.32 $2,121.84 |
$1,080.84 $1,186.40 $1,298.20 $1,695.36 |
$1,379.88 $1,485.44 $1,597.24 $1,994.40 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-888-200-0405 | Toll Free: 1-888-200-0405 | TTY: 1-888-200-0405 |
Toc - Plan #148 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($1 Rx + Unlimited Free Primary Care & Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$420.87 $477.68 $537.87 $751.67 $1,142.23 |
$742.83 $799.64 $859.83 $1,073.63 |
$1,064.79 $1,121.60 $1,181.79 $1,395.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$841.74 $955.36 $1,075.74 $1,503.34 $2,284.46 |
$1,163.70 $1,277.32 $1,397.70 $1,825.30 |
$1,485.66 $1,599.28 $1,719.66 $2,147.26 |
Toc - Plan #149 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ Extra ($1 Rx + Dental + Vision + 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$431.49 $489.74 $551.45 $770.65 $1,171.07 |
$761.58 $819.83 $881.54 $1,100.74 |
$1,091.67 $1,149.92 $1,211.63 $1,430.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$862.98 $979.48 $1,102.90 $1,541.30 $2,342.14 |
$1,193.07 $1,309.57 $1,432.99 $1,871.39 |
$1,523.16 $1,639.66 $1,763.08 $2,201.48 |
Toc - Plan #150 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value+ ($2 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.98 $456.25 $513.73 $717.93 $1,090.97 |
$709.49 $763.76 $821.24 $1,025.44 |
$1,017.00 $1,071.27 $1,128.75 $1,332.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$803.96 $912.50 $1,027.46 $1,435.86 $2,181.94 |
$1,111.47 $1,220.01 $1,334.97 $1,743.37 |
$1,418.98 $1,527.52 $1,642.48 $2,050.88 |
Toc - Plan #151 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value+ ($2 Rx + 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.21 $454.24 $511.47 $714.77 $1,086.16 |
$706.37 $760.40 $817.63 $1,020.93 |
$1,012.53 $1,066.56 $1,123.79 $1,327.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$800.42 $908.48 $1,022.94 $1,429.54 $2,172.32 |
$1,106.58 $1,214.64 $1,329.10 $1,735.70 |
$1,412.74 $1,520.80 $1,635.26 $2,041.86 |
Toc - Plan #152 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375.71 $426.43 $480.16 $671.02 $1,019.68 |
$663.13 $713.85 $767.58 $958.44 |
$950.55 $1,001.27 $1,055.00 $1,245.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$751.42 $852.86 $960.32 $1,342.04 $2,039.36 |
$1,038.84 $1,140.28 $1,247.74 $1,629.46 |
$1,326.26 $1,427.70 $1,535.16 $1,916.88 |
Toc - Plan #153 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First ($3 Rx + Unlimited Free App-based Care) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.63 $418.39 $471.11 $658.37 $1,000.46 |
$650.63 $700.39 $753.11 $940.37 |
$932.63 $982.39 $1,035.11 $1,222.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737.26 $836.78 $942.22 $1,316.74 $2,000.92 |
$1,019.26 $1,118.78 $1,224.22 $1,598.74 |
$1,301.26 $1,400.78 $1,506.22 $1,880.74 |
Toc - Plan #154 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ Saver ($3 Rx + 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.83 $425.43 $479.03 $669.44 $1,017.28 |
$661.57 $712.17 $765.77 $956.18 |
$948.31 $998.91 $1,052.51 $1,242.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$749.66 $850.86 $958.06 $1,338.88 $2,034.56 |
$1,036.40 $1,137.60 $1,244.80 $1,625.62 |
$1,323.14 $1,424.34 $1,531.54 $1,912.36 |
Toc - Plan #155 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ Saver ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375.12 $425.76 $479.40 $669.97 $1,018.08 |
$662.09 $712.73 $766.37 $956.94 |
$949.06 $999.70 $1,053.34 $1,243.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$750.24 $851.52 $958.80 $1,339.94 $2,036.16 |
$1,037.21 $1,138.49 $1,245.77 $1,626.91 |
$1,324.18 $1,425.46 $1,532.74 $1,913.88 |
Toc - Plan #156 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ Base ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.88 $442.51 $498.26 $696.32 $1,058.13 |
$688.14 $740.77 $796.52 $994.58 |
$986.40 $1,039.03 $1,094.78 $1,292.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$779.76 $885.02 $996.52 $1,392.64 $2,116.26 |
$1,078.02 $1,183.28 $1,294.78 $1,690.90 |
$1,376.28 $1,481.54 $1,593.04 $1,989.16 |
Toc - Plan #157 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ ($3 Rx + 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$393.42 $446.53 $502.79 $702.65 $1,067.74 |
$694.39 $747.50 $803.76 $1,003.62 |
$995.36 $1,048.47 $1,104.73 $1,304.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$786.84 $893.06 $1,005.58 $1,405.30 $2,135.48 |
$1,087.81 $1,194.03 $1,306.55 $1,706.27 |
$1,388.78 $1,495.00 $1,607.52 $2,007.24 |
Toc - Plan #158 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First Saver ($3 Rx + Unlimited Free App-based Care) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.15 $416.72 $469.22 $655.73 $996.45 |
$648.02 $697.59 $750.09 $936.60 |
$928.89 $978.46 $1,030.96 $1,217.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734.30 $833.44 $938.44 $1,311.46 $1,992.90 |
$1,015.17 $1,114.31 $1,219.31 $1,592.33 |
$1,296.04 $1,395.18 $1,500.18 $1,873.20 |
Toc - Plan #159 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ Saver ($5 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.35 $423.75 $477.14 $666.80 $1,013.27 |
$658.96 $709.36 $762.75 $952.41 |
$944.57 $994.97 $1,048.36 $1,238.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$746.70 $847.50 $954.28 $1,333.60 $2,026.54 |
$1,032.31 $1,133.11 $1,239.89 $1,619.21 |
$1,317.92 $1,418.72 $1,525.50 $1,904.82 |
Toc - Plan #160 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ Base ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375.42 $426.10 $479.78 $670.49 $1,018.88 |
$662.61 $713.29 $766.97 $957.68 |
$949.80 $1,000.48 $1,054.16 $1,244.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$750.84 $852.20 $959.56 $1,340.98 $2,037.76 |
$1,038.03 $1,139.39 $1,246.75 $1,628.17 |
$1,325.22 $1,426.58 $1,533.94 $1,915.36 |
Toc - Plan #161 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ Extra ($3 Rx + Dental + Vision + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.93 $439.16 $494.49 $691.05 $1,050.12 |
$682.93 $735.16 $790.49 $987.05 |
$978.93 $1,031.16 $1,086.49 $1,283.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$773.86 $878.32 $988.98 $1,382.10 $2,100.24 |
$1,069.86 $1,174.32 $1,284.98 $1,678.10 |
$1,365.86 $1,470.32 $1,580.98 $1,974.10 |
Toc - Plan #162 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ Extra Saver ($3 Rx + Dental + Vision + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.22 $439.50 $494.87 $691.58 $1,050.92 |
$683.44 $735.72 $791.09 $987.80 |
$979.66 $1,031.94 $1,087.31 $1,284.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$774.44 $879.00 $989.74 $1,383.16 $2,101.84 |
$1,070.66 $1,175.22 $1,285.96 $1,679.38 |
$1,366.88 $1,471.44 $1,582.18 $1,975.60 |
Toc - Plan #163 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential+ (Low Premium) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$295.14 $334.98 $377.19 $527.12 $801.01 |
$520.92 $560.76 $602.97 $752.90 |
$746.70 $786.54 $828.75 $978.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$590.28 $669.96 $754.38 $1,054.24 $1,602.02 |
$816.06 $895.74 $980.16 $1,280.02 |
$1,041.84 $1,121.52 $1,205.94 $1,505.80 |
Toc - Plan #164 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value+ ($3 Rx + 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311.67 $353.74 $398.31 $556.64 $845.86 |
$550.09 $592.16 $636.73 $795.06 |
$788.51 $830.58 $875.15 $1,033.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$623.34 $707.48 $796.62 $1,113.28 $1,691.72 |
$861.76 $945.90 $1,035.04 $1,351.70 |
$1,100.18 $1,184.32 $1,273.46 $1,590.12 |
Toc - Plan #165 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Value+ Saver ($5 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303.40 $344.36 $387.75 $541.88 $823.43 |
$535.50 $576.46 $619.85 $773.98 |
$767.60 $808.56 $851.95 $1,006.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$606.80 $688.72 $775.50 $1,083.76 $1,646.86 |
$838.90 $920.82 $1,007.60 $1,315.86 |
$1,071.00 $1,152.92 $1,239.70 $1,547.96 |
Toc - Plan #166 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value+ ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.73 $356.09 $400.95 $560.33 $851.47 |
$553.74 $596.10 $640.96 $800.34 |
$793.75 $836.11 $880.97 $1,040.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$627.46 $712.18 $801.90 $1,120.66 $1,702.94 |
$867.47 $952.19 $1,041.91 $1,360.67 |
$1,107.48 $1,192.20 $1,281.92 $1,600.68 |
Toc - Plan #167 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Virtual First ($3 Rx + Unlimited Free App-based Care) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.76 $347.04 $390.77 $546.09 $829.84 |
$539.67 $580.95 $624.68 $780.00 |
$773.58 $814.86 $858.59 $1,013.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$611.52 $694.08 $781.54 $1,092.18 $1,659.68 |
$845.43 $927.99 $1,015.45 $1,326.09 |
$1,079.34 $1,161.90 $1,249.36 $1,560.00 |
‡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 Pasco County here.
Pasco County is in “Rating Area 26” of Florida.
Currently, there are 167 plans offered in Rating Area 26.