Obamacare 2022 Rates for Henderson County
Obamacare > Rates > North Carolina > Henderson County
Obamacare > Rates > North Carolina > Henderson County
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Blue Cross and Blue Shield of NCLocal: 1-800-324-4973 | Toll Free: 1-800-324-4973 |
Toc - Plan #1 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver $0 Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$491.78 $558.17 $628.49 $878.32 $1,334.69 |
$867.99 $934.38 $1,004.70 $1,254.53 |
$1,244.20 $1,310.59 $1,380.91 $1,630.74 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$983.56 $1,116.34 $1,256.98 $1,756.64 $2,669.38 |
$1,359.77 $1,492.55 $1,633.19 $2,132.85 |
$1,735.98 $1,868.76 $2,009.40 $2,509.06 |
Toc - Plan #2 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver 5300 + 3 Free PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$455.42 $516.90 $582.03 $813.38 $1,236.01 |
$803.82 $865.30 $930.43 $1,161.78 |
$1,152.22 $1,213.70 $1,278.83 $1,510.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$910.84 $1,033.80 $1,164.06 $1,626.76 $2,472.02 |
$1,259.24 $1,382.20 $1,512.46 $1,975.16 |
$1,607.64 $1,730.60 $1,860.86 $2,323.56 |
Toc - Plan #3 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver 2800 + $15 PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$475.41 $539.59 $607.57 $849.08 $1,290.26 |
$839.10 $903.28 $971.26 $1,212.77 |
$1,202.79 $1,266.97 $1,334.95 $1,576.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$950.82 $1,079.18 $1,215.14 $1,698.16 $2,580.52 |
$1,314.51 $1,442.87 $1,578.83 $2,061.85 |
$1,678.20 $1,806.56 $1,942.52 $2,425.54 |
Toc - Plan #4 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Advantage Bronze 7000 + 3 Free PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$333.19 $378.17 $425.82 $595.08 $904.28 |
$588.08 $633.06 $680.71 $849.97 |
$842.97 $887.95 $935.60 $1,104.86 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$666.38 $756.34 $851.64 $1,190.16 $1,808.56 |
$921.27 $1,011.23 $1,106.53 $1,445.05 |
$1,176.16 $1,266.12 $1,361.42 $1,699.94 |
Toc - Plan #5 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Gold
(PPO) Blue Advantage Gold 2500 + 3 Free PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$477.03 $541.43 $609.64 $851.98 $1,294.66 |
$841.96 $906.36 $974.57 $1,216.91 |
$1,206.89 $1,271.29 $1,339.50 $1,581.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$954.06 $1,082.86 $1,219.28 $1,703.96 $2,589.32 |
$1,318.99 $1,447.79 $1,584.21 $2,068.89 |
$1,683.92 $1,812.72 $1,949.14 $2,433.82 |
Toc - Plan #6 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver 3800 + 3 Free PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$492.90 $559.44 $629.93 $880.32 $1,337.73 |
$869.97 $936.51 $1,007.00 $1,257.39 |
$1,247.04 $1,313.58 $1,384.07 $1,634.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$985.80 $1,118.88 $1,259.86 $1,760.64 $2,675.46 |
$1,362.87 $1,495.95 $1,636.93 $2,137.71 |
$1,739.94 $1,873.02 $2,014.00 $2,514.78 |
Toc - Plan #7 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Advantage Bronze 7000 HSA Eligible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$345.24 $391.85 $441.22 $616.60 $936.98 |
$609.35 $655.96 $705.33 $880.71 |
$873.46 $920.07 $969.44 $1,144.82 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$690.48 $783.70 $882.44 $1,233.20 $1,873.96 |
$954.59 $1,047.81 $1,146.55 $1,497.31 |
$1,218.70 $1,311.92 $1,410.66 $1,761.42 |
Toc - Plan #8 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Catastrophic
(PPO) Blue Advantage Catastrophic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$234.90 $266.61 $300.20 $419.53 $637.52 |
$414.60 $446.31 $479.90 $599.23 |
$594.30 $626.01 $659.60 $778.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$469.80 $533.22 $600.40 $839.06 $1,275.04 |
$649.50 $712.92 $780.10 $1,018.76 |
$829.20 $892.62 $959.80 $1,198.46 |
Toc - Plan #9 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver 6000 + 3 Free PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$472.61 $536.41 $604.00 $844.08 $1,282.66 |
$834.16 $897.96 $965.55 $1,205.63 |
$1,195.71 $1,259.51 $1,327.10 $1,567.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$945.22 $1,072.82 $1,208.00 $1,688.16 $2,565.32 |
$1,306.77 $1,434.37 $1,569.55 $2,049.71 |
$1,668.32 $1,795.92 $1,931.10 $2,411.26 |
Toc - Plan #10 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Advantage Bronze 7000 Copay |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$355.05 $402.98 $453.75 $634.12 $963.61 |
$626.66 $674.59 $725.36 $905.73 |
$898.27 $946.20 $996.97 $1,177.34 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$710.10 $805.96 $907.50 $1,268.24 $1,927.22 |
$981.71 $1,077.57 $1,179.11 $1,539.85 |
$1,253.32 $1,349.18 $1,450.72 $1,811.46 |
Toc - Plan #11 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Bronze
(PPO) Blue Advantage Bronze 8700 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$329.64 $374.14 $421.28 $588.74 $894.64 |
$581.81 $626.31 $673.45 $840.91 |
$833.98 $878.48 $925.62 $1,093.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$659.28 $748.28 $842.56 $1,177.48 $1,789.28 |
$911.45 $1,000.45 $1,094.73 $1,429.65 |
$1,163.62 $1,252.62 $1,346.90 $1,681.82 |
ADVERTISEMENT
WellCare of North CarolinaLocal: 1-312-332-5401 | Toll Free: 1-800-779-7989 |
Toc - Plan #12 WellCare of North Carolina | ||||||||||||||||||||
Expanded Bronze
(PPO) WellCare Secure Health Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
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 |
$533.54 $605.56 $681.85 $952.88 $1,448.00 |
$941.69 $1,013.71 $1,090.00 $1,361.03 |
$1,349.84 $1,421.86 $1,498.15 $1,769.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,067.08 $1,211.12 $1,363.70 $1,905.76 $2,896.00 |
$1,475.23 $1,619.27 $1,771.85 $2,313.91 |
$1,883.38 $2,027.42 $2,180.00 $2,722.06 |
Toc - Plan #13 WellCare of North Carolina | ||||||||||||||||||||
Silver
(PPO) WellCare Secure Health Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
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 |
$761.95 $864.80 $973.75 $1,360.82 $2,067.89 |
$1,344.83 $1,447.68 $1,556.63 $1,943.70 |
$1,927.71 $2,030.56 $2,139.51 $2,526.58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,523.90 $1,729.60 $1,947.50 $2,721.64 $4,135.78 |
$2,106.78 $2,312.48 $2,530.38 $3,304.52 |
$2,689.66 $2,895.36 $3,113.26 $3,887.40 |
Toc - Plan #14 WellCare of North Carolina | ||||||||||||||||||||
Gold
(PPO) WellCare Secure Health Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
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 |
$755.43 $857.40 $965.42 $1,349.17 $2,050.20 |
$1,333.32 $1,435.29 $1,543.31 $1,927.06 |
$1,911.21 $2,013.18 $2,121.20 $2,504.95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,510.86 $1,714.80 $1,930.84 $2,698.34 $4,100.40 |
$2,088.75 $2,292.69 $2,508.73 $3,276.23 |
$2,666.64 $2,870.58 $3,086.62 $3,854.12 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-800-980-5357 | Toll Free: 1-800-980-5357 | TTY: 1-800-980-5357 |
Toc - Plan #15 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value+ ($2 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
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 |
$500.31 $567.85 $639.40 $893.55 $1,357.84 |
$883.05 $950.59 $1,022.14 $1,276.29 |
$1,265.79 $1,333.33 $1,404.88 $1,659.03 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,000.62 $1,135.70 $1,278.80 $1,787.10 $2,715.68 |
$1,383.36 $1,518.44 $1,661.54 $2,169.84 |
$1,766.10 $1,901.18 $2,044.28 $2,552.58 |
Toc - Plan #16 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ Saver ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
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 |
$524.31 $595.09 $670.06 $936.41 $1,422.96 |
$925.40 $996.18 $1,071.15 $1,337.50 |
$1,326.49 $1,397.27 $1,472.24 $1,738.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,048.62 $1,190.18 $1,340.12 $1,872.82 $2,845.92 |
$1,449.71 $1,591.27 $1,741.21 $2,273.91 |
$1,850.80 $1,992.36 $2,142.30 $2,675.00 |
Toc - Plan #17 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ ($3 Rx + Unlimited Free Primary Care & Virtual Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$525.74 $596.71 $671.89 $938.97 $1,426.85 |
$927.93 $998.90 $1,074.08 $1,341.16 |
$1,330.12 $1,401.09 $1,476.27 $1,743.35 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,051.48 $1,193.42 $1,343.78 $1,877.94 $2,853.70 |
$1,453.67 $1,595.61 $1,745.97 $2,280.13 |
$1,855.86 $1,997.80 $2,148.16 $2,682.32 |
Toc - Plan #18 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value+ ($3 Rx) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$372.10 $422.33 $475.54 $664.57 $1,009.88 |
$656.76 $706.99 $760.20 $949.23 |
$941.42 $991.65 $1,044.86 $1,233.89 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$744.20 $844.66 $951.08 $1,329.14 $2,019.76 |
$1,028.86 $1,129.32 $1,235.74 $1,613.80 |
$1,313.52 $1,413.98 $1,520.40 $1,898.46 |
Toc - Plan #19 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($2 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
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 |
$499.24 $566.63 $638.02 $891.64 $1,354.93 |
$881.16 $948.55 $1,019.94 $1,273.56 |
$1,263.08 $1,330.47 $1,401.86 $1,655.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$998.48 $1,133.26 $1,276.04 $1,783.28 $2,709.86 |
$1,380.40 $1,515.18 $1,657.96 $2,165.20 |
$1,762.32 $1,897.10 $2,039.88 $2,547.12 |
Toc - Plan #20 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ Extra ($2 Rx + Dental + Vision + 3 Free Primary Care & 6 Free Virtual Visits)ays) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
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 |
$507.12 $575.58 $648.09 $905.71 $1,376.31 |
$895.06 $963.52 $1,036.03 $1,293.65 |
$1,283.00 $1,351.46 $1,423.97 $1,681.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,014.24 $1,151.16 $1,296.18 $1,811.42 $2,752.62 |
$1,402.18 $1,539.10 $1,684.12 $2,199.36 |
$1,790.12 $1,927.04 $2,072.06 $2,587.30 |
Toc - Plan #21 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
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 |
$522.16 $592.65 $667.32 $932.57 $1,417.13 |
$921.61 $992.10 $1,066.77 $1,332.02 |
$1,321.06 $1,391.55 $1,466.22 $1,731.47 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,044.32 $1,185.30 $1,334.64 $1,865.14 $2,834.26 |
$1,443.77 $1,584.75 $1,734.09 $2,264.59 |
$1,843.22 $1,984.20 $2,133.54 $2,664.04 |
Toc - Plan #22 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value+ (HSA) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.83 $428.84 $482.87 $674.80 $1,025.43 |
$666.87 $717.88 $771.91 $963.84 |
$955.91 $1,006.92 $1,060.95 $1,252.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$755.66 $857.68 $965.74 $1,349.60 $2,050.86 |
$1,044.70 $1,146.72 $1,254.78 $1,638.64 |
$1,333.74 $1,435.76 $1,543.82 $1,927.68 |
Toc - Plan #23 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential+ (Low Premium) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.13 $406.48 $457.69 $639.62 $971.97 |
$632.10 $680.45 $731.66 $913.59 |
$906.07 $954.42 $1,005.63 $1,187.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.26 $812.96 $915.38 $1,279.24 $1,943.94 |
$990.23 $1,086.93 $1,189.35 $1,553.21 |
$1,264.20 $1,360.90 $1,463.32 $1,827.18 |
Toc - Plan #24 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: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$520.72 $591.02 $665.49 $930.01 $1,413.25 |
$919.07 $989.37 $1,063.84 $1,328.36 |
$1,317.42 $1,387.72 $1,462.19 $1,726.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,041.44 $1,182.04 $1,330.98 $1,860.02 $2,826.50 |
$1,439.79 $1,580.39 $1,729.33 $2,258.37 |
$1,838.14 $1,978.74 $2,127.68 $2,656.72 |
Toc - Plan #25 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: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.82 $423.15 $476.46 $665.85 $1,011.82 |
$658.02 $708.35 $761.66 $951.05 |
$943.22 $993.55 $1,046.86 $1,236.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745.64 $846.30 $952.92 $1,331.70 $2,023.64 |
$1,030.84 $1,131.50 $1,238.12 $1,616.90 |
$1,316.04 $1,416.70 $1,523.32 $1,902.10 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
Toc - Plan #26 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Aetna CVS Bronze: Low-Cost MinuteClinic Visits, Telehealth, Store Discounts |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.33 $418.05 $470.72 $657.83 $999.64 |
$650.10 $699.82 $752.49 $939.60 |
$931.87 $981.59 $1,034.26 $1,221.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736.66 $836.10 $941.44 $1,315.66 $1,999.28 |
$1,018.43 $1,117.87 $1,223.21 $1,597.43 |
$1,300.20 $1,399.64 $1,504.98 $1,879.20 |
Toc - Plan #27 Aetna CVS Health | ||||||||||||||||||||
Bronze
(HMO) Aetna CVS Bronze: $0 MinuteClinic Visits, Telehealth, Store Discounts |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.98 $362.05 $407.66 $569.70 $865.72 |
$563.00 $606.07 $651.68 $813.72 |
$807.02 $850.09 $895.70 $1,057.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$637.96 $724.10 $815.32 $1,139.40 $1,731.44 |
$881.98 $968.12 $1,059.34 $1,383.42 |
$1,126.00 $1,212.14 $1,303.36 $1,627.44 |
Toc - Plan #28 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Aetna CVS Gold: $0 MinuteClinic Visits, Telehealth, Store Discounts |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$532.05 $603.88 $679.96 $950.24 $1,443.99 |
$939.07 $1,010.90 $1,086.98 $1,357.26 |
$1,346.09 $1,417.92 $1,494.00 $1,764.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,064.10 $1,207.76 $1,359.92 $1,900.48 $2,887.98 |
$1,471.12 $1,614.78 $1,766.94 $2,307.50 |
$1,878.14 $2,021.80 $2,173.96 $2,714.52 |
Toc - Plan #29 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Aetna CVS Silver 1: $0 MinuteClinic Visits, Telehealth, Store Discounts |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$509.49 $578.27 $651.12 $909.94 $1,382.74 |
$899.25 $968.03 $1,040.88 $1,299.70 |
$1,289.01 $1,357.79 $1,430.64 $1,689.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,018.98 $1,156.54 $1,302.24 $1,819.88 $2,765.48 |
$1,408.74 $1,546.30 $1,692.00 $2,209.64 |
$1,798.50 $1,936.06 $2,081.76 $2,599.40 |
Toc - Plan #30 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Aetna CVS Silver 2: $0 MinuteClinic Visits, Telehealth, Store Discounts |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$443.61 $503.49 $566.93 $792.28 $1,203.95 |
$782.97 $842.85 $906.29 $1,131.64 |
$1,122.33 $1,182.21 $1,245.65 $1,471.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$887.22 $1,006.98 $1,133.86 $1,584.56 $2,407.90 |
$1,226.58 $1,346.34 $1,473.22 $1,923.92 |
$1,565.94 $1,685.70 $1,812.58 $2,263.28 |
ADVERTISEMENT
Oscar Health Plan of North Carolina, IncLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 | TTY: 1-855-672-2755 |
Toc - Plan #31 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$367.92 $417.58 $470.19 $657.08 $998.50 |
$649.37 $699.03 $751.64 $938.53 |
$930.82 $980.48 $1,033.09 $1,219.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$735.84 $835.16 $940.38 $1,314.16 $1,997.00 |
$1,017.29 $1,116.61 $1,221.83 $1,595.61 |
$1,298.74 $1,398.06 $1,503.28 $1,877.06 |
Toc - Plan #32 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$376.23 $427.01 $480.81 $671.92 $1,021.06 |
$664.04 $714.82 $768.62 $959.73 |
$951.85 $1,002.63 $1,056.43 $1,247.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$752.46 $854.02 $961.62 $1,343.84 $2,042.12 |
$1,040.27 $1,141.83 $1,249.43 $1,631.65 |
$1,328.08 $1,429.64 $1,537.24 $1,919.46 |
Toc - Plan #33 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$368.96 $418.76 $471.52 $658.95 $1,001.33 |
$651.21 $701.01 $753.77 $941.20 |
$933.46 $983.26 $1,036.02 $1,223.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737.92 $837.52 $943.04 $1,317.90 $2,002.66 |
$1,020.17 $1,119.77 $1,225.29 $1,600.15 |
$1,302.42 $1,402.02 $1,507.54 $1,882.40 |
Toc - Plan #34 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$438.57 $497.76 $560.48 $783.26 $1,190.24 |
$774.07 $833.26 $895.98 $1,118.76 |
$1,109.57 $1,168.76 $1,231.48 $1,454.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$877.14 $995.52 $1,120.96 $1,566.52 $2,380.48 |
$1,212.64 $1,331.02 $1,456.46 $1,902.02 |
$1,548.14 $1,666.52 $1,791.96 $2,237.52 |
Toc - Plan #35 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$492.00 $558.40 $628.76 $878.69 $1,335.25 |
$868.37 $934.77 $1,005.13 $1,255.06 |
$1,244.74 $1,311.14 $1,381.50 $1,631.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$984.00 $1,116.80 $1,257.52 $1,757.38 $2,670.50 |
$1,360.37 $1,493.17 $1,633.89 $2,133.75 |
$1,736.74 $1,869.54 $2,010.26 $2,510.12 |
Toc - Plan #36 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$481.05 $545.98 $614.76 $859.13 $1,305.53 |
$849.04 $913.97 $982.75 $1,227.12 |
$1,217.03 $1,281.96 $1,350.74 $1,595.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$962.10 $1,091.96 $1,229.52 $1,718.26 $2,611.06 |
$1,330.09 $1,459.95 $1,597.51 $2,086.25 |
$1,698.08 $1,827.94 $1,965.50 $2,454.24 |
Toc - Plan #37 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Catastrophic
(HMO) 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 |
$317.25 $360.06 $405.43 $566.58 $860.98 |
$559.94 $602.75 $648.12 $809.27 |
$802.63 $845.44 $890.81 $1,051.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$634.50 $720.12 $810.86 $1,133.16 $1,721.96 |
$877.19 $962.81 $1,053.55 $1,375.85 |
$1,119.88 $1,205.50 $1,296.24 $1,618.54 |
Toc - Plan #38 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$438.42 $497.60 $560.29 $783.00 $1,189.85 |
$773.80 $832.98 $895.67 $1,118.38 |
$1,109.18 $1,168.36 $1,231.05 $1,453.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$876.84 $995.20 $1,120.58 $1,566.00 $2,379.70 |
$1,212.22 $1,330.58 $1,455.96 $1,901.38 |
$1,547.60 $1,665.96 $1,791.34 $2,236.76 |
Toc - Plan #39 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Gold
(HMO) 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 |
$523.82 $594.53 $669.43 $935.53 $1,421.63 |
$924.54 $995.25 $1,070.15 $1,336.25 |
$1,325.26 $1,395.97 $1,470.87 $1,736.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,047.64 $1,189.06 $1,338.86 $1,871.06 $2,843.26 |
$1,448.36 $1,589.78 $1,739.58 $2,271.78 |
$1,849.08 $1,990.50 $2,140.30 $2,672.50 |
Toc - Plan #40 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$403.88 $458.39 $516.15 $721.31 $1,096.11 |
$712.84 $767.35 $825.11 $1,030.27 |
$1,021.80 $1,076.31 $1,134.07 $1,339.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$807.76 $916.78 $1,032.30 $1,442.62 $2,192.22 |
$1,116.72 $1,225.74 $1,341.26 $1,751.58 |
$1,425.68 $1,534.70 $1,650.22 $2,060.54 |
Toc - Plan #41 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$480.92 $545.83 $614.60 $858.90 $1,305.19 |
$848.82 $913.73 $982.50 $1,226.80 |
$1,216.72 $1,281.63 $1,350.40 $1,594.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$961.84 $1,091.66 $1,229.20 $1,717.80 $2,610.38 |
$1,329.74 $1,459.56 $1,597.10 $2,085.70 |
$1,697.64 $1,827.46 $1,965.00 $2,453.60 |
Toc - Plan #42 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$516.65 $586.39 $660.27 $922.72 $1,402.17 |
$911.88 $981.62 $1,055.50 $1,317.95 |
$1,307.11 $1,376.85 $1,450.73 $1,713.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,033.30 $1,172.78 $1,320.54 $1,845.44 $2,804.34 |
$1,428.53 $1,568.01 $1,715.77 $2,240.67 |
$1,823.76 $1,963.24 $2,111.00 $2,635.90 |
Toc - Plan #43 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Gold
(HMO) 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 |
$530.32 $601.90 $677.74 $947.13 $1,439.26 |
$936.01 $1,007.59 $1,083.43 $1,352.82 |
$1,341.70 $1,413.28 $1,489.12 $1,758.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,060.64 $1,203.80 $1,355.48 $1,894.26 $2,878.52 |
$1,466.33 $1,609.49 $1,761.17 $2,299.95 |
$1,872.02 $2,015.18 $2,166.86 $2,705.64 |
Toc - Plan #44 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$391.48 $444.32 $500.30 $699.17 $1,062.45 |
$690.96 $743.80 $799.78 $998.65 |
$990.44 $1,043.28 $1,099.26 $1,298.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$782.96 $888.64 $1,000.60 $1,398.34 $2,124.90 |
$1,082.44 $1,188.12 $1,300.08 $1,697.82 |
$1,381.92 $1,487.60 $1,599.56 $1,997.30 |
Toc - Plan #45 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$419.70 $476.35 $536.36 $749.56 $1,139.04 |
$740.76 $797.41 $857.42 $1,070.62 |
$1,061.82 $1,118.47 $1,178.48 $1,391.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$839.40 $952.70 $1,072.72 $1,499.12 $2,278.08 |
$1,160.46 $1,273.76 $1,393.78 $1,820.18 |
$1,481.52 $1,594.82 $1,714.84 $2,141.24 |
Toc - Plan #46 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic- $3000 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 |
$420.32 $477.05 $537.15 $750.67 $1,140.71 |
$741.85 $798.58 $858.68 $1,072.20 |
$1,063.38 $1,120.11 $1,180.21 $1,393.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$840.64 $954.10 $1,074.30 $1,501.34 $2,281.42 |
$1,162.17 $1,275.63 $1,395.83 $1,822.87 |
$1,483.70 $1,597.16 $1,717.36 $2,144.40 |
Toc - Plan #47 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$390.88 $443.64 $499.53 $698.10 $1,060.82 |
$689.90 $742.66 $798.55 $997.12 |
$988.92 $1,041.68 $1,097.57 $1,296.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$781.76 $887.28 $999.06 $1,396.20 $2,121.64 |
$1,080.78 $1,186.30 $1,298.08 $1,695.22 |
$1,379.80 $1,485.32 $1,597.10 $1,994.24 |
Toc - Plan #48 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$475.53 $539.72 $607.72 $849.28 $1,290.56 |
$839.30 $903.49 $971.49 $1,213.05 |
$1,203.07 $1,267.26 $1,335.26 $1,576.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$951.06 $1,079.44 $1,215.44 $1,698.56 $2,581.12 |
$1,314.83 $1,443.21 $1,579.21 $2,062.33 |
$1,678.60 $1,806.98 $1,942.98 $2,426.10 |
Toc - Plan #49 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) Silver Elite- 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 |
$510.60 $579.51 $652.53 $911.91 $1,385.73 |
$901.20 $970.11 $1,043.13 $1,302.51 |
$1,291.80 $1,360.71 $1,433.73 $1,693.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,021.20 $1,159.02 $1,305.06 $1,823.82 $2,771.46 |
$1,411.80 $1,549.62 $1,695.66 $2,214.42 |
$1,802.40 $1,940.22 $2,086.26 $2,605.02 |
Toc - Plan #50 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$491.98 $558.39 $628.74 $878.67 $1,335.22 |
$868.34 $934.75 $1,005.10 $1,255.03 |
$1,244.70 $1,311.11 $1,381.46 $1,631.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$983.96 $1,116.78 $1,257.48 $1,757.34 $2,670.44 |
$1,360.32 $1,493.14 $1,633.84 $2,133.70 |
$1,736.68 $1,869.50 $2,010.20 $2,510.06 |
Toc - Plan #51 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$510.03 $578.87 $651.80 $910.89 $1,384.19 |
$900.19 $969.03 $1,041.96 $1,301.05 |
$1,290.35 $1,359.19 $1,432.12 $1,691.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,020.06 $1,157.74 $1,303.60 $1,821.78 $2,768.38 |
$1,410.22 $1,547.90 $1,693.76 $2,211.94 |
$1,800.38 $1,938.06 $2,083.92 $2,602.10 |
Toc - Plan #52 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$505.95 $574.24 $646.59 $903.61 $1,373.12 |
$892.99 $961.28 $1,033.63 $1,290.65 |
$1,280.03 $1,348.32 $1,420.67 $1,677.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,011.90 $1,148.48 $1,293.18 $1,807.22 $2,746.24 |
$1,398.94 $1,535.52 $1,680.22 $2,194.26 |
$1,785.98 $1,922.56 $2,067.26 $2,581.30 |
Toc - Plan #53 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$501.98 $569.74 $641.52 $896.52 $1,362.34 |
$885.99 $953.75 $1,025.53 $1,280.53 |
$1,270.00 $1,337.76 $1,409.54 $1,664.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,003.96 $1,139.48 $1,283.04 $1,793.04 $2,724.68 |
$1,387.97 $1,523.49 $1,667.05 $2,177.05 |
$1,771.98 $1,907.50 $2,051.06 $2,561.06 |
Toc - Plan #54 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Gold
(HMO) 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 |
$502.79 $570.66 $642.56 $897.97 $1,364.56 |
$887.42 $955.29 $1,027.19 $1,282.60 |
$1,272.05 $1,339.92 $1,411.82 $1,667.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,005.58 $1,141.32 $1,285.12 $1,795.94 $2,729.12 |
$1,390.21 $1,525.95 $1,669.75 $2,180.57 |
$1,774.84 $1,910.58 $2,054.38 $2,565.20 |
Toc - Plan #55 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Gold
(HMO) 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 |
$576.96 $654.84 $737.34 $1,030.44 $1,565.85 |
$1,018.33 $1,096.21 $1,178.71 $1,471.81 |
$1,459.70 $1,537.58 $1,620.08 $1,913.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,153.92 $1,309.68 $1,474.68 $2,060.88 $3,131.70 |
$1,595.29 $1,751.05 $1,916.05 $2,502.25 |
$2,036.66 $2,192.42 $2,357.42 $2,943.62 |
Toc - Plan #56 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Gold
(HMO) 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 |
$546.75 $620.55 $698.73 $976.47 $1,483.84 |
$965.00 $1,038.80 $1,116.98 $1,394.72 |
$1,383.25 $1,457.05 $1,535.23 $1,812.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,093.50 $1,241.10 $1,397.46 $1,952.94 $2,967.68 |
$1,511.75 $1,659.35 $1,815.71 $2,371.19 |
$1,930.00 $2,077.60 $2,233.96 $2,789.44 |
Toc - Plan #57 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Gold
(HMO) 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 |
$512.45 $581.62 $654.90 $915.22 $1,390.76 |
$904.47 $973.64 $1,046.92 $1,307.24 |
$1,296.49 $1,365.66 $1,438.94 $1,699.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,024.90 $1,163.24 $1,309.80 $1,830.44 $2,781.52 |
$1,416.92 $1,555.26 $1,701.82 $2,222.46 |
$1,808.94 $1,947.28 $2,093.84 $2,614.48 |
Toc - Plan #58 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Super 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 |
$367.96 $417.62 $470.24 $657.16 $998.62 |
$649.44 $699.10 $751.72 $938.64 |
$930.92 $980.58 $1,033.20 $1,220.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$735.92 $835.24 $940.48 $1,314.32 $1,997.24 |
$1,017.40 $1,116.72 $1,221.96 $1,595.80 |
$1,298.88 $1,398.20 $1,503.44 $1,877.28 |
Toc - Plan #59 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic- $5000 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 |
$418.27 $474.72 $534.53 $747.01 $1,135.15 |
$738.24 $794.69 $854.50 $1,066.98 |
$1,058.21 $1,114.66 $1,174.47 $1,386.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$836.54 $949.44 $1,069.06 $1,494.02 $2,270.30 |
$1,156.51 $1,269.41 $1,389.03 $1,813.99 |
$1,476.48 $1,589.38 $1,709.00 $2,133.96 |
Toc - Plan #60 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 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 |
$430.47 $488.57 $550.13 $768.80 $1,168.27 |
$759.77 $817.87 $879.43 $1,098.10 |
$1,089.07 $1,147.17 $1,208.73 $1,427.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$860.94 $977.14 $1,100.26 $1,537.60 $2,336.54 |
$1,190.24 $1,306.44 $1,429.56 $1,866.90 |
$1,519.54 $1,635.74 $1,758.86 $2,196.20 |
Toc - Plan #61 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$431.26 $489.47 $551.14 $770.22 $1,170.42 |
$761.17 $819.38 $881.05 $1,100.13 |
$1,091.08 $1,149.29 $1,210.96 $1,430.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$862.52 $978.94 $1,102.28 $1,540.44 $2,340.84 |
$1,192.43 $1,308.85 $1,432.19 $1,870.35 |
$1,522.34 $1,638.76 $1,762.10 $2,200.26 |
Toc - Plan #62 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$433.42 $491.93 $553.90 $774.08 $1,176.29 |
$764.98 $823.49 $885.46 $1,105.64 |
$1,096.54 $1,155.05 $1,217.02 $1,437.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$866.84 $983.86 $1,107.80 $1,548.16 $2,352.58 |
$1,198.40 $1,315.42 $1,439.36 $1,879.72 |
$1,529.96 $1,646.98 $1,770.92 $2,211.28 |
Toc - Plan #63 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) Silver Simple- High 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 |
$480.94 $545.86 $614.63 $858.95 $1,305.25 |
$848.85 $913.77 $982.54 $1,226.86 |
$1,216.76 $1,281.68 $1,350.45 $1,594.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$961.88 $1,091.72 $1,229.26 $1,717.90 $2,610.50 |
$1,329.79 $1,459.63 $1,597.17 $2,085.81 |
$1,697.70 $1,827.54 $1,965.08 $2,453.72 |
Toc - Plan #64 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$485.81 $551.38 $620.85 $867.63 $1,318.45 |
$857.44 $923.01 $992.48 $1,239.26 |
$1,229.07 $1,294.64 $1,364.11 $1,610.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$971.62 $1,102.76 $1,241.70 $1,735.26 $2,636.90 |
$1,343.25 $1,474.39 $1,613.33 $2,106.89 |
$1,714.88 $1,846.02 $1,984.96 $2,478.52 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #65 Cigna Healthcare | ||||||||||||||||||||
Bronze
(HMO) Cigna Connect 8700 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$463.69 $526.28 $592.59 $828.14 $1,258.45 |
$818.41 $881.00 $947.31 $1,182.86 |
$1,173.13 $1,235.72 $1,302.03 $1,537.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$927.38 $1,052.56 $1,185.18 $1,656.28 $2,516.90 |
$1,282.10 $1,407.28 $1,539.90 $2,011.00 |
$1,636.82 $1,762.00 $1,894.62 $2,365.72 |
Toc - Plan #66 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 7300 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$484.76 $550.21 $619.53 $865.79 $1,315.65 |
$855.60 $921.05 $990.37 $1,236.63 |
$1,226.44 $1,291.89 $1,361.21 $1,607.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$969.52 $1,100.42 $1,239.06 $1,731.58 $2,631.30 |
$1,340.36 $1,471.26 $1,609.90 $2,102.42 |
$1,711.20 $1,842.10 $1,980.74 $2,473.26 |
Toc - Plan #67 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 5900 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$491.75 $558.14 $628.46 $878.27 $1,334.61 |
$867.94 $934.33 $1,004.65 $1,254.46 |
$1,244.13 $1,310.52 $1,380.84 $1,630.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$983.50 $1,116.28 $1,256.92 $1,756.54 $2,669.22 |
$1,359.69 $1,492.47 $1,633.11 $2,132.73 |
$1,735.88 $1,868.66 $2,009.30 $2,508.92 |
Toc - Plan #68 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 5500 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$523.51 $594.18 $669.05 $934.99 $1,420.81 |
$924.00 $994.67 $1,069.54 $1,335.48 |
$1,324.49 $1,395.16 $1,470.03 $1,735.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,047.02 $1,188.36 $1,338.10 $1,869.98 $2,841.62 |
$1,447.51 $1,588.85 $1,738.59 $2,270.47 |
$1,848.00 $1,989.34 $2,139.08 $2,670.96 |
Toc - Plan #69 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 4500 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$524.90 $595.76 $670.82 $937.46 $1,424.57 |
$926.45 $997.31 $1,072.37 $1,339.01 |
$1,328.00 $1,398.86 $1,473.92 $1,740.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,049.80 $1,191.52 $1,341.64 $1,874.92 $2,849.14 |
$1,451.35 $1,593.07 $1,743.19 $2,276.47 |
$1,852.90 $1,994.62 $2,144.74 $2,678.02 |
Toc - Plan #70 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 3500 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$526.17 $597.20 $672.44 $939.73 $1,428.02 |
$928.69 $999.72 $1,074.96 $1,342.25 |
$1,331.21 $1,402.24 $1,477.48 $1,744.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,052.34 $1,194.40 $1,344.88 $1,879.46 $2,856.04 |
$1,454.86 $1,596.92 $1,747.40 $2,281.98 |
$1,857.38 $1,999.44 $2,149.92 $2,684.50 |
Toc - Plan #71 Cigna Healthcare | ||||||||||||||||||||
Gold
(HMO) Cigna Connect 2000B ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$762.23 $865.13 $974.12 $1,361.33 $2,068.68 |
$1,345.33 $1,448.23 $1,557.22 $1,944.43 |
$1,928.43 $2,031.33 $2,140.32 $2,527.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,524.46 $1,730.26 $1,948.24 $2,722.66 $4,137.36 |
$2,107.56 $2,313.36 $2,531.34 $3,305.76 |
$2,690.66 $2,896.46 $3,114.44 $3,888.86 |
Toc - Plan #72 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 3500 Enhanced Diabetes Care ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$524.66 $595.49 $670.52 $937.05 $1,423.94 |
$926.03 $996.86 $1,071.89 $1,338.42 |
$1,327.40 $1,398.23 $1,473.26 $1,739.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,049.32 $1,190.98 $1,341.04 $1,874.10 $2,847.88 |
$1,450.69 $1,592.35 $1,742.41 $2,275.47 |
$1,852.06 $1,993.72 $2,143.78 $2,676.84 |
Toc - Plan #73 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 4200 Enhanced Asthma COPD Care ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$523.68 $594.38 $669.27 $935.30 $1,421.28 |
$924.30 $995.00 $1,069.89 $1,335.92 |
$1,324.92 $1,395.62 $1,470.51 $1,736.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,047.36 $1,188.76 $1,338.54 $1,870.60 $2,842.56 |
$1,447.98 $1,589.38 $1,739.16 $2,271.22 |
$1,848.60 $1,990.00 $2,139.78 $2,671.84 |
ADVERTISEMENT
Friday Health PlansLocal: 1-844-465-5500 | Toll Free: 1-844-465-5500 | TTY: 1-800-659-2656 |
Toc - Plan #74 Friday Health Plans | ||||||||||||||||||||
Catastrophic
(HMO) Friday Catastrophic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$231.32 $262.55 $295.63 $413.14 $627.81 |
$408.28 $439.51 $472.59 $590.10 |
$585.24 $616.47 $649.55 $767.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$462.64 $525.10 $591.26 $826.28 $1,255.62 |
$639.60 $702.06 $768.22 $1,003.24 |
$816.56 $879.02 $945.18 $1,180.20 |
Toc - Plan #75 Friday Health Plans | ||||||||||||||||||||
Bronze
(HMO) Friday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$300.50 $341.07 $384.04 $536.70 $815.57 |
$530.39 $570.96 $613.93 $766.59 |
$760.28 $800.85 $843.82 $996.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$601.00 $682.14 $768.08 $1,073.40 $1,631.14 |
$830.89 $912.03 $997.97 $1,303.29 |
$1,060.78 $1,141.92 $1,227.86 $1,533.18 |
Toc - Plan #76 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$308.85 $350.54 $394.71 $551.60 $838.22 |
$545.12 $586.81 $630.98 $787.87 |
$781.39 $823.08 $867.25 $1,024.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$617.70 $701.08 $789.42 $1,103.20 $1,676.44 |
$853.97 $937.35 $1,025.69 $1,339.47 |
$1,090.24 $1,173.62 $1,261.96 $1,575.74 |
Toc - Plan #77 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.04 $360.97 $406.45 $568.01 $863.15 |
$561.34 $604.27 $649.75 $811.31 |
$804.64 $847.57 $893.05 $1,054.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$636.08 $721.94 $812.90 $1,136.02 $1,726.30 |
$879.38 $965.24 $1,056.20 $1,379.32 |
$1,122.68 $1,208.54 $1,299.50 $1,622.62 |
Toc - Plan #78 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$445.71 $505.88 $569.62 $796.04 $1,209.66 |
$786.68 $846.85 $910.59 $1,137.01 |
$1,127.65 $1,187.82 $1,251.56 $1,477.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$891.42 $1,011.76 $1,139.24 $1,592.08 $2,419.32 |
$1,232.39 $1,352.73 $1,480.21 $1,933.05 |
$1,573.36 $1,693.70 $1,821.18 $2,274.02 |
Toc - Plan #79 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.48 $439.79 $495.20 $692.03 $1,051.61 |
$683.90 $736.21 $791.62 $988.45 |
$980.32 $1,032.63 $1,088.04 $1,284.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$774.96 $879.58 $990.40 $1,384.06 $2,103.22 |
$1,071.38 $1,176.00 $1,286.82 $1,680.48 |
$1,367.80 $1,472.42 $1,583.24 $1,976.90 |
Toc - Plan #80 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Plus Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.30 $354.46 $399.12 $557.77 $847.58 |
$551.21 $593.37 $638.03 $796.68 |
$790.12 $832.28 $876.94 $1,035.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$624.60 $708.92 $798.24 $1,115.54 $1,695.16 |
$863.51 $947.83 $1,037.15 $1,354.45 |
$1,102.42 $1,186.74 $1,276.06 $1,593.36 |
Toc - Plan #81 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver Plus Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$450.79 $511.65 $576.11 $805.12 $1,223.45 |
$795.65 $856.51 $920.97 $1,149.98 |
$1,140.51 $1,201.37 $1,265.83 $1,494.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$901.58 $1,023.30 $1,152.22 $1,610.24 $2,446.90 |
$1,246.44 $1,368.16 $1,497.08 $1,955.10 |
$1,591.30 $1,713.02 $1,841.94 $2,299.96 |
Toc - Plan #82 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold Plus Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.78 $462.83 $521.14 $728.29 $1,106.71 |
$719.73 $774.78 $833.09 $1,040.24 |
$1,031.68 $1,086.73 $1,145.04 $1,352.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$815.56 $925.66 $1,042.28 $1,456.58 $2,213.42 |
$1,127.51 $1,237.61 $1,354.23 $1,768.53 |
$1,439.46 $1,549.56 $1,666.18 $2,080.48 |
‡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 Henderson County here.
Henderson County is in “Rating Area 1” of North Carolina.
Currently, there are 82 plans offered in Rating Area 1.