Obamacare 2022 Rates for Jefferson County
Obamacare > Rates > Florida > Jefferson County
Obamacare > Rates > Florida > Jefferson County
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Florida Blue (BlueCross BlueShield FL)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #1 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1423 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$630.93 $716.11 $806.33 $1,126.84 $1,712.34 |
$1,113.59 $1,198.77 $1,288.99 $1,609.50 |
$1,596.25 $1,681.43 $1,771.65 $2,092.16 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,261.86 $1,432.22 $1,612.66 $2,253.68 $3,424.68 |
$1,744.52 $1,914.88 $2,095.32 $2,736.34 |
$2,227.18 $2,397.54 $2,577.98 $3,219.00 |
Toc - Plan #2 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueOptions Bronze 1419 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$393.64 $446.78 $503.07 $703.04 $1,068.34 |
$694.77 $747.91 $804.20 $1,004.17 |
$995.90 $1,049.04 $1,105.33 $1,305.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$787.28 $893.56 $1,006.14 $1,406.08 $2,136.68 |
$1,088.41 $1,194.69 $1,307.27 $1,707.21 |
$1,389.54 $1,495.82 $1,608.40 $2,008.34 |
Toc - Plan #3 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1431 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$645.64 $732.80 $825.13 $1,153.11 $1,752.27 |
$1,139.55 $1,226.71 $1,319.04 $1,647.02 |
$1,633.46 $1,720.62 $1,812.95 $2,140.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,291.28 $1,465.60 $1,650.26 $2,306.22 $3,504.54 |
$1,785.19 $1,959.51 $2,144.17 $2,800.13 |
$2,279.10 $2,453.42 $2,638.08 $3,294.04 |
Toc - Plan #4 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1418 ($0 Virtual Visits /Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$786.53 $892.71 $1,005.19 $1,404.74 $2,134.64 |
$1,388.23 $1,494.41 $1,606.89 $2,006.44 |
$1,989.93 $2,096.11 $2,208.59 $2,608.14 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,573.06 $1,785.42 $2,010.38 $2,809.48 $4,269.28 |
$2,174.76 $2,387.12 $2,612.08 $3,411.18 |
$2,776.46 $2,988.82 $3,213.78 $4,012.88 |
Toc - Plan #5 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1416 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$422.95 $480.05 $540.53 $755.39 $1,147.89 |
$746.51 $803.61 $864.09 $1,078.95 |
$1,070.07 $1,127.17 $1,187.65 $1,402.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$845.90 $960.10 $1,081.06 $1,510.78 $2,295.78 |
$1,169.46 $1,283.66 $1,404.62 $1,834.34 |
$1,493.02 $1,607.22 $1,728.18 $2,157.90 |
Toc - Plan #6 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1424 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$829.75 $941.77 $1,060.42 $1,481.93 $2,251.94 |
$1,464.51 $1,576.53 $1,695.18 $2,116.69 |
$2,099.27 $2,211.29 $2,329.94 $2,751.45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,659.50 $1,883.54 $2,120.84 $2,963.86 $4,503.88 |
$2,294.26 $2,518.30 $2,755.60 $3,598.62 |
$2,929.02 $3,153.06 $3,390.36 $4,233.38 |
Toc - Plan #7 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1410 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$583.08 $661.80 $745.18 $1,041.38 $1,582.48 |
$1,029.14 $1,107.86 $1,191.24 $1,487.44 |
$1,475.20 $1,553.92 $1,637.30 $1,933.50 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,166.16 $1,323.60 $1,490.36 $2,082.76 $3,164.96 |
$1,612.22 $1,769.66 $1,936.42 $2,528.82 |
$2,058.28 $2,215.72 $2,382.48 $2,974.88 |
Toc - Plan #8 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1505 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$665.62 $755.48 $850.66 $1,188.80 $1,806.49 |
$1,174.82 $1,264.68 $1,359.86 $1,698.00 |
$1,684.02 $1,773.88 $1,869.06 $2,207.20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,331.24 $1,510.96 $1,701.32 $2,377.60 $3,612.98 |
$1,840.44 $2,020.16 $2,210.52 $2,886.80 |
$2,349.64 $2,529.36 $2,719.72 $3,396.00 |
Toc - Plan #9 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze (HSA) 1705 (Rewards $$$ / $4 Condition Care Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$411.22 $466.73 $525.54 $734.44 $1,116.05 |
$725.80 $781.31 $840.12 $1,049.02 |
$1,040.38 $1,095.89 $1,154.70 $1,363.60 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$822.44 $933.46 $1,051.08 $1,468.88 $2,232.10 |
$1,137.02 $1,248.04 $1,365.66 $1,783.46 |
$1,451.60 $1,562.62 $1,680.24 $2,098.04 |
Toc - Plan #10 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1706S ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$641.32 $727.90 $819.61 $1,145.40 $1,740.54 |
$1,131.93 $1,218.51 $1,310.22 $1,636.01 |
$1,622.54 $1,709.12 $1,800.83 $2,126.62 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,282.64 $1,455.80 $1,639.22 $2,290.80 $3,481.08 |
$1,773.25 $1,946.41 $2,129.83 $2,781.41 |
$2,263.86 $2,437.02 $2,620.44 $3,272.02 |
Toc - Plan #11 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1707S ($0 Virtual Visits / $30 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422.41 $479.44 $539.84 $754.42 $1,146.42 |
$745.55 $802.58 $862.98 $1,077.56 |
$1,068.69 $1,125.72 $1,186.12 $1,400.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$844.82 $958.88 $1,079.68 $1,508.84 $2,292.84 |
$1,167.96 $1,282.02 $1,402.82 $1,831.98 |
$1,491.10 $1,605.16 $1,725.96 $2,155.12 |
Toc - Plan #12 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1805 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$643.03 $729.84 $821.79 $1,148.45 $1,745.18 |
$1,134.95 $1,221.76 $1,313.71 $1,640.37 |
$1,626.87 $1,713.68 $1,805.63 $2,132.29 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,286.06 $1,459.68 $1,643.58 $2,296.90 $3,490.36 |
$1,777.98 $1,951.60 $2,135.50 $2,788.82 |
$2,269.90 $2,443.52 $2,627.42 $3,280.74 |
Toc - Plan #13 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2119 ($0 Deductible / $30 PCP Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$450.13 $510.90 $575.27 $803.93 $1,221.65 |
$794.48 $855.25 $919.62 $1,148.28 |
$1,138.83 $1,199.60 $1,263.97 $1,492.63 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$900.26 $1,021.80 $1,150.54 $1,607.86 $2,443.30 |
$1,244.61 $1,366.15 $1,494.89 $1,952.21 |
$1,588.96 $1,710.50 $1,839.24 $2,296.56 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #14 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
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 |
$425.65 $483.10 $543.97 $760.19 $1,155.19 |
$751.26 $808.71 $869.58 $1,085.80 |
$1,076.87 $1,134.32 $1,195.19 $1,411.41 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$851.30 $966.20 $1,087.94 $1,520.38 $2,310.38 |
$1,176.91 $1,291.81 $1,413.55 $1,845.99 |
$1,502.52 $1,617.42 $1,739.16 $2,171.60 |
Toc - Plan #15 Ambetter from Sunshine Health | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.48 $339.90 $382.72 $534.85 $812.75 |
$528.57 $568.99 $611.81 $763.94 |
$757.66 $798.08 $840.90 $993.03 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$598.96 $679.80 $765.44 $1,069.70 $1,625.50 |
$828.05 $908.89 $994.53 $1,298.79 |
$1,057.14 $1,137.98 $1,223.62 $1,527.88 |
Toc - Plan #16 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$329.31 $373.76 $420.85 $588.14 $893.73 |
$581.23 $625.68 $672.77 $840.06 |
$833.15 $877.60 $924.69 $1,091.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$658.62 $747.52 $841.70 $1,176.28 $1,787.46 |
$910.54 $999.44 $1,093.62 $1,428.20 |
$1,162.46 $1,251.36 $1,345.54 $1,680.12 |
Toc - Plan #17 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]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.49 $474.98 $534.82 $747.41 $1,135.77 |
$738.63 $795.12 $854.96 $1,067.55 |
$1,058.77 $1,115.26 $1,175.10 $1,387.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$836.98 $949.96 $1,069.64 $1,494.82 $2,271.54 |
$1,157.12 $1,270.10 $1,389.78 $1,814.96 |
$1,477.26 $1,590.24 $1,709.92 $2,135.10 |
Toc - Plan #18 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]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412.72 $468.42 $527.44 $737.10 $1,120.09 |
$728.44 $784.14 $843.16 $1,052.82 |
$1,044.16 $1,099.86 $1,158.88 $1,368.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$825.44 $936.84 $1,054.88 $1,474.20 $2,240.18 |
$1,141.16 $1,252.56 $1,370.60 $1,789.92 |
$1,456.88 $1,568.28 $1,686.32 $2,105.64 |
Toc - Plan #19 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 24 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
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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 |
$425.94 $483.43 $544.34 $760.72 $1,155.98 |
$751.78 $809.27 $870.18 $1,086.56 |
$1,077.62 $1,135.11 $1,196.02 $1,412.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$851.88 $966.86 $1,088.68 $1,521.44 $2,311.96 |
$1,177.72 $1,292.70 $1,414.52 $1,847.28 |
$1,503.56 $1,618.54 $1,740.36 $2,173.12 |
Toc - Plan #20 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]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.91 $462.96 $521.29 $728.50 $1,107.03 |
$719.95 $775.00 $833.33 $1,040.54 |
$1,031.99 $1,087.04 $1,145.37 $1,352.58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$815.82 $925.92 $1,042.58 $1,457.00 $2,214.06 |
$1,127.86 $1,237.96 $1,354.62 $1,769.04 |
$1,439.90 $1,550.00 $1,666.66 $2,081.08 |
Toc - Plan #21 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]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$325.76 $369.72 $416.31 $581.79 $884.08 |
$574.96 $618.92 $665.51 $830.99 |
$824.16 $868.12 $914.71 $1,080.19 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$651.52 $739.44 $832.62 $1,163.58 $1,768.16 |
$900.72 $988.64 $1,081.82 $1,412.78 |
$1,149.92 $1,237.84 $1,331.02 $1,661.98 |
Toc - Plan #22 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 |
$348.36 $395.37 $445.19 $622.15 $945.41 |
$614.84 $661.85 $711.67 $888.63 |
$881.32 $928.33 $978.15 $1,155.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$696.72 $790.74 $890.38 $1,244.30 $1,890.82 |
$963.20 $1,057.22 $1,156.86 $1,510.78 |
$1,229.68 $1,323.70 $1,423.34 $1,777.26 |
Toc - Plan #23 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 |
$357.90 $406.20 $457.38 $639.19 $971.31 |
$631.68 $679.98 $731.16 $912.97 |
$905.46 $953.76 $1,004.94 $1,186.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$715.80 $812.40 $914.76 $1,278.38 $1,942.62 |
$989.58 $1,086.18 $1,188.54 $1,552.16 |
$1,263.36 $1,359.96 $1,462.32 $1,825.94 |
Toc - Plan #24 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 |
$379.74 $431.00 $485.30 $678.20 $1,030.59 |
$670.24 $721.50 $775.80 $968.70 |
$960.74 $1,012.00 $1,066.30 $1,259.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$759.48 $862.00 $970.60 $1,356.40 $2,061.18 |
$1,049.98 $1,152.50 $1,261.10 $1,646.90 |
$1,340.48 $1,443.00 $1,551.60 $1,937.40 |
Toc - Plan #25 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 |
$391.54 $444.39 $500.38 $699.28 $1,062.62 |
$691.06 $743.91 $799.90 $998.80 |
$990.58 $1,043.43 $1,099.42 $1,298.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783.08 $888.78 $1,000.76 $1,398.56 $2,125.24 |
$1,082.60 $1,188.30 $1,300.28 $1,698.08 |
$1,382.12 $1,487.82 $1,599.80 $1,997.60 |
Toc - Plan #26 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 |
$392.38 $445.34 $501.45 $700.77 $1,064.89 |
$692.54 $745.50 $801.61 $1,000.93 |
$992.70 $1,045.66 $1,101.77 $1,301.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$784.76 $890.68 $1,002.90 $1,401.54 $2,129.78 |
$1,084.92 $1,190.84 $1,303.06 $1,701.70 |
$1,385.08 $1,491.00 $1,603.22 $2,001.86 |
Toc - Plan #27 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 |
$398.91 $452.75 $509.79 $712.43 $1,082.61 |
$704.07 $757.91 $814.95 $1,017.59 |
$1,009.23 $1,063.07 $1,120.11 $1,322.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$797.82 $905.50 $1,019.58 $1,424.86 $2,165.22 |
$1,102.98 $1,210.66 $1,324.74 $1,730.02 |
$1,408.14 $1,515.82 $1,629.90 $2,035.18 |
Toc - Plan #28 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 |
$398.07 $451.80 $508.72 $710.94 $1,080.34 |
$702.59 $756.32 $813.24 $1,015.46 |
$1,007.11 $1,060.84 $1,117.76 $1,319.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$796.14 $903.60 $1,017.44 $1,421.88 $2,160.68 |
$1,100.66 $1,208.12 $1,321.96 $1,726.40 |
$1,405.18 $1,512.64 $1,626.48 $2,030.92 |
Toc - Plan #29 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 |
$427.44 $485.13 $546.25 $763.39 $1,160.04 |
$754.42 $812.11 $873.23 $1,090.37 |
$1,081.40 $1,139.09 $1,200.21 $1,417.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$854.88 $970.26 $1,092.50 $1,526.78 $2,320.08 |
$1,181.86 $1,297.24 $1,419.48 $1,853.76 |
$1,508.84 $1,624.22 $1,746.46 $2,180.74 |
Toc - Plan #30 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 |
$341.06 $387.09 $435.86 $609.11 $925.61 |
$601.96 $647.99 $696.76 $870.01 |
$862.86 $908.89 $957.66 $1,130.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$682.12 $774.18 $871.72 $1,218.22 $1,851.22 |
$943.02 $1,035.08 $1,132.62 $1,479.12 |
$1,203.92 $1,295.98 $1,393.52 $1,740.02 |
Toc - Plan #31 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 |
$440.83 $500.33 $563.37 $787.31 $1,196.39 |
$778.06 $837.56 $900.60 $1,124.54 |
$1,115.29 $1,174.79 $1,237.83 $1,461.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$881.66 $1,000.66 $1,126.74 $1,574.62 $2,392.78 |
$1,218.89 $1,337.89 $1,463.97 $1,911.85 |
$1,556.12 $1,675.12 $1,801.20 $2,249.08 |
Toc - Plan #32 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 |
$310.16 $352.02 $396.37 $553.92 $841.74 |
$547.42 $589.28 $633.63 $791.18 |
$784.68 $826.54 $870.89 $1,028.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$620.32 $704.04 $792.74 $1,107.84 $1,683.48 |
$857.58 $941.30 $1,030.00 $1,345.10 |
$1,094.84 $1,178.56 $1,267.26 $1,582.36 |
Toc - Plan #33 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 |
$433.42 $491.92 $553.90 $774.07 $1,176.27 |
$764.98 $823.48 $885.46 $1,105.63 |
$1,096.54 $1,155.04 $1,217.02 $1,437.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$866.84 $983.84 $1,107.80 $1,548.14 $2,352.54 |
$1,198.40 $1,315.40 $1,439.36 $1,879.70 |
$1,529.96 $1,646.96 $1,770.92 $2,211.26 |
Toc - Plan #34 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 |
$441.13 $500.68 $563.76 $787.85 $1,197.21 |
$778.59 $838.14 $901.22 $1,125.31 |
$1,116.05 $1,175.60 $1,238.68 $1,462.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$882.26 $1,001.36 $1,127.52 $1,575.70 $2,394.42 |
$1,219.72 $1,338.82 $1,464.98 $1,913.16 |
$1,557.18 $1,676.28 $1,802.44 $2,250.62 |
Toc - Plan #35 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 |
$337.38 $382.91 $431.15 $602.53 $915.61 |
$595.46 $640.99 $689.23 $860.61 |
$853.54 $899.07 $947.31 $1,118.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$674.76 $765.82 $862.30 $1,205.06 $1,831.22 |
$932.84 $1,023.90 $1,120.38 $1,463.14 |
$1,190.92 $1,281.98 $1,378.46 $1,721.22 |
Toc - Plan #36 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 |
$360.78 $409.47 $461.06 $644.33 $979.13 |
$636.77 $685.46 $737.05 $920.32 |
$912.76 $961.45 $1,013.04 $1,196.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721.56 $818.94 $922.12 $1,288.66 $1,958.26 |
$997.55 $1,094.93 $1,198.11 $1,564.65 |
$1,273.54 $1,370.92 $1,474.10 $1,840.64 |
Toc - Plan #37 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 |
$370.66 $420.69 $473.69 $661.98 $1,005.95 |
$654.21 $704.24 $757.24 $945.53 |
$937.76 $987.79 $1,040.79 $1,229.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$741.32 $841.38 $947.38 $1,323.96 $2,011.90 |
$1,024.87 $1,124.93 $1,230.93 $1,607.51 |
$1,308.42 $1,408.48 $1,514.48 $1,891.06 |
Toc - Plan #38 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 |
$393.29 $446.37 $502.61 $702.39 $1,067.35 |
$694.15 $747.23 $803.47 $1,003.25 |
$995.01 $1,048.09 $1,104.33 $1,304.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$786.58 $892.74 $1,005.22 $1,404.78 $2,134.70 |
$1,087.44 $1,193.60 $1,306.08 $1,705.64 |
$1,388.30 $1,494.46 $1,606.94 $2,006.50 |
Toc - Plan #39 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 |
$406.37 $461.22 $519.33 $725.77 $1,102.87 |
$717.24 $772.09 $830.20 $1,036.64 |
$1,028.11 $1,082.96 $1,141.07 $1,347.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$812.74 $922.44 $1,038.66 $1,451.54 $2,205.74 |
$1,123.61 $1,233.31 $1,349.53 $1,762.41 |
$1,434.48 $1,544.18 $1,660.40 $2,073.28 |
Toc - Plan #40 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 |
$413.14 $468.90 $527.97 $737.84 $1,121.22 |
$729.18 $784.94 $844.01 $1,053.88 |
$1,045.22 $1,100.98 $1,160.05 $1,369.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$826.28 $937.80 $1,055.94 $1,475.68 $2,242.44 |
$1,142.32 $1,253.84 $1,371.98 $1,791.72 |
$1,458.36 $1,569.88 $1,688.02 $2,107.76 |
Toc - Plan #41 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 |
$412.27 $467.91 $526.87 $736.29 $1,118.87 |
$727.65 $783.29 $842.25 $1,051.67 |
$1,043.03 $1,098.67 $1,157.63 $1,367.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$824.54 $935.82 $1,053.74 $1,472.58 $2,237.74 |
$1,139.92 $1,251.20 $1,369.12 $1,787.96 |
$1,455.30 $1,566.58 $1,684.50 $2,103.34 |
Toc - Plan #42 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 |
$422.45 $479.47 $539.88 $754.48 $1,146.51 |
$745.62 $802.64 $863.05 $1,077.65 |
$1,068.79 $1,125.81 $1,186.22 $1,400.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$844.90 $958.94 $1,079.76 $1,508.96 $2,293.02 |
$1,168.07 $1,282.11 $1,402.93 $1,832.13 |
$1,491.24 $1,605.28 $1,726.10 $2,155.30 |
ADVERTISEMENT
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Toc - Plan #43 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2010 ($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 |
$459.55 $521.59 $587.30 $820.76 $1,247.22 |
$811.11 $873.15 $938.86 $1,172.32 |
$1,162.67 $1,224.71 $1,290.42 $1,523.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$919.10 $1,043.18 $1,174.60 $1,641.52 $2,494.44 |
$1,270.66 $1,394.74 $1,526.16 $1,993.08 |
$1,622.22 $1,746.30 $1,877.72 $2,344.64 |
Toc - Plan #44 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 2011 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$538.34 $611.02 $688.00 $961.48 $1,461.05 |
$950.17 $1,022.85 $1,099.83 $1,373.31 |
$1,362.00 $1,434.68 $1,511.66 $1,785.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,076.68 $1,222.04 $1,376.00 $1,922.96 $2,922.10 |
$1,488.51 $1,633.87 $1,787.83 $2,334.79 |
$1,900.34 $2,045.70 $2,199.66 $2,746.62 |
Toc - Plan #45 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2013 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
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 |
$403.16 $457.59 $515.24 $720.04 $1,094.18 |
$711.58 $766.01 $823.66 $1,028.46 |
$1,020.00 $1,074.43 $1,132.08 $1,336.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$806.32 $915.18 $1,030.48 $1,440.08 $2,188.36 |
$1,114.74 $1,223.60 $1,338.90 $1,748.50 |
$1,423.16 $1,532.02 $1,647.32 $2,056.92 |
Toc - Plan #46 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2014 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.36 $406.74 $457.98 $640.03 $972.59 |
$632.51 $680.89 $732.13 $914.18 |
$906.66 $955.04 $1,006.28 $1,188.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.72 $813.48 $915.96 $1,280.06 $1,945.18 |
$990.87 $1,087.63 $1,190.11 $1,554.21 |
$1,265.02 $1,361.78 $1,464.26 $1,828.36 |
Toc - Plan #47 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) myBlue Platinum 2015 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$665.33 $755.15 $850.29 $1,188.28 $1,805.71 |
$1,174.31 $1,264.13 $1,359.27 $1,697.26 |
$1,683.29 $1,773.11 $1,868.25 $2,206.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,330.66 $1,510.30 $1,700.58 $2,376.56 $3,611.42 |
$1,839.64 $2,019.28 $2,209.56 $2,885.54 |
$2,348.62 $2,528.26 $2,718.54 $3,394.52 |
Toc - Plan #48 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 2016 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$580.95 $659.38 $742.45 $1,037.58 $1,576.70 |
$1,025.38 $1,103.81 $1,186.88 $1,482.01 |
$1,469.81 $1,548.24 $1,631.31 $1,926.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,161.90 $1,318.76 $1,484.90 $2,075.16 $3,153.40 |
$1,606.33 $1,763.19 $1,929.33 $2,519.59 |
$2,050.76 $2,207.62 $2,373.76 $2,964.02 |
Toc - Plan #49 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2146 (3 PCP Visits for $0 / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$403.10 $457.52 $515.16 $719.94 $1,094.01 |
$711.47 $765.89 $823.53 $1,028.31 |
$1,019.84 $1,074.26 $1,131.90 $1,336.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$806.20 $915.04 $1,030.32 $1,439.88 $2,188.02 |
$1,114.57 $1,223.41 $1,338.69 $1,748.25 |
$1,422.94 $1,531.78 $1,647.06 $2,056.62 |
Toc - Plan #50 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2149 ($0 Deductible / $0 Virtual Visits / $35 Specialist Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$436.99 $495.98 $558.47 $780.46 $1,185.99 |
$771.29 $830.28 $892.77 $1,114.76 |
$1,105.59 $1,164.58 $1,227.07 $1,449.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$873.98 $991.96 $1,116.94 $1,560.92 $2,371.98 |
$1,208.28 $1,326.26 $1,451.24 $1,895.22 |
$1,542.58 $1,660.56 $1,785.54 $2,229.52 |
Toc - Plan #51 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2204 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$481.73 $546.76 $615.65 $860.37 $1,307.42 |
$850.25 $915.28 $984.17 $1,228.89 |
$1,218.77 $1,283.80 $1,352.69 $1,597.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$963.46 $1,093.52 $1,231.30 $1,720.74 $2,614.84 |
$1,331.98 $1,462.04 $1,599.82 $2,089.26 |
$1,700.50 $1,830.56 $1,968.34 $2,457.78 |
Toc - Plan #52 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2211 ($0 Virtual Visits / $60 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.87 $450.45 $507.20 $708.81 $1,077.11 |
$700.48 $754.06 $810.81 $1,012.42 |
$1,004.09 $1,057.67 $1,114.42 $1,316.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$793.74 $900.90 $1,014.40 $1,417.62 $2,154.22 |
$1,097.35 $1,204.51 $1,318.01 $1,721.23 |
$1,400.96 $1,508.12 $1,621.62 $2,024.84 |
Toc - Plan #53 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2286 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$394.53 $447.79 $504.21 $704.63 $1,070.75 |
$696.35 $749.61 $806.03 $1,006.45 |
$998.17 $1,051.43 $1,107.85 $1,308.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$789.06 $895.58 $1,008.42 $1,409.26 $2,141.50 |
$1,090.88 $1,197.40 $1,310.24 $1,711.08 |
$1,392.70 $1,499.22 $1,612.06 $2,012.90 |
ADVERTISEMENT
Capital Health PlanLocal: 1-850-383-3311 | Toll Free: 1-877-247-6512 | TTY: 1-877-870-8943 |
Toc - Plan #54 Capital Health Plan | ||||||||||||||||||||
Silver
(HMO) HMO Silver 2000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-247-6512
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406.57 $461.46 $519.59 $726.13 $1,103.43 |
$717.59 $772.48 $830.61 $1,037.15 |
$1,028.61 $1,083.50 $1,141.63 $1,348.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$813.14 $922.92 $1,039.18 $1,452.26 $2,206.86 |
$1,124.16 $1,233.94 $1,350.20 $1,763.28 |
$1,435.18 $1,544.96 $1,661.22 $2,074.30 |
Toc - Plan #55 Capital Health Plan | ||||||||||||||||||||
Silver
(HMO) HMO Silver 2100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-247-6512
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.74 $435.54 $490.42 $685.35 $1,041.46 |
$677.30 $729.10 $783.98 $978.91 |
$970.86 $1,022.66 $1,077.54 $1,272.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.48 $871.08 $980.84 $1,370.70 $2,082.92 |
$1,061.04 $1,164.64 $1,274.40 $1,664.26 |
$1,354.60 $1,458.20 $1,567.96 $1,957.82 |
Toc - Plan #56 Capital Health Plan | ||||||||||||||||||||
Gold
(HMO) HMO Gold 3000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-247-6512
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.75 $475.28 $535.16 $747.88 $1,136.48 |
$739.09 $795.62 $855.50 $1,068.22 |
$1,059.43 $1,115.96 $1,175.84 $1,388.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$837.50 $950.56 $1,070.32 $1,495.76 $2,272.96 |
$1,157.84 $1,270.90 $1,390.66 $1,816.10 |
$1,478.18 $1,591.24 $1,711.00 $2,136.44 |
‡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 Jefferson County here.
Jefferson County is in “Rating Area 32” of Florida.
Currently, there are 56 plans offered in Rating Area 32.