Obamacare 2022 Rates for Sullivan County
Obamacare > Rates > New Hampshire > Sullivan County
Obamacare > Rates > New Hampshire > Sullivan County
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Harvard Pilgrim Health CareLocal: 1-877-907-4742 | Toll Free: 1-877-907-4742 | TTY: 1-800-637-8257 |
Toc - Plan #1 Harvard Pilgrim Health Care | ||||||||||||||||||||
Gold
(HMO) ElevateHealth HMO Gold 1500 |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-877-907-4742
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 |
$370.33 $420.32 $473.28 $661.40 $1,005.06 |
$653.63 $703.62 $756.58 $944.70 |
$936.93 $986.92 $1,039.88 $1,228.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$740.66 $840.64 $946.56 $1,322.80 $2,010.12 |
$1,023.96 $1,123.94 $1,229.86 $1,606.10 |
$1,307.26 $1,407.24 $1,513.16 $1,889.40 |
Toc - Plan #2 Harvard Pilgrim Health Care | ||||||||||||||||||||
Silver
(HMO) ElevateHealth HMO Silver 3500 |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-877-907-4742
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 |
$340.35 $386.29 $434.96 $607.86 $923.70 |
$600.72 $646.66 $695.33 $868.23 |
$861.09 $907.03 $955.70 $1,128.60 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$680.70 $772.58 $869.92 $1,215.72 $1,847.40 |
$941.07 $1,032.95 $1,130.29 $1,476.09 |
$1,201.44 $1,293.32 $1,390.66 $1,736.46 |
Toc - Plan #3 Harvard Pilgrim Health Care | ||||||||||||||||||||
Silver
(HMO) ElevateHealth HMO Silver 4000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-907-4742
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 |
$338.09 $383.73 $432.07 $603.82 $917.56 |
$596.73 $642.37 $690.71 $862.46 |
$855.37 $901.01 $949.35 $1,121.10 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$676.18 $767.46 $864.14 $1,207.64 $1,835.12 |
$934.82 $1,026.10 $1,122.78 $1,466.28 |
$1,193.46 $1,284.74 $1,381.42 $1,724.92 |
Toc - Plan #4 Harvard Pilgrim Health Care | ||||||||||||||||||||
Silver
(HMO) ElevateHealth HMO Silver 5500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-907-4742
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 |
$305.84 $347.13 $390.87 $546.24 $830.06 |
$539.81 $581.10 $624.84 $780.21 |
$773.78 $815.07 $858.81 $1,014.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$611.68 $694.26 $781.74 $1,092.48 $1,660.12 |
$845.65 $928.23 $1,015.71 $1,326.45 |
$1,079.62 $1,162.20 $1,249.68 $1,560.42 |
Toc - Plan #5 Harvard Pilgrim Health Care | ||||||||||||||||||||
Silver
(HMO) ElevateHealth HMO Silver 6500 |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-877-907-4742
Annual Out of Pocket Expenses:
Monthly Premiums:
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|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$296.23 $336.22 $378.58 $529.06 $803.96 |
$522.84 $562.83 $605.19 $755.67 |
$749.45 $789.44 $831.80 $982.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$592.46 $672.44 $757.16 $1,058.12 $1,607.92 |
$819.07 $899.05 $983.77 $1,284.73 |
$1,045.68 $1,125.66 $1,210.38 $1,511.34 |
Toc - Plan #6 Harvard Pilgrim Health Care | ||||||||||||||||||||
Expanded Bronze
(HMO) ElevateHealth HMO Bronze 6500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-907-4742
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 |
$277.00 $314.39 $354.00 $494.72 $751.77 |
$488.90 $526.29 $565.90 $706.62 |
$700.80 $738.19 $777.80 $918.52 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$554.00 $628.78 $708.00 $989.44 $1,503.54 |
$765.90 $840.68 $919.90 $1,201.34 |
$977.80 $1,052.58 $1,131.80 $1,413.24 |
Toc - Plan #7 Harvard Pilgrim Health Care | ||||||||||||||||||||
Expanded Bronze
(HMO) ElevateHealth HMO Bronze 7200 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-907-4742
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 |
$255.50 $290.00 $326.53 $456.33 $693.44 |
$450.96 $485.46 $521.99 $651.79 |
$646.42 $680.92 $717.45 $847.25 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$511.00 $580.00 $653.06 $912.66 $1,386.88 |
$706.46 $775.46 $848.52 $1,108.12 |
$901.92 $970.92 $1,043.98 $1,303.58 |
Toc - Plan #8 Harvard Pilgrim Health Care | ||||||||||||||||||||
Expanded Bronze
(HMO) ElevateHealth HMO Bronze 8700 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-907-4742
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 |
$244.19 $277.16 $312.08 $436.13 $662.73 |
$431.00 $463.97 $498.89 $622.94 |
$617.81 $650.78 $685.70 $809.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$488.38 $554.32 $624.16 $872.26 $1,325.46 |
$675.19 $741.13 $810.97 $1,059.07 |
$862.00 $927.94 $997.78 $1,245.88 |
Toc - Plan #9 Harvard Pilgrim Health Care | ||||||||||||||||||||
Catastrophic
(HMO) ElevateHealth HMO Catastrophic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-907-4742
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 |
$173.49 $196.91 $221.72 $309.85 $470.85 |
$306.21 $329.63 $354.44 $442.57 |
$438.93 $462.35 $487.16 $575.29 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$346.98 $393.82 $443.44 $619.70 $941.70 |
$479.70 $526.54 $576.16 $752.42 |
$612.42 $659.26 $708.88 $885.14 |
Toc - Plan #10 Harvard Pilgrim Health Care | ||||||||||||||||||||
Silver
(HMO) ElevateHealth HMO HSA Silver 4500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-907-4742
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 |
$317.16 $359.97 $405.33 $566.44 $860.76 |
$559.79 $602.60 $647.96 $809.07 |
$802.42 $845.23 $890.59 $1,051.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$634.32 $719.94 $810.66 $1,132.88 $1,721.52 |
$876.95 $962.57 $1,053.29 $1,375.51 |
$1,119.58 $1,205.20 $1,295.92 $1,618.14 |
Toc - Plan #11 Harvard Pilgrim Health Care | ||||||||||||||||||||
Expanded Bronze
(HMO) ElevateHealth HMO HSA Bronze 7000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-907-4742
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 |
$252.68 $286.79 $322.92 $451.28 $685.76 |
$445.98 $480.09 $516.22 $644.58 |
$639.28 $673.39 $709.52 $837.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$505.36 $573.58 $645.84 $902.56 $1,371.52 |
$698.66 $766.88 $839.14 $1,095.86 |
$891.96 $960.18 $1,032.44 $1,289.16 |
ADVERTISEMENT
Ambetter from New Hampshire Healthy FamiliesLocal: 1-844-265-1278 | Toll Free: 1-844-265-1278 | TTY: 1-855-742-0123 |
Toc - Plan #12 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
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 |
$294.34 $334.07 $376.15 $525.67 $798.81 |
$519.50 $559.23 $601.31 $750.83 |
$744.66 $784.39 $826.47 $975.99 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$588.68 $668.14 $752.30 $1,051.34 $1,597.62 |
$813.84 $893.30 $977.46 $1,276.50 |
$1,039.00 $1,118.46 $1,202.62 $1,501.66 |
Toc - Plan #13 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
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 |
$214.76 $243.75 $274.45 $383.55 $582.84 |
$379.05 $408.04 $438.74 $547.84 |
$543.34 $572.33 $603.03 $712.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$429.52 $487.50 $548.90 $767.10 $1,165.68 |
$593.81 $651.79 $713.19 $931.39 |
$758.10 $816.08 $877.48 $1,095.68 |
Toc - Plan #14 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 10 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
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 |
$206.85 $234.76 $264.34 $369.41 $561.35 |
$365.08 $392.99 $422.57 $527.64 |
$523.31 $551.22 $580.80 $685.87 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$413.70 $469.52 $528.68 $738.82 $1,122.70 |
$571.93 $627.75 $686.91 $897.05 |
$730.16 $785.98 $845.14 $1,055.28 |
Toc - Plan #15 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
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 |
$251.36 $285.28 $321.23 $448.91 $682.16 |
$443.64 $477.56 $513.51 $641.19 |
$635.92 $669.84 $705.79 $833.47 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$502.72 $570.56 $642.46 $897.82 $1,364.32 |
$695.00 $762.84 $834.74 $1,090.10 |
$887.28 $955.12 $1,027.02 $1,282.38 |
Toc - Plan #16 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
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 |
$248.42 $281.94 $317.47 $443.66 $674.18 |
$438.45 $471.97 $507.50 $633.69 |
$628.48 $662.00 $697.53 $823.72 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$496.84 $563.88 $634.94 $887.32 $1,348.36 |
$686.87 $753.91 $824.97 $1,077.35 |
$876.90 $943.94 $1,015.00 $1,267.38 |
Toc - Plan #17 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 28 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
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 |
$264.71 $300.43 $338.28 $472.75 $718.39 |
$467.20 $502.92 $540.77 $675.24 |
$669.69 $705.41 $743.26 $877.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$529.42 $600.86 $676.56 $945.50 $1,436.78 |
$731.91 $803.35 $879.05 $1,147.99 |
$934.40 $1,005.84 $1,081.54 $1,350.48 |
Toc - Plan #18 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $1,500 Medical Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
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 |
$229.82 $260.83 $293.70 $410.44 $623.70 |
$405.62 $436.63 $469.50 $586.24 |
$581.42 $612.43 $645.30 $762.04 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$459.64 $521.66 $587.40 $820.88 $1,247.40 |
$635.44 $697.46 $763.20 $996.68 |
$811.24 $873.26 $939.00 $1,172.48 |
Toc - Plan #19 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $0 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
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 |
$240.88 $273.39 $307.83 $430.19 $653.72 |
$425.14 $457.65 $492.09 $614.45 |
$609.40 $641.91 $676.35 $798.71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$481.76 $546.78 $615.66 $860.38 $1,307.44 |
$666.02 $731.04 $799.92 $1,044.64 |
$850.28 $915.30 $984.18 $1,228.90 |
Toc - Plan #20 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 32 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
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 |
$241.46 $274.04 $308.57 $431.22 $655.29 |
$426.17 $458.75 $493.28 $615.93 |
$610.88 $643.46 $677.99 $800.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$482.92 $548.08 $617.14 $862.44 $1,310.58 |
$667.63 $732.79 $801.85 $1,047.15 |
$852.34 $917.50 $986.56 $1,231.86 |
Toc - Plan #21 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 20 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
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 |
$276.80 $314.15 $353.73 $494.34 $751.20 |
$488.54 $525.89 $565.47 $706.08 |
$700.28 $737.63 $777.21 $917.82 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$553.60 $628.30 $707.46 $988.68 $1,502.40 |
$765.34 $840.04 $919.20 $1,200.42 |
$977.08 $1,051.78 $1,130.94 $1,412.16 |
Toc - Plan #22 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
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 |
$232.32 $263.67 $296.89 $414.91 $630.49 |
$410.04 $441.39 $474.61 $592.63 |
$587.76 $619.11 $652.33 $770.35 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$464.64 $527.34 $593.78 $829.82 $1,260.98 |
$642.36 $705.06 $771.50 $1,007.54 |
$820.08 $882.78 $949.22 $1,185.26 |
Toc - Plan #23 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 10 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
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 |
$223.76 $253.95 $285.95 $399.61 $607.25 |
$394.93 $425.12 $457.12 $570.78 |
$566.10 $596.29 $628.29 $741.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$447.52 $507.90 $571.90 $799.22 $1,214.50 |
$618.69 $679.07 $743.07 $970.39 |
$789.86 $850.24 $914.24 $1,141.56 |
Toc - Plan #24 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 28 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$286.35 $324.99 $365.94 $511.40 $777.12 |
$505.40 $544.04 $584.99 $730.45 |
$724.45 $763.09 $804.04 $949.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$572.70 $649.98 $731.88 $1,022.80 $1,554.24 |
$791.75 $869.03 $950.93 $1,241.85 |
$1,010.80 $1,088.08 $1,169.98 $1,460.90 |
Toc - Plan #25 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.40 $361.38 $406.91 $568.65 $864.12 |
$561.97 $604.95 $650.48 $812.22 |
$805.54 $848.52 $894.05 $1,055.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$636.80 $722.76 $813.82 $1,137.30 $1,728.24 |
$880.37 $966.33 $1,057.39 $1,380.87 |
$1,123.94 $1,209.90 $1,300.96 $1,624.44 |
Toc - Plan #26 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$271.91 $308.61 $347.49 $485.61 $737.94 |
$479.91 $516.61 $555.49 $693.61 |
$687.91 $724.61 $763.49 $901.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$543.82 $617.22 $694.98 $971.22 $1,475.88 |
$751.82 $825.22 $902.98 $1,179.22 |
$959.82 $1,033.22 $1,110.98 $1,387.22 |
Toc - Plan #27 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$248.61 $282.16 $317.71 $444.00 $674.70 |
$438.79 $472.34 $507.89 $634.18 |
$628.97 $662.52 $698.07 $824.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$497.22 $564.32 $635.42 $888.00 $1,349.40 |
$687.40 $754.50 $825.60 $1,078.18 |
$877.58 $944.68 $1,015.78 $1,268.36 |
Toc - Plan #28 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$260.57 $295.74 $333.00 $465.36 $707.16 |
$459.90 $495.07 $532.33 $664.69 |
$659.23 $694.40 $731.66 $864.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$521.14 $591.48 $666.00 $930.72 $1,414.32 |
$720.47 $790.81 $865.33 $1,130.05 |
$919.80 $990.14 $1,064.66 $1,329.38 |
Toc - Plan #29 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$268.73 $305.00 $343.42 $479.93 $729.30 |
$474.30 $510.57 $548.99 $685.50 |
$679.87 $716.14 $754.56 $891.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$537.46 $610.00 $686.84 $959.86 $1,458.60 |
$743.03 $815.57 $892.41 $1,165.43 |
$948.60 $1,021.14 $1,097.98 $1,371.00 |
Toc - Plan #30 Ambetter from New Hampshire Healthy Families | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 20 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-265-1278
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.43 $339.84 $382.65 $534.76 $812.62 |
$528.48 $568.89 $611.70 $763.81 |
$757.53 $797.94 $840.75 $992.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$598.86 $679.68 $765.30 $1,069.52 $1,625.24 |
$827.91 $908.73 $994.35 $1,298.57 |
$1,056.96 $1,137.78 $1,223.40 $1,527.62 |
ADVERTISEMENT
Anthem Blue Cross and Blue ShieldLocal: 1-855-748-1804 | Toll Free: 1-855-748-1804 |
Toc - Plan #31 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X Enhanced HMO 35 for HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1804
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$218.03 $247.46 $278.64 $389.40 $591.73 |
$384.82 $414.25 $445.43 $556.19 |
$551.61 $581.04 $612.22 $722.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$436.06 $494.92 $557.28 $778.80 $1,183.46 |
$602.85 $661.71 $724.07 $945.59 |
$769.64 $828.50 $890.86 $1,112.38 |
Toc - Plan #32 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X Enhanced HMO 6000 20 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1804
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$218.76 $248.29 $279.58 $390.71 $593.71 |
$386.11 $415.64 $446.93 $558.06 |
$553.46 $582.99 $614.28 $725.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$437.52 $496.58 $559.16 $781.42 $1,187.42 |
$604.87 $663.93 $726.51 $948.77 |
$772.22 $831.28 $893.86 $1,116.12 |
Toc - Plan #33 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X Enhanced HMO 10 for HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1804
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$264.35 $300.04 $337.84 $472.13 $717.45 |
$466.58 $502.27 $540.07 $674.36 |
$668.81 $704.50 $742.30 $876.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$528.70 $600.08 $675.68 $944.26 $1,434.90 |
$730.93 $802.31 $877.91 $1,146.49 |
$933.16 $1,004.54 $1,080.14 $1,348.72 |
Toc - Plan #34 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X Enhanced HMO 4000 0 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1804
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$261.53 $296.84 $334.24 $467.09 $709.79 |
$461.60 $496.91 $534.31 $667.16 |
$661.67 $696.98 $734.38 $867.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$523.06 $593.68 $668.48 $934.18 $1,419.58 |
$723.13 $793.75 $868.55 $1,134.25 |
$923.20 $993.82 $1,068.62 $1,334.32 |
Toc - Plan #35 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Catastrophic
(HMO) Anthem Catastrophic Pathway X Enhanced HMO 8700 0 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1804
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$149.80 $170.02 $191.44 $267.54 $406.56 |
$264.40 $284.62 $306.04 $382.14 |
$379.00 $399.22 $420.64 $496.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$299.60 $340.04 $382.88 $535.08 $813.12 |
$414.20 $454.64 $497.48 $649.68 |
$528.80 $569.24 $612.08 $764.28 |
Toc - Plan #36 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X Enhanced HMO 3500 0 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1804
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$269.63 $306.03 $344.59 $481.56 $731.78 |
$475.90 $512.30 $550.86 $687.83 |
$682.17 $718.57 $757.13 $894.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$539.26 $612.06 $689.18 $963.12 $1,463.56 |
$745.53 $818.33 $895.45 $1,169.39 |
$951.80 $1,024.60 $1,101.72 $1,375.66 |
Toc - Plan #37 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway X Enhanced HMO 6500 40 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1804
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$212.07 $240.70 $271.03 $378.76 $575.56 |
$374.30 $402.93 $433.26 $540.99 |
$536.53 $565.16 $595.49 $703.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$424.14 $481.40 $542.06 $757.52 $1,151.12 |
$586.37 $643.63 $704.29 $919.75 |
$748.60 $805.86 $866.52 $1,081.98 |
Toc - Plan #38 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X Enhanced HMO 6300 30 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1804
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$241.52 $274.13 $308.66 $431.35 $655.49 |
$426.28 $458.89 $493.42 $616.11 |
$611.04 $643.65 $678.18 $800.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$483.04 $548.26 $617.32 $862.70 $1,310.98 |
$667.80 $733.02 $802.08 $1,047.46 |
$852.56 $917.78 $986.84 $1,232.22 |
Toc - Plan #39 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Gold
(HMO) Anthem Gold Pathway X Enhanced HMO 1500 15 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1804
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$288.88 $327.88 $369.19 $515.94 $784.02 |
$509.87 $548.87 $590.18 $736.93 |
$730.86 $769.86 $811.17 $957.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$577.76 $655.76 $738.38 $1,031.88 $1,568.04 |
$798.75 $876.75 $959.37 $1,252.87 |
$1,019.74 $1,097.74 $1,180.36 $1,473.86 |
Toc - Plan #40 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X Enhanced HMO 4500 15 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1804
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$226.33 $256.88 $289.25 $404.23 $614.26 |
$399.47 $430.02 $462.39 $577.37 |
$572.61 $603.16 $635.53 $750.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$452.66 $513.76 $578.50 $808.46 $1,228.52 |
$625.80 $686.90 $751.64 $981.60 |
$798.94 $860.04 $924.78 $1,154.74 |
Toc - Plan #41 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X Enhanced HMO 5500 20 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1804
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$250.52 $284.34 $320.16 $447.43 $679.91 |
$442.17 $475.99 $511.81 $639.08 |
$633.82 $667.64 $703.46 $830.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$501.04 $568.68 $640.32 $894.86 $1,359.82 |
$692.69 $760.33 $831.97 $1,086.51 |
$884.34 $951.98 $1,023.62 $1,278.16 |
Toc - Plan #42 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X Enhanced HMO 20 for HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1804
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$238.39 $270.57 $304.66 $425.76 $646.99 |
$420.76 $452.94 $487.03 $608.13 |
$603.13 $635.31 $669.40 $790.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$476.78 $541.14 $609.32 $851.52 $1,293.98 |
$659.15 $723.51 $791.69 $1,033.89 |
$841.52 $905.88 $974.06 $1,216.26 |
Toc - Plan #43 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X Enhanced HMO 4000 0 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1804
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$265.58 $301.43 $339.41 $474.33 $720.78 |
$468.75 $504.60 $542.58 $677.50 |
$671.92 $707.77 $745.75 $880.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$531.16 $602.86 $678.82 $948.66 $1,441.56 |
$734.33 $806.03 $881.99 $1,151.83 |
$937.50 $1,009.20 $1,085.16 $1,355.00 |
Toc - Plan #44 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway X Enhanced HMO 8700 0 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1804
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$211.55 $240.11 $270.36 $377.83 $574.15 |
$373.39 $401.95 $432.20 $539.67 |
$535.23 $563.79 $594.04 $701.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$423.10 $480.22 $540.72 $755.66 $1,148.30 |
$584.94 $642.06 $702.56 $917.50 |
$746.78 $803.90 $864.40 $1,079.34 |
‡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 Sullivan County here.
Sullivan County is in “Rating Area 1” of New Hampshire.
Currently, there are 44 plans offered in Rating Area 1.