Obamacare 2022 Rates for Coconino County
Obamacare > Rates > Arizona > Coconino County
Obamacare > Rates > Arizona > Coconino County
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Blue Cross Blue Shield of ArizonaLocal: 1-844-341-5837 | Toll Free: 1-844-341-5837 | TTY: 1-602-864-4823 |
Toc - Plan #1 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue TrueHealth Silver - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$530.75 $602.40 $678.30 $947.92 $1,440.45 |
$936.78 $1,008.43 $1,084.33 $1,353.95 |
$1,342.81 $1,414.46 $1,490.36 $1,759.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,061.50 $1,204.80 $1,356.60 $1,895.84 $2,880.90 |
$1,467.53 $1,610.83 $1,762.63 $2,301.87 |
$1,873.56 $2,016.86 $2,168.66 $2,707.90 |
Toc - Plan #2 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(HMO) Blue EverydayHealth Gold - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$615.94 $699.09 $787.17 $1,100.06 $1,671.65 |
$1,087.13 $1,170.28 $1,258.36 $1,571.25 |
$1,558.32 $1,641.47 $1,729.55 $2,042.44 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,231.88 $1,398.18 $1,574.34 $2,200.12 $3,343.30 |
$1,703.07 $1,869.37 $2,045.53 $2,671.31 |
$2,174.26 $2,340.56 $2,516.72 $3,142.50 |
Toc - Plan #3 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue EverydayHealth Silver - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$520.09 $590.30 $664.67 $928.87 $1,411.50 |
$917.96 $988.17 $1,062.54 $1,326.74 |
$1,315.83 $1,386.04 $1,460.41 $1,724.61 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,040.18 $1,180.60 $1,329.34 $1,857.74 $2,823.00 |
$1,438.05 $1,578.47 $1,727.21 $2,255.61 |
$1,835.92 $1,976.34 $2,125.08 $2,653.48 |
Toc - Plan #4 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue EverydayHealth Bronze - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$394.14 $447.35 $503.71 $703.94 $1,069.70 |
$695.66 $748.87 $805.23 $1,005.46 |
$997.18 $1,050.39 $1,106.75 $1,306.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$788.28 $894.70 $1,007.42 $1,407.88 $2,139.40 |
$1,089.80 $1,196.22 $1,308.94 $1,709.40 |
$1,391.32 $1,497.74 $1,610.46 $2,010.92 |
Toc - Plan #5 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Portfolio HSA Bronze - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$424.83 $482.19 $542.94 $758.75 $1,152.99 |
$749.83 $807.19 $867.94 $1,083.75 |
$1,074.83 $1,132.19 $1,192.94 $1,408.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$849.66 $964.38 $1,085.88 $1,517.50 $2,305.98 |
$1,174.66 $1,289.38 $1,410.88 $1,842.50 |
$1,499.66 $1,614.38 $1,735.88 $2,167.50 |
Toc - Plan #6 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue AdvanceHealth Bronze - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$366.57 $416.06 $468.48 $654.69 $994.87 |
$647.00 $696.49 $748.91 $935.12 |
$927.43 $976.92 $1,029.34 $1,215.55 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$733.14 $832.12 $936.96 $1,309.38 $1,989.74 |
$1,013.57 $1,112.55 $1,217.39 $1,589.81 |
$1,294.00 $1,392.98 $1,497.82 $1,870.24 |
Toc - Plan #7 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue AdvanceHealth Silver - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$486.87 $552.60 $622.22 $869.55 $1,321.36 |
$859.33 $925.06 $994.68 $1,242.01 |
$1,231.79 $1,297.52 $1,367.14 $1,614.47 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$973.74 $1,105.20 $1,244.44 $1,739.10 $2,642.72 |
$1,346.20 $1,477.66 $1,616.90 $2,111.56 |
$1,718.66 $1,850.12 $1,989.36 $2,484.02 |
Toc - Plan #8 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(HMO) Blue AdvanceHealth Gold - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$586.27 $665.42 $749.26 $1,047.08 $1,591.14 |
$1,034.77 $1,113.92 $1,197.76 $1,495.58 |
$1,483.27 $1,562.42 $1,646.26 $1,944.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,172.54 $1,330.84 $1,498.52 $2,094.16 $3,182.28 |
$1,621.04 $1,779.34 $1,947.02 $2,542.66 |
$2,069.54 $2,227.84 $2,395.52 $2,991.16 |
Toc - Plan #9 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(PPO) Blue PPO Gold - Statewide PPO Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$740.66 $840.65 $946.56 $1,322.81 $2,010.14 |
$1,307.27 $1,407.26 $1,513.17 $1,889.42 |
$1,873.88 $1,973.87 $2,079.78 $2,456.03 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,481.32 $1,681.30 $1,893.12 $2,645.62 $4,020.28 |
$2,047.93 $2,247.91 $2,459.73 $3,212.23 |
$2,614.54 $2,814.52 $3,026.34 $3,778.84 |
Toc - Plan #10 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(PPO) Blue PPO Silver - Statewide PPO Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$644.12 $731.08 $823.18 $1,150.39 $1,748.13 |
$1,136.87 $1,223.83 $1,315.93 $1,643.14 |
$1,629.62 $1,716.58 $1,808.68 $2,135.89 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,288.24 $1,462.16 $1,646.36 $2,300.78 $3,496.26 |
$1,780.99 $1,954.91 $2,139.11 $2,793.53 |
$2,273.74 $2,447.66 $2,631.86 $3,286.28 |
ADVERTISEMENT
Ambetter from Arizona Complete HealthLocal: 1-888-926-5057 | Toll Free: 1-888-926-5057 | TTY: 1-888-926-5180 |
Toc - Plan #11 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 4 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
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 |
$486.75 $552.46 $622.06 $869.33 $1,321.04 |
$859.11 $924.82 $994.42 $1,241.69 |
$1,231.47 $1,297.18 $1,366.78 $1,614.05 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$973.50 $1,104.92 $1,244.12 $1,738.66 $2,642.08 |
$1,345.86 $1,477.28 $1,616.48 $2,111.02 |
$1,718.22 $1,849.64 $1,988.84 $2,483.38 |
Toc - Plan #12 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
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 |
$405.37 $460.10 $518.07 $724.00 $1,100.18 |
$715.48 $770.21 $828.18 $1,034.11 |
$1,025.59 $1,080.32 $1,138.29 $1,344.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$810.74 $920.20 $1,036.14 $1,448.00 $2,200.36 |
$1,120.85 $1,230.31 $1,346.25 $1,758.11 |
$1,430.96 $1,540.42 $1,656.36 $2,068.22 |
Toc - Plan #13 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
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 |
$442.45 $502.19 $565.46 $790.22 $1,200.82 |
$780.93 $840.67 $903.94 $1,128.70 |
$1,119.41 $1,179.15 $1,242.42 $1,467.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$884.90 $1,004.38 $1,130.92 $1,580.44 $2,401.64 |
$1,223.38 $1,342.86 $1,469.40 $1,918.92 |
$1,561.86 $1,681.34 $1,807.88 $2,257.40 |
Toc - Plan #14 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
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 |
$471.43 $535.07 $602.49 $841.97 $1,279.46 |
$832.07 $895.71 $963.13 $1,202.61 |
$1,192.71 $1,256.35 $1,323.77 $1,563.25 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$942.86 $1,070.14 $1,204.98 $1,683.94 $2,558.92 |
$1,303.50 $1,430.78 $1,565.62 $2,044.58 |
$1,664.14 $1,791.42 $1,926.26 $2,405.22 |
Toc - Plan #15 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
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 |
$466.14 $529.06 $595.72 $832.52 $1,265.09 |
$822.73 $885.65 $952.31 $1,189.11 |
$1,179.32 $1,242.24 $1,308.90 $1,545.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$932.28 $1,058.12 $1,191.44 $1,665.04 $2,530.18 |
$1,288.87 $1,414.71 $1,548.03 $2,021.63 |
$1,645.46 $1,771.30 $1,904.62 $2,378.22 |
Toc - Plan #16 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
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 |
$567.25 $643.83 $724.94 $1,013.10 $1,539.51 |
$1,001.19 $1,077.77 $1,158.88 $1,447.04 |
$1,435.13 $1,511.71 $1,592.82 $1,880.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,134.50 $1,287.66 $1,449.88 $2,026.20 $3,079.02 |
$1,568.44 $1,721.60 $1,883.82 $2,460.14 |
$2,002.38 $2,155.54 $2,317.76 $2,894.08 |
Toc - Plan #17 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 29 |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-888-926-5057
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 |
$460.70 $522.90 $588.78 $822.81 $1,250.34 |
$813.14 $875.34 $941.22 $1,175.25 |
$1,165.58 $1,227.78 $1,293.66 $1,527.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$921.40 $1,045.80 $1,177.56 $1,645.62 $2,500.68 |
$1,273.84 $1,398.24 $1,530.00 $1,998.06 |
$1,626.28 $1,750.68 $1,882.44 $2,350.50 |
Toc - Plan #18 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 28 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
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 |
$495.72 $562.64 $633.52 $885.35 $1,345.37 |
$874.94 $941.86 $1,012.74 $1,264.57 |
$1,254.16 $1,321.08 $1,391.96 $1,643.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$991.44 $1,125.28 $1,267.04 $1,770.70 $2,690.74 |
$1,370.66 $1,504.50 $1,646.26 $2,149.92 |
$1,749.88 $1,883.72 $2,025.48 $2,529.14 |
Toc - Plan #19 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-888-926-5057
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 |
$471.66 $535.33 $602.78 $842.38 $1,280.08 |
$832.48 $896.15 $963.60 $1,203.20 |
$1,193.30 $1,256.97 $1,324.42 $1,564.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$943.32 $1,070.66 $1,205.56 $1,684.76 $2,560.16 |
$1,304.14 $1,431.48 $1,566.38 $2,045.58 |
$1,664.96 $1,792.30 $1,927.20 $2,406.40 |
Toc - Plan #20 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$493.56 $560.19 $630.77 $881.50 $1,339.53 |
$871.14 $937.77 $1,008.35 $1,259.08 |
$1,248.72 $1,315.35 $1,385.93 $1,636.66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$987.12 $1,120.38 $1,261.54 $1,763.00 $2,679.06 |
$1,364.70 $1,497.96 $1,639.12 $2,140.58 |
$1,742.28 $1,875.54 $2,016.70 $2,518.16 |
Toc - Plan #21 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 30 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
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 |
$443.86 $503.78 $567.26 $792.74 $1,204.64 |
$783.41 $843.33 $906.81 $1,132.29 |
$1,122.96 $1,182.88 $1,246.36 $1,471.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$887.72 $1,007.56 $1,134.52 $1,585.48 $2,409.28 |
$1,227.27 $1,347.11 $1,474.07 $1,925.03 |
$1,566.82 $1,686.66 $1,813.62 $2,264.58 |
Toc - Plan #22 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 31 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$443.83 $503.75 $567.21 $792.68 $1,204.55 |
$783.36 $843.28 $906.74 $1,132.21 |
$1,122.89 $1,182.81 $1,246.27 $1,471.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$887.66 $1,007.50 $1,134.42 $1,585.36 $2,409.10 |
$1,227.19 $1,347.03 $1,473.95 $1,924.89 |
$1,566.72 $1,686.56 $1,813.48 $2,264.42 |
Toc - Plan #23 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 32 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$453.29 $514.48 $579.30 $809.57 $1,230.22 |
$800.06 $861.25 $926.07 $1,156.34 |
$1,146.83 $1,208.02 $1,272.84 $1,503.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$906.58 $1,028.96 $1,158.60 $1,619.14 $2,460.44 |
$1,253.35 $1,375.73 $1,505.37 $1,965.91 |
$1,600.12 $1,722.50 $1,852.14 $2,312.68 |
Toc - Plan #24 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 20 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$533.30 $605.29 $681.55 $952.47 $1,447.37 |
$941.27 $1,013.26 $1,089.52 $1,360.44 |
$1,349.24 $1,421.23 $1,497.49 $1,768.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,066.60 $1,210.58 $1,363.10 $1,904.94 $2,894.74 |
$1,474.57 $1,618.55 $1,771.07 $2,312.91 |
$1,882.54 $2,026.52 $2,179.04 $2,720.88 |
Toc - Plan #25 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$435.15 $493.90 $556.13 $777.18 $1,181.01 |
$768.04 $826.79 $889.02 $1,110.07 |
$1,100.93 $1,159.68 $1,221.91 $1,442.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$870.30 $987.80 $1,112.26 $1,554.36 $2,362.02 |
$1,203.19 $1,320.69 $1,445.15 $1,887.25 |
$1,536.08 $1,653.58 $1,778.04 $2,220.14 |
Toc - Plan #26 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$485.65 $551.21 $620.66 $867.37 $1,318.05 |
$857.17 $922.73 $992.18 $1,238.89 |
$1,228.69 $1,294.25 $1,363.70 $1,610.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$971.30 $1,102.42 $1,241.32 $1,734.74 $2,636.10 |
$1,342.82 $1,473.94 $1,612.84 $2,106.26 |
$1,714.34 $1,845.46 $1,984.36 $2,477.78 |
Toc - Plan #27 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 4 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$507.12 $575.59 $648.11 $905.72 $1,376.34 |
$895.07 $963.54 $1,036.06 $1,293.67 |
$1,283.02 $1,351.49 $1,424.01 $1,681.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,014.24 $1,151.18 $1,296.22 $1,811.44 $2,752.68 |
$1,402.19 $1,539.13 $1,684.17 $2,199.39 |
$1,790.14 $1,927.08 $2,072.12 $2,587.34 |
Toc - Plan #28 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422.34 $479.36 $539.75 $754.30 $1,146.24 |
$745.43 $802.45 $862.84 $1,077.39 |
$1,068.52 $1,125.54 $1,185.93 $1,400.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$844.68 $958.72 $1,079.50 $1,508.60 $2,292.48 |
$1,167.77 $1,281.81 $1,402.59 $1,831.69 |
$1,490.86 $1,604.90 $1,725.68 $2,154.78 |
Toc - Plan #29 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$460.98 $523.21 $589.13 $823.30 $1,251.09 |
$813.63 $875.86 $941.78 $1,175.95 |
$1,166.28 $1,228.51 $1,294.43 $1,528.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$921.96 $1,046.42 $1,178.26 $1,646.60 $2,502.18 |
$1,274.61 $1,399.07 $1,530.91 $1,999.25 |
$1,627.26 $1,751.72 $1,883.56 $2,351.90 |
Toc - Plan #30 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$491.16 $557.47 $627.71 $877.22 $1,333.02 |
$866.90 $933.21 $1,003.45 $1,252.96 |
$1,242.64 $1,308.95 $1,379.19 $1,628.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$982.32 $1,114.94 $1,255.42 $1,754.44 $2,666.04 |
$1,358.06 $1,490.68 $1,631.16 $2,130.18 |
$1,733.80 $1,866.42 $2,006.90 $2,505.92 |
Toc - Plan #31 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 29 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$479.99 $544.79 $613.42 $857.26 $1,302.69 |
$847.18 $911.98 $980.61 $1,224.45 |
$1,214.37 $1,279.17 $1,347.80 $1,591.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$959.98 $1,089.58 $1,226.84 $1,714.52 $2,605.38 |
$1,327.17 $1,456.77 $1,594.03 $2,081.71 |
$1,694.36 $1,823.96 $1,961.22 $2,448.90 |
Toc - Plan #32 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$590.99 $670.78 $755.29 $1,055.51 $1,603.96 |
$1,043.10 $1,122.89 $1,207.40 $1,507.62 |
$1,495.21 $1,575.00 $1,659.51 $1,959.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,181.98 $1,341.56 $1,510.58 $2,111.02 $3,207.92 |
$1,634.09 $1,793.67 $1,962.69 $2,563.13 |
$2,086.20 $2,245.78 $2,414.80 $3,015.24 |
Toc - Plan #33 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 28 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$516.47 $586.19 $660.04 $922.41 $1,401.69 |
$911.57 $981.29 $1,055.14 $1,317.51 |
$1,306.67 $1,376.39 $1,450.24 $1,712.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,032.94 $1,172.38 $1,320.08 $1,844.82 $2,803.38 |
$1,428.04 $1,567.48 $1,715.18 $2,239.92 |
$1,823.14 $1,962.58 $2,110.28 $2,635.02 |
Toc - Plan #34 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$491.40 $557.74 $628.01 $877.65 $1,333.67 |
$867.32 $933.66 $1,003.93 $1,253.57 |
$1,243.24 $1,309.58 $1,379.85 $1,629.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$982.80 $1,115.48 $1,256.02 $1,755.30 $2,667.34 |
$1,358.72 $1,491.40 $1,631.94 $2,131.22 |
$1,734.64 $1,867.32 $2,007.86 $2,507.14 |
Toc - Plan #35 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$514.22 $583.64 $657.18 $918.41 $1,395.61 |
$907.60 $977.02 $1,050.56 $1,311.79 |
$1,300.98 $1,370.40 $1,443.94 $1,705.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,028.44 $1,167.28 $1,314.36 $1,836.82 $2,791.22 |
$1,421.82 $1,560.66 $1,707.74 $2,230.20 |
$1,815.20 $1,954.04 $2,101.12 $2,623.58 |
Toc - Plan #36 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 30 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$462.44 $524.87 $591.00 $825.92 $1,255.07 |
$816.21 $878.64 $944.77 $1,179.69 |
$1,169.98 $1,232.41 $1,298.54 $1,533.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$924.88 $1,049.74 $1,182.00 $1,651.84 $2,510.14 |
$1,278.65 $1,403.51 $1,535.77 $2,005.61 |
$1,632.42 $1,757.28 $1,889.54 $2,359.38 |
Toc - Plan #37 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 32 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$472.26 $536.02 $603.55 $843.46 $1,281.72 |
$833.54 $897.30 $964.83 $1,204.74 |
$1,194.82 $1,258.58 $1,326.11 $1,566.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$944.52 $1,072.04 $1,207.10 $1,686.92 $2,563.44 |
$1,305.80 $1,433.32 $1,568.38 $2,048.20 |
$1,667.08 $1,794.60 $1,929.66 $2,409.48 |
Toc - Plan #38 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 20 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$555.62 $630.63 $710.09 $992.34 $1,507.96 |
$980.67 $1,055.68 $1,135.14 $1,417.39 |
$1,405.72 $1,480.73 $1,560.19 $1,842.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,111.24 $1,261.26 $1,420.18 $1,984.68 $3,015.92 |
$1,536.29 $1,686.31 $1,845.23 $2,409.73 |
$1,961.34 $2,111.36 $2,270.28 $2,834.78 |
Toc - Plan #39 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$453.37 $514.57 $579.41 $809.72 $1,230.45 |
$800.20 $861.40 $926.24 $1,156.55 |
$1,147.03 $1,208.23 $1,273.07 $1,503.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$906.74 $1,029.14 $1,158.82 $1,619.44 $2,460.90 |
$1,253.57 $1,375.97 $1,505.65 $1,966.27 |
$1,600.40 $1,722.80 $1,852.48 $2,313.10 |
‡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 Coconino County here.
Coconino County is in “Rating Area 1” of Arizona.
Currently, there are 39 plans offered in Rating Area 1.