Obamacare 2022 Rates for Brevard County
Obamacare > Rates > Florida > Brevard County
Obamacare > Rates > Florida > Brevard 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 $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$608.42 $690.56 $777.56 $1,086.64 $1,651.25 |
$1,073.86 $1,156.00 $1,243.00 $1,552.08 |
$1,539.30 $1,621.44 $1,708.44 $2,017.52 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,216.84 $1,381.12 $1,555.12 $2,173.28 $3,302.50 |
$1,682.28 $1,846.56 $2,020.56 $2,638.72 |
$2,147.72 $2,312.00 $2,486.00 $3,104.16 |
Toc - Plan #2 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueOptions Bronze 1419 ($0 Virtual Visits / Rewards $$$) |
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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 |
$379.60 $430.85 $485.13 $677.97 $1,030.23 |
$669.99 $721.24 $775.52 $968.36 |
$960.38 $1,011.63 $1,065.91 $1,258.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$759.20 $861.70 $970.26 $1,355.94 $2,060.46 |
$1,049.59 $1,152.09 $1,260.65 $1,646.33 |
$1,339.98 $1,442.48 $1,551.04 $1,936.72 |
Toc - Plan #3 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1431 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$622.61 $706.66 $795.70 $1,111.98 $1,689.76 |
$1,098.91 $1,182.96 $1,272.00 $1,588.28 |
$1,575.21 $1,659.26 $1,748.30 $2,064.58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,245.22 $1,413.32 $1,591.40 $2,223.96 $3,379.52 |
$1,721.52 $1,889.62 $2,067.70 $2,700.26 |
$2,197.82 $2,365.92 $2,544.00 $3,176.56 |
Toc - Plan #4 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1418 ($0 Virtual Visits /Rewards $$$) |
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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 |
$758.47 $860.86 $969.32 $1,354.63 $2,058.49 |
$1,338.70 $1,441.09 $1,549.55 $1,934.86 |
$1,918.93 $2,021.32 $2,129.78 $2,515.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,516.94 $1,721.72 $1,938.64 $2,709.26 $4,116.98 |
$2,097.17 $2,301.95 $2,518.87 $3,289.49 |
$2,677.40 $2,882.18 $3,099.10 $3,869.72 |
Toc - Plan #5 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1416 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$407.86 $462.92 $521.25 $728.44 $1,106.93 |
$719.87 $774.93 $833.26 $1,040.45 |
$1,031.88 $1,086.94 $1,145.27 $1,352.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$815.72 $925.84 $1,042.50 $1,456.88 $2,213.86 |
$1,127.73 $1,237.85 $1,354.51 $1,768.89 |
$1,439.74 $1,549.86 $1,666.52 $2,080.90 |
Toc - Plan #6 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1424 ($0 Virtual Visits / Rewards $$$) |
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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 |
$800.15 $908.17 $1,022.59 $1,429.07 $2,171.61 |
$1,412.26 $1,520.28 $1,634.70 $2,041.18 |
$2,024.37 $2,132.39 $2,246.81 $2,653.29 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,600.30 $1,816.34 $2,045.18 $2,858.14 $4,343.22 |
$2,212.41 $2,428.45 $2,657.29 $3,470.25 |
$2,824.52 $3,040.56 $3,269.40 $4,082.36 |
Toc - Plan #7 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1410 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$562.28 $638.19 $718.59 $1,004.23 $1,526.03 |
$992.42 $1,068.33 $1,148.73 $1,434.37 |
$1,422.56 $1,498.47 $1,578.87 $1,864.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,124.56 $1,276.38 $1,437.18 $2,008.46 $3,052.06 |
$1,554.70 $1,706.52 $1,867.32 $2,438.60 |
$1,984.84 $2,136.66 $2,297.46 $2,868.74 |
Toc - Plan #8 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1505 ($0 Virtual Visits / Rewards $$$) |
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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 |
$641.88 $728.53 $820.32 $1,146.40 $1,742.06 |
$1,132.92 $1,219.57 $1,311.36 $1,637.44 |
$1,623.96 $1,710.61 $1,802.40 $2,128.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,283.76 $1,457.06 $1,640.64 $2,292.80 $3,484.12 |
$1,774.80 $1,948.10 $2,131.68 $2,783.84 |
$2,265.84 $2,439.14 $2,622.72 $3,274.88 |
Toc - Plan #9 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze (HSA) 1705 (Rewards $$$ / $4 Condition Care Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.56 $450.10 $506.80 $708.26 $1,076.26 |
$699.93 $753.47 $810.17 $1,011.63 |
$1,003.30 $1,056.84 $1,113.54 $1,315.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$793.12 $900.20 $1,013.60 $1,416.52 $2,152.52 |
$1,096.49 $1,203.57 $1,316.97 $1,719.89 |
$1,399.86 $1,506.94 $1,620.34 $2,023.26 |
Toc - Plan #10 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1706S ($0 Virtual Visits / Rewards $$$) |
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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 |
$618.44 $701.93 $790.37 $1,104.53 $1,678.45 |
$1,091.55 $1,175.04 $1,263.48 $1,577.64 |
$1,564.66 $1,648.15 $1,736.59 $2,050.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,236.88 $1,403.86 $1,580.74 $2,209.06 $3,356.90 |
$1,709.99 $1,876.97 $2,053.85 $2,682.17 |
$2,183.10 $2,350.08 $2,526.96 $3,155.28 |
Toc - Plan #11 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1707S ($0 Virtual Visits / $30 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.34 $462.33 $520.58 $727.51 $1,105.52 |
$718.96 $773.95 $832.20 $1,039.13 |
$1,030.58 $1,085.57 $1,143.82 $1,350.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$814.68 $924.66 $1,041.16 $1,455.02 $2,211.04 |
$1,126.30 $1,236.28 $1,352.78 $1,766.64 |
$1,437.92 $1,547.90 $1,664.40 $2,078.26 |
Toc - Plan #12 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1805 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$620.09 $703.80 $792.48 $1,107.48 $1,682.92 |
$1,094.46 $1,178.17 $1,266.85 $1,581.85 |
$1,568.83 $1,652.54 $1,741.22 $2,056.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,240.18 $1,407.60 $1,584.96 $2,214.96 $3,365.84 |
$1,714.55 $1,881.97 $2,059.33 $2,689.33 |
$2,188.92 $2,356.34 $2,533.70 $3,163.70 |
Toc - Plan #13 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2119 ($0 Deductible / $30 PCP Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$434.07 $492.67 $554.74 $775.25 $1,178.07 |
$766.13 $824.73 $886.80 $1,107.31 |
$1,098.19 $1,156.79 $1,218.86 $1,439.37 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$868.14 $985.34 $1,109.48 $1,550.50 $2,356.14 |
$1,200.20 $1,317.40 $1,441.54 $1,882.56 |
$1,532.26 $1,649.46 $1,773.60 $2,214.62 |
Toc - Plan #14 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1456 ($0 Virtual Visits / Rewards $$$) |
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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 |
$395.83 $449.27 $505.87 $706.95 $1,074.28 |
$698.64 $752.08 $808.68 $1,009.76 |
$1,001.45 $1,054.89 $1,111.49 $1,312.57 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$791.66 $898.54 $1,011.74 $1,413.90 $2,148.56 |
$1,094.47 $1,201.35 $1,314.55 $1,716.71 |
$1,397.28 $1,504.16 $1,617.36 $2,019.52 |
Toc - Plan #15 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueSelect Bronze 1452 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285.01 $323.49 $364.24 $509.03 $773.52 |
$503.04 $541.52 $582.27 $727.06 |
$721.07 $759.55 $800.30 $945.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$570.02 $646.98 $728.48 $1,018.06 $1,547.04 |
$788.05 $865.01 $946.51 $1,236.09 |
$1,006.08 $1,083.04 $1,164.54 $1,454.12 |
Toc - Plan #16 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1464 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$405.07 $459.75 $517.68 $723.46 $1,099.36 |
$714.95 $769.63 $827.56 $1,033.34 |
$1,024.83 $1,079.51 $1,137.44 $1,343.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$810.14 $919.50 $1,035.36 $1,446.92 $2,198.72 |
$1,120.02 $1,229.38 $1,345.24 $1,756.80 |
$1,429.90 $1,539.26 $1,655.12 $2,066.68 |
Toc - Plan #17 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1451 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$494.88 $561.69 $632.46 $883.86 $1,343.10 |
$873.46 $940.27 $1,011.04 $1,262.44 |
$1,252.04 $1,318.85 $1,389.62 $1,641.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$989.76 $1,123.38 $1,264.92 $1,767.72 $2,686.20 |
$1,368.34 $1,501.96 $1,643.50 $2,146.30 |
$1,746.92 $1,880.54 $2,022.08 $2,524.88 |
Toc - Plan #18 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1449 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.21 $347.55 $391.34 $546.89 $831.05 |
$540.46 $581.80 $625.59 $781.14 |
$774.71 $816.05 $859.84 $1,015.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$612.42 $695.10 $782.68 $1,093.78 $1,662.10 |
$846.67 $929.35 $1,016.93 $1,328.03 |
$1,080.92 $1,163.60 $1,251.18 $1,562.28 |
Toc - Plan #19 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1457 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$521.72 $592.15 $666.76 $931.79 $1,415.95 |
$920.84 $991.27 $1,065.88 $1,330.91 |
$1,319.96 $1,390.39 $1,465.00 $1,730.03 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,043.44 $1,184.30 $1,333.52 $1,863.58 $2,831.90 |
$1,442.56 $1,583.42 $1,732.64 $2,262.70 |
$1,841.68 $1,982.54 $2,131.76 $2,661.82 |
Toc - Plan #20 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1443 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365.83 $415.22 $467.53 $653.37 $992.86 |
$645.69 $695.08 $747.39 $933.23 |
$925.55 $974.94 $1,027.25 $1,213.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731.66 $830.44 $935.06 $1,306.74 $1,985.72 |
$1,011.52 $1,110.30 $1,214.92 $1,586.60 |
$1,291.38 $1,390.16 $1,494.78 $1,866.46 |
Toc - Plan #21 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1535 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$424.75 $482.09 $542.83 $758.60 $1,152.77 |
$749.68 $807.02 $867.76 $1,083.53 |
$1,074.61 $1,131.95 $1,192.69 $1,408.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$849.50 $964.18 $1,085.66 $1,517.20 $2,305.54 |
$1,174.43 $1,289.11 $1,410.59 $1,842.13 |
$1,499.36 $1,614.04 $1,735.52 $2,167.06 |
Toc - Plan #22 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze (HSA) 1735 (Rewards $$$ / $4 Condition Care Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$297.71 $337.90 $380.47 $531.71 $807.98 |
$525.46 $565.65 $608.22 $759.46 |
$753.21 $793.40 $835.97 $987.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$595.42 $675.80 $760.94 $1,063.42 $1,615.96 |
$823.17 $903.55 $988.69 $1,291.17 |
$1,050.92 $1,131.30 $1,216.44 $1,518.92 |
Toc - Plan #23 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1736S ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$402.36 $456.68 $514.22 $718.61 $1,092.01 |
$710.17 $764.49 $822.03 $1,026.42 |
$1,017.98 $1,072.30 $1,129.84 $1,334.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$804.72 $913.36 $1,028.44 $1,437.22 $2,184.02 |
$1,112.53 $1,221.17 $1,336.25 $1,745.03 |
$1,420.34 $1,528.98 $1,644.06 $2,052.84 |
Toc - Plan #24 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1737S ($0 Virtual Visits / $40 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.84 $347.13 $390.86 $546.23 $830.05 |
$539.81 $581.10 $624.83 $780.20 |
$773.78 $815.07 $858.80 $1,014.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$611.68 $694.26 $781.72 $1,092.46 $1,660.10 |
$845.65 $928.23 $1,015.69 $1,326.43 |
$1,079.62 $1,162.20 $1,249.66 $1,560.40 |
Toc - Plan #25 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1835 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$410.97 $466.45 $525.22 $733.99 $1,115.37 |
$725.36 $780.84 $839.61 $1,048.38 |
$1,039.75 $1,095.23 $1,154.00 $1,362.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$821.94 $932.90 $1,050.44 $1,467.98 $2,230.74 |
$1,136.33 $1,247.29 $1,364.83 $1,782.37 |
$1,450.72 $1,561.68 $1,679.22 $2,096.76 |
Toc - Plan #26 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 2139 ($0 Deductible / $50 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$325.59 $369.54 $416.10 $581.50 $883.65 |
$574.67 $618.62 $665.18 $830.58 |
$823.75 $867.70 $914.26 $1,079.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$651.18 $739.08 $832.20 $1,163.00 $1,767.30 |
$900.26 $988.16 $1,081.28 $1,412.08 |
$1,149.34 $1,237.24 $1,330.36 $1,661.16 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #27 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.57 $423.99 $477.41 $667.18 $1,013.84 |
$659.34 $709.76 $763.18 $952.95 |
$945.11 $995.53 $1,048.95 $1,238.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.14 $847.98 $954.82 $1,334.36 $2,027.68 |
$1,032.91 $1,133.75 $1,240.59 $1,620.13 |
$1,318.68 $1,419.52 $1,526.36 $1,905.90 |
Toc - Plan #28 Ambetter from Sunshine Health | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$262.84 $298.31 $335.89 $469.41 $713.31 |
$463.90 $499.37 $536.95 $670.47 |
$664.96 $700.43 $738.01 $871.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$525.68 $596.62 $671.78 $938.82 $1,426.62 |
$726.74 $797.68 $872.84 $1,139.88 |
$927.80 $998.74 $1,073.90 $1,340.94 |
Toc - Plan #29 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289.02 $328.03 $369.36 $516.18 $784.38 |
$510.11 $549.12 $590.45 $737.27 |
$731.20 $770.21 $811.54 $958.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$578.04 $656.06 $738.72 $1,032.36 $1,568.76 |
$799.13 $877.15 $959.81 $1,253.45 |
$1,020.22 $1,098.24 $1,180.90 $1,474.54 |
Toc - Plan #30 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.29 $416.86 $469.38 $655.96 $996.80 |
$648.26 $697.83 $750.35 $936.93 |
$929.23 $978.80 $1,031.32 $1,217.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734.58 $833.72 $938.76 $1,311.92 $1,993.60 |
$1,015.55 $1,114.69 $1,219.73 $1,592.89 |
$1,296.52 $1,395.66 $1,500.70 $1,873.86 |
Toc - Plan #31 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.22 $411.11 $462.91 $646.91 $983.04 |
$639.31 $688.20 $740.00 $924.00 |
$916.40 $965.29 $1,017.09 $1,201.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$724.44 $822.22 $925.82 $1,293.82 $1,966.08 |
$1,001.53 $1,099.31 $1,202.91 $1,570.91 |
$1,278.62 $1,376.40 $1,480.00 $1,848.00 |
Toc - Plan #32 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 24 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.83 $424.28 $477.74 $667.64 $1,014.54 |
$659.80 $710.25 $763.71 $953.61 |
$945.77 $996.22 $1,049.68 $1,239.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.66 $848.56 $955.48 $1,335.28 $2,029.08 |
$1,033.63 $1,134.53 $1,241.45 $1,621.25 |
$1,319.60 $1,420.50 $1,527.42 $1,907.22 |
Toc - Plan #33 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 29 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.00 $406.32 $457.51 $639.37 $971.58 |
$631.86 $680.18 $731.37 $913.23 |
$905.72 $954.04 $1,005.23 $1,187.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.00 $812.64 $915.02 $1,278.74 $1,943.16 |
$989.86 $1,086.50 $1,188.88 $1,552.60 |
$1,263.72 $1,360.36 $1,462.74 $1,826.46 |
Toc - Plan #34 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285.90 $324.49 $365.37 $510.60 $775.91 |
$504.61 $543.20 $584.08 $729.31 |
$723.32 $761.91 $802.79 $948.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$571.80 $648.98 $730.74 $1,021.20 $1,551.82 |
$790.51 $867.69 $949.45 $1,239.91 |
$1,009.22 $1,086.40 $1,168.16 $1,458.62 |
Toc - Plan #35 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 |
$305.73 $347.00 $390.71 $546.02 $829.73 |
$539.61 $580.88 $624.59 $779.90 |
$773.49 $814.76 $858.47 $1,013.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$611.46 $694.00 $781.42 $1,092.04 $1,659.46 |
$845.34 $927.88 $1,015.30 $1,325.92 |
$1,079.22 $1,161.76 $1,249.18 $1,559.80 |
Toc - Plan #36 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 |
$314.11 $356.50 $401.42 $560.98 $852.46 |
$554.39 $596.78 $641.70 $801.26 |
$794.67 $837.06 $881.98 $1,041.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$628.22 $713.00 $802.84 $1,121.96 $1,704.92 |
$868.50 $953.28 $1,043.12 $1,362.24 |
$1,108.78 $1,193.56 $1,283.40 $1,602.52 |
Toc - Plan #37 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 |
$333.28 $378.26 $425.92 $595.22 $904.49 |
$588.23 $633.21 $680.87 $850.17 |
$843.18 $888.16 $935.82 $1,105.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$666.56 $756.52 $851.84 $1,190.44 $1,808.98 |
$921.51 $1,011.47 $1,106.79 $1,445.39 |
$1,176.46 $1,266.42 $1,361.74 $1,700.34 |
Toc - Plan #38 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 |
$343.64 $390.02 $439.16 $613.72 $932.60 |
$606.51 $652.89 $702.03 $876.59 |
$869.38 $915.76 $964.90 $1,139.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$687.28 $780.04 $878.32 $1,227.44 $1,865.20 |
$950.15 $1,042.91 $1,141.19 $1,490.31 |
$1,213.02 $1,305.78 $1,404.06 $1,753.18 |
Toc - Plan #39 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 |
$344.37 $390.85 $440.09 $615.03 $934.60 |
$607.81 $654.29 $703.53 $878.47 |
$871.25 $917.73 $966.97 $1,141.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$688.74 $781.70 $880.18 $1,230.06 $1,869.20 |
$952.18 $1,045.14 $1,143.62 $1,493.50 |
$1,215.62 $1,308.58 $1,407.06 $1,756.94 |
Toc - Plan #40 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 |
$350.10 $397.35 $447.42 $625.26 $950.15 |
$617.92 $665.17 $715.24 $893.08 |
$885.74 $932.99 $983.06 $1,160.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$700.20 $794.70 $894.84 $1,250.52 $1,900.30 |
$968.02 $1,062.52 $1,162.66 $1,518.34 |
$1,235.84 $1,330.34 $1,430.48 $1,786.16 |
Toc - Plan #41 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 |
$349.37 $396.52 $446.48 $623.95 $948.15 |
$616.63 $663.78 $713.74 $891.21 |
$883.89 $931.04 $981.00 $1,158.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.74 $793.04 $892.96 $1,247.90 $1,896.30 |
$966.00 $1,060.30 $1,160.22 $1,515.16 |
$1,233.26 $1,327.56 $1,427.48 $1,782.42 |
Toc - Plan #42 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 |
$375.14 $425.77 $479.42 $669.98 $1,018.10 |
$662.11 $712.74 $766.39 $956.95 |
$949.08 $999.71 $1,053.36 $1,243.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$750.28 $851.54 $958.84 $1,339.96 $2,036.20 |
$1,037.25 $1,138.51 $1,245.81 $1,626.93 |
$1,324.22 $1,425.48 $1,532.78 $1,913.90 |
Toc - Plan #43 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 |
$299.33 $339.73 $382.53 $534.59 $812.35 |
$528.31 $568.71 $611.51 $763.57 |
$757.29 $797.69 $840.49 $992.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$598.66 $679.46 $765.06 $1,069.18 $1,624.70 |
$827.64 $908.44 $994.04 $1,298.16 |
$1,056.62 $1,137.42 $1,223.02 $1,527.14 |
Toc - Plan #44 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 |
$386.89 $439.11 $494.44 $690.97 $1,050.00 |
$682.86 $735.08 $790.41 $986.94 |
$978.83 $1,031.05 $1,086.38 $1,282.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$773.78 $878.22 $988.88 $1,381.94 $2,100.00 |
$1,069.75 $1,174.19 $1,284.85 $1,677.91 |
$1,365.72 $1,470.16 $1,580.82 $1,973.88 |
Toc - Plan #45 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 |
$272.21 $308.95 $347.87 $486.15 $738.75 |
$480.44 $517.18 $556.10 $694.38 |
$688.67 $725.41 $764.33 $902.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$544.42 $617.90 $695.74 $972.30 $1,477.50 |
$752.65 $826.13 $903.97 $1,180.53 |
$960.88 $1,034.36 $1,112.20 $1,388.76 |
Toc - Plan #46 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 |
$380.39 $431.73 $486.12 $679.36 $1,032.35 |
$671.38 $722.72 $777.11 $970.35 |
$962.37 $1,013.71 $1,068.10 $1,261.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$760.78 $863.46 $972.24 $1,358.72 $2,064.70 |
$1,051.77 $1,154.45 $1,263.23 $1,649.71 |
$1,342.76 $1,445.44 $1,554.22 $1,940.70 |
Toc - Plan #47 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 |
$387.16 $439.41 $494.78 $691.45 $1,050.72 |
$683.33 $735.58 $790.95 $987.62 |
$979.50 $1,031.75 $1,087.12 $1,283.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$774.32 $878.82 $989.56 $1,382.90 $2,101.44 |
$1,070.49 $1,174.99 $1,285.73 $1,679.07 |
$1,366.66 $1,471.16 $1,581.90 $1,975.24 |
Toc - Plan #48 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 |
$296.10 $336.06 $378.40 $528.81 $803.58 |
$522.61 $562.57 $604.91 $755.32 |
$749.12 $789.08 $831.42 $981.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$592.20 $672.12 $756.80 $1,057.62 $1,607.16 |
$818.71 $898.63 $983.31 $1,284.13 |
$1,045.22 $1,125.14 $1,209.82 $1,510.64 |
Toc - Plan #49 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 |
$316.64 $359.37 $404.65 $565.50 $859.33 |
$558.86 $601.59 $646.87 $807.72 |
$801.08 $843.81 $889.09 $1,049.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$633.28 $718.74 $809.30 $1,131.00 $1,718.66 |
$875.50 $960.96 $1,051.52 $1,373.22 |
$1,117.72 $1,203.18 $1,293.74 $1,615.44 |
Toc - Plan #50 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 |
$325.31 $369.22 $415.73 $580.99 $882.86 |
$574.16 $618.07 $664.58 $829.84 |
$823.01 $866.92 $913.43 $1,078.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$650.62 $738.44 $831.46 $1,161.98 $1,765.72 |
$899.47 $987.29 $1,080.31 $1,410.83 |
$1,148.32 $1,236.14 $1,329.16 $1,659.68 |
Toc - Plan #51 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 |
$345.17 $391.75 $441.11 $616.45 $936.75 |
$609.21 $655.79 $705.15 $880.49 |
$873.25 $919.83 $969.19 $1,144.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$690.34 $783.50 $882.22 $1,232.90 $1,873.50 |
$954.38 $1,047.54 $1,146.26 $1,496.94 |
$1,218.42 $1,311.58 $1,410.30 $1,760.98 |
Toc - Plan #52 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 |
$356.65 $404.79 $455.79 $636.96 $967.93 |
$629.48 $677.62 $728.62 $909.79 |
$902.31 $950.45 $1,001.45 $1,182.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$713.30 $809.58 $911.58 $1,273.92 $1,935.86 |
$986.13 $1,082.41 $1,184.41 $1,546.75 |
$1,258.96 $1,355.24 $1,457.24 $1,819.58 |
Toc - Plan #53 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 |
$362.59 $411.52 $463.37 $647.56 $984.03 |
$639.96 $688.89 $740.74 $924.93 |
$917.33 $966.26 $1,018.11 $1,202.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725.18 $823.04 $926.74 $1,295.12 $1,968.06 |
$1,002.55 $1,100.41 $1,204.11 $1,572.49 |
$1,279.92 $1,377.78 $1,481.48 $1,849.86 |
Toc - Plan #54 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 |
$361.83 $410.66 $462.40 $646.20 $981.97 |
$638.62 $687.45 $739.19 $922.99 |
$915.41 $964.24 $1,015.98 $1,199.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$723.66 $821.32 $924.80 $1,292.40 $1,963.94 |
$1,000.45 $1,098.11 $1,201.59 $1,569.19 |
$1,277.24 $1,374.90 $1,478.38 $1,845.98 |
Toc - Plan #55 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 |
$370.76 $420.81 $473.82 $662.17 $1,006.23 |
$654.39 $704.44 $757.45 $945.80 |
$938.02 $988.07 $1,041.08 $1,229.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$741.52 $841.62 $947.64 $1,324.34 $2,012.46 |
$1,025.15 $1,125.25 $1,231.27 $1,607.97 |
$1,308.78 $1,408.88 $1,514.90 $1,891.60 |
ADVERTISEMENT
Florida Blue HMO (a BlueCross BlueShield FL company)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #56 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 1490 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$597.60 $678.28 $763.73 $1,067.31 $1,621.89 |
$1,054.76 $1,135.44 $1,220.89 $1,524.47 |
$1,511.92 $1,592.60 $1,678.05 $1,981.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,195.20 $1,356.56 $1,527.46 $2,134.62 $3,243.78 |
$1,652.36 $1,813.72 $1,984.62 $2,591.78 |
$2,109.52 $2,270.88 $2,441.78 $3,048.94 |
Toc - Plan #57 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Bronze
(HMO) BlueCare Bronze 1486 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$399.14 $453.02 $510.10 $712.86 $1,083.27 |
$704.48 $758.36 $815.44 $1,018.20 |
$1,009.82 $1,063.70 $1,120.78 $1,323.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$798.28 $906.04 $1,020.20 $1,425.72 $2,166.54 |
$1,103.62 $1,211.38 $1,325.54 $1,731.06 |
$1,408.96 $1,516.72 $1,630.88 $2,036.40 |
Toc - Plan #58 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 1498 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$623.98 $708.22 $797.45 $1,114.43 $1,693.48 |
$1,101.32 $1,185.56 $1,274.79 $1,591.77 |
$1,578.66 $1,662.90 $1,752.13 $2,069.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,247.96 $1,416.44 $1,594.90 $2,228.86 $3,386.96 |
$1,725.30 $1,893.78 $2,072.24 $2,706.20 |
$2,202.64 $2,371.12 $2,549.58 $3,183.54 |
Toc - Plan #59 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 1485 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$696.75 $790.81 $890.45 $1,244.40 $1,890.98 |
$1,229.76 $1,323.82 $1,423.46 $1,777.41 |
$1,762.77 $1,856.83 $1,956.47 $2,310.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,393.50 $1,581.62 $1,780.90 $2,488.80 $3,781.96 |
$1,926.51 $2,114.63 $2,313.91 $3,021.81 |
$2,459.52 $2,647.64 $2,846.92 $3,554.82 |
Toc - Plan #60 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 1483 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$441.83 $501.48 $564.66 $789.11 $1,199.13 |
$779.83 $839.48 $902.66 $1,127.11 |
$1,117.83 $1,177.48 $1,240.66 $1,465.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$883.66 $1,002.96 $1,129.32 $1,578.22 $2,398.26 |
$1,221.66 $1,340.96 $1,467.32 $1,916.22 |
$1,559.66 $1,678.96 $1,805.32 $2,254.22 |
Toc - Plan #61 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 1491 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$747.64 $848.57 $955.48 $1,335.29 $2,029.09 |
$1,319.58 $1,420.51 $1,527.42 $1,907.23 |
$1,891.52 $1,992.45 $2,099.36 $2,479.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,495.28 $1,697.14 $1,910.96 $2,670.58 $4,058.18 |
$2,067.22 $2,269.08 $2,482.90 $3,242.52 |
$2,639.16 $2,841.02 $3,054.84 $3,814.46 |
Toc - Plan #62 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 1477 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$538.99 $611.75 $688.83 $962.64 $1,462.82 |
$951.32 $1,024.08 $1,101.16 $1,374.97 |
$1,363.65 $1,436.41 $1,513.49 $1,787.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,077.98 $1,223.50 $1,377.66 $1,925.28 $2,925.64 |
$1,490.31 $1,635.83 $1,789.99 $2,337.61 |
$1,902.64 $2,048.16 $2,202.32 $2,749.94 |
Toc - Plan #63 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) BlueCare Gold 1565 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$643.13 $729.95 $821.92 $1,148.63 $1,745.45 |
$1,135.12 $1,221.94 $1,313.91 $1,640.62 |
$1,627.11 $1,713.93 $1,805.90 $2,132.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,286.26 $1,459.90 $1,643.84 $2,297.26 $3,490.90 |
$1,778.25 $1,951.89 $2,135.83 $2,789.25 |
$2,270.24 $2,443.88 $2,627.82 $3,281.24 |
Toc - Plan #64 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze (HSA) 1765 (Rewards $$$ / $4 Condition Care Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$421.99 $478.96 $539.30 $753.67 $1,145.28 |
$744.81 $801.78 $862.12 $1,076.49 |
$1,067.63 $1,124.60 $1,184.94 $1,399.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$843.98 $957.92 $1,078.60 $1,507.34 $2,290.56 |
$1,166.80 $1,280.74 $1,401.42 $1,830.16 |
$1,489.62 $1,603.56 $1,724.24 $2,152.98 |
Toc - Plan #65 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 1766S ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$613.05 $695.81 $783.48 $1,094.91 $1,663.82 |
$1,082.03 $1,164.79 $1,252.46 $1,563.89 |
$1,551.01 $1,633.77 $1,721.44 $2,032.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,226.10 $1,391.62 $1,566.96 $2,189.82 $3,327.64 |
$1,695.08 $1,860.60 $2,035.94 $2,658.80 |
$2,164.06 $2,329.58 $2,504.92 $3,127.78 |
Toc - Plan #66 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 1767S ($0 Virtual Visits / $40 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$440.22 $499.65 $562.60 $786.23 $1,194.76 |
$776.99 $836.42 $899.37 $1,123.00 |
$1,113.76 $1,173.19 $1,236.14 $1,459.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$880.44 $999.30 $1,125.20 $1,572.46 $2,389.52 |
$1,217.21 $1,336.07 $1,461.97 $1,909.23 |
$1,553.98 $1,672.84 $1,798.74 $2,246.00 |
Toc - Plan #67 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) BlueCare Gold 1865 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$614.66 $697.64 $785.54 $1,097.78 $1,668.19 |
$1,084.87 $1,167.85 $1,255.75 $1,567.99 |
$1,555.08 $1,638.06 $1,725.96 $2,038.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,229.32 $1,395.28 $1,571.08 $2,195.56 $3,336.38 |
$1,699.53 $1,865.49 $2,041.29 $2,665.77 |
$2,169.74 $2,335.70 $2,511.50 $3,135.98 |
Toc - Plan #68 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2179 ($0 Deductible / $35 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$480.25 $545.08 $613.76 $857.73 $1,303.40 |
$847.64 $912.47 $981.15 $1,225.12 |
$1,215.03 $1,279.86 $1,348.54 $1,592.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$960.50 $1,090.16 $1,227.52 $1,715.46 $2,606.80 |
$1,327.89 $1,457.55 $1,594.91 $2,082.85 |
$1,695.28 $1,824.94 $1,962.30 $2,450.24 |
ADVERTISEMENT
Health First Commercial Plans, Inc.Local: 1-855-443-4735 | Toll Free: 1-855-443-4735 | TTY: 1-800-955-8771 |
Toc - Plan #69 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Health First GYM ACCESS Bronze HMO 100 HSA 1658 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$307.07 $348.52 $392.43 $548.43 $833.39 |
$541.98 $583.43 $627.34 $783.34 |
$776.89 $818.34 $862.25 $1,018.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$614.14 $697.04 $784.86 $1,096.86 $1,666.78 |
$849.05 $931.95 $1,019.77 $1,331.77 |
$1,083.96 $1,166.86 $1,254.68 $1,566.68 |
Toc - Plan #70 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Silver
(HMO) Health First GYM ACCESS Silver HMO 100 1664 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$411.91 $467.52 $526.42 $735.68 $1,117.93 |
$727.02 $782.63 $841.53 $1,050.79 |
$1,042.13 $1,097.74 $1,156.64 $1,365.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$823.82 $935.04 $1,052.84 $1,471.36 $2,235.86 |
$1,138.93 $1,250.15 $1,367.95 $1,786.47 |
$1,454.04 $1,565.26 $1,683.06 $2,101.58 |
Toc - Plan #71 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Silver
(HMO) Health First GYM ACCESS Silver HMO 80 1688 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.31 $453.22 $510.32 $713.17 $1,083.73 |
$704.78 $758.69 $815.79 $1,018.64 |
$1,010.25 $1,064.16 $1,121.26 $1,324.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$798.62 $906.44 $1,020.64 $1,426.34 $2,167.46 |
$1,104.09 $1,211.91 $1,326.11 $1,731.81 |
$1,409.56 $1,517.38 $1,631.58 $2,037.28 |
Toc - Plan #72 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Health First GYM ACCESS Gold HMO 100 1736 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$390.10 $442.76 $498.54 $696.71 $1,058.73 |
$688.52 $741.18 $796.96 $995.13 |
$986.94 $1,039.60 $1,095.38 $1,293.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$780.20 $885.52 $997.08 $1,393.42 $2,117.46 |
$1,078.62 $1,183.94 $1,295.50 $1,691.84 |
$1,377.04 $1,482.36 $1,593.92 $1,990.26 |
Toc - Plan #73 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Health First GYM ACCESS Gold HMO 80 1740 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.71 $427.57 $481.44 $672.81 $1,022.39 |
$664.89 $715.75 $769.62 $960.99 |
$953.07 $1,003.93 $1,057.80 $1,249.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.42 $855.14 $962.88 $1,345.62 $2,044.78 |
$1,041.60 $1,143.32 $1,251.06 $1,633.80 |
$1,329.78 $1,431.50 $1,539.24 $1,921.98 |
Toc - Plan #74 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Health First GYM ACCESS Gold HMO 70 1742 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$393.28 $446.37 $502.61 $702.40 $1,067.36 |
$694.14 $747.23 $803.47 $1,003.26 |
$995.00 $1,048.09 $1,104.33 $1,304.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$786.56 $892.74 $1,005.22 $1,404.80 $2,134.72 |
$1,087.42 $1,193.60 $1,306.08 $1,705.66 |
$1,388.28 $1,494.46 $1,606.94 $2,006.52 |
Toc - Plan #75 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Health First GYM ACCESS Gold HMO 90 HSA 1744 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$390.29 $442.98 $498.80 $697.07 $1,059.26 |
$688.87 $741.56 $797.38 $995.65 |
$987.45 $1,040.14 $1,095.96 $1,294.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$780.58 $885.96 $997.60 $1,394.14 $2,118.52 |
$1,079.16 $1,184.54 $1,296.18 $1,692.72 |
$1,377.74 $1,483.12 $1,594.76 $1,991.30 |
Toc - Plan #76 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Catastrophic
(HMO) Health First GYM ACCESS Catastrophic HMO 1746 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$155.90 $176.94 $199.23 $278.43 $423.10 |
$275.16 $296.20 $318.49 $397.69 |
$394.42 $415.46 $437.75 $516.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$311.80 $353.88 $398.46 $556.86 $846.20 |
$431.06 $473.14 $517.72 $676.12 |
$550.32 $592.40 $636.98 $795.38 |
Toc - Plan #77 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Health First GYM ACCESS Bronze HMO 50 1796 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$296.33 $336.33 $378.71 $529.24 $804.24 |
$523.02 $563.02 $605.40 $755.93 |
$749.71 $789.71 $832.09 $982.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$592.66 $672.66 $757.42 $1,058.48 $1,608.48 |
$819.35 $899.35 $984.11 $1,285.17 |
$1,046.04 $1,126.04 $1,210.80 $1,511.86 |
Toc - Plan #78 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Health First GYM ACCESS Bronze HMO 60 1656 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$304.02 $345.06 $388.53 $542.98 $825.10 |
$536.59 $577.63 $621.10 $775.55 |
$769.16 $810.20 $853.67 $1,008.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$608.04 $690.12 $777.06 $1,085.96 $1,650.20 |
$840.61 $922.69 $1,009.63 $1,318.53 |
$1,073.18 $1,155.26 $1,242.20 $1,551.10 |
Toc - Plan #79 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Health First Bronze HMO 60 1750 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.23 $339.63 $382.42 $534.42 $812.11 |
$528.14 $568.54 $611.33 $763.33 |
$757.05 $797.45 $840.24 $992.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$598.46 $679.26 $764.84 $1,068.84 $1,624.22 |
$827.37 $908.17 $993.75 $1,297.75 |
$1,056.28 $1,137.08 $1,222.66 $1,526.66 |
Toc - Plan #80 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Health First Gold HMO 80 1770 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.48 $427.31 $481.14 $672.40 $1,021.77 |
$664.49 $715.32 $769.15 $960.41 |
$952.50 $1,003.33 $1,057.16 $1,248.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$752.96 $854.62 $962.28 $1,344.80 $2,043.54 |
$1,040.97 $1,142.63 $1,250.29 $1,632.81 |
$1,328.98 $1,430.64 $1,538.30 $1,920.82 |
Toc - Plan #81 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Bronze
(HMO) Health First Bronze HMO 100 1774 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$288.40 $327.33 $368.57 $515.08 $782.71 |
$509.02 $547.95 $589.19 $735.70 |
$729.64 $768.57 $809.81 $956.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$576.80 $654.66 $737.14 $1,030.16 $1,565.42 |
$797.42 $875.28 $957.76 $1,250.78 |
$1,018.04 $1,095.90 $1,178.38 $1,471.40 |
Toc - Plan #82 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Health First Bronze HMO 100 HSA 1794 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303.75 $344.75 $388.19 $542.49 $824.37 |
$536.12 $577.12 $620.56 $774.86 |
$768.49 $809.49 $852.93 $1,007.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$607.50 $689.50 $776.38 $1,084.98 $1,648.74 |
$839.87 $921.87 $1,008.75 $1,317.35 |
$1,072.24 $1,154.24 $1,241.12 $1,549.72 |
Toc - Plan #83 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Silver
(HMO) Health First Silver HMO 65 1806 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.01 $436.98 $492.04 $687.62 $1,044.90 |
$679.54 $731.51 $786.57 $982.15 |
$974.07 $1,026.04 $1,081.10 $1,276.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$770.02 $873.96 $984.08 $1,375.24 $2,089.80 |
$1,064.55 $1,168.49 $1,278.61 $1,669.77 |
$1,359.08 $1,463.02 $1,573.14 $1,964.30 |
Toc - Plan #84 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Health First Bronze VALUE 60 1814 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$259.59 $294.63 $331.75 $463.63 $704.52 |
$458.18 $493.22 $530.34 $662.22 |
$656.77 $691.81 $728.93 $860.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$519.18 $589.26 $663.50 $927.26 $1,409.04 |
$717.77 $787.85 $862.09 $1,125.85 |
$916.36 $986.44 $1,060.68 $1,324.44 |
Toc - Plan #85 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Silver
(HMO) Health First Silver VALUE 80 1815 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$343.05 $389.36 $438.42 $612.68 $931.03 |
$605.48 $651.79 $700.85 $875.11 |
$867.91 $914.22 $963.28 $1,137.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$686.10 $778.72 $876.84 $1,225.36 $1,862.06 |
$948.53 $1,041.15 $1,139.27 $1,487.79 |
$1,210.96 $1,303.58 $1,401.70 $1,750.22 |
Toc - Plan #86 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Health First Gold VALUE 80 1819 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.21 $416.79 $469.30 $655.85 $996.62 |
$648.13 $697.71 $750.22 $936.77 |
$929.05 $978.63 $1,031.14 $1,217.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734.42 $833.58 $938.60 $1,311.70 $1,993.24 |
$1,015.34 $1,114.50 $1,219.52 $1,592.62 |
$1,296.26 $1,395.42 $1,500.44 $1,873.54 |
ADVERTISEMENT
Oscar Insurance Company of FloridaLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #87 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Simple |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$269.14 $305.46 $343.94 $480.66 $730.41 |
$475.02 $511.34 $549.82 $686.54 |
$680.90 $717.22 $755.70 $892.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$538.28 $610.92 $687.88 $961.32 $1,460.82 |
$744.16 $816.80 $893.76 $1,167.20 |
$950.04 $1,022.68 $1,099.64 $1,373.08 |
Toc - Plan #88 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- PCP Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$276.56 $313.88 $353.43 $493.91 $750.54 |
$488.12 $525.44 $564.99 $705.47 |
$699.68 $737.00 $776.55 $917.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$553.12 $627.76 $706.86 $987.82 $1,501.08 |
$764.68 $839.32 $918.42 $1,199.38 |
$976.24 $1,050.88 $1,129.98 $1,410.94 |
Toc - Plan #89 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$269.87 $306.29 $344.88 $481.97 $732.39 |
$476.31 $512.73 $551.32 $688.41 |
$682.75 $719.17 $757.76 $894.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$539.74 $612.58 $689.76 $963.94 $1,464.78 |
$746.18 $819.02 $896.20 $1,170.38 |
$952.62 $1,025.46 $1,102.64 $1,376.82 |
Toc - Plan #90 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded+PCP Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.03 $357.54 $402.59 $562.62 $854.95 |
$556.02 $598.53 $643.58 $803.61 |
$797.01 $839.52 $884.57 $1,044.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$630.06 $715.08 $805.18 $1,125.24 $1,709.90 |
$871.05 $956.07 $1,046.17 $1,366.23 |
$1,112.04 $1,197.06 $1,287.16 $1,607.22 |
Toc - Plan #91 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$350.20 $397.46 $447.54 $625.43 $950.40 |
$618.09 $665.35 $715.43 $893.32 |
$885.98 $933.24 $983.32 $1,161.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$700.40 $794.92 $895.08 $1,250.86 $1,900.80 |
$968.29 $1,062.81 $1,162.97 $1,518.75 |
$1,236.18 $1,330.70 $1,430.86 $1,786.64 |
Toc - Plan #92 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- Specialist Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348.33 $395.35 $445.16 $622.10 $945.35 |
$614.80 $661.82 $711.63 $888.57 |
$881.27 $928.29 $978.10 $1,155.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$696.66 $790.70 $890.32 $1,244.20 $1,890.70 |
$963.13 $1,057.17 $1,156.79 $1,510.67 |
$1,229.60 $1,323.64 $1,423.26 $1,777.14 |
Toc - Plan #93 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- PCP Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$350.50 $397.81 $447.93 $625.98 $951.23 |
$618.63 $665.94 $716.06 $894.11 |
$886.76 $934.07 $984.19 $1,162.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$701.00 $795.62 $895.86 $1,251.96 $1,902.46 |
$969.13 $1,063.75 $1,163.99 $1,520.09 |
$1,237.26 $1,331.88 $1,432.12 $1,788.22 |
Toc - Plan #94 Oscar Insurance Company of Florida | ||||||||||||||||||||
Catastrophic
(EPO) Secure |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$208.87 $237.06 $266.92 $373.02 $566.84 |
$368.65 $396.84 $426.70 $532.80 |
$528.43 $556.62 $586.48 $692.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$417.74 $474.12 $533.84 $746.04 $1,133.68 |
$577.52 $633.90 $693.62 $905.82 |
$737.30 $793.68 $853.40 $1,065.60 |
Toc - Plan #95 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded+Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.18 $357.72 $402.79 $562.90 $855.38 |
$556.29 $598.83 $643.90 $804.01 |
$797.40 $839.94 $885.01 $1,045.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$630.36 $715.44 $805.58 $1,125.80 $1,710.76 |
$871.47 $956.55 $1,046.69 $1,366.91 |
$1,112.58 $1,197.66 $1,287.80 $1,608.02 |
Toc - Plan #96 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375.65 $426.35 $480.07 $670.89 $1,019.49 |
$663.01 $713.71 $767.43 $958.25 |
$950.37 $1,001.07 $1,054.79 $1,245.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$751.30 $852.70 $960.14 $1,341.78 $2,038.98 |
$1,038.66 $1,140.06 $1,247.50 $1,629.14 |
$1,326.02 $1,427.42 $1,534.86 $1,916.50 |
Toc - Plan #97 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Simple- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$290.93 $330.19 $371.80 $519.58 $789.56 |
$513.48 $552.74 $594.35 $742.13 |
$736.03 $775.29 $816.90 $964.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$581.86 $660.38 $743.60 $1,039.16 $1,579.12 |
$804.41 $882.93 $966.15 $1,261.71 |
$1,026.96 $1,105.48 $1,188.70 $1,484.26 |
Toc - Plan #98 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.34 $394.22 $443.89 $620.34 $942.67 |
$613.05 $659.93 $709.60 $886.05 |
$878.76 $925.64 $975.31 $1,151.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$694.68 $788.44 $887.78 $1,240.68 $1,885.34 |
$960.39 $1,054.15 $1,153.49 $1,506.39 |
$1,226.10 $1,319.86 $1,419.20 $1,772.10 |
Toc - Plan #99 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.64 $402.50 $453.21 $633.36 $962.46 |
$625.93 $673.79 $724.50 $904.65 |
$897.22 $945.08 $995.79 $1,175.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$709.28 $805.00 $906.42 $1,266.72 $1,924.92 |
$980.57 $1,076.29 $1,177.71 $1,538.01 |
$1,251.86 $1,347.58 $1,449.00 $1,809.30 |
Toc - Plan #100 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.79 $404.95 $455.97 $637.21 $968.30 |
$629.73 $677.89 $728.91 $910.15 |
$902.67 $950.83 $1,001.85 $1,183.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$713.58 $809.90 $911.94 $1,274.42 $1,936.60 |
$986.52 $1,082.84 $1,184.88 $1,547.36 |
$1,259.46 $1,355.78 $1,457.82 $1,820.30 |
Toc - Plan #101 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic- Low Ded |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.57 $427.40 $481.25 $672.54 $1,021.99 |
$664.64 $715.47 $769.32 $960.61 |
$952.71 $1,003.54 $1,057.39 $1,248.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.14 $854.80 $962.50 $1,345.08 $2,043.98 |
$1,041.21 $1,142.87 $1,250.57 $1,633.15 |
$1,329.28 $1,430.94 $1,538.64 $1,921.22 |
Toc - Plan #102 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$283.99 $322.32 $362.93 $507.19 $770.72 |
$501.23 $539.56 $580.17 $724.43 |
$718.47 $756.80 $797.41 $941.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$567.98 $644.64 $725.86 $1,014.38 $1,541.44 |
$785.22 $861.88 $943.10 $1,231.62 |
$1,002.46 $1,079.12 $1,160.34 $1,448.86 |
Toc - Plan #103 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.61 $343.46 $386.73 $540.45 $821.27 |
$534.10 $574.95 $618.22 $771.94 |
$765.59 $806.44 $849.71 $1,003.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$605.22 $686.92 $773.46 $1,080.90 $1,642.54 |
$836.71 $918.41 $1,004.95 $1,312.39 |
$1,068.20 $1,149.90 $1,236.44 $1,543.88 |
Toc - Plan #104 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $4700 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289.04 $328.05 $369.38 $516.20 $784.42 |
$510.15 $549.16 $590.49 $737.31 |
$731.26 $770.27 $811.60 $958.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$578.08 $656.10 $738.76 $1,032.40 $1,568.84 |
$799.19 $877.21 $959.87 $1,253.51 |
$1,020.30 $1,098.32 $1,180.98 $1,474.62 |
Toc - Plan #105 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344.54 $391.04 $440.31 $615.33 $935.06 |
$608.11 $654.61 $703.88 $878.90 |
$871.68 $918.18 $967.45 $1,142.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$689.08 $782.08 $880.62 $1,230.66 $1,870.12 |
$952.65 $1,045.65 $1,144.19 $1,494.23 |
$1,216.22 $1,309.22 $1,407.76 $1,757.80 |
Toc - Plan #106 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- Low Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.36 $396.51 $446.47 $623.94 $948.14 |
$616.61 $663.76 $713.72 $891.19 |
$883.86 $931.01 $980.97 $1,158.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.72 $793.02 $892.94 $1,247.88 $1,896.28 |
$965.97 $1,060.27 $1,160.19 $1,515.13 |
$1,233.22 $1,327.52 $1,427.44 $1,782.38 |
Toc - Plan #107 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite- $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.30 $406.66 $457.89 $639.91 $972.40 |
$632.39 $680.75 $731.98 $914.00 |
$906.48 $954.84 $1,006.07 $1,188.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.60 $813.32 $915.78 $1,279.82 $1,944.80 |
$990.69 $1,087.41 $1,189.87 $1,553.91 |
$1,264.78 $1,361.50 $1,463.96 $1,828.00 |
Toc - Plan #108 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.31 $400.99 $451.52 $630.99 $958.85 |
$623.58 $671.26 $721.79 $901.26 |
$893.85 $941.53 $992.06 $1,171.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.62 $801.98 $903.04 $1,261.98 $1,917.70 |
$976.89 $1,072.25 $1,173.31 $1,532.25 |
$1,247.16 $1,342.52 $1,443.58 $1,802.52 |
Toc - Plan #109 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$350.59 $397.91 $448.04 $626.14 $951.48 |
$618.79 $666.11 $716.24 $894.34 |
$886.99 $934.31 $984.44 $1,162.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$701.18 $795.82 $896.08 $1,252.28 $1,902.96 |
$969.38 $1,064.02 $1,164.28 $1,520.48 |
$1,237.58 $1,332.22 $1,432.48 $1,788.68 |
Toc - Plan #110 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.10 $410.97 $462.75 $646.69 $982.70 |
$639.10 $687.97 $739.75 $923.69 |
$916.10 $964.97 $1,016.75 $1,200.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$724.20 $821.94 $925.50 $1,293.38 $1,965.40 |
$1,001.20 $1,098.94 $1,202.50 $1,570.38 |
$1,278.20 $1,375.94 $1,479.50 $1,847.38 |
Toc - Plan #111 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic- $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.25 $417.95 $470.61 $657.67 $999.40 |
$649.95 $699.65 $752.31 $939.37 |
$931.65 $981.35 $1,034.01 $1,221.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736.50 $835.90 $941.22 $1,315.34 $1,998.80 |
$1,018.20 $1,117.60 $1,222.92 $1,597.04 |
$1,299.90 $1,399.30 $1,504.62 $1,878.74 |
Toc - Plan #112 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$404.45 $459.03 $516.87 $722.32 $1,097.64 |
$713.84 $768.42 $826.26 $1,031.71 |
$1,023.23 $1,077.81 $1,135.65 $1,341.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$808.90 $918.06 $1,033.74 $1,444.64 $2,195.28 |
$1,118.29 $1,227.45 $1,343.13 $1,754.03 |
$1,427.68 $1,536.84 $1,652.52 $2,063.42 |
Toc - Plan #113 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.13 $435.98 $490.91 $686.05 $1,042.51 |
$677.98 $729.83 $784.76 $979.90 |
$971.83 $1,023.68 $1,078.61 $1,273.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$768.26 $871.96 $981.82 $1,372.10 $2,085.02 |
$1,062.11 $1,165.81 $1,275.67 $1,665.95 |
$1,355.96 $1,459.66 $1,569.52 $1,959.80 |
Toc - Plan #114 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.14 $409.88 $461.52 $644.97 $980.10 |
$637.40 $686.14 $737.78 $921.23 |
$913.66 $962.40 $1,014.04 $1,197.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$722.28 $819.76 $923.04 $1,289.94 $1,960.20 |
$998.54 $1,096.02 $1,199.30 $1,566.20 |
$1,274.80 $1,372.28 $1,475.56 $1,842.46 |
Toc - Plan #115 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $4000 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$304.06 $345.10 $388.58 $543.04 $825.20 |
$536.66 $577.70 $621.18 $775.64 |
$769.26 $810.30 $853.78 $1,008.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$608.12 $690.20 $777.16 $1,086.08 $1,650.40 |
$840.72 $922.80 $1,009.76 $1,318.68 |
$1,073.32 $1,155.40 $1,242.36 $1,551.28 |
Toc - Plan #116 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $1000 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.98 $352.95 $397.42 $555.39 $843.97 |
$548.87 $590.84 $635.31 $793.28 |
$786.76 $828.73 $873.20 $1,031.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.96 $705.90 $794.84 $1,110.78 $1,687.94 |
$859.85 $943.79 $1,032.73 $1,348.67 |
$1,097.74 $1,181.68 $1,270.62 $1,586.56 |
Toc - Plan #117 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311.99 $354.10 $398.71 $557.20 $846.71 |
$550.65 $592.76 $637.37 $795.86 |
$789.31 $831.42 $876.03 $1,034.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$623.98 $708.20 $797.42 $1,114.40 $1,693.42 |
$862.64 $946.86 $1,036.08 $1,353.06 |
$1,101.30 $1,185.52 $1,274.74 $1,591.72 |
Toc - Plan #118 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- For Diabetes |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.34 $396.49 $446.44 $623.90 $948.08 |
$616.58 $663.73 $713.68 $891.14 |
$883.82 $930.97 $980.92 $1,158.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.68 $792.98 $892.88 $1,247.80 $1,896.16 |
$965.92 $1,060.22 $1,160.12 $1,515.04 |
$1,233.16 $1,327.46 $1,427.36 $1,782.28 |
ADVERTISEMENT
Florida Health Care PlansLocal: 1-386-676-7110 | Toll Free: 1-800-232-0578 | TTY: 1-800-955-8771 |
Toc - Plan #119 Florida Health Care Plans | ||||||||||||||||||||
Catastrophic
(HMO) Gym Access IND Essential Plus Catastrophic HMO 36 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$214.59 $243.56 $274.24 $383.26 $582.39 |
$378.75 $407.72 $438.40 $547.42 |
$542.91 $571.88 $602.56 $711.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$429.18 $487.12 $548.48 $766.52 $1,164.78 |
$593.34 $651.28 $712.64 $930.68 |
$757.50 $815.44 $876.80 $1,094.84 |
Toc - Plan #120 Florida Health Care Plans | ||||||||||||||||||||
Catastrophic
(POS) Gym Access IND Essential Plus Catastrophic POS 37 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$231.76 $263.04 $296.18 $413.92 $628.98 |
$409.05 $440.33 $473.47 $591.21 |
$586.34 $617.62 $650.76 $768.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$463.52 $526.08 $592.36 $827.84 $1,257.96 |
$640.81 $703.37 $769.65 $1,005.13 |
$818.10 $880.66 $946.94 $1,182.42 |
Toc - Plan #121 Florida Health Care Plans | ||||||||||||||||||||
Silver
(HMO) Gym Access IND Essential Plus Silver HMO 53 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.19 $438.32 $493.55 $689.73 $1,048.11 |
$681.62 $733.75 $788.98 $985.16 |
$977.05 $1,029.18 $1,084.41 $1,280.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$772.38 $876.64 $987.10 $1,379.46 $2,096.22 |
$1,067.81 $1,172.07 $1,282.53 $1,674.89 |
$1,363.24 $1,467.50 $1,577.96 $1,970.32 |
Toc - Plan #122 Florida Health Care Plans | ||||||||||||||||||||
Gold
(HMO) Gym Access IND Essential Plus Gold HMO 63 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.12 $443.92 $499.85 $698.54 $1,061.50 |
$690.33 $743.13 $799.06 $997.75 |
$989.54 $1,042.34 $1,098.27 $1,296.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$782.24 $887.84 $999.70 $1,397.08 $2,123.00 |
$1,081.45 $1,187.05 $1,298.91 $1,696.29 |
$1,380.66 $1,486.26 $1,598.12 $1,995.50 |
Toc - Plan #123 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(HMO) Gym Access IND Essential Plus Platinum HMO 65 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$545.90 $619.60 $697.66 $974.98 $1,481.57 |
$963.51 $1,037.21 $1,115.27 $1,392.59 |
$1,381.12 $1,454.82 $1,532.88 $1,810.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,091.80 $1,239.20 $1,395.32 $1,949.96 $2,963.14 |
$1,509.41 $1,656.81 $1,812.93 $2,367.57 |
$1,927.02 $2,074.42 $2,230.54 $2,785.18 |
Toc - Plan #124 Florida Health Care Plans | ||||||||||||||||||||
Silver
(POS) Gym Access IND Essential Plus Silver POS 54 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.47 $452.26 $509.24 $711.66 $1,081.44 |
$703.30 $757.09 $814.07 $1,016.49 |
$1,008.13 $1,061.92 $1,118.90 $1,321.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$796.94 $904.52 $1,018.48 $1,423.32 $2,162.88 |
$1,101.77 $1,209.35 $1,323.31 $1,728.15 |
$1,406.60 $1,514.18 $1,628.14 $2,032.98 |
Toc - Plan #125 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(HMO) Gym Access IND Platinum HMO 4000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$538.77 $611.51 $688.55 $962.25 $1,462.23 |
$950.93 $1,023.67 $1,100.71 $1,374.41 |
$1,363.09 $1,435.83 $1,512.87 $1,786.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,077.54 $1,223.02 $1,377.10 $1,924.50 $2,924.46 |
$1,489.70 $1,635.18 $1,789.26 $2,336.66 |
$1,901.86 $2,047.34 $2,201.42 $2,748.82 |
Toc - Plan #126 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(POS) Gym Access IND Platinum POS 4000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$581.88 $660.43 $743.64 $1,039.23 $1,579.21 |
$1,027.02 $1,105.57 $1,188.78 $1,484.37 |
$1,472.16 $1,550.71 $1,633.92 $1,929.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,163.76 $1,320.86 $1,487.28 $2,078.46 $3,158.42 |
$1,608.90 $1,766.00 $1,932.42 $2,523.60 |
$2,054.04 $2,211.14 $2,377.56 $2,968.74 |
Toc - Plan #127 Florida Health Care Plans | ||||||||||||||||||||
Gold
(HMO) Gym Access IND Gold HMO 55001 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$403.00 $457.40 $515.03 $719.75 $1,093.73 |
$711.29 $765.69 $823.32 $1,028.04 |
$1,019.58 $1,073.98 $1,131.61 $1,336.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$806.00 $914.80 $1,030.06 $1,439.50 $2,187.46 |
$1,114.29 $1,223.09 $1,338.35 $1,747.79 |
$1,422.58 $1,531.38 $1,646.64 $2,056.08 |
Toc - Plan #128 Florida Health Care Plans | ||||||||||||||||||||
Gold
(POS) Gym Access IND Gold POS 55001 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$435.24 $493.99 $556.23 $777.33 $1,181.23 |
$768.20 $826.95 $889.19 $1,110.29 |
$1,101.16 $1,159.91 $1,222.15 $1,443.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$870.48 $987.98 $1,112.46 $1,554.66 $2,362.46 |
$1,203.44 $1,320.94 $1,445.42 $1,887.62 |
$1,536.40 $1,653.90 $1,778.38 $2,220.58 |
Toc - Plan #129 Florida Health Care Plans | ||||||||||||||||||||
Gold
(HMO) Gym Access IND Gold HMO 4500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.47 $449.99 $506.68 $708.09 $1,076.01 |
$699.77 $753.29 $809.98 $1,011.39 |
$1,003.07 $1,056.59 $1,113.28 $1,314.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792.94 $899.98 $1,013.36 $1,416.18 $2,152.02 |
$1,096.24 $1,203.28 $1,316.66 $1,719.48 |
$1,399.54 $1,506.58 $1,619.96 $2,022.78 |
Toc - Plan #130 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Gym Access IND Bronze HMO HSA 5065 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$274.17 $311.18 $350.38 $489.66 $744.09 |
$483.91 $520.92 $560.12 $699.40 |
$693.65 $730.66 $769.86 $909.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$548.34 $622.36 $700.76 $979.32 $1,488.18 |
$758.08 $832.10 $910.50 $1,189.06 |
$967.82 $1,041.84 $1,120.24 $1,398.80 |
Toc - Plan #131 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Gym Access IND Bronze HMO HSA 6060 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$274.59 $311.66 $350.93 $490.42 $745.25 |
$484.65 $521.72 $560.99 $700.48 |
$694.71 $731.78 $771.05 $910.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$549.18 $623.32 $701.86 $980.84 $1,490.50 |
$759.24 $833.38 $911.92 $1,190.90 |
$969.30 $1,043.44 $1,121.98 $1,400.96 |
Toc - Plan #132 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Gym Access IND Bronze HMO BC 3841 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289.06 $328.08 $369.42 $516.26 $784.51 |
$510.19 $549.21 $590.55 $737.39 |
$731.32 $770.34 $811.68 $958.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$578.12 $656.16 $738.84 $1,032.52 $1,569.02 |
$799.25 $877.29 $959.97 $1,253.65 |
$1,020.38 $1,098.42 $1,181.10 $1,474.78 |
Toc - Plan #133 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(POS) Gym Access IND Bronze POS BC 3841 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.18 $354.33 $398.97 $557.56 $847.27 |
$551.00 $593.15 $637.79 $796.38 |
$789.82 $831.97 $876.61 $1,035.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$624.36 $708.66 $797.94 $1,115.12 $1,694.54 |
$863.18 $947.48 $1,036.76 $1,353.94 |
$1,102.00 $1,186.30 $1,275.58 $1,592.76 |
Toc - Plan #134 Florida Health Care Plans | ||||||||||||||||||||
Silver
(HMO) Gym Access IND Silver HMO BC 0941 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.45 $422.73 $475.99 $665.19 $1,010.82 |
$657.37 $707.65 $760.91 $950.11 |
$942.29 $992.57 $1,045.83 $1,235.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$744.90 $845.46 $951.98 $1,330.38 $2,021.64 |
$1,029.82 $1,130.38 $1,236.90 $1,615.30 |
$1,314.74 $1,415.30 $1,521.82 $1,900.22 |
Toc - Plan #135 Florida Health Care Plans | ||||||||||||||||||||
Silver
(POS) Gym Access IND Silver POS BC 0941 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$402.24 $456.55 $514.07 $718.41 $1,091.69 |
$709.96 $764.27 $821.79 $1,026.13 |
$1,017.68 $1,071.99 $1,129.51 $1,333.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$804.48 $913.10 $1,028.14 $1,436.82 $2,183.38 |
$1,112.20 $1,220.82 $1,335.86 $1,744.54 |
$1,419.92 $1,528.54 $1,643.58 $2,052.26 |
Toc - Plan #136 Florida Health Care Plans | ||||||||||||||||||||
Silver
(HMO) Gym Access IND Silver HMO BC 7741 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.30 $405.53 $456.63 $638.14 $969.71 |
$630.63 $678.86 $729.96 $911.47 |
$903.96 $952.19 $1,003.29 $1,184.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.60 $811.06 $913.26 $1,276.28 $1,939.42 |
$987.93 $1,084.39 $1,186.59 $1,549.61 |
$1,261.26 $1,357.72 $1,459.92 $1,822.94 |
Toc - Plan #137 Florida Health Care Plans | ||||||||||||||||||||
Silver
(POS) Gym Access IND Silver POS BC 7741 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.88 $437.98 $493.16 $689.19 $1,047.29 |
$681.08 $733.18 $788.36 $984.39 |
$976.28 $1,028.38 $1,083.56 $1,279.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$771.76 $875.96 $986.32 $1,378.38 $2,094.58 |
$1,066.96 $1,171.16 $1,281.52 $1,673.58 |
$1,362.16 $1,466.36 $1,576.72 $1,968.78 |
Toc - Plan #138 Florida Health Care Plans | ||||||||||||||||||||
Gold
(HMO) Gym Access IND Gold HMO BC 5651 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412.78 $468.50 $527.53 $737.22 $1,120.27 |
$728.55 $784.27 $843.30 $1,052.99 |
$1,044.32 $1,100.04 $1,159.07 $1,368.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$825.56 $937.00 $1,055.06 $1,474.44 $2,240.54 |
$1,141.33 $1,252.77 $1,370.83 $1,790.21 |
$1,457.10 $1,568.54 $1,686.60 $2,105.98 |
Toc - Plan #139 Florida Health Care Plans | ||||||||||||||||||||
Gold
(POS) Gym Access IND Gold POS BC 5651 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$445.80 $505.98 $569.73 $796.19 $1,209.89 |
$786.84 $847.02 $910.77 $1,137.23 |
$1,127.88 $1,188.06 $1,251.81 $1,478.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$891.60 $1,011.96 $1,139.46 $1,592.38 $2,419.78 |
$1,232.64 $1,353.00 $1,480.50 $1,933.42 |
$1,573.68 $1,694.04 $1,821.54 $2,274.46 |
Toc - Plan #140 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(HMO) Gym Access IND Platinum HMO BC 5841 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$530.73 $602.37 $678.27 $947.88 $1,440.39 |
$936.74 $1,008.38 $1,084.28 $1,353.89 |
$1,342.75 $1,414.39 $1,490.29 $1,759.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,061.46 $1,204.74 $1,356.54 $1,895.76 $2,880.78 |
$1,467.47 $1,610.75 $1,762.55 $2,301.77 |
$1,873.48 $2,016.76 $2,168.56 $2,707.78 |
Toc - Plan #141 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(POS) Gym Access IND Platinum POS BC 5841 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$573.18 $650.56 $732.53 $1,023.71 $1,555.62 |
$1,011.67 $1,089.05 $1,171.02 $1,462.20 |
$1,450.16 $1,527.54 $1,609.51 $1,900.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,146.36 $1,301.12 $1,465.06 $2,047.42 $3,111.24 |
$1,584.85 $1,739.61 $1,903.55 $2,485.91 |
$2,023.34 $2,178.10 $2,342.04 $2,924.40 |
Toc - Plan #142 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(HMO) Gym Access IND Platinum HMO BC 1941 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$548.49 $622.53 $700.97 $979.60 $1,488.59 |
$968.08 $1,042.12 $1,120.56 $1,399.19 |
$1,387.67 $1,461.71 $1,540.15 $1,818.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,096.98 $1,245.06 $1,401.94 $1,959.20 $2,977.18 |
$1,516.57 $1,664.65 $1,821.53 $2,378.79 |
$1,936.16 $2,084.24 $2,241.12 $2,798.38 |
Toc - Plan #143 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(POS) Gym Access IND Platinum POS BC 1941 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$592.37 $672.33 $757.04 $1,057.96 $1,607.68 |
$1,045.53 $1,125.49 $1,210.20 $1,511.12 |
$1,498.69 $1,578.65 $1,663.36 $1,964.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,184.74 $1,344.66 $1,514.08 $2,115.92 $3,215.36 |
$1,637.90 $1,797.82 $1,967.24 $2,569.08 |
$2,091.06 $2,250.98 $2,420.40 $3,022.24 |
Toc - Plan #144 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(HMO) Gym Access IND Platinum HMO 91 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$544.33 $617.82 $695.66 $972.18 $1,477.32 |
$960.75 $1,034.24 $1,112.08 $1,388.60 |
$1,377.17 $1,450.66 $1,528.50 $1,805.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,088.66 $1,235.64 $1,391.32 $1,944.36 $2,954.64 |
$1,505.08 $1,652.06 $1,807.74 $2,360.78 |
$1,921.50 $2,068.48 $2,224.16 $2,777.20 |
Toc - Plan #145 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(HMO) Gym Access IND Platinum HMO 92 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$543.75 $617.16 $694.92 $971.15 $1,475.75 |
$959.72 $1,033.13 $1,110.89 $1,387.12 |
$1,375.69 $1,449.10 $1,526.86 $1,803.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,087.50 $1,234.32 $1,389.84 $1,942.30 $2,951.50 |
$1,503.47 $1,650.29 $1,805.81 $2,358.27 |
$1,919.44 $2,066.26 $2,221.78 $2,774.24 |
Toc - Plan #146 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Gym Access IND Bronze Standardized HMO |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$281.87 $319.92 $360.23 $503.42 $764.99 |
$497.50 $535.55 $575.86 $719.05 |
$713.13 $751.18 $791.49 $934.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$563.74 $639.84 $720.46 $1,006.84 $1,529.98 |
$779.37 $855.47 $936.09 $1,222.47 |
$995.00 $1,071.10 $1,151.72 $1,438.10 |
Toc - Plan #147 Florida Health Care Plans | ||||||||||||||||||||
Silver
(HMO) Gym Access IND Silver Standardized HMO 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.60 $442.20 $497.91 $695.83 $1,057.39 |
$687.65 $740.25 $795.96 $993.88 |
$985.70 $1,038.30 $1,094.01 $1,291.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$779.20 $884.40 $995.82 $1,391.66 $2,114.78 |
$1,077.25 $1,182.45 $1,293.87 $1,689.71 |
$1,375.30 $1,480.50 $1,591.92 $1,987.76 |
Toc - Plan #148 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Gym Access IND Bronze HMO 1340 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$267.29 $303.37 $341.60 $477.38 $725.43 |
$471.77 $507.85 $546.08 $681.86 |
$676.25 $712.33 $750.56 $886.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$534.58 $606.74 $683.20 $954.76 $1,450.86 |
$739.06 $811.22 $887.68 $1,159.24 |
$943.54 $1,015.70 $1,092.16 $1,363.72 |
Toc - Plan #149 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Gym Access IND Bronze HMO 1041 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$281.83 $319.88 $360.18 $503.35 $764.89 |
$497.43 $535.48 $575.78 $718.95 |
$713.03 $751.08 $791.38 $934.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$563.66 $639.76 $720.36 $1,006.70 $1,529.78 |
$779.26 $855.36 $935.96 $1,222.30 |
$994.86 $1,070.96 $1,151.56 $1,437.90 |
Toc - Plan #150 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(POS) Gym Access IND Bronze POS 1042 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$304.38 $345.47 $388.99 $543.62 $826.08 |
$537.23 $578.32 $621.84 $776.47 |
$770.08 $811.17 $854.69 $1,009.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$608.76 $690.94 $777.98 $1,087.24 $1,652.16 |
$841.61 $923.79 $1,010.83 $1,320.09 |
$1,074.46 $1,156.64 $1,243.68 $1,552.94 |
Toc - Plan #151 Florida Health Care Plans | ||||||||||||||||||||
Gold
(HMO) Gym Access IND Gold HMO H.S.A 9010 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.56 $429.66 $483.80 $676.10 $1,027.40 |
$668.16 $719.26 $773.40 $965.70 |
$957.76 $1,008.86 $1,063.00 $1,255.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$757.12 $859.32 $967.60 $1,352.20 $2,054.80 |
$1,046.72 $1,148.92 $1,257.20 $1,641.80 |
$1,336.32 $1,438.52 $1,546.80 $1,931.40 |
Toc - Plan #152 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Gym Access IND Bronze HMO OA 1211 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.94 $351.78 $396.10 $553.55 $841.17 |
$547.04 $588.88 $633.20 $790.65 |
$784.14 $825.98 $870.30 $1,027.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$619.88 $703.56 $792.20 $1,107.10 $1,682.34 |
$856.98 $940.66 $1,029.30 $1,344.20 |
$1,094.08 $1,177.76 $1,266.40 $1,581.30 |
Toc - Plan #153 Florida Health Care Plans | ||||||||||||||||||||
Silver
(HMO) Gym Access IND Silver HMO OA 1009 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.67 $452.49 $509.50 $712.03 $1,081.99 |
$703.65 $757.47 $814.48 $1,017.01 |
$1,008.63 $1,062.45 $1,119.46 $1,321.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$797.34 $904.98 $1,019.00 $1,424.06 $2,163.98 |
$1,102.32 $1,209.96 $1,323.98 $1,729.04 |
$1,407.30 $1,514.94 $1,628.96 $2,034.02 |
Toc - Plan #154 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Gym Access IND Bronze HMO OA 0928 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$293.92 $333.60 $375.64 $524.95 $797.71 |
$518.77 $558.45 $600.49 $749.80 |
$743.62 $783.30 $825.34 $974.65 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$587.84 $667.20 $751.28 $1,049.90 $1,595.42 |
$812.69 $892.05 $976.13 $1,274.75 |
$1,037.54 $1,116.90 $1,200.98 $1,499.60 |
Toc - Plan #155 Florida Health Care Plans | ||||||||||||||||||||
Gold
(HMO) Gym Access IND Gold HMO OA 28 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$416.67 $472.92 $532.50 $744.16 $1,130.83 |
$735.42 $791.67 $851.25 $1,062.91 |
$1,054.17 $1,110.42 $1,170.00 $1,381.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$833.34 $945.84 $1,065.00 $1,488.32 $2,261.66 |
$1,152.09 $1,264.59 $1,383.75 $1,807.07 |
$1,470.84 $1,583.34 $1,702.50 $2,125.82 |
‡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 Brevard County here.
Brevard County is in “Rating Area 5” of Florida.
Currently, there are 155 plans offered in Rating Area 5.