Obamacare 2022 Rates for Hendry County

Obamacare > Rates > Florida > Hendry County

Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Hendry County, FL.

The health insurance rates listed below are for calendar year 2022.

For information on subsidies to make your coverage affordable, you must take one of the following actions:

  • Contact a licensed health insurance agent
  • Complete an application at Healthcare.gov
  • Contact the provider directly

Obamacare Providers, 31 Plans and 2022 Rates for Hendry County, Florida

Below, you’ll find a summary of the 31 plans for Hendry County, Florida and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.

You may also be interested in:

Obamacare Rates and Providers for Other Years

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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 $$$)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-352-2583

Annual Out of Pocket Expenses:

Individual Family
$5,950 $11,900 Annual Deductible
$7,150 $14,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$706.21
$801.55
$902.54
$1,261.29
$1,916.65 		$1,246.46
$1,341.80
$1,442.79
$1,801.54 		$1,786.71
$1,882.05
$1,983.04
$2,341.79 		$2,326.96
$2,422.30
$2,523.29
$2,882.04 		$540.25
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,412.42
$1,603.10
$1,805.08
$2,522.58
$3,833.30 		$1,952.67
$2,143.35
$2,345.33
$3,062.83 		$2,492.92
$2,683.60
$2,885.58
$3,603.08 		$3,033.17
$3,223.85
$3,425.83
$4,143.33 		$540.25
Toc - Plan #2 Florida Blue (BlueCross BlueShield FL)
Bronze

(EPO) BlueOptions Bronze 1419 ($0 Virtual Visits / Rewards $$$)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-352-2583

Annual Out of Pocket Expenses:

Individual Family
$8,700 $17,400 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$440.60
$500.08
$563.09
$786.91
$1,195.79 		$777.66
$837.14
$900.15
$1,123.97 		$1,114.72
$1,174.20
$1,237.21
$1,461.03 		$1,451.78
$1,511.26
$1,574.27
$1,798.09 		$337.06
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$881.20
$1,000.16
$1,126.18
$1,573.82
$2,391.58 		$1,218.26
$1,337.22
$1,463.24
$1,910.88 		$1,555.32
$1,674.28
$1,800.30
$2,247.94 		$1,892.38
$2,011.34
$2,137.36
$2,585.00 		$337.06
Toc - Plan #3 Florida Blue (BlueCross BlueShield FL)
Silver

(EPO) BlueOptions Silver 1431 ($0 Virtual Visits / Rewards $$$)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-352-2583

Annual Out of Pocket Expenses:

Individual Family
$5,600 $11,200 Annual Deductible
$7,800 $15,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$722.67
$820.23
$923.57
$1,290.69
$1,961.33 		$1,275.51
$1,373.07
$1,476.41
$1,843.53 		$1,828.35
$1,925.91
$2,029.25
$2,396.37 		$2,381.19
$2,478.75
$2,582.09
$2,949.21 		$552.84
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,445.34
$1,640.46
$1,847.14
$2,581.38
$3,922.66 		$1,998.18
$2,193.30
$2,399.98
$3,134.22 		$2,551.02
$2,746.14
$2,952.82
$3,687.06 		$3,103.86
$3,298.98
$3,505.66
$4,239.90 		$552.84
Toc - Plan #4 Florida Blue (BlueCross BlueShield FL)
Platinum

(EPO) BlueOptions Platinum 1418 ($0 Virtual Visits /Rewards $$$)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-352-2583

Annual Out of Pocket Expenses:

Individual Family
$1,250 $2,500 Annual Deductible
$4,250 $8,500 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$880.37
$999.22
$1,125.11
$1,572.34
$2,389.32 		$1,553.85
$1,672.70
$1,798.59
$2,245.82 		$2,227.33
$2,346.18
$2,472.07
$2,919.30 		$2,900.81
$3,019.66
$3,145.55
$3,592.78 		$673.48
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,760.74
$1,998.44
$2,250.22
$3,144.68
$4,778.64 		$2,434.22
$2,671.92
$2,923.70
$3,818.16 		$3,107.70
$3,345.40
$3,597.18
$4,491.64 		$3,781.18
$4,018.88
$4,270.66
$5,165.12 		$673.48
Toc - Plan #5 Florida Blue (BlueCross BlueShield FL)
Expanded Bronze

(EPO) BlueOptions Bronze 1416 ($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:

Individual Family
$7,900 $15,800 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$473.41
$537.32
$605.02
$845.51
$1,284.83 		$835.57
$899.48
$967.18
$1,207.67 		$1,197.73
$1,261.64
$1,329.34
$1,569.83 		$1,559.89
$1,623.80
$1,691.50
$1,931.99 		$362.16
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$946.82
$1,074.64
$1,210.04
$1,691.02
$2,569.66 		$1,308.98
$1,436.80
$1,572.20
$2,053.18 		$1,671.14
$1,798.96
$1,934.36
$2,415.34 		$2,033.30
$2,161.12
$2,296.52
$2,777.50 		$362.16
Toc - Plan #6 Florida Blue (BlueCross BlueShield FL)
Platinum

(EPO) BlueOptions Platinum 1424 ($0 Virtual Visits / Rewards $$$)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-352-2583

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$2,000 $4,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$928.75
$1,054.13
$1,186.94
$1,658.75
$2,520.63 		$1,639.24
$1,764.62
$1,897.43
$2,369.24 		$2,349.73
$2,475.11
$2,607.92
$3,079.73 		$3,060.22
$3,185.60
$3,318.41
$3,790.22 		$710.49
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,857.50
$2,108.26
$2,373.88
$3,317.50
$5,041.26 		$2,567.99
$2,818.75
$3,084.37
$4,027.99 		$3,278.48
$3,529.24
$3,794.86
$4,738.48 		$3,988.97
$4,239.73
$4,505.35
$5,448.97 		$710.49
Toc - Plan #7 Florida Blue (BlueCross BlueShield FL)
Silver

(EPO) BlueOptions Silver 1410 ($0 Virtual Visits / Rewards $$$)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-352-2583

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$652.64
$740.75
$834.07
$1,165.62
$1,771.26 		$1,151.91
$1,240.02
$1,333.34
$1,664.89 		$1,651.18
$1,739.29
$1,832.61
$2,164.16 		$2,150.45
$2,238.56
$2,331.88
$2,663.43 		$499.27
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,305.28
$1,481.50
$1,668.14
$2,331.24
$3,542.52 		$1,804.55
$1,980.77
$2,167.41
$2,830.51 		$2,303.82
$2,480.04
$2,666.68
$3,329.78 		$2,803.09
$2,979.31
$3,165.95
$3,829.05 		$499.27
Toc - Plan #8 Florida Blue (BlueCross BlueShield FL)
Gold

(EPO) BlueOptions Gold 1505 ($0 Virtual Visits / Rewards $$$)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-352-2583

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$5,000 $10,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$745.04
$845.62
$952.16
$1,330.64
$2,022.04 		$1,315.00
$1,415.58
$1,522.12
$1,900.60 		$1,884.96
$1,985.54
$2,092.08
$2,470.56 		$2,454.92
$2,555.50
$2,662.04
$3,040.52 		$569.96
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,490.08
$1,691.24
$1,904.32
$2,661.28
$4,044.08 		$2,060.04
$2,261.20
$2,474.28
$3,231.24 		$2,630.00
$2,831.16
$3,044.24
$3,801.20 		$3,199.96
$3,401.12
$3,614.20
$4,371.16 		$569.96
Toc - Plan #9 Florida Blue (BlueCross BlueShield FL)
Expanded Bronze

(EPO) BlueOptions Bronze (HSA) 1705 (Rewards $$$ / $4 Condition Care Rx)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-352-2583

Annual Out of Pocket Expenses:

Individual Family
$6,850 $13,700 Annual Deductible
$6,850 $13,700 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$460.29
$522.43
$588.25
$822.08
$1,249.23 		$812.41
$874.55
$940.37
$1,174.20 		$1,164.53
$1,226.67
$1,292.49
$1,526.32 		$1,516.65
$1,578.79
$1,644.61
$1,878.44 		$352.12
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$920.58
$1,044.86
$1,176.50
$1,644.16
$2,498.46 		$1,272.70
$1,396.98
$1,528.62
$1,996.28 		$1,624.82
$1,749.10
$1,880.74
$2,348.40 		$1,976.94
$2,101.22
$2,232.86
$2,700.52 		$352.12
Toc - Plan #10 Florida Blue (BlueCross BlueShield FL)
Silver

(EPO) BlueOptions Silver 1706S ($0 Virtual Visits / Rewards $$$)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-352-2583

Annual Out of Pocket Expenses:

Individual Family
$3,600 $7,200 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$717.84
$814.75
$917.40
$1,282.06
$1,948.22 		$1,266.99
$1,363.90
$1,466.55
$1,831.21 		$1,816.14
$1,913.05
$2,015.70
$2,380.36 		$2,365.29
$2,462.20
$2,564.85
$2,929.51 		$549.15
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,435.68
$1,629.50
$1,834.80
$2,564.12
$3,896.44 		$1,984.83
$2,178.65
$2,383.95
$3,113.27 		$2,533.98
$2,727.80
$2,933.10
$3,662.42 		$3,083.13
$3,276.95
$3,482.25
$4,211.57 		$549.15
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:

Individual Family
$7,900 $15,800 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$472.81
$536.64
$604.25
$844.44
$1,283.21 		$834.51
$898.34
$965.95
$1,206.14 		$1,196.21
$1,260.04
$1,327.65
$1,567.84 		$1,557.91
$1,621.74
$1,689.35
$1,929.54 		$361.70
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$945.62
$1,073.28
$1,208.50
$1,688.88
$2,566.42 		$1,307.32
$1,434.98
$1,570.20
$2,050.58 		$1,669.02
$1,796.68
$1,931.90
$2,412.28 		$2,030.72
$2,158.38
$2,293.60
$2,773.98 		$361.70
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:

Individual Family
$1,500 $3,000 Annual Deductible
$5,500 $11,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$719.75
$816.92
$919.84
$1,285.47
$1,953.40 		$1,270.36
$1,367.53
$1,470.45
$1,836.08 		$1,820.97
$1,918.14
$2,021.06
$2,386.69 		$2,371.58
$2,468.75
$2,571.67
$2,937.30 		$550.61
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,439.50
$1,633.84
$1,839.68
$2,570.94
$3,906.80 		$1,990.11
$2,184.45
$2,390.29
$3,121.55 		$2,540.72
$2,735.06
$2,940.90
$3,672.16 		$3,091.33
$3,285.67
$3,491.51
$4,222.77 		$550.61
Toc - Plan #13 Florida Blue (BlueCross BlueShield FL)
Expanded Bronze

(EPO) BlueOptions Bronze 2119 ($0 Deductible / $30 PCP Visits / Rewards $$$)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-352-2583

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$503.83
$571.85
$643.89
$899.84
$1,367.39 		$889.26
$957.28
$1,029.32
$1,285.27 		$1,274.69
$1,342.71
$1,414.75
$1,670.70 		$1,660.12
$1,728.14
$1,800.18
$2,056.13 		$385.43
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,007.66
$1,143.70
$1,287.78
$1,799.68
$2,734.78 		$1,393.09
$1,529.13
$1,673.21
$2,185.11 		$1,778.52
$1,914.56
$2,058.64
$2,570.54 		$2,163.95
$2,299.99
$2,444.07
$2,955.97 		$385.43

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 #14 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:

Individual Family
$5,950 $11,900 Annual Deductible
$7,150 $14,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$498.19
$565.45
$636.69
$889.77
$1,352.09 		$879.31
$946.57
$1,017.81
$1,270.89 		$1,260.43
$1,327.69
$1,398.93
$1,652.01 		$1,641.55
$1,708.81
$1,780.05
$2,033.13 		$381.12
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$996.38
$1,130.90
$1,273.38
$1,779.54
$2,704.18 		$1,377.50
$1,512.02
$1,654.50
$2,160.66 		$1,758.62
$1,893.14
$2,035.62
$2,541.78 		$2,139.74
$2,274.26
$2,416.74
$2,922.90 		$381.12
Toc - Plan #15 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:

Individual Family
$8,700 $17,400 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$332.74
$377.66
$425.24
$594.27
$903.06 		$587.29
$632.21
$679.79
$848.82 		$841.84
$886.76
$934.34
$1,103.37 		$1,096.39
$1,141.31
$1,188.89
$1,357.92 		$254.55
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$665.48
$755.32
$850.48
$1,188.54
$1,806.12 		$920.03
$1,009.87
$1,105.03
$1,443.09 		$1,174.58
$1,264.42
$1,359.58
$1,697.64 		$1,429.13
$1,518.97
$1,614.13
$1,952.19 		$254.55
Toc - Plan #16 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:

Individual Family
$5,600 $11,200 Annual Deductible
$7,800 $15,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$520.18
$590.40
$664.79
$929.04
$1,411.77 		$918.12
$988.34
$1,062.73
$1,326.98 		$1,316.06
$1,386.28
$1,460.67
$1,724.92 		$1,714.00
$1,784.22
$1,858.61
$2,122.86 		$397.94
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,040.36
$1,180.80
$1,329.58
$1,858.08
$2,823.54 		$1,438.30
$1,578.74
$1,727.52
$2,256.02 		$1,836.24
$1,976.68
$2,125.46
$2,653.96 		$2,234.18
$2,374.62
$2,523.40
$3,051.90 		$397.94
Toc - Plan #17 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:

Individual Family
$1,250 $2,500 Annual Deductible
$4,250 $8,500 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$580.84
$659.25
$742.31
$1,037.38
$1,576.40 		$1,025.18
$1,103.59
$1,186.65
$1,481.72 		$1,469.52
$1,547.93
$1,630.99
$1,926.06 		$1,913.86
$1,992.27
$2,075.33
$2,370.40 		$444.34
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,161.68
$1,318.50
$1,484.62
$2,074.76
$3,152.80 		$1,606.02
$1,762.84
$1,928.96
$2,519.10 		$2,050.36
$2,207.18
$2,373.30
$2,963.44 		$2,494.70
$2,651.52
$2,817.64
$3,407.78 		$444.34
Toc - Plan #18 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:

Individual Family
$7,900 $15,800 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$368.33
$418.05
$470.73
$657.84
$999.65 		$650.10
$699.82
$752.50
$939.61 		$931.87
$981.59
$1,034.27
$1,221.38 		$1,213.64
$1,263.36
$1,316.04
$1,503.15 		$281.77
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$736.66
$836.10
$941.46
$1,315.68
$1,999.30 		$1,018.43
$1,117.87
$1,223.23
$1,597.45 		$1,300.20
$1,399.64
$1,505.00
$1,879.22 		$1,581.97
$1,681.41
$1,786.77
$2,160.99 		$281.77
Toc - Plan #19 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:

Individual Family
$0 $0 Annual Deductible
$2,000 $4,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$623.27
$707.41
$796.54
$1,113.16
$1,691.55 		$1,100.07
$1,184.21
$1,273.34
$1,589.96 		$1,576.87
$1,661.01
$1,750.14
$2,066.76 		$2,053.67
$2,137.81
$2,226.94
$2,543.56 		$476.80
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,246.54
$1,414.82
$1,593.08
$2,226.32
$3,383.10 		$1,723.34
$1,891.62
$2,069.88
$2,703.12 		$2,200.14
$2,368.42
$2,546.68
$3,179.92 		$2,676.94
$2,845.22
$3,023.48
$3,656.72 		$476.80
Toc - Plan #20 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:

Individual Family
$6,000 $12,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$449.33
$509.99
$574.24
$802.50
$1,219.48 		$793.07
$853.73
$917.98
$1,146.24 		$1,136.81
$1,197.47
$1,261.72
$1,489.98 		$1,480.55
$1,541.21
$1,605.46
$1,833.72 		$343.74
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$898.66
$1,019.98
$1,148.48
$1,605.00
$2,438.96 		$1,242.40
$1,363.72
$1,492.22
$1,948.74 		$1,586.14
$1,707.46
$1,835.96
$2,292.48 		$1,929.88
$2,051.20
$2,179.70
$2,636.22 		$343.74
Toc - Plan #21 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:

Individual Family
$0 $0 Annual Deductible
$5,000 $10,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$536.14
$608.52
$685.19
$957.55
$1,455.08 		$946.29
$1,018.67
$1,095.34
$1,367.70 		$1,356.44
$1,428.82
$1,505.49
$1,777.85 		$1,766.59
$1,838.97
$1,915.64
$2,188.00 		$410.15
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,072.28
$1,217.04
$1,370.38
$1,915.10
$2,910.16 		$1,482.43
$1,627.19
$1,780.53
$2,325.25 		$1,892.58
$2,037.34
$2,190.68
$2,735.40 		$2,302.73
$2,447.49
$2,600.83
$3,145.55 		$410.15
Toc - Plan #22 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:

Individual Family
$6,850 $13,700 Annual Deductible
$6,850 $13,700 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$351.79
$399.28
$449.59
$628.30
$954.76 		$620.91
$668.40
$718.71
$897.42 		$890.03
$937.52
$987.83
$1,166.54 		$1,159.15
$1,206.64
$1,256.95
$1,435.66 		$269.12
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$703.58
$798.56
$899.18
$1,256.60
$1,909.52 		$972.70
$1,067.68
$1,168.30
$1,525.72 		$1,241.82
$1,336.80
$1,437.42
$1,794.84 		$1,510.94
$1,605.92
$1,706.54
$2,063.96 		$269.12
Toc - Plan #23 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:

Individual Family
$3,600 $7,200 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$511.07
$580.06
$653.15
$912.77
$1,387.04 		$902.04
$971.03
$1,044.12
$1,303.74 		$1,293.01
$1,362.00
$1,435.09
$1,694.71 		$1,683.98
$1,752.97
$1,826.06
$2,085.68 		$390.97
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,022.14
$1,160.12
$1,306.30
$1,825.54
$2,774.08 		$1,413.11
$1,551.09
$1,697.27
$2,216.51 		$1,804.08
$1,942.06
$2,088.24
$2,607.48 		$2,195.05
$2,333.03
$2,479.21
$2,998.45 		$390.97
Toc - Plan #24 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:

Individual Family
$7,900 $15,800 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$366.99
$416.53
$469.01
$655.44
$996.01 		$647.74
$697.28
$749.76
$936.19 		$928.49
$978.03
$1,030.51
$1,216.94 		$1,209.24
$1,258.78
$1,311.26
$1,497.69 		$280.75
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$733.98
$833.06
$938.02
$1,310.88
$1,992.02 		$1,014.73
$1,113.81
$1,218.77
$1,591.63 		$1,295.48
$1,394.56
$1,499.52
$1,872.38 		$1,576.23
$1,675.31
$1,780.27
$2,153.13 		$280.75
Toc - Plan #25 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:

Individual Family
$1,500 $3,000 Annual Deductible
$5,500 $11,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$512.41
$581.59
$654.86
$915.16
$1,390.68 		$904.40
$973.58
$1,046.85
$1,307.15 		$1,296.39
$1,365.57
$1,438.84
$1,699.14 		$1,688.38
$1,757.56
$1,830.83
$2,091.13 		$391.99
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,024.82
$1,163.18
$1,309.72
$1,830.32
$2,781.36 		$1,416.81
$1,555.17
$1,701.71
$2,222.31 		$1,808.80
$1,947.16
$2,093.70
$2,614.30 		$2,200.79
$2,339.15
$2,485.69
$3,006.29 		$391.99
Toc - Plan #26 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:

Individual Family
$0 $0 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$400.36
$454.41
$511.66
$715.04
$1,086.58 		$706.64
$760.69
$817.94
$1,021.32 		$1,012.92
$1,066.97
$1,124.22
$1,327.60 		$1,319.20
$1,373.25
$1,430.50
$1,633.88 		$306.28
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$800.72
$908.82
$1,023.32
$1,430.08
$2,173.16 		$1,107.00
$1,215.10
$1,329.60
$1,736.36 		$1,413.28
$1,521.38
$1,635.88
$2,042.64 		$1,719.56
$1,827.66
$1,942.16
$2,348.92 		$306.28

ADVERTISEMENT

Aetna CVS Health

Local: 1-195-485-8300 | Toll Free: 1-888-275-2700

Toc - Plan #27 Aetna CVS Health
Expanded Bronze

(HMO) Aetna CVS Bronze: Low-Cost MinuteClinic Visits, Telehealth, South FL

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-275-2700

Annual Out of Pocket Expenses:

Individual Family
$5,500 $11,000 Annual Deductible
$7,000 $14,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$387.24
$439.52
$494.90
$691.62
$1,050.98 		$683.48
$735.76
$791.14
$987.86 		$979.72
$1,032.00
$1,087.38
$1,284.10 		$1,275.96
$1,328.24
$1,383.62
$1,580.34 		$296.24
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$774.48
$879.04
$989.80
$1,383.24
$2,101.96 		$1,070.72
$1,175.28
$1,286.04
$1,679.48 		$1,366.96
$1,471.52
$1,582.28
$1,975.72 		$1,663.20
$1,767.76
$1,878.52
$2,271.96 		$296.24
Toc - Plan #28 Aetna CVS Health
Bronze

(HMO) Aetna CVS Bronze: $0 MinuteClinic Visits, Telehealth, South FL

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-275-2700

Annual Out of Pocket Expenses:

Individual Family
$8,700 $17,400 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$330.46
$375.07
$422.32
$590.20
$896.86 		$583.26
$627.87
$675.12
$843.00 		$836.06
$880.67
$927.92
$1,095.80 		$1,088.86
$1,133.47
$1,180.72
$1,348.60 		$252.80
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$660.92
$750.14
$844.64
$1,180.40
$1,793.72 		$913.72
$1,002.94
$1,097.44
$1,433.20 		$1,166.52
$1,255.74
$1,350.24
$1,686.00 		$1,419.32
$1,508.54
$1,603.04
$1,938.80 		$252.80
Toc - Plan #29 Aetna CVS Health
Gold

(HMO) Aetna CVS Gold: $0 MinuteClinic Visits, Telehealth, South FL

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-275-2700

Annual Out of Pocket Expenses:

Individual Family
$1,450 $2,900 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$502.54
$570.39
$642.25
$897.54
$1,363.90 		$886.98
$954.83
$1,026.69
$1,281.98 		$1,271.42
$1,339.27
$1,411.13
$1,666.42 		$1,655.86
$1,723.71
$1,795.57
$2,050.86 		$384.44
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,005.08
$1,140.78
$1,284.50
$1,795.08
$2,727.80 		$1,389.52
$1,525.22
$1,668.94
$2,179.52 		$1,773.96
$1,909.66
$2,053.38
$2,563.96 		$2,158.40
$2,294.10
$2,437.82
$2,948.40 		$384.44
Toc - Plan #30 Aetna CVS Health
Silver

(HMO) Aetna CVS Silver 2: $0 MinuteClinic Visits, Telehealth, South FL

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-275-2700

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$423.34
$480.49
$541.02
$756.08
$1,148.93 		$747.19
$804.34
$864.87
$1,079.93 		$1,071.04
$1,128.19
$1,188.72
$1,403.78 		$1,394.89
$1,452.04
$1,512.57
$1,727.63 		$323.85
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$846.68
$960.98
$1,082.04
$1,512.16
$2,297.86 		$1,170.53
$1,284.83
$1,405.89
$1,836.01 		$1,494.38
$1,608.68
$1,729.74
$2,159.86 		$1,818.23
$1,932.53
$2,053.59
$2,483.71 		$323.85
Toc - Plan #31 Aetna CVS Health
Silver

(HMO) Aetna CVS Silver 1: $0 MinuteClinic Visits, Telehealth, South FL

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-275-2700

Annual Out of Pocket Expenses:

Individual Family
$5,000 $10,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$522.83
$593.41
$668.18
$933.77
$1,418.96 		$922.79
$993.37
$1,068.14
$1,333.73 		$1,322.75
$1,393.33
$1,468.10
$1,733.69 		$1,722.71
$1,793.29
$1,868.06
$2,133.65 		$399.96
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,045.66
$1,186.82
$1,336.36
$1,867.54
$2,837.92 		$1,445.62
$1,586.78
$1,736.32
$2,267.50 		$1,845.58
$1,986.74
$2,136.28
$2,667.46 		$2,245.54
$2,386.70
$2,536.24
$3,067.42 		$399.96

‡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 Hendry County here.

Hendry County is in “Rating Area 25” of Florida.

Currently, there are 31 plans offered in Rating Area 25.

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2022 Obamacare Plans for Hendry County, FL

Plan Browser: 31 Plans
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