Obamacare 2022 Rates for Baker County
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Obamacare > Rates > Georgia > Baker County
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Ambetter from Peach State Health PlanLocal: 1-877-687-1180 | Toll Free: 1-877-687-1180 | TTY: 1-877-941-9231 |
Toc - Plan #1 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$230.63 $261.76 $294.74 $411.90 $625.92 |
$407.06 $438.19 $471.17 $588.33 |
$583.49 $614.62 $647.60 $764.76 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$461.26 $523.52 $589.48 $823.80 $1,251.84 |
$637.69 $699.95 $765.91 $1,000.23 |
$814.12 $876.38 $942.34 $1,176.66 |
Toc - Plan #2 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 4 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$301.84 $342.57 $385.73 $539.06 $819.15 |
$532.74 $573.47 $616.63 $769.96 |
$763.64 $804.37 $847.53 $1,000.86 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$603.68 $685.14 $771.46 $1,078.12 $1,638.30 |
$834.58 $916.04 $1,002.36 $1,309.02 |
$1,065.48 $1,146.94 $1,233.26 $1,539.92 |
Toc - Plan #3 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$292.00 $331.40 $373.16 $521.49 $792.45 |
$515.37 $554.77 $596.53 $744.86 |
$738.74 $778.14 $819.90 $968.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$584.00 $662.80 $746.32 $1,042.98 $1,584.90 |
$807.37 $886.17 $969.69 $1,266.35 |
$1,030.74 $1,109.54 $1,193.06 $1,489.72 |
Toc - Plan #4 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$308.32 $349.94 $394.03 $550.65 $836.77 |
$544.18 $585.80 $629.89 $786.51 |
$780.04 $821.66 $865.75 $1,022.37 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$616.64 $699.88 $788.06 $1,101.30 $1,673.54 |
$852.50 $935.74 $1,023.92 $1,337.16 |
$1,088.36 $1,171.60 $1,259.78 $1,573.02 |
Toc - Plan #5 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$288.37 $327.29 $368.53 $515.02 $782.62 |
$508.97 $547.89 $589.13 $735.62 |
$729.57 $768.49 $809.73 $956.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$576.74 $654.58 $737.06 $1,030.04 $1,565.24 |
$797.34 $875.18 $957.66 $1,250.64 |
$1,017.94 $1,095.78 $1,178.26 $1,471.24 |
Toc - Plan #6 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 29 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$284.75 $323.18 $363.90 $508.55 $772.79 |
$502.58 $541.01 $581.73 $726.38 |
$720.41 $758.84 $799.56 $944.21 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$569.50 $646.36 $727.80 $1,017.10 $1,545.58 |
$787.33 $864.19 $945.63 $1,234.93 |
$1,005.16 $1,082.02 $1,163.46 $1,452.76 |
Toc - Plan #7 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 28 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$309.68 $351.48 $395.76 $553.08 $840.45 |
$546.58 $588.38 $632.66 $789.98 |
$783.48 $825.28 $869.56 $1,026.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$619.36 $702.96 $791.52 $1,106.16 $1,680.90 |
$856.26 $939.86 $1,028.42 $1,343.06 |
$1,093.16 $1,176.76 $1,265.32 $1,579.96 |
Toc - Plan #8 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$252.46 $286.53 $322.63 $450.87 $685.14 |
$445.58 $479.65 $515.75 $643.99 |
$638.70 $672.77 $708.87 $837.11 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$504.92 $573.06 $645.26 $901.74 $1,370.28 |
$698.04 $766.18 $838.38 $1,094.86 |
$891.16 $959.30 $1,031.50 $1,287.98 |
Toc - Plan #9 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$249.89 $283.62 $319.35 $446.29 $678.18 |
$441.05 $474.78 $510.51 $637.45 |
$632.21 $665.94 $701.67 $828.61 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$499.78 $567.24 $638.70 $892.58 $1,356.36 |
$690.94 $758.40 $829.86 $1,083.74 |
$882.10 $949.56 $1,021.02 $1,274.90 |
Toc - Plan #10 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 22 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$265.68 $301.53 $339.52 $474.48 $721.02 |
$468.92 $504.77 $542.76 $677.72 |
$672.16 $708.01 $746.00 $880.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$531.36 $603.06 $679.04 $948.96 $1,442.04 |
$734.60 $806.30 $882.28 $1,152.20 |
$937.84 $1,009.54 $1,085.52 $1,355.44 |
Toc - Plan #11 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$271.83 $308.52 $347.39 $485.48 $737.73 |
$479.78 $516.47 $555.34 $693.43 |
$687.73 $724.42 $763.29 $901.38 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$543.66 $617.04 $694.78 $970.96 $1,475.46 |
$751.61 $824.99 $902.73 $1,178.91 |
$959.56 $1,032.94 $1,110.68 $1,386.86 |
Toc - Plan #12 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$285.84 $324.42 $365.29 $510.49 $775.74 |
$504.50 $543.08 $583.95 $729.15 |
$723.16 $761.74 $802.61 $947.81 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$571.68 $648.84 $730.58 $1,020.98 $1,551.48 |
$790.34 $867.50 $949.24 $1,239.64 |
$1,009.00 $1,086.16 $1,167.90 $1,458.30 |
Toc - Plan #13 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 30 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$273.10 $309.96 $349.01 $487.74 $741.17 |
$482.02 $518.88 $557.93 $696.66 |
$690.94 $727.80 $766.85 $905.58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$546.20 $619.92 $698.02 $975.48 $1,482.34 |
$755.12 $828.84 $906.94 $1,184.40 |
$964.04 $1,037.76 $1,115.86 $1,393.32 |
Toc - Plan #14 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 31 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$273.19 $310.06 $349.13 $487.90 $741.42 |
$482.17 $519.04 $558.11 $696.88 |
$691.15 $728.02 $767.09 $905.86 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$546.38 $620.12 $698.26 $975.80 $1,482.84 |
$755.36 $829.10 $907.24 $1,184.78 |
$964.34 $1,038.08 $1,116.22 $1,393.76 |
Toc - Plan #15 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 32 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$279.62 $317.36 $357.34 $499.39 $758.86 |
$493.52 $531.26 $571.24 $713.29 |
$707.42 $745.16 $785.14 $927.19 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$559.24 $634.72 $714.68 $998.78 $1,517.72 |
$773.14 $848.62 $928.58 $1,212.68 |
$987.04 $1,062.52 $1,142.48 $1,426.58 |
Toc - Plan #16 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 20 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$288.83 $327.81 $369.11 $515.83 $783.85 |
$509.77 $548.75 $590.05 $736.77 |
$730.71 $769.69 $810.99 $957.71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$577.66 $655.62 $738.22 $1,031.66 $1,567.70 |
$798.60 $876.56 $959.16 $1,252.60 |
$1,019.54 $1,097.50 $1,180.10 $1,473.54 |
Toc - Plan #17 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$300.51 $341.07 $384.04 $536.69 $815.56 |
$530.39 $570.95 $613.92 $766.57 |
$760.27 $800.83 $843.80 $996.45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$601.02 $682.14 $768.08 $1,073.38 $1,631.12 |
$830.90 $912.02 $997.96 $1,303.26 |
$1,060.78 $1,141.90 $1,227.84 $1,533.14 |
Toc - Plan #18 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 4 + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$314.54 $356.99 $401.97 $561.75 $853.63 |
$555.15 $597.60 $642.58 $802.36 |
$795.76 $838.21 $883.19 $1,042.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$629.08 $713.98 $803.94 $1,123.50 $1,707.26 |
$869.69 $954.59 $1,044.55 $1,364.11 |
$1,110.30 $1,195.20 $1,285.16 $1,604.72 |
Toc - Plan #19 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$304.28 $345.35 $388.86 $543.43 $825.80 |
$537.05 $578.12 $621.63 $776.20 |
$769.82 $810.89 $854.40 $1,008.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$608.56 $690.70 $777.72 $1,086.86 $1,651.60 |
$841.33 $923.47 $1,010.49 $1,319.63 |
$1,074.10 $1,156.24 $1,243.26 $1,552.40 |
Toc - Plan #20 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$240.34 $272.77 $307.14 $429.23 $652.26 |
$424.19 $456.62 $490.99 $613.08 |
$608.04 $640.47 $674.84 $796.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$480.68 $545.54 $614.28 $858.46 $1,304.52 |
$664.53 $729.39 $798.13 $1,042.31 |
$848.38 $913.24 $981.98 $1,226.16 |
Toc - Plan #21 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$321.30 $364.66 $410.61 $573.82 $871.98 |
$567.09 $610.45 $656.40 $819.61 |
$812.88 $856.24 $902.19 $1,065.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$642.60 $729.32 $821.22 $1,147.64 $1,743.96 |
$888.39 $975.11 $1,067.01 $1,393.43 |
$1,134.18 $1,220.90 $1,312.80 $1,639.22 |
Toc - Plan #22 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 28 + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$322.72 $366.27 $412.42 $576.35 $875.82 |
$569.59 $613.14 $659.29 $823.22 |
$816.46 $860.01 $906.16 $1,070.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$645.44 $732.54 $824.84 $1,152.70 $1,751.64 |
$892.31 $979.41 $1,071.71 $1,399.57 |
$1,139.18 $1,226.28 $1,318.58 $1,646.44 |
Toc - Plan #23 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 29 + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$296.74 $336.78 $379.21 $529.95 $805.31 |
$523.73 $563.77 $606.20 $756.94 |
$750.72 $790.76 $833.19 $983.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$593.48 $673.56 $758.42 $1,059.90 $1,610.62 |
$820.47 $900.55 $985.41 $1,286.89 |
$1,047.46 $1,127.54 $1,212.40 $1,513.88 |
Toc - Plan #24 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$263.08 $298.59 $336.20 $469.84 $713.97 |
$464.33 $499.84 $537.45 $671.09 |
$665.58 $701.09 $738.70 $872.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$526.16 $597.18 $672.40 $939.68 $1,427.94 |
$727.41 $798.43 $873.65 $1,140.93 |
$928.66 $999.68 $1,074.90 $1,342.18 |
Toc - Plan #25 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$260.41 $295.55 $332.79 $465.07 $706.72 |
$459.61 $494.75 $531.99 $664.27 |
$658.81 $693.95 $731.19 $863.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$520.82 $591.10 $665.58 $930.14 $1,413.44 |
$720.02 $790.30 $864.78 $1,129.34 |
$919.22 $989.50 $1,063.98 $1,328.54 |
Toc - Plan #26 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 22 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$276.86 $314.22 $353.81 $494.45 $751.36 |
$488.65 $526.01 $565.60 $706.24 |
$700.44 $737.80 $777.39 $918.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$553.72 $628.44 $707.62 $988.90 $1,502.72 |
$765.51 $840.23 $919.41 $1,200.69 |
$977.30 $1,052.02 $1,131.20 $1,412.48 |
Toc - Plan #27 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$283.27 $321.50 $362.01 $505.91 $768.78 |
$499.97 $538.20 $578.71 $722.61 |
$716.67 $754.90 $795.41 $939.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$566.54 $643.00 $724.02 $1,011.82 $1,537.56 |
$783.24 $859.70 $940.72 $1,228.52 |
$999.94 $1,076.40 $1,157.42 $1,445.22 |
Toc - Plan #28 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$297.87 $338.07 $380.66 $531.97 $808.39 |
$525.73 $565.93 $608.52 $759.83 |
$753.59 $793.79 $836.38 $987.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$595.74 $676.14 $761.32 $1,063.94 $1,616.78 |
$823.60 $904.00 $989.18 $1,291.80 |
$1,051.46 $1,131.86 $1,217.04 $1,519.66 |
Toc - Plan #29 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 31 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$284.69 $323.11 $363.82 $508.44 $772.62 |
$502.47 $540.89 $581.60 $726.22 |
$720.25 $758.67 $799.38 $944.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$569.38 $646.22 $727.64 $1,016.88 $1,545.24 |
$787.16 $864.00 $945.42 $1,234.66 |
$1,004.94 $1,081.78 $1,163.20 $1,452.44 |
Toc - Plan #30 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 32 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291.39 $330.71 $372.38 $520.40 $790.80 |
$514.29 $553.61 $595.28 $743.30 |
$737.19 $776.51 $818.18 $966.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$582.78 $661.42 $744.76 $1,040.80 $1,581.60 |
$805.68 $884.32 $967.66 $1,263.70 |
$1,028.58 $1,107.22 $1,190.56 $1,486.60 |
Toc - Plan #31 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 20 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$300.98 $341.60 $384.64 $537.53 $816.84 |
$531.22 $571.84 $614.88 $767.77 |
$761.46 $802.08 $845.12 $998.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$601.96 $683.20 $769.28 $1,075.06 $1,633.68 |
$832.20 $913.44 $999.52 $1,305.30 |
$1,062.44 $1,143.68 $1,229.76 $1,535.54 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
Toc - Plan #32 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Aetna CVS Bronze: Low-Cost Walk-in Clinic Visits, Telehealth, Albany |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.98 $362.05 $407.66 $569.71 $865.72 |
$563.00 $606.07 $651.68 $813.73 |
$807.02 $850.09 $895.70 $1,057.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$637.96 $724.10 $815.32 $1,139.42 $1,731.44 |
$881.98 $968.12 $1,059.34 $1,383.44 |
$1,126.00 $1,212.14 $1,303.36 $1,627.46 |
Toc - Plan #33 Aetna CVS Health | ||||||||||||||||||||
Bronze
(HMO) Aetna CVS Bronze: $0 Walk-In Clinic Visits, Telehealth, Albany |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.23 $352.11 $396.47 $554.07 $841.96 |
$547.56 $589.44 $633.80 $791.40 |
$784.89 $826.77 $871.13 $1,028.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$620.46 $704.22 $792.94 $1,108.14 $1,683.92 |
$857.79 $941.55 $1,030.27 $1,345.47 |
$1,095.12 $1,178.88 $1,267.60 $1,582.80 |
Toc - Plan #34 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Aetna CVS Gold: $0 Walk-In Clinic Visits, Telehealth, Albany |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422.44 $479.47 $539.88 $754.48 $1,146.50 |
$745.61 $802.64 $863.05 $1,077.65 |
$1,068.78 $1,125.81 $1,186.22 $1,400.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$844.88 $958.94 $1,079.76 $1,508.96 $2,293.00 |
$1,168.05 $1,282.11 $1,402.93 $1,832.13 |
$1,491.22 $1,605.28 $1,726.10 $2,155.30 |
Toc - Plan #35 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Aetna CVS Silver 2: $0 Walk-In Clinic Visits, Telehealth, Albany |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.49 $435.26 $490.10 $684.91 $1,040.79 |
$676.86 $728.63 $783.47 $978.28 |
$970.23 $1,022.00 $1,076.84 $1,271.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$766.98 $870.52 $980.20 $1,369.82 $2,081.58 |
$1,060.35 $1,163.89 $1,273.57 $1,663.19 |
$1,353.72 $1,457.26 $1,566.94 $1,956.56 |
Toc - Plan #36 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Aetna CVS Silver 1: $0 Walk-In Clinic Visits, Telehealth, Albany |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$444.67 $504.70 $568.28 $794.17 $1,206.82 |
$784.84 $844.87 $908.45 $1,134.34 |
$1,125.01 $1,185.04 $1,248.62 $1,474.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$889.34 $1,009.40 $1,136.56 $1,588.34 $2,413.64 |
$1,229.51 $1,349.57 $1,476.73 $1,928.51 |
$1,569.68 $1,689.74 $1,816.90 $2,268.68 |
ADVERTISEMENT
Alliant Health PlansLocal: 1-800-811-4793 | Toll Free: 1-800-811-4793 |
Toc - Plan #37 Alliant Health Plans | ||||||||||||||||||||
Gold
(PPO) SoloCare Gold PPO (3 Free PCP Visits) 40002 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.17 $361.11 $406.61 $568.23 $863.48 |
$561.56 $604.50 $650.00 $811.62 |
$804.95 $847.89 $893.39 $1,055.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$636.34 $722.22 $813.22 $1,136.46 $1,726.96 |
$879.73 $965.61 $1,056.61 $1,379.85 |
$1,123.12 $1,209.00 $1,300.00 $1,623.24 |
Toc - Plan #38 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 40017 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.31 $343.12 $386.35 $539.92 $820.45 |
$533.57 $574.38 $617.61 $771.18 |
$764.83 $805.64 $848.87 $1,002.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$604.62 $686.24 $772.70 $1,079.84 $1,640.90 |
$835.88 $917.50 $1,003.96 $1,311.10 |
$1,067.14 $1,148.76 $1,235.22 $1,542.36 |
Toc - Plan #39 Alliant Health Plans | ||||||||||||||||||||
Platinum
(PPO) SoloCare Platinum PPO Copay Plan (3 Free PCP Visits) 40184 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.22 $449.70 $506.35 $707.63 $1,075.31 |
$699.32 $752.80 $809.45 $1,010.73 |
$1,002.42 $1,055.90 $1,112.55 $1,313.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792.44 $899.40 $1,012.70 $1,415.26 $2,150.62 |
$1,095.54 $1,202.50 $1,315.80 $1,718.36 |
$1,398.64 $1,505.60 $1,618.90 $2,021.46 |
Toc - Plan #40 Alliant Health Plans | ||||||||||||||||||||
Gold
(PPO) SoloCare Gold PPO (3 Free PCP Visits) 40330 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$329.26 $373.70 $420.78 $588.04 $893.59 |
$581.14 $625.58 $672.66 $839.92 |
$833.02 $877.46 $924.54 $1,091.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$658.52 $747.40 $841.56 $1,176.08 $1,787.18 |
$910.40 $999.28 $1,093.44 $1,427.96 |
$1,162.28 $1,251.16 $1,345.32 $1,679.84 |
Toc - Plan #41 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 40331 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303.11 $344.02 $387.36 $541.33 $822.61 |
$534.98 $575.89 $619.23 $773.20 |
$766.85 $807.76 $851.10 $1,005.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$606.22 $688.04 $774.72 $1,082.66 $1,645.22 |
$838.09 $919.91 $1,006.59 $1,314.53 |
$1,069.96 $1,151.78 $1,238.46 $1,546.40 |
Toc - Plan #42 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 40336 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$320.15 $363.35 $409.13 $571.76 $868.85 |
$565.05 $608.25 $654.03 $816.66 |
$809.95 $853.15 $898.93 $1,061.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$640.30 $726.70 $818.26 $1,143.52 $1,737.70 |
$885.20 $971.60 $1,063.16 $1,388.42 |
$1,130.10 $1,216.50 $1,308.06 $1,633.32 |
Toc - Plan #43 Alliant Health Plans | ||||||||||||||||||||
Platinum
(PPO) SoloCare Platinum PPO Copay Plan (3 Free PCP Visits + Dental) 40348 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412.07 $467.69 $526.61 $735.94 $1,118.34 |
$727.30 $782.92 $841.84 $1,051.17 |
$1,042.53 $1,098.15 $1,157.07 $1,366.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$824.14 $935.38 $1,053.22 $1,471.88 $2,236.68 |
$1,139.37 $1,250.61 $1,368.45 $1,787.11 |
$1,454.60 $1,565.84 $1,683.68 $2,102.34 |
Toc - Plan #44 Alliant Health Plans | ||||||||||||||||||||
Platinum
(PPO) SoloCare Platinum PPO Copay Plan (3 Free PCP Visits + Chiro + Dental) 40349 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$416.43 $472.64 $532.18 $743.72 $1,130.16 |
$734.99 $791.20 $850.74 $1,062.28 |
$1,053.55 $1,109.76 $1,169.30 $1,380.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$832.86 $945.28 $1,064.36 $1,487.44 $2,260.32 |
$1,151.42 $1,263.84 $1,382.92 $1,806.00 |
$1,469.98 $1,582.40 $1,701.48 $2,124.56 |
Toc - Plan #45 Alliant Health Plans | ||||||||||||||||||||
Gold
(PPO) SoloCare Gold PPO (3 Free PCP Visits + Dental) 40354 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$330.85 $375.50 $422.81 $590.88 $897.89 |
$583.94 $628.59 $675.90 $843.97 |
$837.03 $881.68 $928.99 $1,097.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$661.70 $751.00 $845.62 $1,181.76 $1,795.78 |
$914.79 $1,004.09 $1,098.71 $1,434.85 |
$1,167.88 $1,257.18 $1,351.80 $1,687.94 |
Toc - Plan #46 Alliant Health Plans | ||||||||||||||||||||
Gold
(PPO) SoloCare Gold PPO (3 Free PCP Visits + Chiro + Dental) 40355 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.01 $379.09 $426.85 $596.53 $906.48 |
$589.52 $634.60 $682.36 $852.04 |
$845.03 $890.11 $937.87 $1,107.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$668.02 $758.18 $853.70 $1,193.06 $1,812.96 |
$923.53 $1,013.69 $1,109.21 $1,448.57 |
$1,179.04 $1,269.20 $1,364.72 $1,704.08 |
Toc - Plan #47 Alliant Health Plans | ||||||||||||||||||||
Gold
(PPO) SoloCare Gold PPO (3 Free PCP Visits + Dental) 40357 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342.73 $388.98 $437.99 $612.09 $930.13 |
$604.91 $651.16 $700.17 $874.27 |
$867.09 $913.34 $962.35 $1,136.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$685.46 $777.96 $875.98 $1,224.18 $1,860.26 |
$947.64 $1,040.14 $1,138.16 $1,486.36 |
$1,209.82 $1,302.32 $1,400.34 $1,748.54 |
Toc - Plan #48 Alliant Health Plans | ||||||||||||||||||||
Gold
(PPO) SoloCare Gold PPO (3 Free PCP Visits + Chiro + Dental) 40358 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.90 $392.58 $442.04 $617.76 $938.74 |
$610.50 $657.18 $706.64 $882.36 |
$875.10 $921.78 $971.24 $1,146.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$691.80 $785.16 $884.08 $1,235.52 $1,877.48 |
$956.40 $1,049.76 $1,148.68 $1,500.12 |
$1,221.00 $1,314.36 $1,413.28 $1,764.72 |
Toc - Plan #49 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay) 40367 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$304.69 $345.82 $389.39 $544.17 $826.91 |
$537.77 $578.90 $622.47 $777.25 |
$770.85 $811.98 $855.55 $1,010.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$609.38 $691.64 $778.78 $1,088.34 $1,653.82 |
$842.46 $924.72 $1,011.86 $1,321.42 |
$1,075.54 $1,157.80 $1,244.94 $1,554.50 |
Toc - Plan #50 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare Silver PPO (3 Free PCP Visits +$225 Specialty Drug Copay + Dental) 40368 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$314.99 $357.51 $402.55 $562.56 $854.87 |
$555.95 $598.47 $643.51 $803.52 |
$796.91 $839.43 $884.47 $1,044.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$629.98 $715.02 $805.10 $1,125.12 $1,709.74 |
$870.94 $955.98 $1,046.06 $1,366.08 |
$1,111.90 $1,196.94 $1,287.02 $1,607.04 |
Toc - Plan #51 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 40369 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316.97 $359.75 $405.08 $566.10 $860.24 |
$559.45 $602.23 $647.56 $808.58 |
$801.93 $844.71 $890.04 $1,051.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$633.94 $719.50 $810.16 $1,132.20 $1,720.48 |
$876.42 $961.98 $1,052.64 $1,374.68 |
$1,118.90 $1,204.46 $1,295.12 $1,617.16 |
Toc - Plan #52 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay) 40371 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.49 $346.72 $390.40 $545.58 $829.06 |
$539.18 $580.41 $624.09 $779.27 |
$772.87 $814.10 $857.78 $1,012.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$610.98 $693.44 $780.80 $1,091.16 $1,658.12 |
$844.67 $927.13 $1,014.49 $1,324.85 |
$1,078.36 $1,160.82 $1,248.18 $1,558.54 |
Toc - Plan #53 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay + Dental) 40372 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.40 $357.96 $403.06 $563.28 $855.96 |
$556.67 $599.23 $644.33 $804.55 |
$797.94 $840.50 $885.60 $1,045.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$630.80 $715.92 $806.12 $1,126.56 $1,711.92 |
$872.07 $957.19 $1,047.39 $1,367.83 |
$1,113.34 $1,198.46 $1,288.66 $1,609.10 |
Toc - Plan #54 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 40373 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.77 $360.65 $406.09 $567.51 $862.39 |
$560.85 $603.73 $649.17 $810.59 |
$803.93 $846.81 $892.25 $1,053.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$635.54 $721.30 $812.18 $1,135.02 $1,724.78 |
$878.62 $964.38 $1,055.26 $1,378.10 |
$1,121.70 $1,207.46 $1,298.34 $1,621.18 |
Toc - Plan #55 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay) 40374 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$322.52 $366.05 $412.17 $576.01 $875.31 |
$569.24 $612.77 $658.89 $822.73 |
$815.96 $859.49 $905.61 $1,069.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$645.04 $732.10 $824.34 $1,152.02 $1,750.62 |
$891.76 $978.82 $1,071.06 $1,398.74 |
$1,138.48 $1,225.54 $1,317.78 $1,645.46 |
Toc - Plan #56 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay + Dental) 40375 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.83 $377.75 $425.34 $594.41 $903.26 |
$587.43 $632.35 $679.94 $849.01 |
$842.03 $886.95 $934.54 $1,103.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$665.66 $755.50 $850.68 $1,188.82 $1,806.52 |
$920.26 $1,010.10 $1,105.28 $1,443.42 |
$1,174.86 $1,264.70 $1,359.88 $1,698.02 |
Toc - Plan #57 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 40376 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335.60 $380.89 $428.88 $599.36 $910.78 |
$592.32 $637.61 $685.60 $856.08 |
$849.04 $894.33 $942.32 $1,112.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$671.20 $761.78 $857.76 $1,198.72 $1,821.56 |
$927.92 $1,018.50 $1,114.48 $1,455.44 |
$1,184.64 $1,275.22 $1,371.20 $1,712.16 |
Toc - Plan #58 Alliant Health Plans | ||||||||||||||||||||
Gold
(HMO) SoloCare Gold No Referral HMO (3 Free PCP Visits) 110003 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.37 $360.21 $405.59 $566.81 $861.33 |
$560.15 $602.99 $648.37 $809.59 |
$802.93 $845.77 $891.15 $1,052.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$634.74 $720.42 $811.18 $1,133.62 $1,722.66 |
$877.52 $963.20 $1,053.96 $1,376.40 |
$1,120.30 $1,205.98 $1,296.74 $1,619.18 |
Toc - Plan #59 Alliant Health Plans | ||||||||||||||||||||
Gold
(HMO) SoloCare Gold No Referral HMO (3 Free PCP Visits) 110004 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$328.86 $373.24 $420.27 $587.33 $892.50 |
$580.43 $624.81 $671.84 $838.90 |
$832.00 $876.38 $923.41 $1,090.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$657.72 $746.48 $840.54 $1,174.66 $1,785.00 |
$909.29 $998.05 $1,092.11 $1,426.23 |
$1,160.86 $1,249.62 $1,343.68 $1,677.80 |
Toc - Plan #60 Alliant Health Plans | ||||||||||||||||||||
Silver
(HMO) SoloCare Silver No Referral HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110008 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.54 $339.97 $382.80 $534.97 $812.93 |
$528.68 $569.11 $611.94 $764.11 |
$757.82 $798.25 $841.08 $993.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$599.08 $679.94 $765.60 $1,069.94 $1,625.86 |
$828.22 $909.08 $994.74 $1,299.08 |
$1,057.36 $1,138.22 $1,223.88 $1,528.22 |
Toc - Plan #61 Alliant Health Plans | ||||||||||||||||||||
Silver
(HMO) SoloCare Silver No Referral HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110009 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$300.34 $340.87 $383.82 $536.38 $815.09 |
$530.09 $570.62 $613.57 $766.13 |
$759.84 $800.37 $843.32 $995.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$600.68 $681.74 $767.64 $1,072.76 $1,630.18 |
$830.43 $911.49 $997.39 $1,302.51 |
$1,060.18 $1,141.24 $1,227.14 $1,532.26 |
Toc - Plan #62 Alliant Health Plans | ||||||||||||||||||||
Silver
(HMO) SoloCare Silver HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110010 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316.97 $359.75 $405.08 $566.10 $860.24 |
$559.45 $602.23 $647.56 $808.58 |
$801.93 $844.71 $890.04 $1,051.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$633.94 $719.50 $810.16 $1,132.20 $1,720.48 |
$876.42 $961.98 $1,052.64 $1,374.68 |
$1,118.90 $1,204.46 $1,295.12 $1,617.16 |
Toc - Plan #63 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) SoloCare Bronze No Referral HMO ($250 Specialty Drug Copay) 110011 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$236.94 $268.92 $302.80 $423.16 $643.04 |
$418.19 $450.17 $484.05 $604.41 |
$599.44 $631.42 $665.30 $785.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$473.88 $537.84 $605.60 $846.32 $1,286.08 |
$655.13 $719.09 $786.85 $1,027.57 |
$836.38 $900.34 $968.10 $1,208.82 |
Toc - Plan #64 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) SoloCare Bronze No Referral HMO ($250 Specialty Drug Copay + Dental) 110013 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$245.66 $278.81 $313.94 $438.73 $666.69 |
$433.58 $466.73 $501.86 $626.65 |
$621.50 $654.65 $689.78 $814.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$491.32 $557.62 $627.88 $877.46 $1,333.38 |
$679.24 $745.54 $815.80 $1,065.38 |
$867.16 $933.46 $1,003.72 $1,253.30 |
Toc - Plan #65 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) SoloCare Bronze No Referral HMO 110015 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$237.34 $269.36 $303.30 $423.86 $644.10 |
$418.89 $450.91 $484.85 $605.41 |
$600.44 $632.46 $666.40 $786.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$474.68 $538.72 $606.60 $847.72 $1,288.20 |
$656.23 $720.27 $788.15 $1,029.27 |
$837.78 $901.82 $969.70 $1,210.82 |
Toc - Plan #66 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) SoloCare Bronze No Referral HMO (+ Dental) 110017 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$246.45 $279.71 $314.95 $440.15 $668.84 |
$434.98 $468.24 $503.48 $628.68 |
$623.51 $656.77 $692.01 $817.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$492.90 $559.42 $629.90 $880.30 $1,337.68 |
$681.43 $747.95 $818.43 $1,068.83 |
$869.96 $936.48 $1,006.96 $1,257.36 |
Toc - Plan #67 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) SoloCare Bronze No Referral HMO HDHP 110019 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$242.89 $275.67 $310.40 $433.78 $659.17 |
$428.69 $461.47 $496.20 $619.58 |
$614.49 $647.27 $682.00 $805.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$485.78 $551.34 $620.80 $867.56 $1,318.34 |
$671.58 $737.14 $806.60 $1,053.36 |
$857.38 $922.94 $992.40 $1,239.16 |
Toc - Plan #68 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) SoloCare Bronze No Referral HMO HDHP (+ Dental) 110021 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$252.40 $286.46 $322.55 $450.76 $684.97 |
$445.47 $479.53 $515.62 $643.83 |
$638.54 $672.60 $708.69 $836.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$504.80 $572.92 $645.10 $901.52 $1,369.94 |
$697.87 $765.99 $838.17 $1,094.59 |
$890.94 $959.06 $1,031.24 $1,287.66 |
Toc - Plan #69 Alliant Health Plans | ||||||||||||||||||||
Catastrophic
(HMO) SoloCare Catastropic No Referral HMO 110023 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$177.51 $201.46 $226.84 $317.01 $481.73 |
$313.30 $337.25 $362.63 $452.80 |
$449.09 $473.04 $498.42 $588.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$355.02 $402.92 $453.68 $634.02 $963.46 |
$490.81 $538.71 $589.47 $769.81 |
$626.60 $674.50 $725.26 $905.60 |
‡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 Baker County here.
Baker County is in “Rating Area 1” of Georgia.
Currently, there are 69 plans offered in Rating Area 1.