Obamacare 2022 Rates for Sedgwick County
Obamacare > Rates > Kansas > Sedgwick County
Obamacare > Rates > Kansas > Sedgwick County
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Blue Cross and Blue Shield of Kansas, Inc.Local: 1-785-291-4186 | Toll Free: 1-800-392-7366 | TTY: 1-800-430-1270 |
Toc - Plan #1 Blue Cross and Blue Shield of Kansas, Inc. | ||||||||||||||||||||
Gold
(EPO) BlueCare EPO Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-7366
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 |
$421.94 $478.90 $539.24 $753.59 $1,145.15 |
$744.73 $801.69 $862.03 $1,076.38 |
$1,067.52 $1,124.48 $1,184.82 $1,399.17 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$843.88 $957.80 $1,078.48 $1,507.18 $2,290.30 |
$1,166.67 $1,280.59 $1,401.27 $1,829.97 |
$1,489.46 $1,603.38 $1,724.06 $2,152.76 |
Toc - Plan #2 Blue Cross and Blue Shield of Kansas, Inc. | ||||||||||||||||||||
Silver
(EPO) BlueCare EPO Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-7366
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 |
$452.27 $513.33 $578.00 $807.75 $1,227.46 |
$798.26 $859.32 $923.99 $1,153.74 |
$1,144.25 $1,205.31 $1,269.98 $1,499.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$904.54 $1,026.66 $1,156.00 $1,615.50 $2,454.92 |
$1,250.53 $1,372.65 $1,501.99 $1,961.49 |
$1,596.52 $1,718.64 $1,847.98 $2,307.48 |
Toc - Plan #3 Blue Cross and Blue Shield of Kansas, Inc. | ||||||||||||||||||||
Silver
(EPO) BlueCare EPO Simple Silver HDHP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-7366
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 |
$453.28 $514.47 $579.29 $809.56 $1,230.21 |
$800.04 $861.23 $926.05 $1,156.32 |
$1,146.80 $1,207.99 $1,272.81 $1,503.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$906.56 $1,028.94 $1,158.58 $1,619.12 $2,460.42 |
$1,253.32 $1,375.70 $1,505.34 $1,965.88 |
$1,600.08 $1,722.46 $1,852.10 $2,312.64 |
Toc - Plan #4 Blue Cross and Blue Shield of Kansas, Inc. | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueCare EPO Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-7366
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 |
$329.47 $373.95 $421.06 $588.43 $894.17 |
$581.51 $625.99 $673.10 $840.47 |
$833.55 $878.03 $925.14 $1,092.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$658.94 $747.90 $842.12 $1,176.86 $1,788.34 |
$910.98 $999.94 $1,094.16 $1,428.90 |
$1,163.02 $1,251.98 $1,346.20 $1,680.94 |
Toc - Plan #5 Blue Cross and Blue Shield of Kansas, Inc. | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueCare EPO Simple Bronze HDHP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-7366
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 |
$330.48 $375.09 $422.35 $590.24 $896.92 |
$583.30 $627.91 $675.17 $843.06 |
$836.12 $880.73 $927.99 $1,095.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$660.96 $750.18 $844.70 $1,180.48 $1,793.84 |
$913.78 $1,003.00 $1,097.52 $1,433.30 |
$1,166.60 $1,255.82 $1,350.34 $1,686.12 |
Toc - Plan #6 Blue Cross and Blue Shield of Kansas, Inc. | ||||||||||||||||||||
Silver
(EPO) BlueCare EPO Silver Plus |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-7366
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 |
$400.72 $454.82 $512.12 $715.69 $1,087.55 |
$707.27 $761.37 $818.67 $1,022.24 |
$1,013.82 $1,067.92 $1,125.22 $1,328.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$801.44 $909.64 $1,024.24 $1,431.38 $2,175.10 |
$1,107.99 $1,216.19 $1,330.79 $1,737.93 |
$1,414.54 $1,522.74 $1,637.34 $2,044.48 |
ADVERTISEMENT
US Health and LifeLocal: | Toll Free: |
Toc - Plan #7 US Health and Life | ||||||||||||||||||||
Expanded Bronze
(EPO) Balanced Bronze 1 |
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Benefits & Coverage
Provider Directory
Customer Service Phone:
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 |
$263.42 $298.98 $336.65 $470.47 $714.93 |
$464.94 $500.50 $538.17 $671.99 |
$666.46 $702.02 $739.69 $873.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$526.84 $597.96 $673.30 $940.94 $1,429.86 |
$728.36 $799.48 $874.82 $1,142.46 |
$929.88 $1,001.00 $1,076.34 $1,343.98 |
Toc - Plan #8 US Health and Life | ||||||||||||||||||||
Expanded Bronze
(EPO) Balanced Bronze 2 |
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Benefits & Coverage
Provider Directory
Customer Service Phone:
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 |
$258.46 $293.36 $330.32 $461.62 $701.47 |
$456.19 $491.09 $528.05 $659.35 |
$653.92 $688.82 $725.78 $857.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$516.92 $586.72 $660.64 $923.24 $1,402.94 |
$714.65 $784.45 $858.37 $1,120.97 |
$912.38 $982.18 $1,056.10 $1,318.70 |
Toc - Plan #9 US Health and Life | ||||||||||||||||||||
Expanded Bronze
(EPO) HSA Eligible Bronze |
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Benefits & Coverage
Provider Directory
Customer Service Phone:
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 |
$291.12 $330.43 $372.06 $519.95 $790.11 |
$513.83 $553.14 $594.77 $742.66 |
$736.54 $775.85 $817.48 $965.37 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$582.24 $660.86 $744.12 $1,039.90 $1,580.22 |
$804.95 $883.57 $966.83 $1,262.61 |
$1,027.66 $1,106.28 $1,189.54 $1,485.32 |
Toc - Plan #10 US Health and Life | ||||||||||||||||||||
Expanded Bronze
(EPO) No Deductible Bronze |
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Benefits & Coverage
Provider Directory
Customer Service Phone:
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 |
$296.71 $336.77 $379.20 $529.92 $805.27 |
$523.69 $563.75 $606.18 $756.90 |
$750.67 $790.73 $833.16 $983.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$593.42 $673.54 $758.40 $1,059.84 $1,610.54 |
$820.40 $900.52 $985.38 $1,286.82 |
$1,047.38 $1,127.50 $1,212.36 $1,513.80 |
Toc - Plan #11 US Health and Life | ||||||||||||||||||||
Silver
(EPO) Balanced Silver |
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Benefits & Coverage
Provider Directory
Customer Service Phone:
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 |
$351.91 $399.42 $449.74 $628.52 $955.09 |
$621.12 $668.63 $718.95 $897.73 |
$890.33 $937.84 $988.16 $1,166.94 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$703.82 $798.84 $899.48 $1,257.04 $1,910.18 |
$973.03 $1,068.05 $1,168.69 $1,526.25 |
$1,242.24 $1,337.26 $1,437.90 $1,795.46 |
Toc - Plan #12 US Health and Life | ||||||||||||||||||||
Silver
(EPO) No Deductible Silver |
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Benefits & Coverage
Provider Directory
Customer Service Phone:
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 |
$355.73 $403.75 $454.62 $635.33 $965.44 |
$627.86 $675.88 $726.75 $907.46 |
$899.99 $948.01 $998.88 $1,179.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$711.46 $807.50 $909.24 $1,270.66 $1,930.88 |
$983.59 $1,079.63 $1,181.37 $1,542.79 |
$1,255.72 $1,351.76 $1,453.50 $1,814.92 |
Toc - Plan #13 US Health and Life | ||||||||||||||||||||
Silver
(EPO) Low Premium Silver |
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Benefits & Coverage
Provider Directory
Customer Service Phone:
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 |
$345.14 $391.73 $441.08 $616.41 $936.70 |
$609.17 $655.76 $705.11 $880.44 |
$873.20 $919.79 $969.14 $1,144.47 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$690.28 $783.46 $882.16 $1,232.82 $1,873.40 |
$954.31 $1,047.49 $1,146.19 $1,496.85 |
$1,218.34 $1,311.52 $1,410.22 $1,760.88 |
Toc - Plan #14 US Health and Life | ||||||||||||||||||||
Gold
(EPO) Gold |
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Benefits & Coverage
Provider Directory
Customer Service Phone:
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 |
$412.89 $468.63 $527.68 $737.43 $1,120.59 |
$728.75 $784.49 $843.54 $1,053.29 |
$1,044.61 $1,100.35 $1,159.40 $1,369.15 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$825.78 $937.26 $1,055.36 $1,474.86 $2,241.18 |
$1,141.64 $1,253.12 $1,371.22 $1,790.72 |
$1,457.50 $1,568.98 $1,687.08 $2,106.58 |
ADVERTISEMENT
Ambetter from Sunflower Health PlanLocal: 1-312-332-5401 | Toll Free: 1-800-779-7989 |
Toc - Plan #15 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
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 |
$378.27 $429.32 $483.41 $675.56 $1,026.59 |
$667.64 $718.69 $772.78 $964.93 |
$957.01 $1,008.06 $1,062.15 $1,254.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$756.54 $858.64 $966.82 $1,351.12 $2,053.18 |
$1,045.91 $1,148.01 $1,256.19 $1,640.49 |
$1,335.28 $1,437.38 $1,545.56 $1,929.86 |
Toc - Plan #16 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
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 |
$373.76 $424.21 $477.66 $667.53 $1,014.37 |
$659.68 $710.13 $763.58 $953.45 |
$945.60 $996.05 $1,049.50 $1,239.37 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$747.52 $848.42 $955.32 $1,335.06 $2,028.74 |
$1,033.44 $1,134.34 $1,241.24 $1,620.98 |
$1,319.36 $1,420.26 $1,527.16 $1,906.90 |
Toc - Plan #17 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
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 |
$402.47 $456.80 $514.35 $718.80 $1,092.29 |
$710.35 $764.68 $822.23 $1,026.68 |
$1,018.23 $1,072.56 $1,130.11 $1,334.56 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$804.94 $913.60 $1,028.70 $1,437.60 $2,184.58 |
$1,112.82 $1,221.48 $1,336.58 $1,745.48 |
$1,420.70 $1,529.36 $1,644.46 $2,053.36 |
Toc - Plan #18 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$277.95 $315.46 $355.21 $496.40 $754.34 |
$490.58 $528.09 $567.84 $709.03 |
$703.21 $740.72 $780.47 $921.66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$555.90 $630.92 $710.42 $992.80 $1,508.68 |
$768.53 $843.55 $923.05 $1,205.43 |
$981.16 $1,056.18 $1,135.68 $1,418.06 |
Toc - Plan #19 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
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 |
$304.01 $345.04 $388.52 $542.95 $825.07 |
$536.57 $577.60 $621.08 $775.51 |
$769.13 $810.16 $853.64 $1,008.07 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$608.02 $690.08 $777.04 $1,085.90 $1,650.14 |
$840.58 $922.64 $1,009.60 $1,318.46 |
$1,073.14 $1,155.20 $1,242.16 $1,551.02 |
Toc - Plan #20 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 24 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
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 |
$385.41 $437.43 $492.55 $688.33 $1,045.99 |
$680.24 $732.26 $787.38 $983.16 |
$975.07 $1,027.09 $1,082.21 $1,277.99 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$770.82 $874.86 $985.10 $1,376.66 $2,091.98 |
$1,065.65 $1,169.69 $1,279.93 $1,671.49 |
$1,360.48 $1,464.52 $1,574.76 $1,966.32 |
Toc - Plan #21 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 20 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
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 |
$377.51 $428.46 $482.44 $674.21 $1,024.53 |
$666.30 $717.25 $771.23 $963.00 |
$955.09 $1,006.04 $1,060.02 $1,251.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$755.02 $856.92 $964.88 $1,348.42 $2,049.06 |
$1,043.81 $1,145.71 $1,253.67 $1,637.21 |
$1,332.60 $1,434.50 $1,542.46 $1,926.00 |
Toc - Plan #22 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 5 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
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 |
$300.04 $340.54 $383.44 $535.86 $814.29 |
$529.56 $570.06 $612.96 $765.38 |
$759.08 $799.58 $842.48 $994.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$600.08 $681.08 $766.88 $1,071.72 $1,628.58 |
$829.60 $910.60 $996.40 $1,301.24 |
$1,059.12 $1,140.12 $1,225.92 $1,530.76 |
Toc - Plan #23 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $0 Medical Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
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 |
$342.07 $388.23 $437.15 $610.91 $928.34 |
$603.74 $649.90 $698.82 $872.58 |
$865.41 $911.57 $960.49 $1,134.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$684.14 $776.46 $874.30 $1,221.82 $1,856.68 |
$945.81 $1,038.13 $1,135.97 $1,483.49 |
$1,207.48 $1,299.80 $1,397.64 $1,745.16 |
Toc - Plan #24 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 30 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.19 $403.13 $453.92 $634.36 $963.96 |
$626.90 $674.84 $725.63 $906.07 |
$898.61 $946.55 $997.34 $1,177.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$710.38 $806.26 $907.84 $1,268.72 $1,927.92 |
$982.09 $1,077.97 $1,179.55 $1,540.43 |
$1,253.80 $1,349.68 $1,451.26 $1,812.14 |
Toc - Plan #25 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 31 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.19 $403.13 $453.92 $634.36 $963.96 |
$626.90 $674.84 $725.63 $906.07 |
$898.61 $946.55 $997.34 $1,177.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$710.38 $806.26 $907.84 $1,268.72 $1,927.92 |
$982.09 $1,077.97 $1,179.55 $1,540.43 |
$1,253.80 $1,349.68 $1,451.26 $1,812.14 |
Toc - Plan #26 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 32 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.76 $411.72 $463.59 $647.87 $984.50 |
$640.26 $689.22 $741.09 $925.37 |
$917.76 $966.72 $1,018.59 $1,202.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725.52 $823.44 $927.18 $1,295.74 $1,969.00 |
$1,003.02 $1,100.94 $1,204.68 $1,573.24 |
$1,280.52 $1,378.44 $1,482.18 $1,850.74 |
Toc - Plan #27 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $1,500 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$325.76 $369.73 $416.31 $581.80 $884.10 |
$574.96 $618.93 $665.51 $831.00 |
$824.16 $868.13 $914.71 $1,080.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$651.52 $739.46 $832.62 $1,163.60 $1,768.20 |
$900.72 $988.66 $1,081.82 $1,412.80 |
$1,149.92 $1,237.86 $1,331.02 $1,662.00 |
Toc - Plan #28 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$288.83 $327.81 $369.11 $515.83 $783.85 |
$509.78 $548.76 $590.06 $736.78 |
$730.73 $769.71 $811.01 $957.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$577.66 $655.62 $738.22 $1,031.66 $1,567.70 |
$798.61 $876.57 $959.17 $1,252.61 |
$1,019.56 $1,097.52 $1,180.12 $1,473.56 |
Toc - Plan #29 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.22 $474.67 $534.47 $746.93 $1,135.03 |
$738.15 $794.60 $854.40 $1,066.86 |
$1,058.08 $1,114.53 $1,174.33 $1,386.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$836.44 $949.34 $1,068.94 $1,493.86 $2,270.06 |
$1,156.37 $1,269.27 $1,388.87 $1,813.79 |
$1,476.30 $1,589.20 $1,708.80 $2,133.72 |
Toc - Plan #30 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$393.07 $446.12 $502.33 $702.00 $1,066.75 |
$693.76 $746.81 $803.02 $1,002.69 |
$994.45 $1,047.50 $1,103.71 $1,303.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$786.14 $892.24 $1,004.66 $1,404.00 $2,133.50 |
$1,086.83 $1,192.93 $1,305.35 $1,704.69 |
$1,387.52 $1,493.62 $1,606.04 $2,005.38 |
Toc - Plan #31 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.91 $358.55 $403.72 $564.20 $857.35 |
$557.57 $600.21 $645.38 $805.86 |
$799.23 $841.87 $887.04 $1,047.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$631.82 $717.10 $807.44 $1,128.40 $1,714.70 |
$873.48 $958.76 $1,049.10 $1,370.06 |
$1,115.14 $1,200.42 $1,290.76 $1,611.72 |
Toc - Plan #32 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 24 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.49 $454.55 $511.82 $715.27 $1,086.92 |
$706.86 $760.92 $818.19 $1,021.64 |
$1,013.23 $1,067.29 $1,124.56 $1,328.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$800.98 $909.10 $1,023.64 $1,430.54 $2,173.84 |
$1,107.35 $1,215.47 $1,330.01 $1,736.91 |
$1,413.72 $1,521.84 $1,636.38 $2,043.28 |
Toc - Plan #33 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 20 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.28 $445.23 $501.32 $700.59 $1,064.62 |
$692.37 $745.32 $801.41 $1,000.68 |
$992.46 $1,045.41 $1,101.50 $1,300.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$784.56 $890.46 $1,002.64 $1,401.18 $2,129.24 |
$1,084.65 $1,190.55 $1,302.73 $1,701.27 |
$1,384.74 $1,490.64 $1,602.82 $2,001.36 |
Toc - Plan #34 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311.78 $353.86 $398.44 $556.83 $846.15 |
$550.29 $592.37 $636.95 $795.34 |
$788.80 $830.88 $875.46 $1,033.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$623.56 $707.72 $796.88 $1,113.66 $1,692.30 |
$862.07 $946.23 $1,035.39 $1,352.17 |
$1,100.58 $1,184.74 $1,273.90 $1,590.68 |
Toc - Plan #35 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.45 $403.43 $454.25 $634.82 $964.67 |
$627.36 $675.34 $726.16 $906.73 |
$899.27 $947.25 $998.07 $1,178.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$710.90 $806.86 $908.50 $1,269.64 $1,929.34 |
$982.81 $1,078.77 $1,180.41 $1,541.55 |
$1,254.72 $1,350.68 $1,452.32 $1,813.46 |
Toc - Plan #36 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 31 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.09 $418.91 $471.68 $659.18 $1,001.68 |
$651.44 $701.26 $754.03 $941.53 |
$933.79 $983.61 $1,036.38 $1,223.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.18 $837.82 $943.36 $1,318.36 $2,003.36 |
$1,020.53 $1,120.17 $1,225.71 $1,600.71 |
$1,302.88 $1,402.52 $1,508.06 $1,883.06 |
Toc - Plan #37 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 32 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.95 $427.83 $481.73 $673.22 $1,023.02 |
$665.31 $716.19 $770.09 $961.58 |
$953.67 $1,004.55 $1,058.45 $1,249.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.90 $855.66 $963.46 $1,346.44 $2,046.04 |
$1,042.26 $1,144.02 $1,251.82 $1,634.80 |
$1,330.62 $1,432.38 $1,540.18 $1,923.16 |
Toc - Plan #38 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.39 $440.81 $496.35 $693.64 $1,054.06 |
$685.50 $737.92 $793.46 $990.75 |
$982.61 $1,035.03 $1,090.57 $1,287.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$776.78 $881.62 $992.70 $1,387.28 $2,108.12 |
$1,073.89 $1,178.73 $1,289.81 $1,684.39 |
$1,371.00 $1,475.84 $1,586.92 $1,981.50 |
Toc - Plan #39 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.51 $384.20 $432.60 $604.56 $918.69 |
$597.46 $643.15 $691.55 $863.51 |
$856.41 $902.10 $950.50 $1,122.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$677.02 $768.40 $865.20 $1,209.12 $1,837.38 |
$935.97 $1,027.35 $1,124.15 $1,468.07 |
$1,194.92 $1,286.30 $1,383.10 $1,727.02 |
ADVERTISEMENT
MedicaLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-866-735-2957 |
Toc - Plan #40 Medica | ||||||||||||||||||||
Gold
(EPO) Medica Connect Gold Copay ($0 Virtual Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$566.92 $643.44 $724.51 $1,012.50 $1,538.59 |
$1,000.60 $1,077.12 $1,158.19 $1,446.18 |
$1,434.28 $1,510.80 $1,591.87 $1,879.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,133.84 $1,286.88 $1,449.02 $2,025.00 $3,077.18 |
$1,567.52 $1,720.56 $1,882.70 $2,458.68 |
$2,001.20 $2,154.24 $2,316.38 $2,892.36 |
Toc - Plan #41 Medica | ||||||||||||||||||||
Silver
(EPO) Medica Connect Silver Copay ($0 Virtual Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$634.30 $719.92 $810.62 $1,132.84 $1,721.46 |
$1,119.53 $1,205.15 $1,295.85 $1,618.07 |
$1,604.76 $1,690.38 $1,781.08 $2,103.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,268.60 $1,439.84 $1,621.24 $2,265.68 $3,442.92 |
$1,753.83 $1,925.07 $2,106.47 $2,750.91 |
$2,239.06 $2,410.30 $2,591.70 $3,236.14 |
Toc - Plan #42 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica Connect Bronze Copay ($0 Virtual Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.69 $435.48 $490.34 $685.26 $1,041.31 |
$677.21 $729.00 $783.86 $978.78 |
$970.73 $1,022.52 $1,077.38 $1,272.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.38 $870.96 $980.68 $1,370.52 $2,082.62 |
$1,060.90 $1,164.48 $1,274.20 $1,664.04 |
$1,354.42 $1,458.00 $1,567.72 $1,957.56 |
Toc - Plan #43 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica Connect Bronze H S A ($0 Virtual Care after deductible) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$435.22 $493.96 $556.20 $777.28 $1,181.16 |
$768.15 $826.89 $889.13 $1,110.21 |
$1,101.08 $1,159.82 $1,222.06 $1,443.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$870.44 $987.92 $1,112.40 $1,554.56 $2,362.32 |
$1,203.37 $1,320.85 $1,445.33 $1,887.49 |
$1,536.30 $1,653.78 $1,778.26 $2,220.42 |
Toc - Plan #44 Medica | ||||||||||||||||||||
Catastrophic
(EPO) Medica Connect Catastrophic ($0 Virtual Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$275.84 $313.07 $352.51 $492.64 $748.61 |
$486.85 $524.08 $563.52 $703.65 |
$697.86 $735.09 $774.53 $914.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$551.68 $626.14 $705.02 $985.28 $1,497.22 |
$762.69 $837.15 $916.03 $1,196.29 |
$973.70 $1,048.16 $1,127.04 $1,407.30 |
Toc - Plan #45 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica Connect Bronze Share Plus ($0 Virtual Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.27 $449.75 $506.42 $707.72 $1,075.45 |
$699.41 $752.89 $809.56 $1,010.86 |
$1,002.55 $1,056.03 $1,112.70 $1,314.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792.54 $899.50 $1,012.84 $1,415.44 $2,150.90 |
$1,095.68 $1,202.64 $1,315.98 $1,718.58 |
$1,398.82 $1,505.78 $1,619.12 $2,021.72 |
Toc - Plan #46 Medica | ||||||||||||||||||||
Bronze
(EPO) Medica Connect Bronze Value ($0 Virtual Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.50 $427.32 $481.16 $672.42 $1,021.80 |
$664.52 $715.34 $769.18 $960.44 |
$952.54 $1,003.36 $1,057.20 $1,248.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.00 $854.64 $962.32 $1,344.84 $2,043.60 |
$1,041.02 $1,142.66 $1,250.34 $1,632.86 |
$1,329.04 $1,430.68 $1,538.36 $1,920.88 |
Toc - Plan #47 Medica | ||||||||||||||||||||
Gold
(EPO) Medica with Healthier You Gold Copay ($0 Virtual Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$459.33 $521.32 $587.01 $820.34 $1,246.58 |
$810.71 $872.70 $938.39 $1,171.72 |
$1,162.09 $1,224.08 $1,289.77 $1,523.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$918.66 $1,042.64 $1,174.02 $1,640.68 $2,493.16 |
$1,270.04 $1,394.02 $1,525.40 $1,992.06 |
$1,621.42 $1,745.40 $1,876.78 $2,343.44 |
Toc - Plan #48 Medica | ||||||||||||||||||||
Silver
(EPO) Medica with Healthier You Silver Copay ($0 Virtual Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$513.92 $583.29 $656.78 $917.84 $1,394.75 |
$907.06 $976.43 $1,049.92 $1,310.98 |
$1,300.20 $1,369.57 $1,443.06 $1,704.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,027.84 $1,166.58 $1,313.56 $1,835.68 $2,789.50 |
$1,420.98 $1,559.72 $1,706.70 $2,228.82 |
$1,814.12 $1,952.86 $2,099.84 $2,621.96 |
Toc - Plan #49 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica with Healthier You Bronze H S A ($0 Virtual Care after deductible) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.62 $400.21 $450.64 $629.76 $956.99 |
$622.37 $669.96 $720.39 $899.51 |
$892.12 $939.71 $990.14 $1,169.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$705.24 $800.42 $901.28 $1,259.52 $1,913.98 |
$974.99 $1,070.17 $1,171.03 $1,529.27 |
$1,244.74 $1,339.92 $1,440.78 $1,799.02 |
Toc - Plan #50 Medica | ||||||||||||||||||||
Catastrophic
(EPO) Medica with Healthier You Catastrophic ($0 Virtual Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$223.49 $253.65 $285.61 $399.14 $606.53 |
$394.45 $424.61 $456.57 $570.10 |
$565.41 $595.57 $627.53 $741.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$446.98 $507.30 $571.22 $798.28 $1,213.06 |
$617.94 $678.26 $742.18 $969.24 |
$788.90 $849.22 $913.14 $1,140.20 |
Toc - Plan #51 Medica | ||||||||||||||||||||
Gold
(EPO) Medica with Healthier You Gold Share ($0 Virtual Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$433.16 $491.63 $553.57 $773.61 $1,175.58 |
$764.52 $822.99 $884.93 $1,104.97 |
$1,095.88 $1,154.35 $1,216.29 $1,436.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$866.32 $983.26 $1,107.14 $1,547.22 $2,351.16 |
$1,197.68 $1,314.62 $1,438.50 $1,878.58 |
$1,529.04 $1,645.98 $1,769.86 $2,209.94 |
Toc - Plan #52 Medica | ||||||||||||||||||||
Silver
(EPO) Medica with Healthier You Silver Share ($0 Virtual Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$515.85 $585.47 $659.24 $921.28 $1,399.98 |
$910.46 $980.08 $1,053.85 $1,315.89 |
$1,305.07 $1,374.69 $1,448.46 $1,710.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,031.70 $1,170.94 $1,318.48 $1,842.56 $2,799.96 |
$1,426.31 $1,565.55 $1,713.09 $2,237.17 |
$1,820.92 $1,960.16 $2,107.70 $2,631.78 |
Toc - Plan #53 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica with Healthier You Bronze Share Plus ($0 Virtual Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$321.06 $364.40 $410.31 $573.40 $871.34 |
$566.67 $610.01 $655.92 $819.01 |
$812.28 $855.62 $901.53 $1,064.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$642.12 $728.80 $820.62 $1,146.80 $1,742.68 |
$887.73 $974.41 $1,066.23 $1,392.41 |
$1,133.34 $1,220.02 $1,311.84 $1,638.02 |
Toc - Plan #54 Medica | ||||||||||||||||||||
Bronze
(EPO) Medica with Healthier You Bronze Value ($0 Virtual Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.05 $346.22 $389.84 $544.80 $827.88 |
$538.41 $579.58 $623.20 $778.16 |
$771.77 $812.94 $856.56 $1,011.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$610.10 $692.44 $779.68 $1,089.60 $1,655.76 |
$843.46 $925.80 $1,013.04 $1,322.96 |
$1,076.82 $1,159.16 $1,246.40 $1,556.32 |
Toc - Plan #55 Medica | ||||||||||||||||||||
Bronze
(EPO) Medica with Healthier You Bronze Value + Dental Reimbursement ($0 Virtual Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$324.57 $368.38 $414.79 $579.67 $880.86 |
$572.86 $616.67 $663.08 $827.96 |
$821.15 $864.96 $911.37 $1,076.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$649.14 $736.76 $829.58 $1,159.34 $1,761.72 |
$897.43 $985.05 $1,077.87 $1,407.63 |
$1,145.72 $1,233.34 $1,326.16 $1,655.92 |
Toc - Plan #56 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica with Healthier You Bronze Copay $0 Primary Care ($0 Virtual Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.32 $361.29 $406.80 $568.51 $863.90 |
$561.83 $604.80 $650.31 $812.02 |
$805.34 $848.31 $893.82 $1,055.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$636.64 $722.58 $813.60 $1,137.02 $1,727.80 |
$880.15 $966.09 $1,057.11 $1,380.53 |
$1,123.66 $1,209.60 $1,300.62 $1,624.04 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #57 Cigna Healthcare | ||||||||||||||||||||
Bronze
(EPO) Cigna Connect 6500 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359.52 $408.06 $459.47 $642.11 $975.74 |
$634.55 $683.09 $734.50 $917.14 |
$909.58 $958.12 $1,009.53 $1,192.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$719.04 $816.12 $918.94 $1,284.22 $1,951.48 |
$994.07 $1,091.15 $1,193.97 $1,559.25 |
$1,269.10 $1,366.18 $1,469.00 $1,834.28 |
Toc - Plan #58 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 5900 ($3 Tier 1 Rx, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.03 $427.93 $481.84 $673.37 $1,023.25 |
$665.46 $716.36 $770.27 $961.80 |
$953.89 $1,004.79 $1,058.70 $1,250.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$754.06 $855.86 $963.68 $1,346.74 $2,046.50 |
$1,042.49 $1,144.29 $1,252.11 $1,635.17 |
$1,330.92 $1,432.72 $1,540.54 $1,923.60 |
Toc - Plan #59 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 6000 ($0 PCP, $3 Tier 1 Rx, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$448.26 $508.78 $572.88 $800.60 $1,216.59 |
$791.18 $851.70 $915.80 $1,143.52 |
$1,134.10 $1,194.62 $1,258.72 $1,486.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$896.52 $1,017.56 $1,145.76 $1,601.20 $2,433.18 |
$1,239.44 $1,360.48 $1,488.68 $1,944.12 |
$1,582.36 $1,703.40 $1,831.60 $2,287.04 |
Toc - Plan #60 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 5000 ($3 Tier 1 Rx, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$447.35 $507.75 $571.72 $798.97 $1,214.12 |
$789.57 $849.97 $913.94 $1,141.19 |
$1,131.79 $1,192.19 $1,256.16 $1,483.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$894.70 $1,015.50 $1,143.44 $1,597.94 $2,428.24 |
$1,236.92 $1,357.72 $1,485.66 $1,940.16 |
$1,579.14 $1,699.94 $1,827.88 $2,282.38 |
Toc - Plan #61 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 1250 ($3 Tier 1 Rx, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$527.09 $598.25 $673.62 $941.38 $1,430.52 |
$930.31 $1,001.47 $1,076.84 $1,344.60 |
$1,333.53 $1,404.69 $1,480.06 $1,747.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,054.18 $1,196.50 $1,347.24 $1,882.76 $2,861.04 |
$1,457.40 $1,599.72 $1,750.46 $2,285.98 |
$1,860.62 $2,002.94 $2,153.68 $2,689.20 |
Toc - Plan #62 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3500 ($3 Tier 1 Rx, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$449.58 $510.27 $574.56 $802.95 $1,220.16 |
$793.51 $854.20 $918.49 $1,146.88 |
$1,137.44 $1,198.13 $1,262.42 $1,490.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$899.16 $1,020.54 $1,149.12 $1,605.90 $2,440.32 |
$1,243.09 $1,364.47 $1,493.05 $1,949.83 |
$1,587.02 $1,708.40 $1,836.98 $2,293.76 |
Toc - Plan #63 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3500 Enhanced Diabetes Care ($0 Preferred Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$449.93 $510.67 $575.01 $803.58 $1,221.12 |
$794.13 $854.87 $919.21 $1,147.78 |
$1,138.33 $1,199.07 $1,263.41 $1,491.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$899.86 $1,021.34 $1,150.02 $1,607.16 $2,442.24 |
$1,244.06 $1,365.54 $1,494.22 $1,951.36 |
$1,588.26 $1,709.74 $1,838.42 $2,295.56 |
Toc - Plan #64 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 6800 Enhanced Diabetes Care ($0 Preferred Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.93 $427.81 $481.71 $673.19 $1,022.98 |
$665.28 $716.16 $770.06 $961.54 |
$953.63 $1,004.51 $1,058.41 $1,249.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.86 $855.62 $963.42 $1,346.38 $2,045.96 |
$1,042.21 $1,143.97 $1,251.77 $1,634.73 |
$1,330.56 $1,432.32 $1,540.12 $1,923.08 |
Toc - Plan #65 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4200 Enhanced Asthma COPD Care ($3 Tier 1 Rx, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$448.52 $509.07 $573.20 $801.05 $1,217.27 |
$791.64 $852.19 $916.32 $1,144.17 |
$1,134.76 $1,195.31 $1,259.44 $1,487.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$897.04 $1,018.14 $1,146.40 $1,602.10 $2,434.54 |
$1,240.16 $1,361.26 $1,489.52 $1,945.22 |
$1,583.28 $1,704.38 $1,832.64 $2,288.34 |
Toc - Plan #66 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 1250 Enhanced Diabetes Care ($0 Preferred Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$546.67 $620.47 $698.64 $976.35 $1,483.66 |
$964.87 $1,038.67 $1,116.84 $1,394.55 |
$1,383.07 $1,456.87 $1,535.04 $1,812.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,093.34 $1,240.94 $1,397.28 $1,952.70 $2,967.32 |
$1,511.54 $1,659.14 $1,815.48 $2,370.90 |
$1,929.74 $2,077.34 $2,233.68 $2,789.10 |
‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Sedgwick County here.
Sedgwick County is in “Rating Area 6” of Kansas.
Currently, there are 66 plans offered in Rating Area 6.