Obamacare 2022 Rates for Kalamazoo County
Obamacare > Rates > Michigan > Kalamazoo County
Obamacare > Rates > Michigan > Kalamazoo County
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Blue Cross Blue Shield of Michigan Mutual Insurance CompanyLocal: 1-888-288-2738 | Toll Free: 1-888-288-2738 | TTY: 1-800-481-8704 |
Toc - Plan #1 Blue Cross Blue Shield of Michigan Mutual Insurance Company | ||||||||||||||||||||
Catastrophic
(PPO) Blue Cross® Premier PPO Value |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-288-2738
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 |
$245.58 $278.73 $313.85 $438.61 $666.50 |
$433.45 $466.60 $501.72 $626.48 |
$621.32 $654.47 $689.59 $814.35 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$491.16 $557.46 $627.70 $877.22 $1,333.00 |
$679.03 $745.33 $815.57 $1,065.09 |
$866.90 $933.20 $1,003.44 $1,252.96 |
Toc - Plan #2 Blue Cross Blue Shield of Michigan Mutual Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Cross® Premier PPO Bronze HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-288-2738
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 |
$335.56 $380.86 $428.85 $599.31 $910.71 |
$592.26 $637.56 $685.55 $856.01 |
$848.96 $894.26 $942.25 $1,112.71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$671.12 $761.72 $857.70 $1,198.62 $1,821.42 |
$927.82 $1,018.42 $1,114.40 $1,455.32 |
$1,184.52 $1,275.12 $1,371.10 $1,712.02 |
Toc - Plan #3 Blue Cross Blue Shield of Michigan Mutual Insurance Company | ||||||||||||||||||||
Silver
(PPO) Blue Cross® Premier PPO Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-288-2738
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 |
$449.57 $510.26 $574.55 $802.93 $1,220.13 |
$793.49 $854.18 $918.47 $1,146.85 |
$1,137.41 $1,198.10 $1,262.39 $1,490.77 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$899.14 $1,020.52 $1,149.10 $1,605.86 $2,440.26 |
$1,243.06 $1,364.44 $1,493.02 $1,949.78 |
$1,586.98 $1,708.36 $1,836.94 $2,293.70 |
Toc - Plan #4 Blue Cross Blue Shield of Michigan Mutual Insurance Company | ||||||||||||||||||||
Gold
(PPO) Blue Cross® Premier PPO Gold |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-888-288-2738
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 |
$568.36 $645.09 $726.36 $1,015.09 $1,542.53 |
$1,003.16 $1,079.89 $1,161.16 $1,449.89 |
$1,437.96 $1,514.69 $1,595.96 $1,884.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,136.72 $1,290.18 $1,452.72 $2,030.18 $3,085.06 |
$1,571.52 $1,724.98 $1,887.52 $2,464.98 |
$2,006.32 $2,159.78 $2,322.32 $2,899.78 |
Toc - Plan #5 Blue Cross Blue Shield of Michigan Mutual Insurance Company | ||||||||||||||||||||
Bronze
(PPO) Blue Cross® Premier PPO Bronze Saver |
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Benefits & Coverage
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Customer Service Phone: 1-888-288-2738
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$308.89 $350.59 $394.76 $551.68 $838.33 |
$545.19 $586.89 $631.06 $787.98 |
$781.49 $823.19 $867.36 $1,024.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$617.78 $701.18 $789.52 $1,103.36 $1,676.66 |
$854.08 $937.48 $1,025.82 $1,339.66 |
$1,090.38 $1,173.78 $1,262.12 $1,575.96 |
Toc - Plan #6 Blue Cross Blue Shield of Michigan Mutual Insurance Company | ||||||||||||||||||||
Silver
(PPO) Blue Cross® Premier PPO Silver Saver HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-288-2738
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 |
$438.56 $497.77 $560.48 $783.27 $1,190.25 |
$774.06 $833.27 $895.98 $1,118.77 |
$1,109.56 $1,168.77 $1,231.48 $1,454.27 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$877.12 $995.54 $1,120.96 $1,566.54 $2,380.50 |
$1,212.62 $1,331.04 $1,456.46 $1,902.04 |
$1,548.12 $1,666.54 $1,791.96 $2,237.54 |
Toc - Plan #7 Blue Cross Blue Shield of Michigan Mutual Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Cross® Premier PPO Bronze Extra |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-288-2738
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 |
$347.70 $394.64 $444.36 $620.99 $943.66 |
$613.69 $660.63 $710.35 $886.98 |
$879.68 $926.62 $976.34 $1,152.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$695.40 $789.28 $888.72 $1,241.98 $1,887.32 |
$961.39 $1,055.27 $1,154.71 $1,507.97 |
$1,227.38 $1,321.26 $1,420.70 $1,773.96 |
Toc - Plan #8 Blue Cross Blue Shield of Michigan Mutual Insurance Company | ||||||||||||||||||||
Silver
(PPO) Blue Cross® Premier PPO Silver Extra |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-288-2738
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 |
$489.91 $556.05 $626.10 $874.98 $1,329.62 |
$864.69 $930.83 $1,000.88 $1,249.76 |
$1,239.47 $1,305.61 $1,375.66 $1,624.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$979.82 $1,112.10 $1,252.20 $1,749.96 $2,659.24 |
$1,354.60 $1,486.88 $1,626.98 $2,124.74 |
$1,729.38 $1,861.66 $2,001.76 $2,499.52 |
ADVERTISEMENT
Priority HealthLocal: 1-855-682-5217 | Toll Free: 1-855-682-5217 | TTY: 1-888-551-6761 |
Toc - Plan #9 Priority Health | ||||||||||||||||||||
Gold
(HMO) MyPriority Gold 1100 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$514.79 $584.29 $657.90 $919.41 $1,397.14 |
$908.60 $978.10 $1,051.71 $1,313.22 |
$1,302.41 $1,371.91 $1,445.52 $1,707.03 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,029.58 $1,168.58 $1,315.80 $1,838.82 $2,794.28 |
$1,423.39 $1,562.39 $1,709.61 $2,232.63 |
$1,817.20 $1,956.20 $2,103.42 $2,626.44 |
Toc - Plan #10 Priority Health | ||||||||||||||||||||
Expanded Bronze
(HMO) MyPriority HSA Bronze 7050 |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-682-5217
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 |
$284.84 $323.29 $364.03 $508.72 $773.06 |
$502.74 $541.19 $581.93 $726.62 |
$720.64 $759.09 $799.83 $944.52 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$569.68 $646.58 $728.06 $1,017.44 $1,546.12 |
$787.58 $864.48 $945.96 $1,235.34 |
$1,005.48 $1,082.38 $1,163.86 $1,453.24 |
Toc - Plan #11 Priority Health | ||||||||||||||||||||
Expanded Bronze
(HMO) MyPriority HSA Bronze 7050 - Bronson Healthcare Partners |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$257.78 $292.58 $329.44 $460.40 $699.61 |
$454.98 $489.78 $526.64 $657.60 |
$652.18 $686.98 $723.84 $854.80 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$515.56 $585.16 $658.88 $920.80 $1,399.22 |
$712.76 $782.36 $856.08 $1,118.00 |
$909.96 $979.56 $1,053.28 $1,315.20 |
Toc - Plan #12 Priority Health | ||||||||||||||||||||
Expanded Bronze
(HMO) MyPriority Bronze 8700 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$267.24 $303.32 $341.53 $477.29 $725.29 |
$471.68 $507.76 $545.97 $681.73 |
$676.12 $712.20 $750.41 $886.17 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$534.48 $606.64 $683.06 $954.58 $1,450.58 |
$738.92 $811.08 $887.50 $1,159.02 |
$943.36 $1,015.52 $1,091.94 $1,363.46 |
Toc - Plan #13 Priority Health | ||||||||||||||||||||
Expanded Bronze
(HMO) MyPriority Bronze 8700 - Bronson Healthcare Partners |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$241.85 $274.50 $309.08 $431.94 $656.38 |
$426.87 $459.52 $494.10 $616.96 |
$611.89 $644.54 $679.12 $801.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$483.70 $549.00 $618.16 $863.88 $1,312.76 |
$668.72 $734.02 $803.18 $1,048.90 |
$853.74 $919.04 $988.20 $1,233.92 |
Toc - Plan #14 Priority Health | ||||||||||||||||||||
Expanded Bronze
(HMO) MyPriority Telehealth PCP Bronze 8700 - (Doctor On Demand PCP selection required) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$251.21 $285.12 $321.05 $448.66 $681.78 |
$443.39 $477.30 $513.23 $640.84 |
$635.57 $669.48 $705.41 $833.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$502.42 $570.24 $642.10 $897.32 $1,363.56 |
$694.60 $762.42 $834.28 $1,089.50 |
$886.78 $954.60 $1,026.46 $1,281.68 |
Toc - Plan #15 Priority Health | ||||||||||||||||||||
Expanded Bronze
(HMO) MyPriority Travel Bronze 8700 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$307.33 $348.82 $392.77 $548.89 $834.09 |
$542.44 $583.93 $627.88 $784.00 |
$777.55 $819.04 $862.99 $1,019.11 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$614.66 $697.64 $785.54 $1,097.78 $1,668.18 |
$849.77 $932.75 $1,020.65 $1,332.89 |
$1,084.88 $1,167.86 $1,255.76 $1,568.00 |
Toc - Plan #16 Priority Health | ||||||||||||||||||||
Silver
(HMO) MyPriority Silver 3500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$374.17 $424.68 $478.19 $668.27 $1,015.50 |
$660.41 $710.92 $764.43 $954.51 |
$946.65 $997.16 $1,050.67 $1,240.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$748.34 $849.36 $956.38 $1,336.54 $2,031.00 |
$1,034.58 $1,135.60 $1,242.62 $1,622.78 |
$1,320.82 $1,421.84 $1,528.86 $1,909.02 |
Toc - Plan #17 Priority Health | ||||||||||||||||||||
Silver
(HMO) MyPriority Silver 3500 - Bronson Healthcare Partners |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$338.63 $384.35 $432.77 $604.79 $919.04 |
$597.68 $643.40 $691.82 $863.84 |
$856.73 $902.45 $950.87 $1,122.89 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$677.26 $768.70 $865.54 $1,209.58 $1,838.08 |
$936.31 $1,027.75 $1,124.59 $1,468.63 |
$1,195.36 $1,286.80 $1,383.64 $1,727.68 |
Toc - Plan #18 Priority Health | ||||||||||||||||||||
Silver
(HMO) MyPriority Silver 2500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$390.29 $442.98 $498.79 $697.06 $1,059.25 |
$688.86 $741.55 $797.36 $995.63 |
$987.43 $1,040.12 $1,095.93 $1,294.20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$780.58 $885.96 $997.58 $1,394.12 $2,118.50 |
$1,079.15 $1,184.53 $1,296.15 $1,692.69 |
$1,377.72 $1,483.10 $1,594.72 $1,991.26 |
Toc - Plan #19 Priority Health | ||||||||||||||||||||
Silver
(HMO) MyPriority Silver 2500 - Bronson Healthcare Partners |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$353.22 $400.90 $451.42 $630.85 $958.64 |
$623.43 $671.11 $721.63 $901.06 |
$893.64 $941.32 $991.84 $1,171.27 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$706.44 $801.80 $902.84 $1,261.70 $1,917.28 |
$976.65 $1,072.01 $1,173.05 $1,531.91 |
$1,246.86 $1,342.22 $1,443.26 $1,802.12 |
Toc - Plan #20 Priority Health | ||||||||||||||||||||
Silver
(HMO) MyPriority Silver 5500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$353.82 $401.59 $452.18 $631.92 $960.27 |
$624.49 $672.26 $722.85 $902.59 |
$895.16 $942.93 $993.52 $1,173.26 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$707.64 $803.18 $904.36 $1,263.84 $1,920.54 |
$978.31 $1,073.85 $1,175.03 $1,534.51 |
$1,248.98 $1,344.52 $1,445.70 $1,805.18 |
Toc - Plan #21 Priority Health | ||||||||||||||||||||
Silver
(HMO) MyPriority Silver 5500 - Bronson Healthcare Partners |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$320.21 $363.44 $409.23 $571.90 $869.05 |
$565.17 $608.40 $654.19 $816.86 |
$810.13 $853.36 $899.15 $1,061.82 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$640.42 $726.88 $818.46 $1,143.80 $1,738.10 |
$885.38 $971.84 $1,063.42 $1,388.76 |
$1,130.34 $1,216.80 $1,308.38 $1,633.72 |
Toc - Plan #22 Priority Health | ||||||||||||||||||||
Silver
(HMO) MyPriority Telehealth PCP Silver 5500 - (Doctor On Demand PCP selection required) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$332.59 $377.49 $425.05 $594.01 $902.65 |
$587.02 $631.92 $679.48 $848.44 |
$841.45 $886.35 $933.91 $1,102.87 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$665.18 $754.98 $850.10 $1,188.02 $1,805.30 |
$919.61 $1,009.41 $1,104.53 $1,442.45 |
$1,174.04 $1,263.84 $1,358.96 $1,696.88 |
Toc - Plan #23 Priority Health | ||||||||||||||||||||
Silver
(HMO) MyPriority Travel Silver 5500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$424.58 $481.90 $542.61 $758.30 $1,152.31 |
$749.38 $806.70 $867.41 $1,083.10 |
$1,074.18 $1,131.50 $1,192.21 $1,407.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$849.16 $963.80 $1,085.22 $1,516.60 $2,304.62 |
$1,173.96 $1,288.60 $1,410.02 $1,841.40 |
$1,498.76 $1,613.40 $1,734.82 $2,166.20 |
Toc - Plan #24 Priority Health | ||||||||||||||||||||
Gold
(HMO) MyPriority Gold Copay+ - Bronson Healthcare Partners |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$466.43 $529.40 $596.10 $833.04 $1,265.89 |
$823.25 $886.22 $952.92 $1,189.86 |
$1,180.07 $1,243.04 $1,309.74 $1,546.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$932.86 $1,058.80 $1,192.20 $1,666.08 $2,531.78 |
$1,289.68 $1,415.62 $1,549.02 $2,022.90 |
$1,646.50 $1,772.44 $1,905.84 $2,379.72 |
ADVERTISEMENT
Ambetter from MeridianLocal: 1-833-993-2426 | Toll Free: 1-833-993-2426 |
Toc - Plan #25 Ambetter from Meridian | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$227.73 $258.46 $291.02 $406.71 $618.03 |
$401.93 $432.66 $465.22 $580.91 |
$576.13 $606.86 $639.42 $755.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$455.46 $516.92 $582.04 $813.42 $1,236.06 |
$629.66 $691.12 $756.24 $987.62 |
$803.86 $865.32 $930.44 $1,161.82 |
Toc - Plan #26 Ambetter from Meridian | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$247.43 $280.82 $316.21 $441.90 $671.50 |
$436.71 $470.10 $505.49 $631.18 |
$625.99 $659.38 $694.77 $820.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$494.86 $561.64 $632.42 $883.80 $1,343.00 |
$684.14 $750.92 $821.70 $1,073.08 |
$873.42 $940.20 $1,010.98 $1,262.36 |
Toc - Plan #27 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$325.69 $369.65 $416.22 $581.67 $883.91 |
$574.84 $618.80 $665.37 $830.82 |
$823.99 $867.95 $914.52 $1,079.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$651.38 $739.30 $832.44 $1,163.34 $1,767.82 |
$900.53 $988.45 $1,081.59 $1,412.49 |
$1,149.68 $1,237.60 $1,330.74 $1,661.64 |
Toc - Plan #28 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$321.23 $364.59 $410.52 $573.70 $871.80 |
$566.97 $610.33 $656.26 $819.44 |
$812.71 $856.07 $902.00 $1,065.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$642.46 $729.18 $821.04 $1,147.40 $1,743.60 |
$888.20 $974.92 $1,066.78 $1,393.14 |
$1,133.94 $1,220.66 $1,312.52 $1,638.88 |
Toc - Plan #29 Ambetter from Meridian | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.94 $402.85 $453.60 $633.91 $963.28 |
$626.46 $674.37 $725.12 $905.43 |
$897.98 $945.89 $996.64 $1,176.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$709.88 $805.70 $907.20 $1,267.82 $1,926.56 |
$981.40 $1,077.22 $1,178.72 $1,539.34 |
$1,252.92 $1,348.74 $1,450.24 $1,810.86 |
Toc - Plan #30 Ambetter from Meridian | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$249.19 $282.82 $318.45 $445.04 $676.28 |
$439.81 $473.44 $509.07 $635.66 |
$630.43 $664.06 $699.69 $826.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$498.38 $565.64 $636.90 $890.08 $1,352.56 |
$689.00 $756.26 $827.52 $1,080.70 |
$879.62 $946.88 $1,018.14 $1,271.32 |
Toc - Plan #31 Ambetter from Meridian | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$270.82 $307.37 $346.09 $483.66 $734.97 |
$477.99 $514.54 $553.26 $690.83 |
$685.16 $721.71 $760.43 $898.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$541.64 $614.74 $692.18 $967.32 $1,469.94 |
$748.81 $821.91 $899.35 $1,174.49 |
$955.98 $1,029.08 $1,106.52 $1,381.66 |
Toc - Plan #32 Ambetter from Meridian | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$286.03 $324.63 $365.53 $510.82 $776.25 |
$504.83 $543.43 $584.33 $729.62 |
$723.63 $762.23 $803.13 $948.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$572.06 $649.26 $731.06 $1,021.64 $1,552.50 |
$790.86 $868.06 $949.86 $1,240.44 |
$1,009.66 $1,086.86 $1,168.66 $1,459.24 |
Toc - Plan #33 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 30 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301.14 $341.78 $384.84 $537.81 $817.26 |
$531.50 $572.14 $615.20 $768.17 |
$761.86 $802.50 $845.56 $998.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$602.28 $683.56 $769.68 $1,075.62 $1,634.52 |
$832.64 $913.92 $1,000.04 $1,305.98 |
$1,063.00 $1,144.28 $1,230.40 $1,536.34 |
Toc - Plan #34 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 31 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301.24 $341.89 $384.97 $537.99 $817.53 |
$531.68 $572.33 $615.41 $768.43 |
$762.12 $802.77 $845.85 $998.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$602.48 $683.78 $769.94 $1,075.98 $1,635.06 |
$832.92 $914.22 $1,000.38 $1,306.42 |
$1,063.36 $1,144.66 $1,230.82 $1,536.86 |
Toc - Plan #35 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 32 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.91 $352.87 $397.33 $555.26 $843.78 |
$548.75 $590.71 $635.17 $793.10 |
$786.59 $828.55 $873.01 $1,030.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.82 $705.74 $794.66 $1,110.52 $1,687.56 |
$859.66 $943.58 $1,032.50 $1,348.36 |
$1,097.50 $1,181.42 $1,270.34 $1,586.20 |
Toc - Plan #36 Ambetter from Meridian | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 20 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.47 $377.34 $424.88 $593.77 $902.29 |
$586.80 $631.67 $679.21 $848.10 |
$841.13 $886.00 $933.54 $1,102.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$664.94 $754.68 $849.76 $1,187.54 $1,804.58 |
$919.27 $1,009.01 $1,104.09 $1,441.87 |
$1,173.60 $1,263.34 $1,358.42 $1,696.20 |
Toc - Plan #37 Ambetter from Meridian | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$247.72 $281.15 $316.57 $442.41 $672.28 |
$437.22 $470.65 $506.07 $631.91 |
$626.72 $660.15 $695.57 $821.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$495.44 $562.30 $633.14 $884.82 $1,344.56 |
$684.94 $751.80 $822.64 $1,074.32 |
$874.44 $941.30 $1,012.14 $1,263.82 |
Toc - Plan #38 Ambetter from Meridian | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$269.15 $305.48 $343.96 $480.69 $730.45 |
$475.04 $511.37 $549.85 $686.58 |
$680.93 $717.26 $755.74 $892.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$538.30 $610.96 $687.92 $961.38 $1,460.90 |
$744.19 $816.85 $893.81 $1,167.27 |
$950.08 $1,022.74 $1,099.70 $1,373.16 |
Toc - Plan #39 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.28 $402.10 $452.76 $632.73 $961.50 |
$625.30 $673.12 $723.78 $903.75 |
$896.32 $944.14 $994.80 $1,174.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$708.56 $804.20 $905.52 $1,265.46 $1,923.00 |
$979.58 $1,075.22 $1,176.54 $1,536.48 |
$1,250.60 $1,346.24 $1,447.56 $1,807.50 |
Toc - Plan #40 Ambetter from Meridian | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.10 $438.21 $493.42 $689.55 $1,047.84 |
$681.46 $733.57 $788.78 $984.91 |
$976.82 $1,028.93 $1,084.14 $1,280.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$772.20 $876.42 $986.84 $1,379.10 $2,095.68 |
$1,067.56 $1,171.78 $1,282.20 $1,674.46 |
$1,362.92 $1,467.14 $1,577.56 $1,969.82 |
Toc - Plan #41 Ambetter from Meridian | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$271.07 $307.65 $346.41 $484.10 $735.64 |
$478.43 $515.01 $553.77 $691.46 |
$685.79 $722.37 $761.13 $898.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$542.14 $615.30 $692.82 $968.20 $1,471.28 |
$749.50 $822.66 $900.18 $1,175.56 |
$956.86 $1,030.02 $1,107.54 $1,382.92 |
Toc - Plan #42 Ambetter from Meridian | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294.59 $334.35 $376.47 $526.12 $799.49 |
$519.94 $559.70 $601.82 $751.47 |
$745.29 $785.05 $827.17 $976.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$589.18 $668.70 $752.94 $1,052.24 $1,598.98 |
$814.53 $894.05 $978.29 $1,277.59 |
$1,039.88 $1,119.40 $1,203.64 $1,502.94 |
Toc - Plan #43 Ambetter from Meridian | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311.13 $353.13 $397.62 $555.67 $844.39 |
$549.14 $591.14 $635.63 $793.68 |
$787.15 $829.15 $873.64 $1,031.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$622.26 $706.26 $795.24 $1,111.34 $1,688.78 |
$860.27 $944.27 $1,033.25 $1,349.35 |
$1,098.28 $1,182.28 $1,271.26 $1,587.36 |
Toc - Plan #44 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 31 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327.68 $371.90 $418.76 $585.22 $889.29 |
$578.35 $622.57 $669.43 $835.89 |
$829.02 $873.24 $920.10 $1,086.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$655.36 $743.80 $837.52 $1,170.44 $1,778.58 |
$906.03 $994.47 $1,088.19 $1,421.11 |
$1,156.70 $1,245.14 $1,338.86 $1,671.78 |
Toc - Plan #45 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 32 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.20 $383.85 $432.21 $604.01 $917.85 |
$596.92 $642.57 $690.93 $862.73 |
$855.64 $901.29 $949.65 $1,121.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$676.40 $767.70 $864.42 $1,208.02 $1,835.70 |
$935.12 $1,026.42 $1,123.14 $1,466.74 |
$1,193.84 $1,285.14 $1,381.86 $1,725.46 |
Toc - Plan #46 Ambetter from Meridian | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 20 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.65 $410.46 $462.18 $645.89 $981.50 |
$638.31 $687.12 $738.84 $922.55 |
$914.97 $963.78 $1,015.50 $1,199.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$723.30 $820.92 $924.36 $1,291.78 $1,963.00 |
$999.96 $1,097.58 $1,201.02 $1,568.44 |
$1,276.62 $1,374.24 $1,477.68 $1,845.10 |
Toc - Plan #47 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.43 $396.59 $446.56 $624.07 $948.33 |
$616.74 $663.90 $713.87 $891.38 |
$884.05 $931.21 $981.18 $1,158.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.86 $793.18 $893.12 $1,248.14 $1,896.66 |
$966.17 $1,060.49 $1,160.43 $1,515.45 |
$1,233.48 $1,327.80 $1,427.74 $1,782.76 |
Toc - Plan #48 Ambetter from Meridian | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Virtual Access Bronze ($0 Virtual Primary Care + $0 Virtual Urgent Care + $0 Preferred Labs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$237.82 $269.92 $303.93 $424.74 $645.43 |
$419.75 $451.85 $485.86 $606.67 |
$601.68 $633.78 $667.79 $788.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$475.64 $539.84 $607.86 $849.48 $1,290.86 |
$657.57 $721.77 $789.79 $1,031.41 |
$839.50 $903.70 $971.72 $1,213.34 |
Toc - Plan #49 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) Ambetter Virtual Access Silver ($0 Virtual Primary Care + $0 Virtual Urgent Care + $0 Preferred Labs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.38 $347.73 $391.54 $547.18 $831.49 |
$540.75 $582.10 $625.91 $781.55 |
$775.12 $816.47 $860.28 $1,015.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$612.76 $695.46 $783.08 $1,094.36 $1,662.98 |
$847.13 $929.83 $1,017.45 $1,328.73 |
$1,081.50 $1,164.20 $1,251.82 $1,563.10 |
Toc - Plan #50 Ambetter from Meridian | ||||||||||||||||||||
Gold
(HMO) Ambetter Virtual Access Gold ($0 Virtual Primary Care + $0 Virtual Urgent Care + $0 Preferred Labs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.04 $383.66 $432.00 $603.72 $917.41 |
$596.63 $642.25 $690.59 $862.31 |
$855.22 $900.84 $949.18 $1,120.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$676.08 $767.32 $864.00 $1,207.44 $1,834.82 |
$934.67 $1,025.91 $1,122.59 $1,466.03 |
$1,193.26 $1,284.50 $1,381.18 $1,724.62 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-888-200-0324 | Toll Free: 1-888-200-0324 | TTY: 1-888-200-0324 |
Toc - Plan #51 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value+ ($3 Rx + 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$259.01 $293.98 $331.02 $462.60 $702.96 |
$457.15 $492.12 $529.16 $660.74 |
$655.29 $690.26 $727.30 $858.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$518.02 $587.96 $662.04 $925.20 $1,405.92 |
$716.16 $786.10 $860.18 $1,123.34 |
$914.30 $984.24 $1,058.32 $1,321.48 |
Toc - Plan #52 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value+ (HSA) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$260.05 $295.16 $332.34 $464.45 $705.78 |
$458.99 $494.10 $531.28 $663.39 |
$657.93 $693.04 $730.22 $862.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$520.10 $590.32 $664.68 $928.90 $1,411.56 |
$719.04 $789.26 $863.62 $1,127.84 |
$917.98 $988.20 $1,062.56 $1,326.78 |
Toc - Plan #53 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential+ (Low Premium) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$245.84 $279.02 $314.18 $439.06 $667.20 |
$433.90 $467.08 $502.24 $627.12 |
$621.96 $655.14 $690.30 $815.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$491.68 $558.04 $628.36 $878.12 $1,334.40 |
$679.74 $746.10 $816.42 $1,066.18 |
$867.80 $934.16 $1,004.48 $1,254.24 |
Toc - Plan #54 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Essential+ Saver (Low Premium + HSA) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$261.13 $296.38 $333.72 $466.37 $708.70 |
$460.89 $496.14 $533.48 $666.13 |
$660.65 $695.90 $733.24 $865.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$522.26 $592.76 $667.44 $932.74 $1,417.40 |
$722.02 $792.52 $867.20 $1,132.50 |
$921.78 $992.28 $1,066.96 $1,332.26 |
Toc - Plan #55 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ ($3 Rx + 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311.88 $353.99 $398.58 $557.02 $846.45 |
$550.47 $592.58 $637.17 $795.61 |
$789.06 $831.17 $875.76 $1,034.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$623.76 $707.98 $797.16 $1,114.04 $1,692.90 |
$862.35 $946.57 $1,035.75 $1,352.63 |
$1,100.94 $1,185.16 $1,274.34 $1,591.22 |
Toc - Plan #56 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ ($3 Rx + Unlimited Free Primary Care & Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.24 $354.39 $399.04 $557.66 $847.42 |
$551.10 $593.25 $637.90 $796.52 |
$789.96 $832.11 $876.76 $1,035.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$624.48 $708.78 $798.08 $1,115.32 $1,694.84 |
$863.34 $947.64 $1,036.94 $1,354.18 |
$1,102.20 $1,186.50 $1,275.80 $1,593.04 |
Toc - Plan #57 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ (HSA) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311.84 $353.94 $398.53 $556.95 $846.34 |
$550.40 $592.50 $637.09 $795.51 |
$788.96 $831.06 $875.65 $1,034.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$623.68 $707.88 $797.06 $1,113.90 $1,692.68 |
$862.24 $946.44 $1,035.62 $1,352.46 |
$1,100.80 $1,185.00 $1,274.18 $1,591.02 |
Toc - Plan #58 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.80 $355.03 $399.76 $558.66 $848.94 |
$552.09 $594.32 $639.05 $797.95 |
$791.38 $833.61 $878.34 $1,037.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$625.60 $710.06 $799.52 $1,117.32 $1,697.88 |
$864.89 $949.35 $1,038.81 $1,356.61 |
$1,104.18 $1,188.64 $1,278.10 $1,595.90 |
Toc - Plan #59 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.35 $360.19 $405.57 $566.78 $861.28 |
$560.12 $602.96 $648.34 $809.55 |
$802.89 $845.73 $891.11 $1,052.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$634.70 $720.38 $811.14 $1,133.56 $1,722.56 |
$877.47 $963.15 $1,053.91 $1,376.33 |
$1,120.24 $1,205.92 $1,296.68 $1,619.10 |
Toc - Plan #60 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ Extra ($3 Rx + Dental + Vision + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333.99 $379.07 $426.83 $596.50 $906.44 |
$589.49 $634.57 $682.33 $852.00 |
$844.99 $890.07 $937.83 $1,107.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$667.98 $758.14 $853.66 $1,193.00 $1,812.88 |
$923.48 $1,013.64 $1,109.16 $1,448.50 |
$1,178.98 $1,269.14 $1,364.66 $1,704.00 |
Toc - Plan #61 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ Extra ($3 Rx + Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.10 $423.47 $476.82 $666.36 $1,012.60 |
$658.52 $708.89 $762.24 $951.78 |
$943.94 $994.31 $1,047.66 $1,237.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$746.20 $846.94 $953.64 $1,332.72 $2,025.20 |
$1,031.62 $1,132.36 $1,239.06 $1,618.14 |
$1,317.04 $1,417.78 $1,524.48 $1,903.56 |
Toc - Plan #62 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value+ ($3 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.46 $392.10 $441.50 $617.00 $937.59 |
$609.74 $656.38 $705.78 $881.28 |
$874.02 $920.66 $970.06 $1,145.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$690.92 $784.20 $883.00 $1,234.00 $1,875.18 |
$955.20 $1,048.48 $1,147.28 $1,498.28 |
$1,219.48 $1,312.76 $1,411.56 $1,762.56 |
Toc - Plan #63 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.16 $403.10 $453.89 $634.31 $963.89 |
$626.85 $674.79 $725.58 $906.00 |
$898.54 $946.48 $997.27 $1,177.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$710.32 $806.20 $907.78 $1,268.62 $1,927.78 |
$982.01 $1,077.89 $1,179.47 $1,540.31 |
$1,253.70 $1,349.58 $1,451.16 $1,812.00 |
Toc - Plan #64 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ Extra ($3 Rx + Dental + Vision + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.78 $418.57 $471.31 $658.65 $1,000.88 |
$650.90 $700.69 $753.43 $940.77 |
$933.02 $982.81 $1,035.55 $1,222.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737.56 $837.14 $942.62 $1,317.30 $2,001.76 |
$1,019.68 $1,119.26 $1,224.74 $1,599.42 |
$1,301.80 $1,401.38 $1,506.86 $1,881.54 |
ADVERTISEMENT
McLaren Health Plan CommunityLocal: 1-888-327-0671 | Toll Free: 1-888-327-0671 | TTY: 1-800-356-3232 |
Toc - Plan #65 McLaren Health Plan Community | ||||||||||||||||||||
Catastrophic
(HMO) McLaren Young Adult/Catastrophic |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-327-0671
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$245.90 $279.09 $314.26 $439.17 $667.37 |
$434.01 $467.20 $502.37 $627.28 |
$622.12 $655.31 $690.48 $815.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$491.80 $558.18 $628.52 $878.34 $1,334.74 |
$679.91 $746.29 $816.63 $1,066.45 |
$868.02 $934.40 $1,004.74 $1,254.56 |
Toc - Plan #66 McLaren Health Plan Community | ||||||||||||||||||||
Silver
(HMO) McLaren Silver Exchange |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-327-0671
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$404.99 $459.66 $517.57 $723.31 $1,099.14 |
$714.81 $769.48 $827.39 $1,033.13 |
$1,024.63 $1,079.30 $1,137.21 $1,342.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$809.98 $919.32 $1,035.14 $1,446.62 $2,198.28 |
$1,119.80 $1,229.14 $1,344.96 $1,756.44 |
$1,429.62 $1,538.96 $1,654.78 $2,066.26 |
Toc - Plan #67 McLaren Health Plan Community | ||||||||||||||||||||
Gold
(HMO) McLaren Gold 1400 |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-327-0671
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.14 $455.29 $512.65 $716.43 $1,088.68 |
$708.01 $762.16 $819.52 $1,023.30 |
$1,014.88 $1,069.03 $1,126.39 $1,330.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$802.28 $910.58 $1,025.30 $1,432.86 $2,177.36 |
$1,109.15 $1,217.45 $1,332.17 $1,739.73 |
$1,416.02 $1,524.32 $1,639.04 $2,046.60 |
Toc - Plan #68 McLaren Health Plan Community | ||||||||||||||||||||
Bronze
(HMO) McLaren Bronze 6500 |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-327-0671
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$273.14 $310.01 $349.07 $487.82 $741.30 |
$482.09 $518.96 $558.02 $696.77 |
$691.04 $727.91 $766.97 $905.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$546.28 $620.02 $698.14 $975.64 $1,482.60 |
$755.23 $828.97 $907.09 $1,184.59 |
$964.18 $1,037.92 $1,116.04 $1,393.54 |
Toc - Plan #69 McLaren Health Plan Community | ||||||||||||||||||||
Expanded Bronze
(HMO) McLaren Bronze Saver |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-327-0671
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285.25 $323.76 $364.56 $509.46 $774.18 |
$503.47 $541.98 $582.78 $727.68 |
$721.69 $760.20 $801.00 $945.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$570.50 $647.52 $729.12 $1,018.92 $1,548.36 |
$788.72 $865.74 $947.34 $1,237.14 |
$1,006.94 $1,083.96 $1,165.56 $1,455.36 |
ADVERTISEMENT
Blue Care Network of MichiganLocal: 1-888-227-2345 | Toll Free: 1-888-227-2345 | TTY: 1-800-257-9980 |
Toc - Plan #70 Blue Care Network of Michigan | ||||||||||||||||||||
Catastrophic
(HMO) Blue Cross® Select HMO Value |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$220.55 $250.32 $281.86 $393.90 $598.57 |
$389.27 $419.04 $450.58 $562.62 |
$557.99 $587.76 $619.30 $731.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$441.10 $500.64 $563.72 $787.80 $1,197.14 |
$609.82 $669.36 $732.44 $956.52 |
$778.54 $838.08 $901.16 $1,125.24 |
Toc - Plan #71 Blue Care Network of Michigan | ||||||||||||||||||||
Silver
(HMO) Blue Cross® Select HMO Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413.74 $469.59 $528.76 $738.94 $1,122.89 |
$730.25 $786.10 $845.27 $1,055.45 |
$1,046.76 $1,102.61 $1,161.78 $1,371.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$827.48 $939.18 $1,057.52 $1,477.88 $2,245.78 |
$1,143.99 $1,255.69 $1,374.03 $1,794.39 |
$1,460.50 $1,572.20 $1,690.54 $2,110.90 |
Toc - Plan #72 Blue Care Network of Michigan | ||||||||||||||||||||
Silver
(HMO) Blue Cross® Preferred HMO Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$452.95 $514.10 $578.87 $808.97 $1,229.31 |
$799.46 $860.61 $925.38 $1,155.48 |
$1,145.97 $1,207.12 $1,271.89 $1,501.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$905.90 $1,028.20 $1,157.74 $1,617.94 $2,458.62 |
$1,252.41 $1,374.71 $1,504.25 $1,964.45 |
$1,598.92 $1,721.22 $1,850.76 $2,310.96 |
Toc - Plan #73 Blue Care Network of Michigan | ||||||||||||||||||||
Gold
(HMO) Blue Cross® Preferred HMO Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$495.07 $561.90 $632.70 $884.20 $1,343.62 |
$873.80 $940.63 $1,011.43 $1,262.93 |
$1,252.53 $1,319.36 $1,390.16 $1,641.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$990.14 $1,123.80 $1,265.40 $1,768.40 $2,687.24 |
$1,368.87 $1,502.53 $1,644.13 $2,147.13 |
$1,747.60 $1,881.26 $2,022.86 $2,525.86 |
Toc - Plan #74 Blue Care Network of Michigan | ||||||||||||||||||||
Silver
(HMO) Blue Cross® Select HMO Silver Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.17 $434.90 $489.69 $684.34 $1,039.92 |
$676.30 $728.03 $782.82 $977.47 |
$969.43 $1,021.16 $1,075.95 $1,270.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$766.34 $869.80 $979.38 $1,368.68 $2,079.84 |
$1,059.47 $1,162.93 $1,272.51 $1,661.81 |
$1,352.60 $1,456.06 $1,565.64 $1,954.94 |
Toc - Plan #75 Blue Care Network of Michigan | ||||||||||||||||||||
Silver
(HMO) Blue Cross® Preferred HMO Silver Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$419.50 $476.13 $536.12 $749.23 $1,138.52 |
$740.42 $797.05 $857.04 $1,070.15 |
$1,061.34 $1,117.97 $1,177.96 $1,391.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$839.00 $952.26 $1,072.24 $1,498.46 $2,277.04 |
$1,159.92 $1,273.18 $1,393.16 $1,819.38 |
$1,480.84 $1,594.10 $1,714.08 $2,140.30 |
Toc - Plan #76 Blue Care Network of Michigan | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Cross® Select HMO Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$267.71 $303.85 $342.13 $478.13 $726.56 |
$472.51 $508.65 $546.93 $682.93 |
$677.31 $713.45 $751.73 $887.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$535.42 $607.70 $684.26 $956.26 $1,453.12 |
$740.22 $812.50 $889.06 $1,161.06 |
$945.02 $1,017.30 $1,093.86 $1,365.86 |
Toc - Plan #77 Blue Care Network of Michigan | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Cross® Select HMO Bronze Saver HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$280.64 $318.53 $358.66 $501.22 $761.66 |
$495.33 $533.22 $573.35 $715.91 |
$710.02 $747.91 $788.04 $930.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$561.28 $637.06 $717.32 $1,002.44 $1,523.32 |
$775.97 $851.75 $932.01 $1,217.13 |
$990.66 $1,066.44 $1,146.70 $1,431.82 |
Toc - Plan #78 Blue Care Network of Michigan | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Cross® Preferred HMO Bronze Saver HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$307.23 $348.71 $392.64 $548.71 $833.82 |
$542.26 $583.74 $627.67 $783.74 |
$777.29 $818.77 $862.70 $1,018.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$614.46 $697.42 $785.28 $1,097.42 $1,667.64 |
$849.49 $932.45 $1,020.31 $1,332.45 |
$1,084.52 $1,167.48 $1,255.34 $1,567.48 |
Toc - Plan #79 Blue Care Network of Michigan | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Cross® Preferred HMO Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$293.08 $332.65 $374.56 $523.44 $795.42 |
$517.29 $556.86 $598.77 $747.65 |
$741.50 $781.07 $822.98 $971.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$586.16 $665.30 $749.12 $1,046.88 $1,590.84 |
$810.37 $889.51 $973.33 $1,271.09 |
$1,034.58 $1,113.72 $1,197.54 $1,495.30 |
Toc - Plan #80 Blue Care Network of Michigan | ||||||||||||||||||||
Silver
(HMO) Blue Cross® Select HMO Silver Extra |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.63 $486.50 $547.79 $765.53 $1,163.30 |
$756.53 $814.40 $875.69 $1,093.43 |
$1,084.43 $1,142.30 $1,203.59 $1,421.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$857.26 $973.00 $1,095.58 $1,531.06 $2,326.60 |
$1,185.16 $1,300.90 $1,423.48 $1,858.96 |
$1,513.06 $1,628.80 $1,751.38 $2,186.86 |
Toc - Plan #81 Blue Care Network of Michigan | ||||||||||||||||||||
Silver
(HMO) Blue Cross® Preferred HMO Silver Extra |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$469.26 $532.61 $599.71 $838.10 $1,273.57 |
$828.24 $891.59 $958.69 $1,197.08 |
$1,187.22 $1,250.57 $1,317.67 $1,556.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$938.52 $1,065.22 $1,199.42 $1,676.20 $2,547.14 |
$1,297.50 $1,424.20 $1,558.40 $2,035.18 |
$1,656.48 $1,783.18 $1,917.38 $2,394.16 |
‡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 Kalamazoo County here.
Kalamazoo County is in “Rating Area 10” of Michigan.
Currently, there are 81 plans offered in Rating Area 10.