Obamacare 2022 Rates for Platte County
Obamacare > Rates > Missouri > Platte County
Obamacare > Rates > Missouri > Platte County
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Blue Cross and Blue Shield of Kansas CityLocal: 1-816-395-3558 | Toll Free: 1-888-800-4478 |
Toc - Plan #1 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Choice Bronze 7000 BlueSelect Plus EPO with Spira Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$429.86 $487.89 $549.36 $767.72 $1,166.63 |
$758.70 $816.73 $878.20 $1,096.56 |
$1,087.54 $1,145.57 $1,207.04 $1,425.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$859.72 $975.78 $1,098.72 $1,535.44 $2,333.26 |
$1,188.56 $1,304.62 $1,427.56 $1,864.28 |
$1,517.40 $1,633.46 $1,756.40 $2,193.12 |
Toc - Plan #2 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) Blue KC Choice Silver 5000 BlueSelect Plus EPO with Spira Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$502.82 $570.70 $642.60 $898.03 $1,364.64 |
$887.47 $955.35 $1,027.25 $1,282.68 |
$1,272.12 $1,340.00 $1,411.90 $1,667.33 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,005.64 $1,141.40 $1,285.20 $1,796.06 $2,729.28 |
$1,390.29 $1,526.05 $1,669.85 $2,180.71 |
$1,774.94 $1,910.70 $2,054.50 $2,565.36 |
Toc - Plan #3 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Saver Bronze 6500 with broad Preferred-Care Blue EPO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$431.06 $489.25 $550.90 $769.87 $1,169.90 |
$760.82 $819.01 $880.66 $1,099.63 |
$1,090.58 $1,148.77 $1,210.42 $1,429.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$862.12 $978.50 $1,101.80 $1,539.74 $2,339.80 |
$1,191.88 $1,308.26 $1,431.56 $1,869.50 |
$1,521.64 $1,638.02 $1,761.32 $2,199.26 |
Toc - Plan #4 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) Blue KC Choice Silver 5000 BlueSelect EPO with Spira Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$436.80 $495.77 $558.23 $780.13 $1,185.48 |
$770.95 $829.92 $892.38 $1,114.28 |
$1,105.10 $1,164.07 $1,226.53 $1,448.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$873.60 $991.54 $1,116.46 $1,560.26 $2,370.96 |
$1,207.75 $1,325.69 $1,450.61 $1,894.41 |
$1,541.90 $1,659.84 $1,784.76 $2,228.56 |
Toc - Plan #5 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Choice Bronze 7000 BlueSelect EPO with Spira Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$373.48 $423.90 $477.31 $667.04 $1,013.63 |
$659.19 $709.61 $763.02 $952.75 |
$944.90 $995.32 $1,048.73 $1,238.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$746.96 $847.80 $954.62 $1,334.08 $2,027.26 |
$1,032.67 $1,133.51 $1,240.33 $1,619.79 |
$1,318.38 $1,419.22 $1,526.04 $1,905.50 |
Toc - Plan #6 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) BlueKC Community Silver 6000 with broad Preferred-Care Blue EPO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$521.00 $591.33 $665.83 $930.50 $1,413.98 |
$919.56 $989.89 $1,064.39 $1,329.06 |
$1,318.12 $1,388.45 $1,462.95 $1,727.62 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,042.00 $1,182.66 $1,331.66 $1,861.00 $2,827.96 |
$1,440.56 $1,581.22 $1,730.22 $2,259.56 |
$1,839.12 $1,979.78 $2,128.78 $2,658.12 |
Toc - Plan #7 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC First Bronze 7000 with broad Preferred-Care Blue EPO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$459.32 $521.33 $587.01 $820.35 $1,246.60 |
$810.70 $872.71 $938.39 $1,171.73 |
$1,162.08 $1,224.09 $1,289.77 $1,523.11 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$918.64 $1,042.66 $1,174.02 $1,640.70 $2,493.20 |
$1,270.02 $1,394.04 $1,525.40 $1,992.08 |
$1,621.40 $1,745.42 $1,876.78 $2,343.46 |
Toc - Plan #8 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Gold
(EPO) Blue KC Community Gold 1500 with broad Preferred-Care Blue EPO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$643.26 $730.09 $822.08 $1,148.85 $1,745.80 |
$1,135.35 $1,222.18 $1,314.17 $1,640.94 |
$1,627.44 $1,714.27 $1,806.26 $2,133.03 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,286.52 $1,460.18 $1,644.16 $2,297.70 $3,491.60 |
$1,778.61 $1,952.27 $2,136.25 $2,789.79 |
$2,270.70 $2,444.36 $2,628.34 $3,281.88 |
Toc - Plan #9 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Chocie Bronze 8700 BlueSelect EPO with Spira Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$344.20 $390.67 $439.89 $614.74 $934.15 |
$607.51 $653.98 $703.20 $878.05 |
$870.82 $917.29 $966.51 $1,141.36 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$688.40 $781.34 $879.78 $1,229.48 $1,868.30 |
$951.71 $1,044.65 $1,143.09 $1,492.79 |
$1,215.02 $1,307.96 $1,406.40 $1,756.10 |
Toc - Plan #10 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) Blue KC Choice Silver 6000 BlueSelect EPO with Spira Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$416.83 $473.10 $532.71 $744.46 $1,131.28 |
$735.71 $791.98 $851.59 $1,063.34 |
$1,054.59 $1,110.86 $1,170.47 $1,382.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$833.66 $946.20 $1,065.42 $1,488.92 $2,262.56 |
$1,152.54 $1,265.08 $1,384.30 $1,807.80 |
$1,471.42 $1,583.96 $1,703.18 $2,126.68 |
Toc - Plan #11 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Saver Bronze 6500 with BlueSelect EPO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$351.66 $399.13 $449.42 $628.06 $954.40 |
$620.68 $668.15 $718.44 $897.08 |
$889.70 $937.17 $987.46 $1,166.10 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$703.32 $798.26 $898.84 $1,256.12 $1,908.80 |
$972.34 $1,067.28 $1,167.86 $1,525.14 |
$1,241.36 $1,336.30 $1,436.88 $1,794.16 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 | TTY: 1-877-336-3915 |
Toc - Plan #12 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Aetna CVS Bronze: Low-Cost MinuteClinic Visits, Telehealth, Store Discounts, Kansas City |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$337.51 $383.07 $431.33 $602.79 $915.99 |
$595.70 $641.26 $689.52 $860.98 |
$853.89 $899.45 $947.71 $1,119.17 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$675.02 $766.14 $862.66 $1,205.58 $1,831.98 |
$933.21 $1,024.33 $1,120.85 $1,463.77 |
$1,191.40 $1,282.52 $1,379.04 $1,721.96 |
Toc - Plan #13 Aetna CVS Health | ||||||||||||||||||||
Bronze
(EPO) Aetna CVS Bronze: $0 MinuteClinic Visits, Telehealth, Store Discounts, Kansas City |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$335.10 $380.33 $428.25 $598.48 $909.45 |
$591.45 $636.68 $684.60 $854.83 |
$847.80 $893.03 $940.95 $1,111.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$670.20 $760.66 $856.50 $1,196.96 $1,818.90 |
$926.55 $1,017.01 $1,112.85 $1,453.31 |
$1,182.90 $1,273.36 $1,369.20 $1,709.66 |
Toc - Plan #14 Aetna CVS Health | ||||||||||||||||||||
Gold
(EPO) Aetna CVS Gold: $0 MinuteClinic Visits, Telehealth, Store Discounts, Kansas City |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$502.95 $570.85 $642.77 $898.27 $1,365.00 |
$887.71 $955.61 $1,027.53 $1,283.03 |
$1,272.47 $1,340.37 $1,412.29 $1,667.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,005.90 $1,141.70 $1,285.54 $1,796.54 $2,730.00 |
$1,390.66 $1,526.46 $1,670.30 $2,181.30 |
$1,775.42 $1,911.22 $2,055.06 $2,566.06 |
Toc - Plan #15 Aetna CVS Health | ||||||||||||||||||||
Silver
(EPO) Aetna CVS Silver 2: $0 MinuteClinic Visits, Telehealth, Store Discounts, Kansas City |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$407.52 $462.53 $520.80 $727.82 $1,106.00 |
$719.27 $774.28 $832.55 $1,039.57 |
$1,031.02 $1,086.03 $1,144.30 $1,351.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$815.04 $925.06 $1,041.60 $1,455.64 $2,212.00 |
$1,126.79 $1,236.81 $1,353.35 $1,767.39 |
$1,438.54 $1,548.56 $1,665.10 $2,079.14 |
Toc - Plan #16 Aetna CVS Health | ||||||||||||||||||||
Silver
(EPO) Aetna CVS Silver 1: $0 MinuteClinic Visits, Telehealth, Store Discounts, Kansas City |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$454.86 $516.26 $581.30 $812.37 $1,234.48 |
$802.82 $864.22 $929.26 $1,160.33 |
$1,150.78 $1,212.18 $1,277.22 $1,508.29 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$909.72 $1,032.52 $1,162.60 $1,624.74 $2,468.96 |
$1,257.68 $1,380.48 $1,510.56 $1,972.70 |
$1,605.64 $1,728.44 $1,858.52 $2,320.66 |
ADVERTISEMENT
MedicaLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-800-676-3777 |
Toc - Plan #17 Medica | ||||||||||||||||||||
Gold
(EPO) Select by Medica Gold Copay ($0 Virtual Care + $5 Generic Drugs + Online Wellness) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$469.76 $533.17 $600.34 $838.98 $1,274.91 |
$829.12 $892.53 $959.70 $1,198.34 |
$1,188.48 $1,251.89 $1,319.06 $1,557.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$939.52 $1,066.34 $1,200.68 $1,677.96 $2,549.82 |
$1,298.88 $1,425.70 $1,560.04 $2,037.32 |
$1,658.24 $1,785.06 $1,919.40 $2,396.68 |
Toc - Plan #18 Medica | ||||||||||||||||||||
Silver
(EPO) Select by Medica Silver Copay ($0 Virtual Care + Online Wellness) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$425.38 $482.80 $543.62 $759.71 $1,154.46 |
$750.79 $808.21 $869.03 $1,085.12 |
$1,076.20 $1,133.62 $1,194.44 $1,410.53 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$850.76 $965.60 $1,087.24 $1,519.42 $2,308.92 |
$1,176.17 $1,291.01 $1,412.65 $1,844.83 |
$1,501.58 $1,616.42 $1,738.06 $2,170.24 |
Toc - Plan #19 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Select by Medica Bronze H S A ($0 Virtual Care after deductible + Online Wellness) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$351.80 $399.28 $449.58 $628.29 $954.75 |
$620.92 $668.40 $718.70 $897.41 |
$890.04 $937.52 $987.82 $1,166.53 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$703.60 $798.56 $899.16 $1,256.58 $1,909.50 |
$972.72 $1,067.68 $1,168.28 $1,525.70 |
$1,241.84 $1,336.80 $1,437.40 $1,794.82 |
Toc - Plan #20 Medica | ||||||||||||||||||||
Catastrophic
(EPO) Select by Medica Catastrophic ($0 Virtual Care + Online Wellness) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$227.64 $258.36 $290.92 $406.55 $617.80 |
$401.78 $432.50 $465.06 $580.69 |
$575.92 $606.64 $639.20 $754.83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$455.28 $516.72 $581.84 $813.10 $1,235.60 |
$629.42 $690.86 $755.98 $987.24 |
$803.56 $865.00 $930.12 $1,161.38 |
Toc - Plan #21 Medica | ||||||||||||||||||||
Gold
(EPO) Select by Medica Gold Share ($0 Virtual Care + $5 Generic Drugs + Online Wellness) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$442.54 $502.27 $565.55 $790.35 $1,201.01 |
$781.07 $840.80 $904.08 $1,128.88 |
$1,119.60 $1,179.33 $1,242.61 $1,467.41 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$885.08 $1,004.54 $1,131.10 $1,580.70 $2,402.02 |
$1,223.61 $1,343.07 $1,469.63 $1,919.23 |
$1,562.14 $1,681.60 $1,808.16 $2,257.76 |
Toc - Plan #22 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Select by Medica Bronze Share Plus ($0 Virtual Care + Online Wellness) |
||||||||||||||||||||
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 |
$318.50 $361.49 $407.03 $568.82 $864.38 |
$562.14 $605.13 $650.67 $812.46 |
$805.78 $848.77 $894.31 $1,056.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$637.00 $722.98 $814.06 $1,137.64 $1,728.76 |
$880.64 $966.62 $1,057.70 $1,381.28 |
$1,124.28 $1,210.26 $1,301.34 $1,624.92 |
Toc - Plan #23 Medica | ||||||||||||||||||||
Bronze
(EPO) Select by Medica Bronze Value ($0 Virtual Care + Online Wellness) |
||||||||||||||||||||
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 |
$302.89 $343.76 $387.07 $540.94 $822.00 |
$534.59 $575.46 $618.77 $772.64 |
$766.29 $807.16 $850.47 $1,004.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$605.78 $687.52 $774.14 $1,081.88 $1,644.00 |
$837.48 $919.22 $1,005.84 $1,313.58 |
$1,069.18 $1,150.92 $1,237.54 $1,545.28 |
Toc - Plan #24 Medica | ||||||||||||||||||||
Bronze
(EPO) Select by Medica Bronze Value + Dental Reimbursement ($0 Virtual Care + Online Wellness) |
||||||||||||||||||||
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 |
$324.39 $368.17 $414.56 $579.34 $880.37 |
$572.54 $616.32 $662.71 $827.49 |
$820.69 $864.47 $910.86 $1,075.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$648.78 $736.34 $829.12 $1,158.68 $1,760.74 |
$896.93 $984.49 $1,077.27 $1,406.83 |
$1,145.08 $1,232.64 $1,325.42 $1,654.98 |
Toc - Plan #25 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Select by Medica Bronze Copay $0 Preferred Primary Care ($0 Virtual Care + Online Wellness) |
||||||||||||||||||||
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 |
$319.25 $362.33 $407.99 $570.16 $866.41 |
$563.47 $606.55 $652.21 $814.38 |
$807.69 $850.77 $896.43 $1,058.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$638.50 $724.66 $815.98 $1,140.32 $1,732.82 |
$882.72 $968.88 $1,060.20 $1,384.54 |
$1,126.94 $1,213.10 $1,304.42 $1,628.76 |
ADVERTISEMENT
Oscar Insurance CompanyLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #26 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.61 $340.05 $382.89 $535.09 $813.12 |
$528.80 $569.24 $612.08 $764.28 |
$757.99 $798.43 $841.27 $993.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$599.22 $680.10 $765.78 $1,070.18 $1,626.24 |
$828.41 $909.29 $994.97 $1,299.37 |
$1,057.60 $1,138.48 $1,224.16 $1,528.56 |
Toc - Plan #27 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$293.74 $333.38 $375.38 $524.60 $797.18 |
$518.44 $558.08 $600.08 $749.30 |
$743.14 $782.78 $824.78 $974.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$587.48 $666.76 $750.76 $1,049.20 $1,594.36 |
$812.18 $891.46 $975.46 $1,273.90 |
$1,036.88 $1,116.16 $1,200.16 $1,498.60 |
Toc - Plan #28 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded+PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341.30 $387.37 $436.17 $609.55 $926.27 |
$602.39 $648.46 $697.26 $870.64 |
$863.48 $909.55 $958.35 $1,131.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$682.60 $774.74 $872.34 $1,219.10 $1,852.54 |
$943.69 $1,035.83 $1,133.43 $1,480.19 |
$1,204.78 $1,296.92 $1,394.52 $1,741.28 |
Toc - Plan #29 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.60 $413.81 $465.94 $651.15 $989.49 |
$643.51 $692.72 $744.85 $930.06 |
$922.42 $971.63 $1,023.76 $1,208.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$729.20 $827.62 $931.88 $1,302.30 $1,978.98 |
$1,008.11 $1,106.53 $1,210.79 $1,581.21 |
$1,287.02 $1,385.44 $1,489.70 $1,860.12 |
Toc - Plan #30 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.28 $406.64 $457.87 $639.87 $972.35 |
$632.36 $680.72 $731.95 $913.95 |
$906.44 $954.80 $1,006.03 $1,188.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.56 $813.28 $915.74 $1,279.74 $1,944.70 |
$990.64 $1,087.36 $1,189.82 $1,553.82 |
$1,264.72 $1,361.44 $1,463.90 $1,827.90 |
Toc - Plan #31 Oscar Insurance Company | ||||||||||||||||||||
Catastrophic
(EPO) Secure |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$249.80 $283.52 $319.24 $446.13 $677.94 |
$440.89 $474.61 $510.33 $637.22 |
$631.98 $665.70 $701.42 $828.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$499.60 $567.04 $638.48 $892.26 $1,355.88 |
$690.69 $758.13 $829.57 $1,083.35 |
$881.78 $949.22 $1,020.66 $1,274.44 |
Toc - Plan #32 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded+Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341.42 $387.50 $436.32 $609.76 $926.58 |
$602.60 $648.68 $697.50 $870.94 |
$863.78 $909.86 $958.68 $1,132.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$682.84 $775.00 $872.64 $1,219.52 $1,853.16 |
$944.02 $1,036.18 $1,133.82 $1,480.70 |
$1,205.20 $1,297.36 $1,395.00 $1,741.88 |
Toc - Plan #33 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$443.50 $503.36 $566.78 $792.07 $1,203.63 |
$782.77 $842.63 $906.05 $1,131.34 |
$1,122.04 $1,181.90 $1,245.32 $1,470.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$887.00 $1,006.72 $1,133.56 $1,584.14 $2,407.26 |
$1,226.27 $1,345.99 $1,472.83 $1,923.41 |
$1,565.54 $1,685.26 $1,812.10 $2,262.68 |
Toc - Plan #34 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Simple- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.59 $358.18 $403.31 $563.63 $856.48 |
$557.01 $599.60 $644.73 $805.05 |
$798.43 $841.02 $886.15 $1,046.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$631.18 $716.36 $806.62 $1,127.26 $1,712.96 |
$872.60 $957.78 $1,048.04 $1,368.68 |
$1,114.02 $1,199.20 $1,289.46 $1,610.10 |
Toc - Plan #35 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.77 $406.06 $457.22 $638.96 $970.96 |
$631.46 $679.75 $730.91 $912.65 |
$905.15 $953.44 $1,004.60 $1,186.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$715.54 $812.12 $914.44 $1,277.92 $1,941.92 |
$989.23 $1,085.81 $1,188.13 $1,551.61 |
$1,262.92 $1,359.50 $1,461.82 $1,825.30 |
Toc - Plan #36 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Classic- Low Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$444.56 $504.57 $568.14 $793.97 $1,206.51 |
$784.64 $844.65 $908.22 $1,134.05 |
$1,124.72 $1,184.73 $1,248.30 $1,474.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$889.12 $1,009.14 $1,136.28 $1,587.94 $2,413.02 |
$1,229.20 $1,349.22 $1,476.36 $1,928.02 |
$1,569.28 $1,689.30 $1,816.44 $2,268.10 |
Toc - Plan #37 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$308.87 $350.55 $394.72 $551.62 $838.24 |
$545.15 $586.83 $631.00 $787.90 |
$781.43 $823.11 $867.28 $1,024.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$617.74 $701.10 $789.44 $1,103.24 $1,676.48 |
$854.02 $937.38 $1,025.72 $1,339.52 |
$1,090.30 $1,173.66 $1,262.00 $1,575.80 |
Toc - Plan #38 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327.52 $371.73 $418.56 $584.94 $888.87 |
$578.07 $622.28 $669.11 $835.49 |
$828.62 $872.83 $919.66 $1,086.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$655.04 $743.46 $837.12 $1,169.88 $1,777.74 |
$905.59 $994.01 $1,087.67 $1,420.43 |
$1,156.14 $1,244.56 $1,338.22 $1,670.98 |
Toc - Plan #39 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $4700 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.44 $354.61 $399.29 $558.00 $847.93 |
$551.45 $593.62 $638.30 $797.01 |
$790.46 $832.63 $877.31 $1,036.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$624.88 $709.22 $798.58 $1,116.00 $1,695.86 |
$863.89 $948.23 $1,037.59 $1,355.01 |
$1,102.90 $1,187.24 $1,276.60 $1,594.02 |
Toc - Plan #40 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.84 $400.47 $450.92 $630.16 $957.59 |
$622.76 $670.39 $720.84 $900.08 |
$892.68 $940.31 $990.76 $1,170.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$705.68 $800.94 $901.84 $1,260.32 $1,915.18 |
$975.60 $1,070.86 $1,171.76 $1,530.24 |
$1,245.52 $1,340.78 $1,441.68 $1,800.16 |
Toc - Plan #41 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Elite- Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375.36 $426.03 $479.70 $670.38 $1,018.71 |
$662.51 $713.18 $766.85 $957.53 |
$949.66 $1,000.33 $1,054.00 $1,244.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$750.72 $852.06 $959.40 $1,340.76 $2,037.42 |
$1,037.87 $1,139.21 $1,246.55 $1,627.91 |
$1,325.02 $1,426.36 $1,533.70 $1,915.06 |
Toc - Plan #42 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic- Low Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365.93 $415.32 $467.65 $653.54 $993.12 |
$645.86 $695.25 $747.58 $933.47 |
$925.79 $975.18 $1,027.51 $1,213.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731.86 $830.64 $935.30 $1,307.08 $1,986.24 |
$1,011.79 $1,110.57 $1,215.23 $1,587.01 |
$1,291.72 $1,390.50 $1,495.16 $1,866.94 |
Toc - Plan #43 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Elite- $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.00 $424.48 $477.96 $667.95 $1,015.02 |
$660.11 $710.59 $764.07 $954.06 |
$946.22 $996.70 $1,050.18 $1,240.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$748.00 $848.96 $955.92 $1,335.90 $2,030.04 |
$1,034.11 $1,135.07 $1,242.03 $1,622.01 |
$1,320.22 $1,421.18 $1,528.14 $1,908.12 |
Toc - Plan #44 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.88 $423.20 $476.52 $665.94 $1,011.96 |
$658.12 $708.44 $761.76 $951.18 |
$943.36 $993.68 $1,047.00 $1,236.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745.76 $846.40 $953.04 $1,331.88 $2,023.92 |
$1,031.00 $1,131.64 $1,238.28 $1,617.12 |
$1,316.24 $1,416.88 $1,523.52 $1,902.36 |
Toc - Plan #45 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.69 $419.59 $472.45 $660.25 $1,003.32 |
$652.50 $702.40 $755.26 $943.06 |
$935.31 $985.21 $1,038.07 $1,225.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$739.38 $839.18 $944.90 $1,320.50 $2,006.64 |
$1,022.19 $1,121.99 $1,227.71 $1,603.31 |
$1,305.00 $1,404.80 $1,510.52 $1,886.12 |
Toc - Plan #46 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.36 $486.18 $547.44 $765.04 $1,162.55 |
$756.05 $813.87 $875.13 $1,092.73 |
$1,083.74 $1,141.56 $1,202.82 $1,420.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$856.72 $972.36 $1,094.88 $1,530.08 $2,325.10 |
$1,184.41 $1,300.05 $1,422.57 $1,857.77 |
$1,512.10 $1,627.74 $1,750.26 $2,185.46 |
Toc - Plan #47 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$475.00 $539.11 $607.04 $848.33 $1,289.13 |
$838.37 $902.48 $970.41 $1,211.70 |
$1,201.74 $1,265.85 $1,333.78 $1,575.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$950.00 $1,078.22 $1,214.08 $1,696.66 $2,578.26 |
$1,313.37 $1,441.59 $1,577.45 $2,060.03 |
$1,676.74 $1,804.96 $1,940.82 $2,423.40 |
Toc - Plan #48 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$455.04 $516.46 $581.53 $812.69 $1,234.96 |
$803.14 $864.56 $929.63 $1,160.79 |
$1,151.24 $1,212.66 $1,277.73 $1,508.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$910.08 $1,032.92 $1,163.06 $1,625.38 $2,469.92 |
$1,258.18 $1,381.02 $1,511.16 $1,973.48 |
$1,606.28 $1,729.12 $1,859.26 $2,321.58 |
Toc - Plan #49 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Classic- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$429.41 $487.37 $548.77 $766.90 $1,165.38 |
$757.90 $815.86 $877.26 $1,095.39 |
$1,086.39 $1,144.35 $1,205.75 $1,423.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$858.82 $974.74 $1,097.54 $1,533.80 $2,330.76 |
$1,187.31 $1,303.23 $1,426.03 $1,862.29 |
$1,515.80 $1,631.72 $1,754.52 $2,190.78 |
Toc - Plan #50 Oscar Insurance Company | ||||||||||||||||||||
Bronze
(EPO) Bronze Super Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$292.86 $332.39 $374.27 $523.04 $794.81 |
$516.89 $556.42 $598.30 $747.07 |
$740.92 $780.45 $822.33 $971.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$585.72 $664.78 $748.54 $1,046.08 $1,589.62 |
$809.75 $888.81 $972.57 $1,270.11 |
$1,033.78 $1,112.84 $1,196.60 $1,494.14 |
Toc - Plan #51 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $4000 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$330.36 $374.94 $422.18 $590.00 $896.56 |
$583.07 $627.65 $674.89 $842.71 |
$835.78 $880.36 $927.60 $1,095.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$660.72 $749.88 $844.36 $1,180.00 $1,793.12 |
$913.43 $1,002.59 $1,097.07 $1,432.71 |
$1,166.14 $1,255.30 $1,349.78 $1,685.42 |
Toc - Plan #52 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $1000 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337.60 $383.17 $431.44 $602.94 $916.23 |
$595.86 $641.43 $689.70 $861.20 |
$854.12 $899.69 $947.96 $1,119.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$675.20 $766.34 $862.88 $1,205.88 $1,832.46 |
$933.46 $1,024.60 $1,121.14 $1,464.14 |
$1,191.72 $1,282.86 $1,379.40 $1,722.40 |
Toc - Plan #53 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.59 $384.29 $432.71 $604.70 $918.91 |
$597.60 $643.30 $691.72 $863.71 |
$856.61 $902.31 $950.73 $1,122.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$677.18 $768.58 $865.42 $1,209.40 $1,837.82 |
$936.19 $1,027.59 $1,124.43 $1,468.41 |
$1,195.20 $1,286.60 $1,383.44 $1,727.42 |
Toc - Plan #54 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- For Diabetes |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.51 $409.17 $460.72 $643.85 $978.40 |
$636.29 $684.95 $736.50 $919.63 |
$912.07 $960.73 $1,012.28 $1,195.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721.02 $818.34 $921.44 $1,287.70 $1,956.80 |
$996.80 $1,094.12 $1,197.22 $1,563.48 |
$1,272.58 $1,369.90 $1,473.00 $1,839.26 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #55 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 |
$381.31 $432.79 $487.31 $681.02 $1,034.87 |
$673.01 $724.49 $779.01 $972.72 |
$964.71 $1,016.19 $1,070.71 $1,264.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$762.62 $865.58 $974.62 $1,362.04 $2,069.74 |
$1,054.32 $1,157.28 $1,266.32 $1,653.74 |
$1,346.02 $1,448.98 $1,558.02 $1,945.44 |
Toc - Plan #56 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 5500 ($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 |
$455.93 $517.48 $582.68 $814.29 $1,237.39 |
$804.72 $866.27 $931.47 $1,163.08 |
$1,153.51 $1,215.06 $1,280.26 $1,511.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$911.86 $1,034.96 $1,165.36 $1,628.58 $2,474.78 |
$1,260.65 $1,383.75 $1,514.15 $1,977.37 |
$1,609.44 $1,732.54 $1,862.94 $2,326.16 |
Toc - Plan #57 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 2900 ($0 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 |
$470.16 $533.64 $600.87 $839.71 $1,276.02 |
$829.84 $893.32 $960.55 $1,199.39 |
$1,189.52 $1,253.00 $1,320.23 $1,559.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$940.32 $1,067.28 $1,201.74 $1,679.42 $2,552.04 |
$1,300.00 $1,426.96 $1,561.42 $2,039.10 |
$1,659.68 $1,786.64 $1,921.10 $2,398.78 |
Toc - Plan #58 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 850 ($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 |
$599.97 $680.96 $766.76 $1,071.54 $1,628.31 |
$1,058.94 $1,139.93 $1,225.73 $1,530.51 |
$1,517.91 $1,598.90 $1,684.70 $1,989.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,199.94 $1,361.92 $1,533.52 $2,143.08 $3,256.62 |
$1,658.91 $1,820.89 $1,992.49 $2,602.05 |
$2,117.88 $2,279.86 $2,451.46 $3,061.02 |
Toc - Plan #59 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 7000 ($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 |
$371.51 $421.66 $474.79 $663.52 $1,008.28 |
$655.72 $705.87 $759.00 $947.73 |
$939.93 $990.08 $1,043.21 $1,231.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$743.02 $843.32 $949.58 $1,327.04 $2,016.56 |
$1,027.23 $1,127.53 $1,233.79 $1,611.25 |
$1,311.44 $1,411.74 $1,518.00 $1,895.46 |
Toc - Plan #60 Cigna Healthcare | ||||||||||||||||||||
Bronze
(EPO) Cigna Connect 8700 ($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 |
$360.89 $409.61 $461.21 $644.54 $979.45 |
$636.97 $685.69 $737.29 $920.62 |
$913.05 $961.77 $1,013.37 $1,196.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721.78 $819.22 $922.42 $1,289.08 $1,958.90 |
$997.86 $1,095.30 $1,198.50 $1,565.16 |
$1,273.94 $1,371.38 $1,474.58 $1,841.24 |
Toc - Plan #61 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 7300 ($0 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 |
$457.37 $519.12 $584.52 $816.87 $1,241.31 |
$807.26 $869.01 $934.41 $1,166.76 |
$1,157.15 $1,218.90 $1,284.30 $1,516.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$914.74 $1,038.24 $1,169.04 $1,633.74 $2,482.62 |
$1,264.63 $1,388.13 $1,518.93 $1,983.63 |
$1,614.52 $1,738.02 $1,868.82 $2,333.52 |
Toc - Plan #62 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4500 ($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 |
$451.86 $512.86 $577.47 $807.02 $1,226.34 |
$797.53 $858.53 $923.14 $1,152.69 |
$1,143.20 $1,204.20 $1,268.81 $1,498.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$903.72 $1,025.72 $1,154.94 $1,614.04 $2,452.68 |
$1,249.39 $1,371.39 $1,500.61 $1,959.71 |
$1,595.06 $1,717.06 $1,846.28 $2,305.38 |
Toc - Plan #63 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3500 Enhanced Diabetes Care ($0 Select 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 |
$465.83 $528.72 $595.33 $831.98 $1,264.27 |
$822.19 $885.08 $951.69 $1,188.34 |
$1,178.55 $1,241.44 $1,308.05 $1,544.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$931.66 $1,057.44 $1,190.66 $1,663.96 $2,528.54 |
$1,288.02 $1,413.80 $1,547.02 $2,020.32 |
$1,644.38 $1,770.16 $1,903.38 $2,376.68 |
Toc - Plan #64 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 6800 Enhanced Diabetes Care ($0 Select 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 |
$382.08 $433.66 $488.30 $682.40 $1,036.97 |
$674.37 $725.95 $780.59 $974.69 |
$966.66 $1,018.24 $1,072.88 $1,266.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.16 $867.32 $976.60 $1,364.80 $2,073.94 |
$1,056.45 $1,159.61 $1,268.89 $1,657.09 |
$1,348.74 $1,451.90 $1,561.18 $1,949.38 |
Toc - Plan #65 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4200 Enhanced Asthma COPD Care ($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 |
$460.67 $522.87 $588.74 $822.77 $1,250.27 |
$813.09 $875.29 $941.16 $1,175.19 |
$1,165.51 $1,227.71 $1,293.58 $1,527.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$921.34 $1,045.74 $1,177.48 $1,645.54 $2,500.54 |
$1,273.76 $1,398.16 $1,529.90 $1,997.96 |
$1,626.18 $1,750.58 $1,882.32 $2,350.38 |
Toc - Plan #66 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 0 ($3 Tier 1 Rx, $0 Medical Deductible, $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 |
$470.27 $533.75 $601.00 $839.90 $1,276.30 |
$830.02 $893.50 $960.75 $1,199.65 |
$1,189.77 $1,253.25 $1,320.50 $1,559.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$940.54 $1,067.50 $1,202.00 $1,679.80 $2,552.60 |
$1,300.29 $1,427.25 $1,561.75 $2,039.55 |
$1,660.04 $1,787.00 $1,921.50 $2,399.30 |
Toc - Plan #67 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 1500 ($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 |
$575.31 $652.98 $735.25 $1,027.51 $1,561.40 |
$1,015.43 $1,093.10 $1,175.37 $1,467.63 |
$1,455.55 $1,533.22 $1,615.49 $1,907.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,150.62 $1,305.96 $1,470.50 $2,055.02 $3,122.80 |
$1,590.74 $1,746.08 $1,910.62 $2,495.14 |
$2,030.86 $2,186.20 $2,350.74 $2,935.26 |
ADVERTISEMENT
Ambetter from Home State HealthLocal: 1-855-650-3789 | Toll Free: 1-855-650-3789 |
Toc - Plan #68 Ambetter from Home State Health | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$308.66 $350.32 $394.45 $551.25 $837.68 |
$544.78 $586.44 $630.57 $787.37 |
$780.90 $822.56 $866.69 $1,023.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$617.32 $700.64 $788.90 $1,102.50 $1,675.36 |
$853.44 $936.76 $1,025.02 $1,338.62 |
$1,089.56 $1,172.88 $1,261.14 $1,574.74 |
Toc - Plan #69 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 4 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.54 $429.63 $483.76 $676.05 $1,027.32 |
$668.11 $719.20 $773.33 $965.62 |
$957.68 $1,008.77 $1,062.90 $1,255.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$757.08 $859.26 $967.52 $1,352.10 $2,054.64 |
$1,046.65 $1,148.83 $1,257.09 $1,641.67 |
$1,336.22 $1,438.40 $1,546.66 $1,931.24 |
Toc - Plan #70 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.99 $416.52 $469.00 $655.43 $995.99 |
$647.73 $697.26 $749.74 $936.17 |
$928.47 $978.00 $1,030.48 $1,216.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$733.98 $833.04 $938.00 $1,310.86 $1,991.98 |
$1,014.72 $1,113.78 $1,218.74 $1,591.60 |
$1,295.46 $1,394.52 $1,499.48 $1,872.34 |
Toc - Plan #71 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$469.68 $533.08 $600.24 $838.84 $1,274.70 |
$828.98 $892.38 $959.54 $1,198.14 |
$1,188.28 $1,251.68 $1,318.84 $1,557.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$939.36 $1,066.16 $1,200.48 $1,677.68 $2,549.40 |
$1,298.66 $1,425.46 $1,559.78 $2,036.98 |
$1,657.96 $1,784.76 $1,919.08 $2,396.28 |
Toc - Plan #72 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336.67 $382.11 $430.25 $601.28 $913.70 |
$594.22 $639.66 $687.80 $858.83 |
$851.77 $897.21 $945.35 $1,116.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$673.34 $764.22 $860.50 $1,202.56 $1,827.40 |
$930.89 $1,021.77 $1,118.05 $1,460.11 |
$1,188.44 $1,279.32 $1,375.60 $1,717.66 |
Toc - Plan #73 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337.69 $383.27 $431.56 $603.10 $916.47 |
$596.02 $641.60 $689.89 $861.43 |
$854.35 $899.93 $948.22 $1,119.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$675.38 $766.54 $863.12 $1,206.20 $1,832.94 |
$933.71 $1,024.87 $1,121.45 $1,464.53 |
$1,192.04 $1,283.20 $1,379.78 $1,722.86 |
Toc - Plan #74 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 124 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.24 $423.61 $476.98 $666.58 $1,012.94 |
$658.76 $709.13 $762.50 $952.10 |
$944.28 $994.65 $1,048.02 $1,237.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$746.48 $847.22 $953.96 $1,333.16 $2,025.88 |
$1,032.00 $1,132.74 $1,239.48 $1,618.68 |
$1,317.52 $1,418.26 $1,525.00 $1,904.20 |
Toc - Plan #75 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 127 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.49 $440.93 $496.48 $693.83 $1,054.34 |
$685.68 $738.12 $793.67 $991.02 |
$982.87 $1,035.31 $1,090.86 $1,288.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$776.98 $881.86 $992.96 $1,387.66 $2,108.68 |
$1,074.17 $1,179.05 $1,290.15 $1,684.85 |
$1,371.36 $1,476.24 $1,587.34 $1,982.04 |
Toc - Plan #76 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 129 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.40 $406.77 $458.02 $640.08 $972.67 |
$632.57 $680.94 $732.19 $914.25 |
$906.74 $955.11 $1,006.36 $1,188.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.80 $813.54 $916.04 $1,280.16 $1,945.34 |
$990.97 $1,087.71 $1,190.21 $1,554.33 |
$1,265.14 $1,361.88 $1,464.38 $1,828.50 |
Toc - Plan #77 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 22 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.04 $405.22 $456.28 $637.65 $968.97 |
$630.16 $678.34 $729.40 $910.77 |
$903.28 $951.46 $1,002.52 $1,183.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.08 $810.44 $912.56 $1,275.30 $1,937.94 |
$987.20 $1,083.56 $1,185.68 $1,548.42 |
$1,260.32 $1,356.68 $1,458.80 $1,821.54 |
Toc - Plan #78 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $0 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$380.96 $432.38 $486.85 $680.37 $1,033.89 |
$672.39 $723.81 $778.28 $971.80 |
$963.82 $1,015.24 $1,069.71 $1,263.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$761.92 $864.76 $973.70 $1,360.74 $2,067.78 |
$1,053.35 $1,156.19 $1,265.13 $1,652.17 |
$1,344.78 $1,447.62 $1,556.56 $1,943.60 |
Toc - Plan #79 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 30 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340.95 $386.96 $435.72 $608.92 $925.31 |
$601.77 $647.78 $696.54 $869.74 |
$862.59 $908.60 $957.36 $1,130.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$681.90 $773.92 $871.44 $1,217.84 $1,850.62 |
$942.72 $1,034.74 $1,132.26 $1,478.66 |
$1,203.54 $1,295.56 $1,393.08 $1,739.48 |
Toc - Plan #80 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 31 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341.36 $387.44 $436.25 $609.66 $926.44 |
$602.50 $648.58 $697.39 $870.80 |
$863.64 $909.72 $958.53 $1,131.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$682.72 $774.88 $872.50 $1,219.32 $1,852.88 |
$943.86 $1,036.02 $1,133.64 $1,480.46 |
$1,205.00 $1,297.16 $1,394.78 $1,741.60 |
Toc - Plan #81 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 32 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.04 $399.55 $449.89 $628.72 $955.41 |
$621.34 $668.85 $719.19 $898.02 |
$890.64 $938.15 $988.49 $1,167.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.08 $799.10 $899.78 $1,257.44 $1,910.82 |
$973.38 $1,068.40 $1,169.08 $1,526.74 |
$1,242.68 $1,337.70 $1,438.38 $1,796.04 |
Toc - Plan #82 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 20 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$441.26 $500.82 $563.91 $788.07 $1,197.55 |
$778.81 $838.37 $901.46 $1,125.62 |
$1,116.36 $1,175.92 $1,239.01 $1,463.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$882.52 $1,001.64 $1,127.82 $1,576.14 $2,395.10 |
$1,220.07 $1,339.19 $1,465.37 $1,913.69 |
$1,557.62 $1,676.74 $1,802.92 $2,251.24 |
Toc - Plan #83 Ambetter from Home State Health | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$319.03 $362.09 $407.71 $569.78 $865.83 |
$563.08 $606.14 $651.76 $813.83 |
$807.13 $850.19 $895.81 $1,057.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$638.06 $724.18 $815.42 $1,139.56 $1,731.66 |
$882.11 $968.23 $1,059.47 $1,383.61 |
$1,126.16 $1,212.28 $1,303.52 $1,627.66 |
Toc - Plan #84 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.99 $394.95 $444.71 $621.48 $944.41 |
$614.19 $661.15 $710.91 $887.68 |
$880.39 $927.35 $977.11 $1,153.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$695.98 $789.90 $889.42 $1,242.96 $1,888.82 |
$962.18 $1,056.10 $1,155.62 $1,509.16 |
$1,228.38 $1,322.30 $1,421.82 $1,775.36 |
Toc - Plan #85 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$485.47 $551.00 $620.42 $867.03 $1,317.54 |
$856.85 $922.38 $991.80 $1,238.41 |
$1,228.23 $1,293.76 $1,363.18 $1,609.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$970.94 $1,102.00 $1,240.84 $1,734.06 $2,635.08 |
$1,342.32 $1,473.38 $1,612.22 $2,105.44 |
$1,713.70 $1,844.76 $1,983.60 $2,476.82 |
Toc - Plan #86 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$379.32 $430.52 $484.76 $677.46 $1,029.46 |
$669.50 $720.70 $774.94 $967.64 |
$959.68 $1,010.88 $1,065.12 $1,257.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$758.64 $861.04 $969.52 $1,354.92 $2,058.92 |
$1,048.82 $1,151.22 $1,259.70 $1,645.10 |
$1,339.00 $1,441.40 $1,549.88 $1,935.28 |
Toc - Plan #87 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 4 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.26 $444.07 $500.01 $698.77 $1,061.85 |
$690.56 $743.37 $799.31 $998.07 |
$989.86 $1,042.67 $1,098.61 $1,297.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$782.52 $888.14 $1,000.02 $1,397.54 $2,123.70 |
$1,081.82 $1,187.44 $1,299.32 $1,696.84 |
$1,381.12 $1,486.74 $1,598.62 $1,996.14 |
Toc - Plan #88 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.04 $396.15 $446.06 $623.37 $947.27 |
$616.05 $663.16 $713.07 $890.38 |
$883.06 $930.17 $980.08 $1,157.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.08 $792.30 $892.12 $1,246.74 $1,894.54 |
$965.09 $1,059.31 $1,159.13 $1,513.75 |
$1,232.10 $1,326.32 $1,426.14 $1,780.76 |
Toc - Plan #89 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 124 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.78 $437.85 $493.01 $688.99 $1,046.98 |
$680.89 $732.96 $788.12 $984.10 |
$976.00 $1,028.07 $1,083.23 $1,279.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$771.56 $875.70 $986.02 $1,377.98 $2,093.96 |
$1,066.67 $1,170.81 $1,281.13 $1,673.09 |
$1,361.78 $1,465.92 $1,576.24 $1,968.20 |
Toc - Plan #90 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 127 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.55 $455.75 $513.17 $717.15 $1,089.77 |
$708.73 $762.93 $820.35 $1,024.33 |
$1,015.91 $1,070.11 $1,127.53 $1,331.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$803.10 $911.50 $1,026.34 $1,434.30 $2,179.54 |
$1,110.28 $1,218.68 $1,333.52 $1,741.48 |
$1,417.46 $1,525.86 $1,640.70 $2,048.66 |
Toc - Plan #91 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 22 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.03 $418.84 $471.61 $659.08 $1,001.53 |
$651.33 $701.14 $753.91 $941.38 |
$933.63 $983.44 $1,036.21 $1,223.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.06 $837.68 $943.22 $1,318.16 $2,003.06 |
$1,020.36 $1,119.98 $1,225.52 $1,600.46 |
$1,302.66 $1,402.28 $1,507.82 $1,882.76 |
Toc - Plan #92 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$393.76 $446.91 $503.21 $703.24 $1,068.64 |
$694.98 $748.13 $804.43 $1,004.46 |
$996.20 $1,049.35 $1,105.65 $1,305.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$787.52 $893.82 $1,006.42 $1,406.48 $2,137.28 |
$1,088.74 $1,195.04 $1,307.64 $1,707.70 |
$1,389.96 $1,496.26 $1,608.86 $2,008.92 |
Toc - Plan #93 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 31 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.84 $400.46 $450.91 $630.15 $957.57 |
$622.75 $670.37 $720.82 $900.06 |
$892.66 $940.28 $990.73 $1,169.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$705.68 $800.92 $901.82 $1,260.30 $1,915.14 |
$975.59 $1,070.83 $1,171.73 $1,530.21 |
$1,245.50 $1,340.74 $1,441.64 $1,800.12 |
Toc - Plan #94 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 32 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.87 $412.98 $465.01 $649.85 $987.52 |
$642.22 $691.33 $743.36 $928.20 |
$920.57 $969.68 $1,021.71 $1,206.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$727.74 $825.96 $930.02 $1,299.70 $1,975.04 |
$1,006.09 $1,104.31 $1,208.37 $1,578.05 |
$1,284.44 $1,382.66 $1,486.72 $1,856.40 |
Toc - Plan #95 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 20 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$456.09 $517.65 $582.87 $814.55 $1,237.79 |
$804.99 $866.55 $931.77 $1,163.45 |
$1,153.89 $1,215.45 $1,280.67 $1,512.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$912.18 $1,035.30 $1,165.74 $1,629.10 $2,475.58 |
$1,261.08 $1,384.20 $1,514.64 $1,978.00 |
$1,609.98 $1,733.10 $1,863.54 $2,326.90 |
Toc - Plan #96 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 129 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370.44 $420.44 $473.41 $661.59 $1,005.36 |
$653.82 $703.82 $756.79 $944.97 |
$937.20 $987.20 $1,040.17 $1,228.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$740.88 $840.88 $946.82 $1,323.18 $2,010.72 |
$1,024.26 $1,124.26 $1,230.20 $1,606.56 |
$1,307.64 $1,407.64 $1,513.58 $1,889.94 |
‡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 Platte County here.
Platte County is in “Rating Area 3” of Missouri.
Currently, there are 96 plans offered in Rating Area 3.