Obamacare 2022 Rates for Greeley County
Obamacare > Rates > Nebraska > Greeley County
Obamacare > Rates > Nebraska > Greeley County
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MedicaLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-800-833-7352 |
Toc - Plan #1 Medica | ||||||||||||||||||||
Silver
(EPO) Medica Insure 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 |
$650.99 $738.86 $831.95 $1,162.65 $1,766.75 |
$1,148.99 $1,236.86 $1,329.95 $1,660.65 |
$1,646.99 $1,734.86 $1,827.95 $2,158.65 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,301.98 $1,477.72 $1,663.90 $2,325.30 $3,533.50 |
$1,799.98 $1,975.72 $2,161.90 $2,823.30 |
$2,297.98 $2,473.72 $2,659.90 $3,321.30 |
Toc - Plan #2 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica Insure Bronze 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 |
$468.28 $531.49 $598.45 $836.33 $1,270.89 |
$826.51 $889.72 $956.68 $1,194.56 |
$1,184.74 $1,247.95 $1,314.91 $1,552.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$936.56 $1,062.98 $1,196.90 $1,672.66 $2,541.78 |
$1,294.79 $1,421.21 $1,555.13 $2,030.89 |
$1,653.02 $1,779.44 $1,913.36 $2,389.12 |
Toc - Plan #3 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica Insure Bronze Copay + Dental Reimbursement ($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 |
$497.31 $564.44 $635.56 $888.19 $1,349.68 |
$877.75 $944.88 $1,016.00 $1,268.63 |
$1,258.19 $1,325.32 $1,396.44 $1,649.07 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$994.62 $1,128.88 $1,271.12 $1,776.38 $2,699.36 |
$1,375.06 $1,509.32 $1,651.56 $2,156.82 |
$1,755.50 $1,889.76 $2,032.00 $2,537.26 |
Toc - Plan #4 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica Insure Bronze HSA ($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 |
$524.38 $595.15 $670.14 $936.52 $1,423.13 |
$925.52 $996.29 $1,071.28 $1,337.66 |
$1,326.66 $1,397.43 $1,472.42 $1,738.80 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,048.76 $1,190.30 $1,340.28 $1,873.04 $2,846.26 |
$1,449.90 $1,591.44 $1,741.42 $2,274.18 |
$1,851.04 $1,992.58 $2,142.56 $2,675.32 |
Toc - Plan #5 Medica | ||||||||||||||||||||
Catastrophic
(EPO) Medica Insure 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 |
$335.38 $380.64 $428.60 $598.97 $910.19 |
$591.94 $637.20 $685.16 $855.53 |
$848.50 $893.76 $941.72 $1,112.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$670.76 $761.28 $857.20 $1,197.94 $1,820.38 |
$927.32 $1,017.84 $1,113.76 $1,454.50 |
$1,183.88 $1,274.40 $1,370.32 $1,711.06 |
Toc - Plan #6 Medica | ||||||||||||||||||||
Gold
(EPO) Medica Insure 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 |
$652.46 $740.54 $833.84 $1,165.28 $1,770.76 |
$1,151.59 $1,239.67 $1,332.97 $1,664.41 |
$1,650.72 $1,738.80 $1,832.10 $2,163.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,304.92 $1,481.08 $1,667.68 $2,330.56 $3,541.52 |
$1,804.05 $1,980.21 $2,166.81 $2,829.69 |
$2,303.18 $2,479.34 $2,665.94 $3,328.82 |
Toc - Plan #7 Medica | ||||||||||||||||||||
Silver
(EPO) Medica Insure Silver Share ($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 |
$647.43 $734.82 $827.40 $1,156.29 $1,757.10 |
$1,142.71 $1,230.10 $1,322.68 $1,651.57 |
$1,637.99 $1,725.38 $1,817.96 $2,146.85 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,294.86 $1,469.64 $1,654.80 $2,312.58 $3,514.20 |
$1,790.14 $1,964.92 $2,150.08 $2,807.86 |
$2,285.42 $2,460.20 $2,645.36 $3,303.14 |
Toc - Plan #8 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica Insure Bronze Share Plus ($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 |
$474.59 $538.65 $606.51 $847.60 $1,288.01 |
$837.64 $901.70 $969.56 $1,210.65 |
$1,200.69 $1,264.75 $1,332.61 $1,573.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$949.18 $1,077.30 $1,213.02 $1,695.20 $2,576.02 |
$1,312.23 $1,440.35 $1,576.07 $2,058.25 |
$1,675.28 $1,803.40 $1,939.12 $2,421.30 |
Toc - Plan #9 Medica | ||||||||||||||||||||
Bronze
(EPO) Medica Insure Bronze Value ($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 |
$457.88 $519.68 $585.16 $817.76 $1,242.66 |
$808.15 $869.95 $935.43 $1,168.03 |
$1,158.42 $1,220.22 $1,285.70 $1,518.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$915.76 $1,039.36 $1,170.32 $1,635.52 $2,485.32 |
$1,266.03 $1,389.63 $1,520.59 $1,985.79 |
$1,616.30 $1,739.90 $1,870.86 $2,336.06 |
Toc - Plan #10 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica Insure Bronze Copay $0 PC 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 |
$474.72 $538.80 $606.68 $847.84 $1,288.37 |
$837.88 $901.96 $969.84 $1,211.00 |
$1,201.04 $1,265.12 $1,333.00 $1,574.16 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$949.44 $1,077.60 $1,213.36 $1,695.68 $2,576.74 |
$1,312.60 $1,440.76 $1,576.52 $2,058.84 |
$1,675.76 $1,803.92 $1,939.68 $2,422.00 |
Toc - Plan #11 Medica | ||||||||||||||||||||
Gold
(EPO) Medica with CHI Health 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 |
$501.18 $568.82 $640.49 $895.08 $1,360.16 |
$884.57 $952.21 $1,023.88 $1,278.47 |
$1,267.96 $1,335.60 $1,407.27 $1,661.86 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,002.36 $1,137.64 $1,280.98 $1,790.16 $2,720.32 |
$1,385.75 $1,521.03 $1,664.37 $2,173.55 |
$1,769.14 $1,904.42 $2,047.76 $2,556.94 |
Toc - Plan #12 Medica | ||||||||||||||||||||
Silver
(EPO) Medica with CHI Health 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 |
$498.96 $566.31 $637.66 $891.13 $1,354.16 |
$880.66 $948.01 $1,019.36 $1,272.83 |
$1,262.36 $1,329.71 $1,401.06 $1,654.53 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$997.92 $1,132.62 $1,275.32 $1,782.26 $2,708.32 |
$1,379.62 $1,514.32 $1,657.02 $2,163.96 |
$1,761.32 $1,896.02 $2,038.72 $2,545.66 |
Toc - Plan #13 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica with CHI Health Bronze 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 |
$358.93 $407.37 $458.69 $641.02 $974.10 |
$633.50 $681.94 $733.26 $915.59 |
$908.07 $956.51 $1,007.83 $1,190.16 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$717.86 $814.74 $917.38 $1,282.04 $1,948.20 |
$992.43 $1,089.31 $1,191.95 $1,556.61 |
$1,267.00 $1,363.88 $1,466.52 $1,831.18 |
Toc - Plan #14 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica with CHI Health Bronze Copay + Dental Reimbursement ($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 |
$381.18 $432.63 $487.13 $680.77 $1,034.49 |
$672.77 $724.22 $778.72 $972.36 |
$964.36 $1,015.81 $1,070.31 $1,263.95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$762.36 $865.26 $974.26 $1,361.54 $2,068.98 |
$1,053.95 $1,156.85 $1,265.85 $1,653.13 |
$1,345.54 $1,448.44 $1,557.44 $1,944.72 |
Toc - Plan #15 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica with CHI Health Bronze HSA ($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 |
$401.92 $456.17 $513.64 $717.81 $1,090.78 |
$709.38 $763.63 $821.10 $1,025.27 |
$1,016.84 $1,071.09 $1,128.56 $1,332.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$803.84 $912.34 $1,027.28 $1,435.62 $2,181.56 |
$1,111.30 $1,219.80 $1,334.74 $1,743.08 |
$1,418.76 $1,527.26 $1,642.20 $2,050.54 |
Toc - Plan #16 Medica | ||||||||||||||||||||
Catastrophic
(EPO) Medica with CHI Health 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 |
$257.06 $291.75 $328.51 $459.09 $697.63 |
$453.70 $488.39 $525.15 $655.73 |
$650.34 $685.03 $721.79 $852.37 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$514.12 $583.50 $657.02 $918.18 $1,395.26 |
$710.76 $780.14 $853.66 $1,114.82 |
$907.40 $976.78 $1,050.30 $1,311.46 |
Toc - Plan #17 Medica | ||||||||||||||||||||
Silver
(EPO) Medica with CHI Health Silver Share ($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 |
$496.24 $563.22 $634.18 $886.26 $1,346.76 |
$875.85 $942.83 $1,013.79 $1,265.87 |
$1,255.46 $1,322.44 $1,393.40 $1,645.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$992.48 $1,126.44 $1,268.36 $1,772.52 $2,693.52 |
$1,372.09 $1,506.05 $1,647.97 $2,152.13 |
$1,751.70 $1,885.66 $2,027.58 $2,531.74 |
Toc - Plan #18 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica with CHI Health Bronze Share Plus ($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 |
$363.76 $412.86 $464.87 $649.66 $987.22 |
$642.03 $691.13 $743.14 $927.93 |
$920.30 $969.40 $1,021.41 $1,206.20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$727.52 $825.72 $929.74 $1,299.32 $1,974.44 |
$1,005.79 $1,103.99 $1,208.01 $1,577.59 |
$1,284.06 $1,382.26 $1,486.28 $1,855.86 |
Toc - Plan #19 Medica | ||||||||||||||||||||
Bronze
(EPO) Medica with CHI Health Bronze Value ($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 |
$350.95 $398.32 $448.51 $626.79 $952.46 |
$619.42 $666.79 $716.98 $895.26 |
$887.89 $935.26 $985.45 $1,163.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$701.90 $796.64 $897.02 $1,253.58 $1,904.92 |
$970.37 $1,065.11 $1,165.49 $1,522.05 |
$1,238.84 $1,333.58 $1,433.96 $1,790.52 |
Toc - Plan #20 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica with CHI Health Bronze Copay $0 PC 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 |
$363.86 $412.97 $465.00 $649.84 $987.50 |
$642.21 $691.32 $743.35 $928.19 |
$920.56 $969.67 $1,021.70 $1,206.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$727.72 $825.94 $930.00 $1,299.68 $1,975.00 |
$1,006.07 $1,104.29 $1,208.35 $1,578.03 |
$1,284.42 $1,382.64 $1,486.70 $1,856.38 |
ADVERTISEMENT
Ambetter from Nebraska Total CareLocal: 1-833-890-0329 | Toll Free: 1-833-890-0329 |
Toc - Plan #21 Ambetter from Nebraska Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-890-0329
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$400.29 $454.32 $511.56 $714.90 $1,086.36 |
$706.51 $760.54 $817.78 $1,021.12 |
$1,012.73 $1,066.76 $1,124.00 $1,327.34 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$800.58 $908.64 $1,023.12 $1,429.80 $2,172.72 |
$1,106.80 $1,214.86 $1,329.34 $1,736.02 |
$1,413.02 $1,521.08 $1,635.56 $2,042.24 |
Toc - Plan #22 Ambetter from Nebraska Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-890-0329
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.14 $449.61 $506.25 $707.49 $1,075.09 |
$699.18 $752.65 $809.29 $1,010.53 |
$1,002.22 $1,055.69 $1,112.33 $1,313.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792.28 $899.22 $1,012.50 $1,414.98 $2,150.18 |
$1,095.32 $1,202.26 $1,315.54 $1,718.02 |
$1,398.36 $1,505.30 $1,618.58 $2,021.06 |
Toc - Plan #23 Ambetter from Nebraska Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-890-0329
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.76 $486.63 $547.95 $765.75 $1,163.63 |
$756.76 $814.63 $875.95 $1,093.75 |
$1,084.76 $1,142.63 $1,203.95 $1,421.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$857.52 $973.26 $1,095.90 $1,531.50 $2,327.26 |
$1,185.52 $1,301.26 $1,423.90 $1,859.50 |
$1,513.52 $1,629.26 $1,751.90 $2,187.50 |
Toc - Plan #24 Ambetter from Nebraska Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-890-0329
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$450.07 $510.81 $575.17 $803.80 $1,221.45 |
$794.36 $855.10 $919.46 $1,148.09 |
$1,138.65 $1,199.39 $1,263.75 $1,492.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$900.14 $1,021.62 $1,150.34 $1,607.60 $2,442.90 |
$1,244.43 $1,365.91 $1,494.63 $1,951.89 |
$1,588.72 $1,710.20 $1,838.92 $2,296.18 |
Toc - Plan #25 Ambetter from Nebraska Total Care | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-890-0329
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$494.31 $561.03 $631.71 $882.81 $1,341.52 |
$872.45 $939.17 $1,009.85 $1,260.95 |
$1,250.59 $1,317.31 $1,387.99 $1,639.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$988.62 $1,122.06 $1,263.42 $1,765.62 $2,683.04 |
$1,366.76 $1,500.20 $1,641.56 $2,143.76 |
$1,744.90 $1,878.34 $2,019.70 $2,521.90 |
Toc - Plan #26 Ambetter from Nebraska Total Care | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-890-0329
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$488.37 $554.29 $624.13 $872.22 $1,325.42 |
$861.97 $927.89 $997.73 $1,245.82 |
$1,235.57 $1,301.49 $1,371.33 $1,619.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$976.74 $1,108.58 $1,248.26 $1,744.44 $2,650.84 |
$1,350.34 $1,482.18 $1,621.86 $2,118.04 |
$1,723.94 $1,855.78 $1,995.46 $2,491.64 |
Toc - Plan #27 Ambetter from Nebraska Total Care | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-890-0329
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$555.25 $630.20 $709.60 $991.66 $1,506.93 |
$980.01 $1,054.96 $1,134.36 $1,416.42 |
$1,404.77 $1,479.72 $1,559.12 $1,841.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,110.50 $1,260.40 $1,419.20 $1,983.32 $3,013.86 |
$1,535.26 $1,685.16 $1,843.96 $2,408.08 |
$1,960.02 $2,109.92 $2,268.72 $2,832.84 |
Toc - Plan #28 Ambetter from Nebraska Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-890-0329
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414.73 $470.71 $530.01 $740.69 $1,125.55 |
$731.99 $787.97 $847.27 $1,057.95 |
$1,049.25 $1,105.23 $1,164.53 $1,375.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$829.46 $941.42 $1,060.02 $1,481.38 $2,251.10 |
$1,146.72 $1,258.68 $1,377.28 $1,798.64 |
$1,463.98 $1,575.94 $1,694.54 $2,115.90 |
Toc - Plan #29 Ambetter from Nebraska Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-890-0329
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$410.43 $465.82 $524.51 $733.01 $1,113.87 |
$724.40 $779.79 $838.48 $1,046.98 |
$1,038.37 $1,093.76 $1,152.45 $1,360.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$820.86 $931.64 $1,049.02 $1,466.02 $2,227.74 |
$1,134.83 $1,245.61 $1,362.99 $1,779.99 |
$1,448.80 $1,559.58 $1,676.96 $2,093.96 |
Toc - Plan #30 Ambetter from Nebraska Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-890-0329
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$444.23 $504.19 $567.71 $793.37 $1,205.61 |
$784.06 $844.02 $907.54 $1,133.20 |
$1,123.89 $1,183.85 $1,247.37 $1,473.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$888.46 $1,008.38 $1,135.42 $1,586.74 $2,411.22 |
$1,228.29 $1,348.21 $1,475.25 $1,926.57 |
$1,568.12 $1,688.04 $1,815.08 $2,266.40 |
Toc - Plan #31 Ambetter from Nebraska Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-890-0329
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$466.30 $529.24 $595.92 $832.79 $1,265.51 |
$823.01 $885.95 $952.63 $1,189.50 |
$1,179.72 $1,242.66 $1,309.34 $1,546.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$932.60 $1,058.48 $1,191.84 $1,665.58 $2,531.02 |
$1,289.31 $1,415.19 $1,548.55 $2,022.29 |
$1,646.02 $1,771.90 $1,905.26 $2,379.00 |
Toc - Plan #32 Ambetter from Nebraska Total Care | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-890-0329
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$512.14 $581.26 $654.50 $914.66 $1,389.91 |
$903.92 $973.04 $1,046.28 $1,306.44 |
$1,295.70 $1,364.82 $1,438.06 $1,698.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,024.28 $1,162.52 $1,309.00 $1,829.32 $2,779.82 |
$1,416.06 $1,554.30 $1,700.78 $2,221.10 |
$1,807.84 $1,946.08 $2,092.56 $2,612.88 |
Toc - Plan #33 Ambetter from Nebraska Total Care | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-890-0329
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$575.28 $652.93 $735.20 $1,027.43 $1,561.29 |
$1,015.36 $1,093.01 $1,175.28 $1,467.51 |
$1,455.44 $1,533.09 $1,615.36 $1,907.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,150.56 $1,305.86 $1,470.40 $2,054.86 $3,122.58 |
$1,590.64 $1,745.94 $1,910.48 $2,494.94 |
$2,030.72 $2,186.02 $2,350.56 $2,935.02 |
ADVERTISEMENT
Oscar Insurance CompanyLocal: | Toll Free: |
Toc - Plan #34 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$459.01 $520.97 $586.61 $819.78 $1,245.74 |
$810.15 $872.11 $937.75 $1,170.92 |
$1,161.29 $1,223.25 $1,288.89 $1,522.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$918.02 $1,041.94 $1,173.22 $1,639.56 $2,491.48 |
$1,269.16 $1,393.08 $1,524.36 $1,990.70 |
$1,620.30 $1,744.22 $1,875.50 $2,341.84 |
Toc - Plan #35 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$450.41 $511.21 $575.62 $804.42 $1,222.40 |
$794.97 $855.77 $920.18 $1,148.98 |
$1,139.53 $1,200.33 $1,264.74 $1,493.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$900.82 $1,022.42 $1,151.24 $1,608.84 $2,444.80 |
$1,245.38 $1,366.98 $1,495.80 $1,953.40 |
$1,589.94 $1,711.54 $1,840.36 $2,297.96 |
Toc - Plan #36 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded+PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$526.51 $597.58 $672.87 $940.33 $1,428.92 |
$929.28 $1,000.35 $1,075.64 $1,343.10 |
$1,332.05 $1,403.12 $1,478.41 $1,745.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,053.02 $1,195.16 $1,345.74 $1,880.66 $2,857.84 |
$1,455.79 $1,597.93 $1,748.51 $2,283.43 |
$1,858.56 $2,000.70 $2,151.28 $2,686.20 |
Toc - Plan #37 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$589.44 $669.01 $753.29 $1,052.73 $1,599.72 |
$1,040.36 $1,119.93 $1,204.21 $1,503.65 |
$1,491.28 $1,570.85 $1,655.13 $1,954.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,178.88 $1,338.02 $1,506.58 $2,105.46 $3,199.44 |
$1,629.80 $1,788.94 $1,957.50 $2,556.38 |
$2,080.72 $2,239.86 $2,408.42 $3,007.30 |
Toc - Plan #38 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$579.46 $657.68 $740.54 $1,034.90 $1,572.63 |
$1,022.74 $1,100.96 $1,183.82 $1,478.18 |
$1,466.02 $1,544.24 $1,627.10 $1,921.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,158.92 $1,315.36 $1,481.08 $2,069.80 $3,145.26 |
$1,602.20 $1,758.64 $1,924.36 $2,513.08 |
$2,045.48 $2,201.92 $2,367.64 $2,956.36 |
Toc - Plan #39 Oscar Insurance Company | ||||||||||||||||||||
Catastrophic
(EPO) Secure |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.53 $440.97 $496.52 $693.89 $1,054.43 |
$685.74 $738.18 $793.73 $991.10 |
$982.95 $1,035.39 $1,090.94 $1,288.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$777.06 $881.94 $993.04 $1,387.78 $2,108.86 |
$1,074.27 $1,179.15 $1,290.25 $1,684.99 |
$1,371.48 $1,476.36 $1,587.46 $1,982.20 |
Toc - Plan #40 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded+Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$526.62 $597.71 $673.01 $940.53 $1,429.23 |
$929.48 $1,000.57 $1,075.87 $1,343.39 |
$1,332.34 $1,403.43 $1,478.73 $1,746.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,053.24 $1,195.42 $1,346.02 $1,881.06 $2,858.46 |
$1,456.10 $1,598.28 $1,748.88 $2,283.92 |
$1,858.96 $2,001.14 $2,151.74 $2,686.78 |
Toc - Plan #41 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Simple- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$487.65 $553.47 $623.20 $870.92 $1,323.45 |
$860.69 $926.51 $996.24 $1,243.96 |
$1,233.73 $1,299.55 $1,369.28 $1,617.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$975.30 $1,106.94 $1,246.40 $1,741.84 $2,646.90 |
$1,348.34 $1,479.98 $1,619.44 $2,114.88 |
$1,721.38 $1,853.02 $1,992.48 $2,487.92 |
Toc - Plan #42 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$579.63 $657.87 $740.76 $1,035.21 $1,573.10 |
$1,023.04 $1,101.28 $1,184.17 $1,478.62 |
$1,466.45 $1,544.69 $1,627.58 $1,922.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,159.26 $1,315.74 $1,481.52 $2,070.42 $3,146.20 |
$1,602.67 $1,759.15 $1,924.93 $2,513.83 |
$2,046.08 $2,202.56 $2,368.34 $2,957.24 |
Toc - Plan #43 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$609.95 $692.29 $779.51 $1,089.36 $1,655.39 |
$1,076.56 $1,158.90 $1,246.12 $1,555.97 |
$1,543.17 $1,625.51 $1,712.73 $2,022.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,219.90 $1,384.58 $1,559.02 $2,178.72 $3,310.78 |
$1,686.51 $1,851.19 $2,025.63 $2,645.33 |
$2,153.12 $2,317.80 $2,492.24 $3,111.94 |
Toc - Plan #44 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Classic- Low Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$580.71 $659.09 $742.13 $1,037.13 $1,576.02 |
$1,024.95 $1,103.33 $1,186.37 $1,481.37 |
$1,469.19 $1,547.57 $1,630.61 $1,925.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,161.42 $1,318.18 $1,484.26 $2,074.26 $3,152.04 |
$1,605.66 $1,762.42 $1,928.50 $2,518.50 |
$2,049.90 $2,206.66 $2,372.74 $2,962.74 |
Toc - Plan #45 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$474.96 $539.06 $606.98 $848.25 $1,289.01 |
$838.29 $902.39 $970.31 $1,211.58 |
$1,201.62 $1,265.72 $1,333.64 $1,574.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$949.92 $1,078.12 $1,213.96 $1,696.50 $2,578.02 |
$1,313.25 $1,441.45 $1,577.29 $2,059.83 |
$1,676.58 $1,804.78 $1,940.62 $2,423.16 |
Toc - Plan #46 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$505.60 $573.84 $646.14 $902.98 $1,372.17 |
$892.38 $960.62 $1,032.92 $1,289.76 |
$1,279.16 $1,347.40 $1,419.70 $1,676.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,011.20 $1,147.68 $1,292.28 $1,805.96 $2,744.34 |
$1,397.98 $1,534.46 $1,679.06 $2,192.74 |
$1,784.76 $1,921.24 $2,065.84 $2,579.52 |
Toc - Plan #47 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $3000 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$508.25 $576.85 $649.53 $907.71 $1,379.36 |
$897.05 $965.65 $1,038.33 $1,296.51 |
$1,285.85 $1,354.45 $1,427.13 $1,685.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,016.50 $1,153.70 $1,299.06 $1,815.42 $2,758.72 |
$1,405.30 $1,542.50 $1,687.86 $2,204.22 |
$1,794.10 $1,931.30 $2,076.66 $2,593.02 |
Toc - Plan #48 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $4700 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$477.28 $541.70 $609.95 $852.40 $1,295.30 |
$842.39 $906.81 $975.06 $1,217.51 |
$1,207.50 $1,271.92 $1,340.17 $1,582.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$954.56 $1,083.40 $1,219.90 $1,704.80 $2,590.60 |
$1,319.67 $1,448.51 $1,585.01 $2,069.91 |
$1,684.78 $1,813.62 $1,950.12 $2,435.02 |
Toc - Plan #49 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$573.57 $650.99 $733.01 $1,024.38 $1,556.65 |
$1,012.34 $1,089.76 $1,171.78 $1,463.15 |
$1,451.11 $1,528.53 $1,610.55 $1,901.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,147.14 $1,301.98 $1,466.02 $2,048.76 $3,113.30 |
$1,585.91 $1,740.75 $1,904.79 $2,487.53 |
$2,024.68 $2,179.52 $2,343.56 $2,926.30 |
Toc - Plan #50 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Elite- Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$605.24 $686.93 $773.48 $1,080.94 $1,642.59 |
$1,068.24 $1,149.93 $1,236.48 $1,543.94 |
$1,531.24 $1,612.93 $1,699.48 $2,006.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,210.48 $1,373.86 $1,546.96 $2,161.88 $3,285.18 |
$1,673.48 $1,836.86 $2,009.96 $2,624.88 |
$2,136.48 $2,299.86 $2,472.96 $3,087.88 |
Toc - Plan #51 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic- Low Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$588.75 $668.21 $752.40 $1,051.48 $1,597.83 |
$1,039.13 $1,118.59 $1,202.78 $1,501.86 |
$1,489.51 $1,568.97 $1,653.16 $1,952.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,177.50 $1,336.42 $1,504.80 $2,102.96 $3,195.66 |
$1,627.88 $1,786.80 $1,955.18 $2,553.34 |
$2,078.26 $2,237.18 $2,405.56 $3,003.72 |
Toc - Plan #52 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Elite- $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$606.44 $688.30 $775.02 $1,083.09 $1,645.86 |
$1,070.36 $1,152.22 $1,238.94 $1,547.01 |
$1,534.28 $1,616.14 $1,702.86 $2,010.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,212.88 $1,376.60 $1,550.04 $2,166.18 $3,291.72 |
$1,676.80 $1,840.52 $2,013.96 $2,630.10 |
$2,140.72 $2,304.44 $2,477.88 $3,094.02 |
Toc - Plan #53 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$601.19 $682.33 $768.30 $1,073.70 $1,631.59 |
$1,061.09 $1,142.23 $1,228.20 $1,533.60 |
$1,520.99 $1,602.13 $1,688.10 $1,993.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,202.38 $1,364.66 $1,536.60 $2,147.40 $3,263.18 |
$1,662.28 $1,824.56 $1,996.50 $2,607.30 |
$2,122.18 $2,284.46 $2,456.40 $3,067.20 |
Toc - Plan #54 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$596.19 $676.66 $761.91 $1,064.77 $1,618.02 |
$1,052.27 $1,132.74 $1,217.99 $1,520.85 |
$1,508.35 $1,588.82 $1,674.07 $1,976.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,192.38 $1,353.32 $1,523.82 $2,129.54 $3,236.04 |
$1,648.46 $1,809.40 $1,979.90 $2,585.62 |
$2,104.54 $2,265.48 $2,435.98 $3,041.70 |
Toc - Plan #55 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$556.02 $631.07 $710.58 $993.03 $1,509.01 |
$981.37 $1,056.42 $1,135.93 $1,418.38 |
$1,406.72 $1,481.77 $1,561.28 $1,843.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,112.04 $1,262.14 $1,421.16 $1,986.06 $3,018.02 |
$1,537.39 $1,687.49 $1,846.51 $2,411.41 |
$1,962.74 $2,112.84 $2,271.86 $2,836.76 |
Toc - Plan #56 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$624.44 $708.72 $798.02 $1,115.22 $1,694.69 |
$1,102.13 $1,186.41 $1,275.71 $1,592.91 |
$1,579.82 $1,664.10 $1,753.40 $2,070.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,248.88 $1,417.44 $1,596.04 $2,230.44 $3,389.38 |
$1,726.57 $1,895.13 $2,073.73 $2,708.13 |
$2,204.26 $2,372.82 $2,551.42 $3,185.82 |
Toc - Plan #57 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$595.88 $676.32 $761.53 $1,064.23 $1,617.20 |
$1,051.72 $1,132.16 $1,217.37 $1,520.07 |
$1,507.56 $1,588.00 $1,673.21 $1,975.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,191.76 $1,352.64 $1,523.06 $2,128.46 $3,234.40 |
$1,647.60 $1,808.48 $1,978.90 $2,584.30 |
$2,103.44 $2,264.32 $2,434.74 $3,040.14 |
Toc - Plan #58 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Classic- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$562.37 $638.28 $718.70 $1,004.38 $1,526.26 |
$992.58 $1,068.49 $1,148.91 $1,434.59 |
$1,422.79 $1,498.70 $1,579.12 $1,864.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,124.74 $1,276.56 $1,437.40 $2,008.76 $3,052.52 |
$1,554.95 $1,706.77 $1,867.61 $2,438.97 |
$1,985.16 $2,136.98 $2,297.82 $2,869.18 |
Toc - Plan #59 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$518.93 $588.98 $663.19 $926.80 $1,408.36 |
$915.91 $985.96 $1,060.17 $1,323.78 |
$1,312.89 $1,382.94 $1,457.15 $1,720.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,037.86 $1,177.96 $1,326.38 $1,853.60 $2,816.72 |
$1,434.84 $1,574.94 $1,723.36 $2,250.58 |
$1,831.82 $1,971.92 $2,120.34 $2,647.56 |
Toc - Plan #60 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$521.47 $591.86 $666.43 $931.34 $1,415.26 |
$920.39 $990.78 $1,065.35 $1,330.26 |
$1,319.31 $1,389.70 $1,464.27 $1,729.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,042.94 $1,183.72 $1,332.86 $1,862.68 $2,830.52 |
$1,441.86 $1,582.64 $1,731.78 $2,261.60 |
$1,840.78 $1,981.56 $2,130.70 $2,660.52 |
Toc - Plan #61 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- For Diabetes |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$583.10 $661.80 $745.18 $1,041.39 $1,582.50 |
$1,029.16 $1,107.86 $1,191.24 $1,487.45 |
$1,475.22 $1,553.92 $1,637.30 $1,933.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,166.20 $1,323.60 $1,490.36 $2,082.78 $3,165.00 |
$1,612.26 $1,769.66 $1,936.42 $2,528.84 |
$2,058.32 $2,215.72 $2,382.48 $2,974.90 |
ADVERTISEMENT
Bright HealthCareLocal: 1-855-827-4448 | Toll Free: 1-855-827-4448 |
Toc - Plan #62 Bright HealthCare | ||||||||||||||||||||
Gold
(EPO) Statewide Gold 1000 ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$701.92 $796.67 $897.05 $1,253.62 $1,905.00 |
$1,238.89 $1,333.64 $1,434.02 $1,790.59 |
$1,775.86 $1,870.61 $1,970.99 $2,327.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,403.84 $1,593.34 $1,794.10 $2,507.24 $3,810.00 |
$1,940.81 $2,130.31 $2,331.07 $3,044.21 |
$2,477.78 $2,667.28 $2,868.04 $3,581.18 |
Toc - Plan #63 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Statewide Silver 5000 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$650.24 $738.02 $831.01 $1,161.33 $1,764.75 |
$1,147.67 $1,235.45 $1,328.44 $1,658.76 |
$1,645.10 $1,732.88 $1,825.87 $2,156.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,300.48 $1,476.04 $1,662.02 $2,322.66 $3,529.50 |
$1,797.91 $1,973.47 $2,159.45 $2,820.09 |
$2,295.34 $2,470.90 $2,656.88 $3,317.52 |
Toc - Plan #64 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Statewide Silver $0 Deductible ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$662.40 $751.82 $846.55 $1,183.05 $1,797.75 |
$1,169.14 $1,258.56 $1,353.29 $1,689.79 |
$1,675.88 $1,765.30 $1,860.03 $2,196.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,324.80 $1,503.64 $1,693.10 $2,366.10 $3,595.50 |
$1,831.54 $2,010.38 $2,199.84 $2,872.84 |
$2,338.28 $2,517.12 $2,706.58 $3,379.58 |
Toc - Plan #65 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Statewide Silver 3000 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$654.58 $742.95 $836.56 $1,169.09 $1,776.54 |
$1,155.34 $1,243.71 $1,337.32 $1,669.85 |
$1,656.10 $1,744.47 $1,838.08 $2,170.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,309.16 $1,485.90 $1,673.12 $2,338.18 $3,553.08 |
$1,809.92 $1,986.66 $2,173.88 $2,838.94 |
$2,310.68 $2,487.42 $2,674.64 $3,339.70 |
Toc - Plan #66 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Statewide Bronze 8700 + $0 Mental Health ($0 Telehealth + $0 Primary Care + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$455.39 $516.87 $581.99 $813.33 $1,235.94 |
$803.77 $865.25 $930.37 $1,161.71 |
$1,152.15 $1,213.63 $1,278.75 $1,510.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$910.78 $1,033.74 $1,163.98 $1,626.66 $2,471.88 |
$1,259.16 $1,382.12 $1,512.36 $1,975.04 |
$1,607.54 $1,730.50 $1,860.74 $2,323.42 |
Toc - Plan #67 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Statewide Bronze 5300 HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$490.56 $556.79 $626.94 $876.14 $1,331.38 |
$865.84 $932.07 $1,002.22 $1,251.42 |
$1,241.12 $1,307.35 $1,377.50 $1,626.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$981.12 $1,113.58 $1,253.88 $1,752.28 $2,662.76 |
$1,356.40 $1,488.86 $1,629.16 $2,127.56 |
$1,731.68 $1,864.14 $2,004.44 $2,502.84 |
Toc - Plan #68 Bright HealthCare | ||||||||||||||||||||
Catastrophic
(EPO) Statewide Catastrophic 8700 Direct ($0 Primary Care) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.53 $358.13 $403.25 $563.54 $856.36 |
$556.91 $599.51 $644.63 $804.92 |
$798.29 $840.89 $886.01 $1,046.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$631.06 $716.26 $806.50 $1,127.08 $1,712.72 |
$872.44 $957.64 $1,047.88 $1,368.46 |
$1,113.82 $1,199.02 $1,289.26 $1,609.84 |
Toc - Plan #69 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Statewide Silver 6700 ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$657.56 $746.33 $840.36 $1,174.40 $1,784.61 |
$1,160.59 $1,249.36 $1,343.39 $1,677.43 |
$1,663.62 $1,752.39 $1,846.42 $2,180.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,315.12 $1,492.66 $1,680.72 $2,348.80 $3,569.22 |
$1,818.15 $1,995.69 $2,183.75 $2,851.83 |
$2,321.18 $2,498.72 $2,686.78 $3,354.86 |
Toc - Plan #70 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Statewide Bronze 7200 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$468.97 $532.28 $599.34 $837.58 $1,272.79 |
$827.73 $891.04 $958.10 $1,196.34 |
$1,186.49 $1,249.80 $1,316.86 $1,555.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$937.94 $1,064.56 $1,198.68 $1,675.16 $2,545.58 |
$1,296.70 $1,423.32 $1,557.44 $2,033.92 |
$1,655.46 $1,782.08 $1,916.20 $2,392.68 |
Toc - Plan #71 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Statewide Bronze $0 Medical Deductible ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Pr |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$502.81 $570.69 $642.59 $898.02 $1,364.62 |
$887.46 $955.34 $1,027.24 $1,282.67 |
$1,272.11 $1,339.99 $1,411.89 $1,667.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,005.62 $1,141.38 $1,285.18 $1,796.04 $2,729.24 |
$1,390.27 $1,526.03 $1,669.83 $2,180.69 |
$1,774.92 $1,910.68 $2,054.48 $2,565.34 |
Toc - Plan #72 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Statewide Bronze 7200 + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescriptio |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$482.40 $547.52 $616.50 $861.56 $1,309.22 |
$851.43 $916.55 $985.53 $1,230.59 |
$1,220.46 $1,285.58 $1,354.56 $1,599.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$964.80 $1,095.04 $1,233.00 $1,723.12 $2,618.44 |
$1,333.83 $1,464.07 $1,602.03 $2,092.15 |
$1,702.86 $1,833.10 $1,971.06 $2,461.18 |
Toc - Plan #73 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Statewide Silver 6700 + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$670.98 $761.57 $857.52 $1,198.38 $1,821.05 |
$1,184.28 $1,274.87 $1,370.82 $1,711.68 |
$1,697.58 $1,788.17 $1,884.12 $2,224.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,341.96 $1,523.14 $1,715.04 $2,396.76 $3,642.10 |
$1,855.26 $2,036.44 $2,228.34 $2,910.06 |
$2,368.56 $2,549.74 $2,741.64 $3,423.36 |
Toc - Plan #74 Bright HealthCare | ||||||||||||||||||||
Gold
(EPO) Statewide Gold $0 Deductible + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Pre |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$747.30 $848.19 $955.05 $1,334.68 $2,028.18 |
$1,318.99 $1,419.88 $1,526.74 $1,906.37 |
$1,890.68 $1,991.57 $2,098.43 $2,478.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,494.60 $1,696.38 $1,910.10 $2,669.36 $4,056.36 |
$2,066.29 $2,268.07 $2,481.79 $3,241.05 |
$2,637.98 $2,839.76 $3,053.48 $3,812.74 |
Toc - Plan #75 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Statewide Bronze 8700 ($25 Generic) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$454.44 $515.79 $580.78 $811.63 $1,233.35 |
$802.09 $863.44 $928.43 $1,159.28 |
$1,149.74 $1,211.09 $1,276.08 $1,506.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$908.88 $1,031.58 $1,161.56 $1,623.26 $2,466.70 |
$1,256.53 $1,379.23 $1,509.21 $1,970.91 |
$1,604.18 $1,726.88 $1,856.86 $2,318.56 |
Toc - Plan #76 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Statewide Silver 4000 ($35 Primary Care + $15 Generic) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$640.74 $727.24 $818.86 $1,144.36 $1,738.96 |
$1,130.90 $1,217.40 $1,309.02 $1,634.52 |
$1,621.06 $1,707.56 $1,799.18 $2,124.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,281.48 $1,454.48 $1,637.72 $2,288.72 $3,477.92 |
$1,771.64 $1,944.64 $2,127.88 $2,778.88 |
$2,261.80 $2,434.80 $2,618.04 $3,269.04 |
‡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 Greeley County here.
Greeley County is in “Rating Area 3” of Nebraska.
Currently, there are 76 plans offered in Rating Area 3.