Obamacare 2022 Rates for Transylvania County
Obamacare > Rates > North Carolina > Transylvania County
Obamacare > Rates > North Carolina > Transylvania County
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Blue Cross and Blue Shield of NCLocal: 1-800-324-4973 | Toll Free: 1-800-324-4973 |
Toc - Plan #1 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver $0 Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$491.78 $558.17 $628.49 $878.32 $1,334.69 |
$867.99 $934.38 $1,004.70 $1,254.53 |
$1,244.20 $1,310.59 $1,380.91 $1,630.74 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$983.56 $1,116.34 $1,256.98 $1,756.64 $2,669.38 |
$1,359.77 $1,492.55 $1,633.19 $2,132.85 |
$1,735.98 $1,868.76 $2,009.40 $2,509.06 |
Toc - Plan #2 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver 5300 + 3 Free PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$455.42 $516.90 $582.03 $813.38 $1,236.01 |
$803.82 $865.30 $930.43 $1,161.78 |
$1,152.22 $1,213.70 $1,278.83 $1,510.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$910.84 $1,033.80 $1,164.06 $1,626.76 $2,472.02 |
$1,259.24 $1,382.20 $1,512.46 $1,975.16 |
$1,607.64 $1,730.60 $1,860.86 $2,323.56 |
Toc - Plan #3 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver 2800 + $15 PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$475.41 $539.59 $607.57 $849.08 $1,290.26 |
$839.10 $903.28 $971.26 $1,212.77 |
$1,202.79 $1,266.97 $1,334.95 $1,576.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$950.82 $1,079.18 $1,215.14 $1,698.16 $2,580.52 |
$1,314.51 $1,442.87 $1,578.83 $2,061.85 |
$1,678.20 $1,806.56 $1,942.52 $2,425.54 |
Toc - Plan #4 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Advantage Bronze 7000 + 3 Free PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$333.19 $378.17 $425.82 $595.08 $904.28 |
$588.08 $633.06 $680.71 $849.97 |
$842.97 $887.95 $935.60 $1,104.86 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$666.38 $756.34 $851.64 $1,190.16 $1,808.56 |
$921.27 $1,011.23 $1,106.53 $1,445.05 |
$1,176.16 $1,266.12 $1,361.42 $1,699.94 |
Toc - Plan #5 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Gold
(PPO) Blue Advantage Gold 2500 + 3 Free PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$477.03 $541.43 $609.64 $851.98 $1,294.66 |
$841.96 $906.36 $974.57 $1,216.91 |
$1,206.89 $1,271.29 $1,339.50 $1,581.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$954.06 $1,082.86 $1,219.28 $1,703.96 $2,589.32 |
$1,318.99 $1,447.79 $1,584.21 $2,068.89 |
$1,683.92 $1,812.72 $1,949.14 $2,433.82 |
Toc - Plan #6 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver 3800 + 3 Free PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$492.90 $559.44 $629.93 $880.32 $1,337.73 |
$869.97 $936.51 $1,007.00 $1,257.39 |
$1,247.04 $1,313.58 $1,384.07 $1,634.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$985.80 $1,118.88 $1,259.86 $1,760.64 $2,675.46 |
$1,362.87 $1,495.95 $1,636.93 $2,137.71 |
$1,739.94 $1,873.02 $2,014.00 $2,514.78 |
Toc - Plan #7 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Advantage Bronze 7000 HSA Eligible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$345.24 $391.85 $441.22 $616.60 $936.98 |
$609.35 $655.96 $705.33 $880.71 |
$873.46 $920.07 $969.44 $1,144.82 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$690.48 $783.70 $882.44 $1,233.20 $1,873.96 |
$954.59 $1,047.81 $1,146.55 $1,497.31 |
$1,218.70 $1,311.92 $1,410.66 $1,761.42 |
Toc - Plan #8 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Catastrophic
(PPO) Blue Advantage Catastrophic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$234.90 $266.61 $300.20 $419.53 $637.52 |
$414.60 $446.31 $479.90 $599.23 |
$594.30 $626.01 $659.60 $778.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$469.80 $533.22 $600.40 $839.06 $1,275.04 |
$649.50 $712.92 $780.10 $1,018.76 |
$829.20 $892.62 $959.80 $1,198.46 |
Toc - Plan #9 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver 6000 + 3 Free PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$472.61 $536.41 $604.00 $844.08 $1,282.66 |
$834.16 $897.96 $965.55 $1,205.63 |
$1,195.71 $1,259.51 $1,327.10 $1,567.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$945.22 $1,072.82 $1,208.00 $1,688.16 $2,565.32 |
$1,306.77 $1,434.37 $1,569.55 $2,049.71 |
$1,668.32 $1,795.92 $1,931.10 $2,411.26 |
Toc - Plan #10 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Advantage Bronze 7000 Copay |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$355.05 $402.98 $453.75 $634.12 $963.61 |
$626.66 $674.59 $725.36 $905.73 |
$898.27 $946.20 $996.97 $1,177.34 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$710.10 $805.96 $907.50 $1,268.24 $1,927.22 |
$981.71 $1,077.57 $1,179.11 $1,539.85 |
$1,253.32 $1,349.18 $1,450.72 $1,811.46 |
Toc - Plan #11 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Bronze
(PPO) Blue Advantage Bronze 8700 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$329.64 $374.14 $421.28 $588.74 $894.64 |
$581.81 $626.31 $673.45 $840.91 |
$833.98 $878.48 $925.62 $1,093.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$659.28 $748.28 $842.56 $1,177.48 $1,789.28 |
$911.45 $1,000.45 $1,094.73 $1,429.65 |
$1,163.62 $1,252.62 $1,346.90 $1,681.82 |
ADVERTISEMENT
AmeriHealth Caritas NextLocal: 1-984-245-3613 | Toll Free: 1-833-613-2262 | TTY: 1-844-214-2471 |
Toc - Plan #12 AmeriHealth Caritas Next | ||||||||||||||||||||
Silver
(HMO) AHC Silver 15 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-613-2262
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 |
$526.05 $597.07 $672.29 $939.53 $1,427.70 |
$928.48 $999.50 $1,074.72 $1,341.96 |
$1,330.91 $1,401.93 $1,477.15 $1,744.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,052.10 $1,194.14 $1,344.58 $1,879.06 $2,855.40 |
$1,454.53 $1,596.57 $1,747.01 $2,281.49 |
$1,856.96 $1,999.00 $2,149.44 $2,683.92 |
Toc - Plan #13 AmeriHealth Caritas Next | ||||||||||||||||||||
Silver
(HMO) AHC Silver 30 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-613-2262
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 |
$517.62 $587.50 $661.52 $924.47 $1,404.82 |
$913.60 $983.48 $1,057.50 $1,320.45 |
$1,309.58 $1,379.46 $1,453.48 $1,716.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,035.24 $1,175.00 $1,323.04 $1,848.94 $2,809.64 |
$1,431.22 $1,570.98 $1,719.02 $2,244.92 |
$1,827.20 $1,966.96 $2,115.00 $2,640.90 |
Toc - Plan #14 AmeriHealth Caritas Next | ||||||||||||||||||||
Silver
(HMO) AHC Silver 50 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-613-2262
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 |
$511.63 $580.70 $653.86 $913.77 $1,388.56 |
$903.03 $972.10 $1,045.26 $1,305.17 |
$1,294.43 $1,363.50 $1,436.66 $1,696.57 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,023.26 $1,161.40 $1,307.72 $1,827.54 $2,777.12 |
$1,414.66 $1,552.80 $1,699.12 $2,218.94 |
$1,806.06 $1,944.20 $2,090.52 $2,610.34 |
Toc - Plan #15 AmeriHealth Caritas Next | ||||||||||||||||||||
Bronze
(HMO) AHC Bronze 8700 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-613-2262
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 |
$348.14 $395.14 $444.92 $621.78 $944.85 |
$614.47 $661.47 $711.25 $888.11 |
$880.80 $927.80 $977.58 $1,154.44 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$696.28 $790.28 $889.84 $1,243.56 $1,889.70 |
$962.61 $1,056.61 $1,156.17 $1,509.89 |
$1,228.94 $1,322.94 $1,422.50 $1,776.22 |
Toc - Plan #16 AmeriHealth Caritas Next | ||||||||||||||||||||
Expanded Bronze
(HMO) AHC Bronze 8000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-613-2262
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 |
$376.15 $426.93 $480.72 $671.80 $1,020.86 |
$663.90 $714.68 $768.47 $959.55 |
$951.65 $1,002.43 $1,056.22 $1,247.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$752.30 $853.86 $961.44 $1,343.60 $2,041.72 |
$1,040.05 $1,141.61 $1,249.19 $1,631.35 |
$1,327.80 $1,429.36 $1,536.94 $1,919.10 |
Toc - Plan #17 AmeriHealth Caritas Next | ||||||||||||||||||||
Gold
(HMO) AHC Gold 10 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-613-2262
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 |
$681.76 $773.80 $871.29 $1,217.62 $1,850.29 |
$1,203.31 $1,295.35 $1,392.84 $1,739.17 |
$1,724.86 $1,816.90 $1,914.39 $2,260.72 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,363.52 $1,547.60 $1,742.58 $2,435.24 $3,700.58 |
$1,885.07 $2,069.15 $2,264.13 $2,956.79 |
$2,406.62 $2,590.70 $2,785.68 $3,478.34 |
ADVERTISEMENT
Bright HealthCareLocal: 1-855-521-9349 | Toll Free: 1-855-521-9349 |
Toc - Plan #18 Bright HealthCare | ||||||||||||||||||||
Gold
(HMO) Gold 1000 ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9349
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 |
$648.67 $736.24 $829.00 $1,158.52 $1,760.49 |
$1,144.90 $1,232.47 $1,325.23 $1,654.75 |
$1,641.13 $1,728.70 $1,821.46 $2,150.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,297.34 $1,472.48 $1,658.00 $2,317.04 $3,520.98 |
$1,793.57 $1,968.71 $2,154.23 $2,813.27 |
$2,289.80 $2,464.94 $2,650.46 $3,309.50 |
Toc - Plan #19 Bright HealthCare | ||||||||||||||||||||
Silver
(HMO) Silver 5000 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9349
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 |
$481.62 $546.64 $615.51 $860.18 $1,307.12 |
$850.06 $915.08 $983.95 $1,228.62 |
$1,218.50 $1,283.52 $1,352.39 $1,597.06 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$963.24 $1,093.28 $1,231.02 $1,720.36 $2,614.24 |
$1,331.68 $1,461.72 $1,599.46 $2,088.80 |
$1,700.12 $1,830.16 $1,967.90 $2,457.24 |
Toc - Plan #20 Bright HealthCare | ||||||||||||||||||||
Silver
(HMO) 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: 1-855-521-9349
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 |
$486.62 $552.31 $621.90 $869.10 $1,320.69 |
$858.88 $924.57 $994.16 $1,241.36 |
$1,231.14 $1,296.83 $1,366.42 $1,613.62 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$973.24 $1,104.62 $1,243.80 $1,738.20 $2,641.38 |
$1,345.50 $1,476.88 $1,616.06 $2,110.46 |
$1,717.76 $1,849.14 $1,988.32 $2,482.72 |
Toc - Plan #21 Bright HealthCare | ||||||||||||||||||||
Silver
(HMO) Silver $0 Deductible ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9349
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 |
$510.79 $579.75 $652.79 $912.27 $1,386.28 |
$901.54 $970.50 $1,043.54 $1,303.02 |
$1,292.29 $1,361.25 $1,434.29 $1,693.77 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,021.58 $1,159.50 $1,305.58 $1,824.54 $2,772.56 |
$1,412.33 $1,550.25 $1,696.33 $2,215.29 |
$1,803.08 $1,941.00 $2,087.08 $2,606.04 |
Toc - Plan #22 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 8700 + $0 Mental Health ($0 Telehealth + $0 Primary Care + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9349
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.03 $393.88 $443.50 $619.80 $941.84 |
$612.51 $659.36 $708.98 $885.28 |
$877.99 $924.84 $974.46 $1,150.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$694.06 $787.76 $887.00 $1,239.60 $1,883.68 |
$959.54 $1,053.24 $1,152.48 $1,505.08 |
$1,225.02 $1,318.72 $1,417.96 $1,770.56 |
Toc - Plan #23 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 7200 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9349
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.97 $407.43 $458.77 $641.13 $974.25 |
$633.58 $682.04 $733.38 $915.74 |
$908.19 $956.65 $1,007.99 $1,190.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$717.94 $814.86 $917.54 $1,282.26 $1,948.50 |
$992.55 $1,089.47 $1,192.15 $1,556.87 |
$1,267.16 $1,364.08 $1,466.76 $1,831.48 |
Toc - Plan #24 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 5300 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9349
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.77 $427.63 $481.51 $672.90 $1,022.54 |
$665.00 $715.86 $769.74 $961.13 |
$953.23 $1,004.09 $1,057.97 $1,249.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.54 $855.26 $963.02 $1,345.80 $2,045.08 |
$1,041.77 $1,143.49 $1,251.25 $1,634.03 |
$1,330.00 $1,431.72 $1,539.48 $1,922.26 |
Toc - Plan #25 Bright HealthCare | ||||||||||||||||||||
Catastrophic
(HMO) Catastrophic 8700 ($0 Primary Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9349
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$249.86 $283.59 $319.32 $446.25 $678.12 |
$441.00 $474.73 $510.46 $637.39 |
$632.14 $665.87 $701.60 $828.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$499.72 $567.18 $638.64 $892.50 $1,356.24 |
$690.86 $758.32 $829.78 $1,083.64 |
$882.00 $949.46 $1,020.92 $1,274.78 |
Toc - Plan #26 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze $0 Medical Deductible ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9349
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.53 $454.60 $511.88 $715.35 $1,087.04 |
$706.94 $761.01 $818.29 $1,021.76 |
$1,013.35 $1,067.42 $1,124.70 $1,328.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$801.06 $909.20 $1,023.76 $1,430.70 $2,174.08 |
$1,107.47 $1,215.61 $1,330.17 $1,737.11 |
$1,413.88 $1,522.02 $1,636.58 $2,043.52 |
Toc - Plan #27 Bright HealthCare | ||||||||||||||||||||
Silver
(HMO) Silver 6700 ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9349
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$488.35 $554.28 $624.12 $872.20 $1,325.39 |
$861.94 $927.87 $997.71 $1,245.79 |
$1,235.53 $1,301.46 $1,371.30 $1,619.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$976.70 $1,108.56 $1,248.24 $1,744.40 $2,650.78 |
$1,350.29 $1,482.15 $1,621.83 $2,117.99 |
$1,723.88 $1,855.74 $1,995.42 $2,491.58 |
Toc - Plan #28 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 7200 + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9349
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.87 $425.48 $479.08 $669.52 $1,017.40 |
$661.65 $712.26 $765.86 $956.30 |
$948.43 $999.04 $1,052.64 $1,243.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$749.74 $850.96 $958.16 $1,339.04 $2,034.80 |
$1,036.52 $1,137.74 $1,244.94 $1,625.82 |
$1,323.30 $1,424.52 $1,531.72 $1,912.60 |
Toc - Plan #29 Bright HealthCare | ||||||||||||||||||||
Silver
(HMO) Silver 6700 + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Presc |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9349
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$504.03 $572.07 $644.15 $900.20 $1,367.94 |
$889.61 $957.65 $1,029.73 $1,285.78 |
$1,275.19 $1,343.23 $1,415.31 $1,671.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,008.06 $1,144.14 $1,288.30 $1,800.40 $2,735.88 |
$1,393.64 $1,529.72 $1,673.88 $2,185.98 |
$1,779.22 $1,915.30 $2,059.46 $2,571.56 |
Toc - Plan #30 Bright HealthCare | ||||||||||||||||||||
Gold
(HMO) Gold $0 Ded + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9349
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$717.33 $814.17 $916.75 $1,281.16 $1,946.85 |
$1,266.09 $1,362.93 $1,465.51 $1,829.92 |
$1,814.85 $1,911.69 $2,014.27 $2,378.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,434.66 $1,628.34 $1,833.50 $2,562.32 $3,893.70 |
$1,983.42 $2,177.10 $2,382.26 $3,111.08 |
$2,532.18 $2,725.86 $2,931.02 $3,659.84 |
Toc - Plan #31 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 8700 ($25 Generic) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9349
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335.81 $381.14 $429.16 $599.75 $911.38 |
$592.70 $638.03 $686.05 $856.64 |
$849.59 $894.92 $942.94 $1,113.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$671.62 $762.28 $858.32 $1,199.50 $1,822.76 |
$928.51 $1,019.17 $1,115.21 $1,456.39 |
$1,185.40 $1,276.06 $1,372.10 $1,713.28 |
Toc - Plan #32 Bright HealthCare | ||||||||||||||||||||
Silver
(HMO) Silver 4000 ($35 Primary Care + $15 Generic) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9349
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$472.91 $536.76 $604.38 $844.62 $1,283.49 |
$834.69 $898.54 $966.16 $1,206.40 |
$1,196.47 $1,260.32 $1,327.94 $1,568.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$945.82 $1,073.52 $1,208.76 $1,689.24 $2,566.98 |
$1,307.60 $1,435.30 $1,570.54 $2,051.02 |
$1,669.38 $1,797.08 $1,932.32 $2,412.80 |
ADVERTISEMENT
WellCare of North CarolinaLocal: 1-312-332-5401 | Toll Free: 1-800-779-7989 |
Toc - Plan #33 WellCare of North Carolina | ||||||||||||||||||||
Expanded Bronze
(PPO) WellCare Secure Health Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$533.54 $605.56 $681.85 $952.88 $1,448.00 |
$941.69 $1,013.71 $1,090.00 $1,361.03 |
$1,349.84 $1,421.86 $1,498.15 $1,769.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,067.08 $1,211.12 $1,363.70 $1,905.76 $2,896.00 |
$1,475.23 $1,619.27 $1,771.85 $2,313.91 |
$1,883.38 $2,027.42 $2,180.00 $2,722.06 |
Toc - Plan #34 WellCare of North Carolina | ||||||||||||||||||||
Silver
(PPO) WellCare Secure Health Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$761.95 $864.80 $973.75 $1,360.82 $2,067.89 |
$1,344.83 $1,447.68 $1,556.63 $1,943.70 |
$1,927.71 $2,030.56 $2,139.51 $2,526.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,523.90 $1,729.60 $1,947.50 $2,721.64 $4,135.78 |
$2,106.78 $2,312.48 $2,530.38 $3,304.52 |
$2,689.66 $2,895.36 $3,113.26 $3,887.40 |
Toc - Plan #35 WellCare of North Carolina | ||||||||||||||||||||
Gold
(PPO) WellCare Secure Health Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$755.43 $857.40 $965.42 $1,349.17 $2,050.20 |
$1,333.32 $1,435.29 $1,543.31 $1,927.06 |
$1,911.21 $2,013.18 $2,121.20 $2,504.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,510.86 $1,714.80 $1,930.84 $2,698.34 $4,100.40 |
$2,088.75 $2,292.69 $2,508.73 $3,276.23 |
$2,666.64 $2,870.58 $3,086.62 $3,854.12 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-800-980-5357 | Toll Free: 1-800-980-5357 | TTY: 1-800-980-5357 |
Toc - Plan #36 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value+ ($2 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$500.31 $567.85 $639.40 $893.55 $1,357.84 |
$883.05 $950.59 $1,022.14 $1,276.29 |
$1,265.79 $1,333.33 $1,404.88 $1,659.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,000.62 $1,135.70 $1,278.80 $1,787.10 $2,715.68 |
$1,383.36 $1,518.44 $1,661.54 $2,169.84 |
$1,766.10 $1,901.18 $2,044.28 $2,552.58 |
Toc - Plan #37 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ Saver ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$524.31 $595.09 $670.06 $936.41 $1,422.96 |
$925.40 $996.18 $1,071.15 $1,337.50 |
$1,326.49 $1,397.27 $1,472.24 $1,738.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,048.62 $1,190.18 $1,340.12 $1,872.82 $2,845.92 |
$1,449.71 $1,591.27 $1,741.21 $2,273.91 |
$1,850.80 $1,992.36 $2,142.30 $2,675.00 |
Toc - Plan #38 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ ($3 Rx + Unlimited Free Primary Care & Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$525.74 $596.71 $671.89 $938.97 $1,426.85 |
$927.93 $998.90 $1,074.08 $1,341.16 |
$1,330.12 $1,401.09 $1,476.27 $1,743.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,051.48 $1,193.42 $1,343.78 $1,877.94 $2,853.70 |
$1,453.67 $1,595.61 $1,745.97 $2,280.13 |
$1,855.86 $1,997.80 $2,148.16 $2,682.32 |
Toc - Plan #39 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value+ ($3 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.10 $422.33 $475.54 $664.57 $1,009.88 |
$656.76 $706.99 $760.20 $949.23 |
$941.42 $991.65 $1,044.86 $1,233.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$744.20 $844.66 $951.08 $1,329.14 $2,019.76 |
$1,028.86 $1,129.32 $1,235.74 $1,613.80 |
$1,313.52 $1,413.98 $1,520.40 $1,898.46 |
Toc - Plan #40 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($2 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$499.24 $566.63 $638.02 $891.64 $1,354.93 |
$881.16 $948.55 $1,019.94 $1,273.56 |
$1,263.08 $1,330.47 $1,401.86 $1,655.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$998.48 $1,133.26 $1,276.04 $1,783.28 $2,709.86 |
$1,380.40 $1,515.18 $1,657.96 $2,165.20 |
$1,762.32 $1,897.10 $2,039.88 $2,547.12 |
Toc - Plan #41 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ Extra ($2 Rx + Dental + Vision + 3 Free Primary Care & 6 Free Virtual Visits)ays) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$507.12 $575.58 $648.09 $905.71 $1,376.31 |
$895.06 $963.52 $1,036.03 $1,293.65 |
$1,283.00 $1,351.46 $1,423.97 $1,681.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,014.24 $1,151.16 $1,296.18 $1,811.42 $2,752.62 |
$1,402.18 $1,539.10 $1,684.12 $2,199.36 |
$1,790.12 $1,927.04 $2,072.06 $2,587.30 |
Toc - Plan #42 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$522.16 $592.65 $667.32 $932.57 $1,417.13 |
$921.61 $992.10 $1,066.77 $1,332.02 |
$1,321.06 $1,391.55 $1,466.22 $1,731.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,044.32 $1,185.30 $1,334.64 $1,865.14 $2,834.26 |
$1,443.77 $1,584.75 $1,734.09 $2,264.59 |
$1,843.22 $1,984.20 $2,133.54 $2,664.04 |
Toc - Plan #43 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value+ (HSA) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.83 $428.84 $482.87 $674.80 $1,025.43 |
$666.87 $717.88 $771.91 $963.84 |
$955.91 $1,006.92 $1,060.95 $1,252.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$755.66 $857.68 $965.74 $1,349.60 $2,050.86 |
$1,044.70 $1,146.72 $1,254.78 $1,638.64 |
$1,333.74 $1,435.76 $1,543.82 $1,927.68 |
Toc - Plan #44 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential+ (Low Premium) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.13 $406.48 $457.69 $639.62 $971.97 |
$632.10 $680.45 $731.66 $913.59 |
$906.07 $954.42 $1,005.63 $1,187.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.26 $812.96 $915.38 $1,279.24 $1,943.94 |
$990.23 $1,086.93 $1,189.35 $1,553.21 |
$1,264.20 $1,360.90 $1,463.32 $1,827.18 |
Toc - Plan #45 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$520.72 $591.02 $665.49 $930.01 $1,413.25 |
$919.07 $989.37 $1,063.84 $1,328.36 |
$1,317.42 $1,387.72 $1,462.19 $1,726.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,041.44 $1,182.04 $1,330.98 $1,860.02 $2,826.50 |
$1,439.79 $1,580.39 $1,729.33 $2,258.37 |
$1,838.14 $1,978.74 $2,127.68 $2,656.72 |
Toc - Plan #46 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value+ ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.82 $423.15 $476.46 $665.85 $1,011.82 |
$658.02 $708.35 $761.66 $951.05 |
$943.22 $993.55 $1,046.86 $1,236.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745.64 $846.30 $952.92 $1,331.70 $2,023.64 |
$1,030.84 $1,131.50 $1,238.12 $1,616.90 |
$1,316.04 $1,416.70 $1,523.32 $1,902.10 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
Toc - Plan #47 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Aetna CVS Bronze: Low-Cost MinuteClinic Visits, Telehealth, Store Discounts |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.33 $418.05 $470.72 $657.83 $999.64 |
$650.10 $699.82 $752.49 $939.60 |
$931.87 $981.59 $1,034.26 $1,221.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736.66 $836.10 $941.44 $1,315.66 $1,999.28 |
$1,018.43 $1,117.87 $1,223.21 $1,597.43 |
$1,300.20 $1,399.64 $1,504.98 $1,879.20 |
Toc - Plan #48 Aetna CVS Health | ||||||||||||||||||||
Bronze
(HMO) Aetna CVS Bronze: $0 MinuteClinic Visits, Telehealth, Store Discounts |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.98 $362.05 $407.66 $569.70 $865.72 |
$563.00 $606.07 $651.68 $813.72 |
$807.02 $850.09 $895.70 $1,057.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$637.96 $724.10 $815.32 $1,139.40 $1,731.44 |
$881.98 $968.12 $1,059.34 $1,383.42 |
$1,126.00 $1,212.14 $1,303.36 $1,627.44 |
Toc - Plan #49 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Aetna CVS Gold: $0 MinuteClinic Visits, Telehealth, Store Discounts |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$532.05 $603.88 $679.96 $950.24 $1,443.99 |
$939.07 $1,010.90 $1,086.98 $1,357.26 |
$1,346.09 $1,417.92 $1,494.00 $1,764.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,064.10 $1,207.76 $1,359.92 $1,900.48 $2,887.98 |
$1,471.12 $1,614.78 $1,766.94 $2,307.50 |
$1,878.14 $2,021.80 $2,173.96 $2,714.52 |
Toc - Plan #50 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Aetna CVS Silver 1: $0 MinuteClinic Visits, Telehealth, Store Discounts |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$509.49 $578.27 $651.12 $909.94 $1,382.74 |
$899.25 $968.03 $1,040.88 $1,299.70 |
$1,289.01 $1,357.79 $1,430.64 $1,689.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,018.98 $1,156.54 $1,302.24 $1,819.88 $2,765.48 |
$1,408.74 $1,546.30 $1,692.00 $2,209.64 |
$1,798.50 $1,936.06 $2,081.76 $2,599.40 |
Toc - Plan #51 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Aetna CVS Silver 2: $0 MinuteClinic Visits, Telehealth, Store Discounts |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$443.61 $503.49 $566.93 $792.28 $1,203.95 |
$782.97 $842.85 $906.29 $1,131.64 |
$1,122.33 $1,182.21 $1,245.65 $1,471.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$887.22 $1,006.98 $1,133.86 $1,584.56 $2,407.90 |
$1,226.58 $1,346.34 $1,473.22 $1,923.92 |
$1,565.94 $1,685.70 $1,812.58 $2,263.28 |
ADVERTISEMENT
Oscar Health Plan of North Carolina, IncLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 | TTY: 1-855-672-2755 |
Toc - Plan #52 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 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 |
$367.92 $417.58 $470.19 $657.08 $998.50 |
$649.37 $699.03 $751.64 $938.53 |
$930.82 $980.48 $1,033.09 $1,219.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$735.84 $835.16 $940.38 $1,314.16 $1,997.00 |
$1,017.29 $1,116.61 $1,221.83 $1,595.61 |
$1,298.74 $1,398.06 $1,503.28 $1,877.06 |
Toc - Plan #53 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$376.23 $427.01 $480.81 $671.92 $1,021.06 |
$664.04 $714.82 $768.62 $959.73 |
$951.85 $1,002.63 $1,056.43 $1,247.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$752.46 $854.02 $961.62 $1,343.84 $2,042.12 |
$1,040.27 $1,141.83 $1,249.43 $1,631.65 |
$1,328.08 $1,429.64 $1,537.24 $1,919.46 |
Toc - Plan #54 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$368.96 $418.76 $471.52 $658.95 $1,001.33 |
$651.21 $701.01 $753.77 $941.20 |
$933.46 $983.26 $1,036.02 $1,223.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737.92 $837.52 $943.04 $1,317.90 $2,002.66 |
$1,020.17 $1,119.77 $1,225.29 $1,600.15 |
$1,302.42 $1,402.02 $1,507.54 $1,882.40 |
Toc - Plan #55 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$438.57 $497.76 $560.48 $783.26 $1,190.24 |
$774.07 $833.26 $895.98 $1,118.76 |
$1,109.57 $1,168.76 $1,231.48 $1,454.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$877.14 $995.52 $1,120.96 $1,566.52 $2,380.48 |
$1,212.64 $1,331.02 $1,456.46 $1,902.02 |
$1,548.14 $1,666.52 $1,791.96 $2,237.52 |
Toc - Plan #56 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$492.00 $558.40 $628.76 $878.69 $1,335.25 |
$868.37 $934.77 $1,005.13 $1,255.06 |
$1,244.74 $1,311.14 $1,381.50 $1,631.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$984.00 $1,116.80 $1,257.52 $1,757.38 $2,670.50 |
$1,360.37 $1,493.17 $1,633.89 $2,133.75 |
$1,736.74 $1,869.54 $2,010.26 $2,510.12 |
Toc - Plan #57 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$481.05 $545.98 $614.76 $859.13 $1,305.53 |
$849.04 $913.97 $982.75 $1,227.12 |
$1,217.03 $1,281.96 $1,350.74 $1,595.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$962.10 $1,091.96 $1,229.52 $1,718.26 $2,611.06 |
$1,330.09 $1,459.95 $1,597.51 $2,086.25 |
$1,698.08 $1,827.94 $1,965.50 $2,454.24 |
Toc - Plan #58 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Catastrophic
(HMO) 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 |
$317.25 $360.06 $405.43 $566.58 $860.98 |
$559.94 $602.75 $648.12 $809.27 |
$802.63 $845.44 $890.81 $1,051.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$634.50 $720.12 $810.86 $1,133.16 $1,721.96 |
$877.19 $962.81 $1,053.55 $1,375.85 |
$1,119.88 $1,205.50 $1,296.24 $1,618.54 |
Toc - Plan #59 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$438.42 $497.60 $560.29 $783.00 $1,189.85 |
$773.80 $832.98 $895.67 $1,118.38 |
$1,109.18 $1,168.36 $1,231.05 $1,453.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$876.84 $995.20 $1,120.58 $1,566.00 $2,379.70 |
$1,212.22 $1,330.58 $1,455.96 $1,901.38 |
$1,547.60 $1,665.96 $1,791.34 $2,236.76 |
Toc - Plan #60 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Gold
(HMO) 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 |
$523.82 $594.53 $669.43 $935.53 $1,421.63 |
$924.54 $995.25 $1,070.15 $1,336.25 |
$1,325.26 $1,395.97 $1,470.87 $1,736.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,047.64 $1,189.06 $1,338.86 $1,871.06 $2,843.26 |
$1,448.36 $1,589.78 $1,739.58 $2,271.78 |
$1,849.08 $1,990.50 $2,140.30 $2,672.50 |
Toc - Plan #61 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$403.88 $458.39 $516.15 $721.31 $1,096.11 |
$712.84 $767.35 $825.11 $1,030.27 |
$1,021.80 $1,076.31 $1,134.07 $1,339.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$807.76 $916.78 $1,032.30 $1,442.62 $2,192.22 |
$1,116.72 $1,225.74 $1,341.26 $1,751.58 |
$1,425.68 $1,534.70 $1,650.22 $2,060.54 |
Toc - Plan #62 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$480.92 $545.83 $614.60 $858.90 $1,305.19 |
$848.82 $913.73 $982.50 $1,226.80 |
$1,216.72 $1,281.63 $1,350.40 $1,594.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$961.84 $1,091.66 $1,229.20 $1,717.80 $2,610.38 |
$1,329.74 $1,459.56 $1,597.10 $2,085.70 |
$1,697.64 $1,827.46 $1,965.00 $2,453.60 |
Toc - Plan #63 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) Silver Classic- $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 |
$516.65 $586.39 $660.27 $922.72 $1,402.17 |
$911.88 $981.62 $1,055.50 $1,317.95 |
$1,307.11 $1,376.85 $1,450.73 $1,713.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,033.30 $1,172.78 $1,320.54 $1,845.44 $2,804.34 |
$1,428.53 $1,568.01 $1,715.77 $2,240.67 |
$1,823.76 $1,963.24 $2,111.00 $2,635.90 |
Toc - Plan #64 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Gold
(HMO) 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 |
$530.32 $601.90 $677.74 $947.13 $1,439.26 |
$936.01 $1,007.59 $1,083.43 $1,352.82 |
$1,341.70 $1,413.28 $1,489.12 $1,758.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,060.64 $1,203.80 $1,355.48 $1,894.26 $2,878.52 |
$1,466.33 $1,609.49 $1,761.17 $2,299.95 |
$1,872.02 $2,015.18 $2,166.86 $2,705.64 |
Toc - Plan #65 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$391.48 $444.32 $500.30 $699.17 $1,062.45 |
$690.96 $743.80 $799.78 $998.65 |
$990.44 $1,043.28 $1,099.26 $1,298.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$782.96 $888.64 $1,000.60 $1,398.34 $2,124.90 |
$1,082.44 $1,188.12 $1,300.08 $1,697.82 |
$1,381.92 $1,487.60 $1,599.56 $1,997.30 |
Toc - Plan #66 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$419.70 $476.35 $536.36 $749.56 $1,139.04 |
$740.76 $797.41 $857.42 $1,070.62 |
$1,061.82 $1,118.47 $1,178.48 $1,391.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$839.40 $952.70 $1,072.72 $1,499.12 $2,278.08 |
$1,160.46 $1,273.76 $1,393.78 $1,820.18 |
$1,481.52 $1,594.82 $1,714.84 $2,141.24 |
Toc - Plan #67 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic- $3000 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 |
$420.32 $477.05 $537.15 $750.67 $1,140.71 |
$741.85 $798.58 $858.68 $1,072.20 |
$1,063.38 $1,120.11 $1,180.21 $1,393.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$840.64 $954.10 $1,074.30 $1,501.34 $2,281.42 |
$1,162.17 $1,275.63 $1,395.83 $1,822.87 |
$1,483.70 $1,597.16 $1,717.36 $2,144.40 |
Toc - Plan #68 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$390.88 $443.64 $499.53 $698.10 $1,060.82 |
$689.90 $742.66 $798.55 $997.12 |
$988.92 $1,041.68 $1,097.57 $1,296.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$781.76 $887.28 $999.06 $1,396.20 $2,121.64 |
$1,080.78 $1,186.30 $1,298.08 $1,695.22 |
$1,379.80 $1,485.32 $1,597.10 $1,994.24 |
Toc - Plan #69 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$475.53 $539.72 $607.72 $849.28 $1,290.56 |
$839.30 $903.49 $971.49 $1,213.05 |
$1,203.07 $1,267.26 $1,335.26 $1,576.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$951.06 $1,079.44 $1,215.44 $1,698.56 $2,581.12 |
$1,314.83 $1,443.21 $1,579.21 $2,062.33 |
$1,678.60 $1,806.98 $1,942.98 $2,426.10 |
Toc - Plan #70 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$510.60 $579.51 $652.53 $911.91 $1,385.73 |
$901.20 $970.11 $1,043.13 $1,302.51 |
$1,291.80 $1,360.71 $1,433.73 $1,693.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,021.20 $1,159.02 $1,305.06 $1,823.82 $2,771.46 |
$1,411.80 $1,549.62 $1,695.66 $2,214.42 |
$1,802.40 $1,940.22 $2,086.26 $2,605.02 |
Toc - Plan #71 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$491.98 $558.39 $628.74 $878.67 $1,335.22 |
$868.34 $934.75 $1,005.10 $1,255.03 |
$1,244.70 $1,311.11 $1,381.46 $1,631.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$983.96 $1,116.78 $1,257.48 $1,757.34 $2,670.44 |
$1,360.32 $1,493.14 $1,633.84 $2,133.70 |
$1,736.68 $1,869.50 $2,010.20 $2,510.06 |
Toc - Plan #72 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$510.03 $578.87 $651.80 $910.89 $1,384.19 |
$900.19 $969.03 $1,041.96 $1,301.05 |
$1,290.35 $1,359.19 $1,432.12 $1,691.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,020.06 $1,157.74 $1,303.60 $1,821.78 $2,768.38 |
$1,410.22 $1,547.90 $1,693.76 $2,211.94 |
$1,800.38 $1,938.06 $2,083.92 $2,602.10 |
Toc - Plan #73 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$505.95 $574.24 $646.59 $903.61 $1,373.12 |
$892.99 $961.28 $1,033.63 $1,290.65 |
$1,280.03 $1,348.32 $1,420.67 $1,677.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,011.90 $1,148.48 $1,293.18 $1,807.22 $2,746.24 |
$1,398.94 $1,535.52 $1,680.22 $2,194.26 |
$1,785.98 $1,922.56 $2,067.26 $2,581.30 |
Toc - Plan #74 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$501.98 $569.74 $641.52 $896.52 $1,362.34 |
$885.99 $953.75 $1,025.53 $1,280.53 |
$1,270.00 $1,337.76 $1,409.54 $1,664.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,003.96 $1,139.48 $1,283.04 $1,793.04 $2,724.68 |
$1,387.97 $1,523.49 $1,667.05 $2,177.05 |
$1,771.98 $1,907.50 $2,051.06 $2,561.06 |
Toc - Plan #75 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Gold
(HMO) 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 |
$502.79 $570.66 $642.56 $897.97 $1,364.56 |
$887.42 $955.29 $1,027.19 $1,282.60 |
$1,272.05 $1,339.92 $1,411.82 $1,667.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,005.58 $1,141.32 $1,285.12 $1,795.94 $2,729.12 |
$1,390.21 $1,525.95 $1,669.75 $2,180.57 |
$1,774.84 $1,910.58 $2,054.38 $2,565.20 |
Toc - Plan #76 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Gold
(HMO) 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 |
$576.96 $654.84 $737.34 $1,030.44 $1,565.85 |
$1,018.33 $1,096.21 $1,178.71 $1,471.81 |
$1,459.70 $1,537.58 $1,620.08 $1,913.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,153.92 $1,309.68 $1,474.68 $2,060.88 $3,131.70 |
$1,595.29 $1,751.05 $1,916.05 $2,502.25 |
$2,036.66 $2,192.42 $2,357.42 $2,943.62 |
Toc - Plan #77 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Gold
(HMO) 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 |
$546.75 $620.55 $698.73 $976.47 $1,483.84 |
$965.00 $1,038.80 $1,116.98 $1,394.72 |
$1,383.25 $1,457.05 $1,535.23 $1,812.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,093.50 $1,241.10 $1,397.46 $1,952.94 $2,967.68 |
$1,511.75 $1,659.35 $1,815.71 $2,371.19 |
$1,930.00 $2,077.60 $2,233.96 $2,789.44 |
Toc - Plan #78 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Gold
(HMO) 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 |
$512.45 $581.62 $654.90 $915.22 $1,390.76 |
$904.47 $973.64 $1,046.92 $1,307.24 |
$1,296.49 $1,365.66 $1,438.94 $1,699.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,024.90 $1,163.24 $1,309.80 $1,830.44 $2,781.52 |
$1,416.92 $1,555.26 $1,701.82 $2,222.46 |
$1,808.94 $1,947.28 $2,093.84 $2,614.48 |
Toc - Plan #79 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$367.96 $417.62 $470.24 $657.16 $998.62 |
$649.44 $699.10 $751.72 $938.64 |
$930.92 $980.58 $1,033.20 $1,220.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$735.92 $835.24 $940.48 $1,314.32 $1,997.24 |
$1,017.40 $1,116.72 $1,221.96 $1,595.80 |
$1,298.88 $1,398.20 $1,503.44 $1,877.28 |
Toc - Plan #80 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic- $5000 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 |
$418.27 $474.72 $534.53 $747.01 $1,135.15 |
$738.24 $794.69 $854.50 $1,066.98 |
$1,058.21 $1,114.66 $1,174.47 $1,386.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$836.54 $949.44 $1,069.06 $1,494.02 $2,270.30 |
$1,156.51 $1,269.41 $1,389.03 $1,813.99 |
$1,476.48 $1,589.38 $1,709.00 $2,133.96 |
Toc - Plan #81 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 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 |
$430.47 $488.57 $550.13 $768.80 $1,168.27 |
$759.77 $817.87 $879.43 $1,098.10 |
$1,089.07 $1,147.17 $1,208.73 $1,427.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$860.94 $977.14 $1,100.26 $1,537.60 $2,336.54 |
$1,190.24 $1,306.44 $1,429.56 $1,866.90 |
$1,519.54 $1,635.74 $1,758.86 $2,196.20 |
Toc - Plan #82 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$431.26 $489.47 $551.14 $770.22 $1,170.42 |
$761.17 $819.38 $881.05 $1,100.13 |
$1,091.08 $1,149.29 $1,210.96 $1,430.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$862.52 $978.94 $1,102.28 $1,540.44 $2,340.84 |
$1,192.43 $1,308.85 $1,432.19 $1,870.35 |
$1,522.34 $1,638.76 $1,762.10 $2,200.26 |
Toc - Plan #83 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$433.42 $491.93 $553.90 $774.08 $1,176.29 |
$764.98 $823.49 $885.46 $1,105.64 |
$1,096.54 $1,155.05 $1,217.02 $1,437.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$866.84 $983.86 $1,107.80 $1,548.16 $2,352.58 |
$1,198.40 $1,315.42 $1,439.36 $1,879.72 |
$1,529.96 $1,646.98 $1,770.92 $2,211.28 |
Toc - Plan #84 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) Silver Simple- High 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 |
$480.94 $545.86 $614.63 $858.95 $1,305.25 |
$848.85 $913.77 $982.54 $1,226.86 |
$1,216.76 $1,281.68 $1,350.45 $1,594.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$961.88 $1,091.72 $1,229.26 $1,717.90 $2,610.50 |
$1,329.79 $1,459.63 $1,597.17 $2,085.81 |
$1,697.70 $1,827.54 $1,965.08 $2,453.72 |
Toc - Plan #85 Oscar Health Plan of North Carolina, Inc | ||||||||||||||||||||
Silver
(HMO) 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 |
$485.81 $551.38 $620.85 $867.63 $1,318.45 |
$857.44 $923.01 $992.48 $1,239.26 |
$1,229.07 $1,294.64 $1,364.11 $1,610.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$971.62 $1,102.76 $1,241.70 $1,735.26 $2,636.90 |
$1,343.25 $1,474.39 $1,613.33 $2,106.89 |
$1,714.88 $1,846.02 $1,984.96 $2,478.52 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #86 Cigna Healthcare | ||||||||||||||||||||
Bronze
(HMO) 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 |
$463.69 $526.28 $592.59 $828.14 $1,258.45 |
$818.41 $881.00 $947.31 $1,182.86 |
$1,173.13 $1,235.72 $1,302.03 $1,537.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$927.38 $1,052.56 $1,185.18 $1,656.28 $2,516.90 |
$1,282.10 $1,407.28 $1,539.90 $2,011.00 |
$1,636.82 $1,762.00 $1,894.62 $2,365.72 |
Toc - Plan #87 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 7300 ($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 |
$484.76 $550.21 $619.53 $865.79 $1,315.65 |
$855.60 $921.05 $990.37 $1,236.63 |
$1,226.44 $1,291.89 $1,361.21 $1,607.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$969.52 $1,100.42 $1,239.06 $1,731.58 $2,631.30 |
$1,340.36 $1,471.26 $1,609.90 $2,102.42 |
$1,711.20 $1,842.10 $1,980.74 $2,473.26 |
Toc - Plan #88 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 5900 ($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 |
$491.75 $558.14 $628.46 $878.27 $1,334.61 |
$867.94 $934.33 $1,004.65 $1,254.46 |
$1,244.13 $1,310.52 $1,380.84 $1,630.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$983.50 $1,116.28 $1,256.92 $1,756.54 $2,669.22 |
$1,359.69 $1,492.47 $1,633.11 $2,132.73 |
$1,735.88 $1,868.66 $2,009.30 $2,508.92 |
Toc - Plan #89 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 5500 ($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 |
$523.51 $594.18 $669.05 $934.99 $1,420.81 |
$924.00 $994.67 $1,069.54 $1,335.48 |
$1,324.49 $1,395.16 $1,470.03 $1,735.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,047.02 $1,188.36 $1,338.10 $1,869.98 $2,841.62 |
$1,447.51 $1,588.85 $1,738.59 $2,270.47 |
$1,848.00 $1,989.34 $2,139.08 $2,670.96 |
Toc - Plan #90 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 4500 ($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 |
$524.90 $595.76 $670.82 $937.46 $1,424.57 |
$926.45 $997.31 $1,072.37 $1,339.01 |
$1,328.00 $1,398.86 $1,473.92 $1,740.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,049.80 $1,191.52 $1,341.64 $1,874.92 $2,849.14 |
$1,451.35 $1,593.07 $1,743.19 $2,276.47 |
$1,852.90 $1,994.62 $2,144.74 $2,678.02 |
Toc - Plan #91 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 3500 ($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 |
$526.17 $597.20 $672.44 $939.73 $1,428.02 |
$928.69 $999.72 $1,074.96 $1,342.25 |
$1,331.21 $1,402.24 $1,477.48 $1,744.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,052.34 $1,194.40 $1,344.88 $1,879.46 $2,856.04 |
$1,454.86 $1,596.92 $1,747.40 $2,281.98 |
$1,857.38 $1,999.44 $2,149.92 $2,684.50 |
Toc - Plan #92 Cigna Healthcare | ||||||||||||||||||||
Gold
(HMO) Cigna Connect 2000B ($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 |
$762.23 $865.13 $974.12 $1,361.33 $2,068.68 |
$1,345.33 $1,448.23 $1,557.22 $1,944.43 |
$1,928.43 $2,031.33 $2,140.32 $2,527.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,524.46 $1,730.26 $1,948.24 $2,722.66 $4,137.36 |
$2,107.56 $2,313.36 $2,531.34 $3,305.76 |
$2,690.66 $2,896.46 $3,114.44 $3,888.86 |
Toc - Plan #93 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 3500 Enhanced Diabetes 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 |
$524.66 $595.49 $670.52 $937.05 $1,423.94 |
$926.03 $996.86 $1,071.89 $1,338.42 |
$1,327.40 $1,398.23 $1,473.26 $1,739.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,049.32 $1,190.98 $1,341.04 $1,874.10 $2,847.88 |
$1,450.69 $1,592.35 $1,742.41 $2,275.47 |
$1,852.06 $1,993.72 $2,143.78 $2,676.84 |
Toc - Plan #94 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) 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 |
$523.68 $594.38 $669.27 $935.30 $1,421.28 |
$924.30 $995.00 $1,069.89 $1,335.92 |
$1,324.92 $1,395.62 $1,470.51 $1,736.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,047.36 $1,188.76 $1,338.54 $1,870.60 $2,842.56 |
$1,447.98 $1,589.38 $1,739.16 $2,271.22 |
$1,848.60 $1,990.00 $2,139.78 $2,671.84 |
ADVERTISEMENT
Ambetter of North CarolinaLocal: 1-833-863-1310 | Toll Free: 1-833-863-1310 |
Toc - Plan #95 Ambetter of North Carolina | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375.73 $426.44 $480.17 $671.04 $1,019.71 |
$663.16 $713.87 $767.60 $958.47 |
$950.59 $1,001.30 $1,055.03 $1,245.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$751.46 $852.88 $960.34 $1,342.08 $2,039.42 |
$1,038.89 $1,140.31 $1,247.77 $1,629.51 |
$1,326.32 $1,427.74 $1,535.20 $1,916.94 |
Toc - Plan #96 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412.15 $467.78 $526.71 $736.08 $1,118.55 |
$727.44 $783.07 $842.00 $1,051.37 |
$1,042.73 $1,098.36 $1,157.29 $1,366.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$824.30 $935.56 $1,053.42 $1,472.16 $2,237.10 |
$1,139.59 $1,250.85 $1,368.71 $1,787.45 |
$1,454.88 $1,566.14 $1,684.00 $2,102.74 |
Toc - Plan #97 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$527.04 $598.18 $673.55 $941.28 $1,430.37 |
$930.22 $1,001.36 $1,076.73 $1,344.46 |
$1,333.40 $1,404.54 $1,479.91 $1,747.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,054.08 $1,196.36 $1,347.10 $1,882.56 $2,860.74 |
$1,457.26 $1,599.54 $1,750.28 $2,285.74 |
$1,860.44 $2,002.72 $2,153.46 $2,688.92 |
Toc - Plan #98 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$570.10 $647.05 $728.58 $1,018.18 $1,547.23 |
$1,006.22 $1,083.17 $1,164.70 $1,454.30 |
$1,442.34 $1,519.29 $1,600.82 $1,890.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,140.20 $1,294.10 $1,457.16 $2,036.36 $3,094.46 |
$1,576.32 $1,730.22 $1,893.28 $2,472.48 |
$2,012.44 $2,166.34 $2,329.40 $2,908.60 |
Toc - Plan #99 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$520.88 $591.18 $665.67 $930.27 $1,413.63 |
$919.34 $989.64 $1,064.13 $1,328.73 |
$1,317.80 $1,388.10 $1,462.59 $1,727.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,041.76 $1,182.36 $1,331.34 $1,860.54 $2,827.26 |
$1,440.22 $1,580.82 $1,729.80 $2,259.00 |
$1,838.68 $1,979.28 $2,128.26 $2,657.46 |
Toc - Plan #100 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$404.61 $459.22 $517.08 $722.62 $1,098.09 |
$714.13 $768.74 $826.60 $1,032.14 |
$1,023.65 $1,078.26 $1,136.12 $1,341.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$809.22 $918.44 $1,034.16 $1,445.24 $2,196.18 |
$1,118.74 $1,227.96 $1,343.68 $1,754.76 |
$1,428.26 $1,537.48 $1,653.20 $2,064.28 |
Toc - Plan #101 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 22 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$429.65 $487.64 $549.08 $767.33 $1,166.04 |
$758.32 $816.31 $877.75 $1,096.00 |
$1,086.99 $1,144.98 $1,206.42 $1,424.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$859.30 $975.28 $1,098.16 $1,534.66 $2,332.08 |
$1,187.97 $1,303.95 $1,426.83 $1,863.33 |
$1,516.64 $1,632.62 $1,755.50 $2,192.00 |
Toc - Plan #102 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$439.40 $498.70 $561.54 $784.75 $1,192.50 |
$775.53 $834.83 $897.67 $1,120.88 |
$1,111.66 $1,170.96 $1,233.80 $1,457.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$878.80 $997.40 $1,123.08 $1,569.50 $2,385.00 |
$1,214.93 $1,333.53 $1,459.21 $1,905.63 |
$1,551.06 $1,669.66 $1,795.34 $2,241.76 |
Toc - Plan #103 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$461.48 $523.77 $589.76 $824.19 $1,252.43 |
$814.50 $876.79 $942.78 $1,177.21 |
$1,167.52 $1,229.81 $1,295.80 $1,530.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$922.96 $1,047.54 $1,179.52 $1,648.38 $2,504.86 |
$1,275.98 $1,400.56 $1,532.54 $2,001.40 |
$1,629.00 $1,753.58 $1,885.56 $2,354.42 |
Toc - Plan #104 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 30 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$499.16 $566.54 $637.92 $891.49 $1,354.70 |
$881.01 $948.39 $1,019.77 $1,273.34 |
$1,262.86 $1,330.24 $1,401.62 $1,655.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$998.32 $1,133.08 $1,275.84 $1,782.98 $2,709.40 |
$1,380.17 $1,514.93 $1,657.69 $2,164.83 |
$1,762.02 $1,896.78 $2,039.54 $2,546.68 |
Toc - Plan #105 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 31 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$499.22 $566.60 $637.99 $891.58 $1,354.84 |
$881.11 $948.49 $1,019.88 $1,273.47 |
$1,263.00 $1,330.38 $1,401.77 $1,655.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$998.44 $1,133.20 $1,275.98 $1,783.16 $2,709.68 |
$1,380.33 $1,515.09 $1,657.87 $2,165.05 |
$1,762.22 $1,896.98 $2,039.76 $2,546.94 |
Toc - Plan #106 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 32 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$505.70 $573.96 $646.27 $903.16 $1,372.44 |
$892.55 $960.81 $1,033.12 $1,290.01 |
$1,279.40 $1,347.66 $1,419.97 $1,676.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,011.40 $1,147.92 $1,292.54 $1,806.32 $2,744.88 |
$1,398.25 $1,534.77 $1,679.39 $2,193.17 |
$1,785.10 $1,921.62 $2,066.24 $2,580.02 |
Toc - Plan #107 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 20 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$534.69 $606.86 $683.31 $954.93 $1,451.11 |
$943.72 $1,015.89 $1,092.34 $1,363.96 |
$1,352.75 $1,424.92 $1,501.37 $1,772.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,069.38 $1,213.72 $1,366.62 $1,909.86 $2,902.22 |
$1,478.41 $1,622.75 $1,775.65 $2,318.89 |
$1,887.44 $2,031.78 $2,184.68 $2,727.92 |
Toc - Plan #108 Ambetter of North Carolina | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.44 $445.40 $501.52 $700.87 $1,065.04 |
$692.65 $745.61 $801.73 $1,001.08 |
$992.86 $1,045.82 $1,101.94 $1,301.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$784.88 $890.80 $1,003.04 $1,401.74 $2,130.08 |
$1,085.09 $1,191.01 $1,303.25 $1,701.95 |
$1,385.30 $1,491.22 $1,603.46 $2,002.16 |
Toc - Plan #109 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$430.47 $488.57 $550.13 $768.81 $1,168.27 |
$759.77 $817.87 $879.43 $1,098.11 |
$1,089.07 $1,147.17 $1,208.73 $1,427.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$860.94 $977.14 $1,100.26 $1,537.62 $2,336.54 |
$1,190.24 $1,306.44 $1,429.56 $1,866.92 |
$1,519.54 $1,635.74 $1,758.86 $2,196.22 |
Toc - Plan #110 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$550.47 $624.78 $703.49 $983.13 $1,493.96 |
$971.57 $1,045.88 $1,124.59 $1,404.23 |
$1,392.67 $1,466.98 $1,545.69 $1,825.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,100.94 $1,249.56 $1,406.98 $1,966.26 $2,987.92 |
$1,522.04 $1,670.66 $1,828.08 $2,387.36 |
$1,943.14 $2,091.76 $2,249.18 $2,808.46 |
Toc - Plan #111 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$595.45 $675.82 $760.97 $1,063.45 $1,616.01 |
$1,050.96 $1,131.33 $1,216.48 $1,518.96 |
$1,506.47 $1,586.84 $1,671.99 $1,974.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,190.90 $1,351.64 $1,521.94 $2,126.90 $3,232.02 |
$1,646.41 $1,807.15 $1,977.45 $2,582.41 |
$2,101.92 $2,262.66 $2,432.96 $3,037.92 |
Toc - Plan #112 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$544.03 $617.47 $695.26 $971.62 $1,476.48 |
$960.21 $1,033.65 $1,111.44 $1,387.80 |
$1,376.39 $1,449.83 $1,527.62 $1,803.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,088.06 $1,234.94 $1,390.52 $1,943.24 $2,952.96 |
$1,504.24 $1,651.12 $1,806.70 $2,359.42 |
$1,920.42 $2,067.30 $2,222.88 $2,775.60 |
Toc - Plan #113 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422.60 $479.64 $540.07 $754.75 $1,146.91 |
$745.88 $802.92 $863.35 $1,078.03 |
$1,069.16 $1,126.20 $1,186.63 $1,401.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$845.20 $959.28 $1,080.14 $1,509.50 $2,293.82 |
$1,168.48 $1,282.56 $1,403.42 $1,832.78 |
$1,491.76 $1,605.84 $1,726.70 $2,156.06 |
Toc - Plan #114 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 22 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$448.75 $509.32 $573.49 $801.44 $1,217.87 |
$792.03 $852.60 $916.77 $1,144.72 |
$1,135.31 $1,195.88 $1,260.05 $1,488.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$897.50 $1,018.64 $1,146.98 $1,602.88 $2,435.74 |
$1,240.78 $1,361.92 $1,490.26 $1,946.16 |
$1,584.06 $1,705.20 $1,833.54 $2,289.44 |
Toc - Plan #115 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$458.93 $520.88 $586.50 $819.63 $1,245.51 |
$810.00 $871.95 $937.57 $1,170.70 |
$1,161.07 $1,223.02 $1,288.64 $1,521.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$917.86 $1,041.76 $1,173.00 $1,639.26 $2,491.02 |
$1,268.93 $1,392.83 $1,524.07 $1,990.33 |
$1,620.00 $1,743.90 $1,875.14 $2,341.40 |
Toc - Plan #116 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$482.00 $547.05 $615.98 $860.83 $1,308.11 |
$850.72 $915.77 $984.70 $1,229.55 |
$1,219.44 $1,284.49 $1,353.42 $1,598.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$964.00 $1,094.10 $1,231.96 $1,721.66 $2,616.22 |
$1,332.72 $1,462.82 $1,600.68 $2,090.38 |
$1,701.44 $1,831.54 $1,969.40 $2,459.10 |
Toc - Plan #117 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 31 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$521.41 $591.79 $666.35 $931.22 $1,415.08 |
$920.28 $990.66 $1,065.22 $1,330.09 |
$1,319.15 $1,389.53 $1,464.09 $1,728.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,042.82 $1,183.58 $1,332.70 $1,862.44 $2,830.16 |
$1,441.69 $1,582.45 $1,731.57 $2,261.31 |
$1,840.56 $1,981.32 $2,130.44 $2,660.18 |
Toc - Plan #118 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 32 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$528.18 $599.47 $675.00 $943.31 $1,433.45 |
$932.23 $1,003.52 $1,079.05 $1,347.36 |
$1,336.28 $1,407.57 $1,483.10 $1,751.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,056.36 $1,198.94 $1,350.00 $1,886.62 $2,866.90 |
$1,460.41 $1,602.99 $1,754.05 $2,290.67 |
$1,864.46 $2,007.04 $2,158.10 $2,694.72 |
Toc - Plan #119 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 20 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$558.45 $633.83 $713.69 $997.38 $1,515.62 |
$985.66 $1,061.04 $1,140.90 $1,424.59 |
$1,412.87 $1,488.25 $1,568.11 $1,851.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,116.90 $1,267.66 $1,427.38 $1,994.76 $3,031.24 |
$1,544.11 $1,694.87 $1,854.59 $2,421.97 |
$1,971.32 $2,122.08 $2,281.80 $2,849.18 |
ADVERTISEMENT
Friday Health PlansLocal: 1-844-465-5500 | Toll Free: 1-844-465-5500 | TTY: 1-800-659-2656 |
Toc - Plan #120 Friday Health Plans | ||||||||||||||||||||
Catastrophic
(HMO) Friday Catastrophic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$231.32 $262.55 $295.63 $413.14 $627.81 |
$408.28 $439.51 $472.59 $590.10 |
$585.24 $616.47 $649.55 $767.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$462.64 $525.10 $591.26 $826.28 $1,255.62 |
$639.60 $702.06 $768.22 $1,003.24 |
$816.56 $879.02 $945.18 $1,180.20 |
Toc - Plan #121 Friday Health Plans | ||||||||||||||||||||
Bronze
(HMO) Friday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$300.50 $341.07 $384.04 $536.70 $815.57 |
$530.39 $570.96 $613.93 $766.59 |
$760.28 $800.85 $843.82 $996.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$601.00 $682.14 $768.08 $1,073.40 $1,631.14 |
$830.89 $912.03 $997.97 $1,303.29 |
$1,060.78 $1,141.92 $1,227.86 $1,533.18 |
Toc - Plan #122 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$308.85 $350.54 $394.71 $551.60 $838.22 |
$545.12 $586.81 $630.98 $787.87 |
$781.39 $823.08 $867.25 $1,024.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$617.70 $701.08 $789.42 $1,103.20 $1,676.44 |
$853.97 $937.35 $1,025.69 $1,339.47 |
$1,090.24 $1,173.62 $1,261.96 $1,575.74 |
Toc - Plan #123 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.04 $360.97 $406.45 $568.01 $863.15 |
$561.34 $604.27 $649.75 $811.31 |
$804.64 $847.57 $893.05 $1,054.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$636.08 $721.94 $812.90 $1,136.02 $1,726.30 |
$879.38 $965.24 $1,056.20 $1,379.32 |
$1,122.68 $1,208.54 $1,299.50 $1,622.62 |
Toc - Plan #124 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$445.71 $505.88 $569.62 $796.04 $1,209.66 |
$786.68 $846.85 $910.59 $1,137.01 |
$1,127.65 $1,187.82 $1,251.56 $1,477.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$891.42 $1,011.76 $1,139.24 $1,592.08 $2,419.32 |
$1,232.39 $1,352.73 $1,480.21 $1,933.05 |
$1,573.36 $1,693.70 $1,821.18 $2,274.02 |
Toc - Plan #125 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.48 $439.79 $495.20 $692.03 $1,051.61 |
$683.90 $736.21 $791.62 $988.45 |
$980.32 $1,032.63 $1,088.04 $1,284.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$774.96 $879.58 $990.40 $1,384.06 $2,103.22 |
$1,071.38 $1,176.00 $1,286.82 $1,680.48 |
$1,367.80 $1,472.42 $1,583.24 $1,976.90 |
Toc - Plan #126 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Plus Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.30 $354.46 $399.12 $557.77 $847.58 |
$551.21 $593.37 $638.03 $796.68 |
$790.12 $832.28 $876.94 $1,035.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$624.60 $708.92 $798.24 $1,115.54 $1,695.16 |
$863.51 $947.83 $1,037.15 $1,354.45 |
$1,102.42 $1,186.74 $1,276.06 $1,593.36 |
Toc - Plan #127 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver Plus Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$450.79 $511.65 $576.11 $805.12 $1,223.45 |
$795.65 $856.51 $920.97 $1,149.98 |
$1,140.51 $1,201.37 $1,265.83 $1,494.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$901.58 $1,023.30 $1,152.22 $1,610.24 $2,446.90 |
$1,246.44 $1,368.16 $1,497.08 $1,955.10 |
$1,591.30 $1,713.02 $1,841.94 $2,299.96 |
Toc - Plan #128 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold Plus Copay |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
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 |
$407.78 $462.83 $521.14 $728.29 $1,106.71 |
$719.73 $774.78 $833.09 $1,040.24 |
$1,031.68 $1,086.73 $1,145.04 $1,352.19 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$815.56 $925.66 $1,042.28 $1,456.58 $2,213.42 |
$1,127.51 $1,237.61 $1,354.23 $1,768.53 |
$1,439.46 $1,549.56 $1,666.18 $2,080.48 |
‡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 Transylvania County here.
Transylvania County is in “Rating Area 1” of North Carolina.
Currently, there are 128 plans offered in Rating Area 1.