Obamacare 2023 Rates for Gila County
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Obamacare > Rates > Arizona > Gila County
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Blue Cross Blue Shield of ArizonaLocal: 1-844-341-5837 | Toll Free: 1-844-341-5837 | TTY: 1-602-864-4823 |
Toc - Plan #1 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(HMO) Blue EverydayHealth Gold - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$534.39 $606.53 $682.95 $954.42 $1,450.33 |
$943.20 $1,015.34 $1,091.76 $1,363.23 |
$1,352.01 $1,424.15 $1,500.57 $1,772.04 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,068.78 $1,213.06 $1,365.90 $1,908.84 $2,900.66 |
$1,477.59 $1,621.87 $1,774.71 $2,317.65 |
$1,886.40 $2,030.68 $2,183.52 $2,726.46 |
Toc - Plan #2 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue EverydayHealth Silver - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$436.53 $495.47 $557.89 $779.65 $1,184.74 |
$770.48 $829.42 $891.84 $1,113.60 |
$1,104.43 $1,163.37 $1,225.79 $1,447.55 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$873.06 $990.94 $1,115.78 $1,559.30 $2,369.48 |
$1,207.01 $1,324.89 $1,449.73 $1,893.25 |
$1,540.96 $1,658.84 $1,783.68 $2,227.20 |
Toc - Plan #3 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue EverydayHealth Bronze - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$356.48 $404.60 $455.58 $636.67 $967.47 |
$629.19 $677.31 $728.29 $909.38 |
$901.90 $950.02 $1,001.00 $1,182.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$712.96 $809.20 $911.16 $1,273.34 $1,934.94 |
$985.67 $1,081.91 $1,183.87 $1,546.05 |
$1,258.38 $1,354.62 $1,456.58 $1,818.76 |
Toc - Plan #4 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Portfolio HSA Bronze - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$383.28 $435.03 $489.84 $684.54 $1,040.22 |
$676.49 $728.24 $783.05 $977.75 |
$969.70 $1,021.45 $1,076.26 $1,270.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$766.56 $870.06 $979.68 $1,369.08 $2,080.44 |
$1,059.77 $1,163.27 $1,272.89 $1,662.29 |
$1,352.98 $1,456.48 $1,566.10 $1,955.50 |
Toc - Plan #5 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue TrueHealth Silver - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$446.70 $507.01 $570.88 $797.80 $1,212.34 |
$788.43 $848.74 $912.61 $1,139.53 |
$1,130.16 $1,190.47 $1,254.34 $1,481.26 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$893.40 $1,014.02 $1,141.76 $1,595.60 $2,424.68 |
$1,235.13 $1,355.75 $1,483.49 $1,937.33 |
$1,576.86 $1,697.48 $1,825.22 $2,279.06 |
Toc - Plan #6 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue AdvanceHealth Bronze - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$334.56 $379.72 $427.57 $597.52 $907.98 |
$590.50 $635.66 $683.51 $853.46 |
$846.44 $891.60 $939.45 $1,109.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$669.12 $759.44 $855.14 $1,195.04 $1,815.96 |
$925.06 $1,015.38 $1,111.08 $1,450.98 |
$1,181.00 $1,271.32 $1,367.02 $1,706.92 |
Toc - Plan #7 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue AdvanceHealth Silver - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$423.27 $480.41 $540.94 $755.95 $1,148.74 |
$747.07 $804.21 $864.74 $1,079.75 |
$1,070.87 $1,128.01 $1,188.54 $1,403.55 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$846.54 $960.82 $1,081.88 $1,511.90 $2,297.48 |
$1,170.34 $1,284.62 $1,405.68 $1,835.70 |
$1,494.14 $1,608.42 $1,729.48 $2,159.50 |
Toc - Plan #8 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(HMO) Blue AdvanceHealth Gold - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$524.15 $594.91 $669.86 $936.12 $1,422.53 |
$925.12 $995.88 $1,070.83 $1,337.09 |
$1,326.09 $1,396.85 $1,471.80 $1,738.06 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,048.30 $1,189.82 $1,339.72 $1,872.24 $2,845.06 |
$1,449.27 $1,590.79 $1,740.69 $2,273.21 |
$1,850.24 $1,991.76 $2,141.66 $2,674.18 |
Toc - Plan #9 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(HMO) Blue Standardized Gold - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$532.08 $603.91 $679.99 $950.28 $1,444.05 |
$939.12 $1,010.95 $1,087.03 $1,357.32 |
$1,346.16 $1,417.99 $1,494.07 $1,764.36 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,064.16 $1,207.82 $1,359.98 $1,900.56 $2,888.10 |
$1,471.20 $1,614.86 $1,767.02 $2,307.60 |
$1,878.24 $2,021.90 $2,174.06 $2,714.64 |
Toc - Plan #10 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue Standardized Silver - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$432.54 $490.94 $552.79 $772.52 $1,173.92 |
$763.44 $821.84 $883.69 $1,103.42 |
$1,094.34 $1,152.74 $1,214.59 $1,434.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$865.08 $981.88 $1,105.58 $1,545.04 $2,347.84 |
$1,195.98 $1,312.78 $1,436.48 $1,875.94 |
$1,526.88 $1,643.68 $1,767.38 $2,206.84 |
Toc - Plan #11 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Standardized Bronze - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$359.02 $407.49 $458.83 $641.21 $974.37 |
$633.67 $682.14 $733.48 $915.86 |
$908.32 $956.79 $1,008.13 $1,190.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$718.04 $814.98 $917.66 $1,282.42 $1,948.74 |
$992.69 $1,089.63 $1,192.31 $1,557.07 |
$1,267.34 $1,364.28 $1,466.96 $1,831.72 |
Toc - Plan #12 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(PPO) Blue PPO Gold - Statewide PPO Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$617.17 $700.49 $788.75 $1,102.27 $1,675.00 |
$1,089.31 $1,172.63 $1,260.89 $1,574.41 |
$1,561.45 $1,644.77 $1,733.03 $2,046.55 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,234.34 $1,400.98 $1,577.50 $2,204.54 $3,350.00 |
$1,706.48 $1,873.12 $2,049.64 $2,676.68 |
$2,178.62 $2,345.26 $2,521.78 $3,148.82 |
Toc - Plan #13 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(PPO) Blue PPO Silver - Statewide PPO Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$497.49 $564.65 $635.79 $888.52 $1,350.18 |
$878.07 $945.23 $1,016.37 $1,269.10 |
$1,258.65 $1,325.81 $1,396.95 $1,649.68 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$994.98 $1,129.30 $1,271.58 $1,777.04 $2,700.36 |
$1,375.56 $1,509.88 $1,652.16 $2,157.62 |
$1,756.14 $1,890.46 $2,032.74 $2,538.20 |
Toc - Plan #14 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(PPO) Blue PPO Standardized Gold - Statewide PPO Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$589.39 $668.95 $753.23 $1,052.64 $1,599.59 |
$1,040.27 $1,119.83 $1,204.11 $1,503.52 |
$1,491.15 $1,570.71 $1,654.99 $1,954.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,178.78 $1,337.90 $1,506.46 $2,105.28 $3,199.18 |
$1,629.66 $1,788.78 $1,957.34 $2,556.16 |
$2,080.54 $2,239.66 $2,408.22 $3,007.04 |
Toc - Plan #15 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(PPO) Blue PPO Standardized Silver - Statewide PPO Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$481.88 $546.93 $615.84 $860.63 $1,307.81 |
$850.52 $915.57 $984.48 $1,229.27 |
$1,219.16 $1,284.21 $1,353.12 $1,597.91 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$963.76 $1,093.86 $1,231.68 $1,721.26 $2,615.62 |
$1,332.40 $1,462.50 $1,600.32 $2,089.90 |
$1,701.04 $1,831.14 $1,968.96 $2,458.54 |
Toc - Plan #16 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(PPO) Blue Portfolio HSA Gold - Statewide PPO Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$636.90 $722.88 $813.95 $1,137.49 $1,728.52 |
$1,124.13 $1,210.11 $1,301.18 $1,624.72 |
$1,611.36 $1,697.34 $1,788.41 $2,111.95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,273.80 $1,445.76 $1,627.90 $2,274.98 $3,457.04 |
$1,761.03 $1,932.99 $2,115.13 $2,762.21 |
$2,248.26 $2,420.22 $2,602.36 $3,249.44 |
ADVERTISEMENT
Ambetter from Arizona Complete HealthLocal: 1-888-926-5057 | Toll Free: 1-888-926-5057 | TTY: 1-888-926-5180 |
Toc - Plan #17 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Premier Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335.13 $380.37 $428.29 $598.53 $909.53 |
$591.50 $636.74 $684.66 $854.90 |
$847.87 $893.11 $941.03 $1,111.27 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$670.26 $760.74 $856.58 $1,197.06 $1,819.06 |
$926.63 $1,017.11 $1,112.95 $1,453.43 |
$1,183.00 $1,273.48 $1,369.32 $1,709.80 |
Toc - Plan #18 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$271.36 $308.00 $346.80 $484.66 $736.48 |
$478.95 $515.59 $554.39 $692.25 |
$686.54 $723.18 $761.98 $899.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$542.72 $616.00 $693.60 $969.32 $1,472.96 |
$750.31 $823.59 $901.19 $1,176.91 |
$957.90 $1,031.18 $1,108.78 $1,384.50 |
Toc - Plan #19 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$297.01 $337.11 $379.59 $530.47 $806.10 |
$524.23 $564.33 $606.81 $757.69 |
$751.45 $791.55 $834.03 $984.91 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$594.02 $674.22 $759.18 $1,060.94 $1,612.20 |
$821.24 $901.44 $986.40 $1,288.16 |
$1,048.46 $1,128.66 $1,213.62 $1,515.38 |
Toc - Plan #20 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Complete Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
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 |
$331.49 $376.24 $423.64 $592.04 $899.66 |
$585.08 $629.83 $677.23 $845.63 |
$838.67 $883.42 $930.82 $1,099.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$662.98 $752.48 $847.28 $1,184.08 $1,799.32 |
$916.57 $1,006.07 $1,100.87 $1,437.67 |
$1,170.16 $1,259.66 $1,354.46 $1,691.26 |
Toc - Plan #21 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Everyday Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
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 |
$328.25 $372.56 $419.50 $586.25 $890.86 |
$579.36 $623.67 $670.61 $837.36 |
$830.47 $874.78 $921.72 $1,088.47 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$656.50 $745.12 $839.00 $1,172.50 $1,781.72 |
$907.61 $996.23 $1,090.11 $1,423.61 |
$1,158.72 $1,247.34 $1,341.22 $1,674.72 |
Toc - Plan #22 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Complete Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.59 $428.56 $482.55 $674.37 $1,024.77 |
$666.44 $717.41 $771.40 $963.22 |
$955.29 $1,006.26 $1,060.25 $1,252.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$755.18 $857.12 $965.10 $1,348.74 $2,049.54 |
$1,044.03 $1,145.97 $1,253.95 $1,637.59 |
$1,332.88 $1,434.82 $1,542.80 $1,926.44 |
Toc - Plan #23 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Elite Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$343.11 $389.43 $438.49 $612.79 $931.19 |
$605.59 $651.91 $700.97 $875.27 |
$868.07 $914.39 $963.45 $1,137.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$686.22 $778.86 $876.98 $1,225.58 $1,862.38 |
$948.70 $1,041.34 $1,139.46 $1,488.06 |
$1,211.18 $1,303.82 $1,401.94 $1,750.54 |
Toc - Plan #24 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327.02 $371.17 $417.93 $584.06 $887.54 |
$577.19 $621.34 $668.10 $834.23 |
$827.36 $871.51 $918.27 $1,084.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$654.04 $742.34 $835.86 $1,168.12 $1,775.08 |
$904.21 $992.51 $1,086.03 $1,418.29 |
$1,154.38 $1,242.68 $1,336.20 $1,668.46 |
Toc - Plan #25 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.42 $352.33 $396.72 $554.42 $842.49 |
$547.89 $589.80 $634.19 $791.89 |
$785.36 $827.27 $871.66 $1,029.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$620.84 $704.66 $793.44 $1,108.84 $1,684.98 |
$858.31 $942.13 $1,030.91 $1,346.31 |
$1,095.78 $1,179.60 $1,268.38 $1,583.78 |
Toc - Plan #26 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.34 $361.31 $406.83 $568.55 $863.96 |
$561.87 $604.84 $650.36 $812.08 |
$805.40 $848.37 $893.89 $1,055.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$636.68 $722.62 $813.66 $1,137.10 $1,727.92 |
$880.21 $966.15 $1,057.19 $1,380.63 |
$1,123.74 $1,209.68 $1,300.72 $1,624.16 |
Toc - Plan #27 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Clear Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.50 $405.76 $456.89 $638.50 $970.26 |
$630.99 $679.25 $730.38 $911.99 |
$904.48 $952.74 $1,003.87 $1,185.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$715.00 $811.52 $913.78 $1,277.00 $1,940.52 |
$988.49 $1,085.01 $1,187.27 $1,550.49 |
$1,261.98 $1,358.50 $1,460.76 $1,823.98 |
Toc - Plan #28 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414.73 $470.71 $530.02 $740.70 $1,125.57 |
$732.00 $787.98 $847.29 $1,057.97 |
$1,049.27 $1,105.25 $1,164.56 $1,375.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$829.46 $941.42 $1,060.04 $1,481.40 $2,251.14 |
$1,146.73 $1,258.69 $1,377.31 $1,798.67 |
$1,464.00 $1,575.96 $1,694.58 $2,115.94 |
Toc - Plan #29 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$290.63 $329.86 $371.42 $519.06 $788.76 |
$512.96 $552.19 $593.75 $741.39 |
$735.29 $774.52 $816.08 $963.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$581.26 $659.72 $742.84 $1,038.12 $1,577.52 |
$803.59 $882.05 $965.17 $1,260.45 |
$1,025.92 $1,104.38 $1,187.50 $1,482.78 |
Toc - Plan #30 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Bronze
(HMO) CMS Standard Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$258.85 $293.79 $330.81 $462.31 $702.52 |
$456.87 $491.81 $528.83 $660.33 |
$654.89 $689.83 $726.85 $858.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$517.70 $587.58 $661.62 $924.62 $1,405.04 |
$715.72 $785.60 $859.64 $1,122.64 |
$913.74 $983.62 $1,057.66 $1,320.66 |
Toc - Plan #31 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) CMS Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$284.73 $323.17 $363.89 $508.53 $772.77 |
$502.55 $540.99 $581.71 $726.35 |
$720.37 $758.81 $799.53 $944.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$569.46 $646.34 $727.78 $1,017.06 $1,545.54 |
$787.28 $864.16 $945.60 $1,234.88 |
$1,005.10 $1,081.98 $1,163.42 $1,452.70 |
Toc - Plan #32 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) CMS Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$324.06 $367.81 $414.15 $578.77 $879.49 |
$571.96 $615.71 $662.05 $826.67 |
$819.86 $863.61 $909.95 $1,074.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$648.12 $735.62 $828.30 $1,157.54 $1,758.98 |
$896.02 $983.52 $1,076.20 $1,405.44 |
$1,143.92 $1,231.42 $1,324.10 $1,653.34 |
Toc - Plan #33 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) CMS Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.54 $406.94 $458.22 $640.35 $973.08 |
$632.82 $681.22 $732.50 $914.63 |
$907.10 $955.50 $1,006.78 $1,188.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$717.08 $813.88 $916.44 $1,280.70 $1,946.16 |
$991.36 $1,088.16 $1,190.72 $1,554.98 |
$1,265.64 $1,362.44 $1,465.00 $1,829.26 |
Toc - Plan #34 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Everyday Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341.57 $387.68 $436.53 $610.04 $927.02 |
$602.87 $648.98 $697.83 $871.34 |
$864.17 $910.28 $959.13 $1,132.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$683.14 $775.36 $873.06 $1,220.08 $1,854.04 |
$944.44 $1,036.66 $1,134.36 $1,481.38 |
$1,205.74 $1,297.96 $1,395.66 $1,742.68 |
Toc - Plan #35 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Premier Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348.73 $395.81 $445.68 $622.83 $946.45 |
$615.51 $662.59 $712.46 $889.61 |
$882.29 $929.37 $979.24 $1,156.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$697.46 $791.62 $891.36 $1,245.66 $1,892.90 |
$964.24 $1,058.40 $1,158.14 $1,512.44 |
$1,231.02 $1,325.18 $1,424.92 $1,779.22 |
Toc - Plan #36 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$282.38 $320.50 $360.88 $504.33 $766.38 |
$498.40 $536.52 $576.90 $720.35 |
$714.42 $752.54 $792.92 $936.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$564.76 $641.00 $721.76 $1,008.66 $1,532.76 |
$780.78 $857.02 $937.78 $1,224.68 |
$996.80 $1,073.04 $1,153.80 $1,440.70 |
Toc - Plan #37 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.07 $350.80 $394.99 $552.00 $838.82 |
$545.51 $587.24 $631.43 $788.44 |
$781.95 $823.68 $867.87 $1,024.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$618.14 $701.60 $789.98 $1,104.00 $1,677.64 |
$854.58 $938.04 $1,026.42 $1,340.44 |
$1,091.02 $1,174.48 $1,262.86 $1,576.88 |
Toc - Plan #38 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344.94 $391.51 $440.84 $616.07 $936.18 |
$608.82 $655.39 $704.72 $879.95 |
$872.70 $919.27 $968.60 $1,143.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$689.88 $783.02 $881.68 $1,232.14 $1,872.36 |
$953.76 $1,046.90 $1,145.56 $1,496.02 |
$1,217.64 $1,310.78 $1,409.44 $1,759.90 |
Toc - Plan #39 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.91 $445.95 $502.14 $701.74 $1,066.36 |
$693.49 $746.53 $802.72 $1,002.32 |
$994.07 $1,047.11 $1,103.30 $1,302.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$785.82 $891.90 $1,004.28 $1,403.48 $2,132.72 |
$1,086.40 $1,192.48 $1,304.86 $1,704.06 |
$1,386.98 $1,493.06 $1,605.44 $2,004.64 |
Toc - Plan #40 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Elite Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.03 $405.23 $456.29 $637.66 $968.99 |
$630.16 $678.36 $729.42 $910.79 |
$903.29 $951.49 $1,002.55 $1,183.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.06 $810.46 $912.58 $1,275.32 $1,937.98 |
$987.19 $1,083.59 $1,185.71 $1,548.45 |
$1,260.32 $1,356.72 $1,458.84 $1,821.58 |
Toc - Plan #41 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340.30 $386.24 $434.90 $607.77 $923.56 |
$600.63 $646.57 $695.23 $868.10 |
$860.96 $906.90 $955.56 $1,128.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$680.60 $772.48 $869.80 $1,215.54 $1,847.12 |
$940.93 $1,032.81 $1,130.13 $1,475.87 |
$1,201.26 $1,293.14 $1,390.46 $1,736.20 |
Toc - Plan #42 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$323.02 $366.63 $412.82 $576.92 $876.69 |
$570.13 $613.74 $659.93 $824.03 |
$817.24 $860.85 $907.04 $1,071.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$646.04 $733.26 $825.64 $1,153.84 $1,753.38 |
$893.15 $980.37 $1,072.75 $1,400.95 |
$1,140.26 $1,227.48 $1,319.86 $1,648.06 |
Toc - Plan #43 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.26 $375.98 $423.35 $591.63 $899.03 |
$584.67 $629.39 $676.76 $845.04 |
$838.08 $882.80 $930.17 $1,098.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$662.52 $751.96 $846.70 $1,183.26 $1,798.06 |
$915.93 $1,005.37 $1,100.11 $1,436.67 |
$1,169.34 $1,258.78 $1,353.52 $1,690.08 |
Toc - Plan #44 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Clear Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.01 $422.23 $475.43 $664.41 $1,009.64 |
$656.60 $706.82 $760.02 $949.00 |
$941.19 $991.41 $1,044.61 $1,233.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$744.02 $844.46 $950.86 $1,328.82 $2,019.28 |
$1,028.61 $1,129.05 $1,235.45 $1,613.41 |
$1,313.20 $1,413.64 $1,520.04 $1,898.00 |
Toc - Plan #45 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$431.56 $489.82 $551.53 $770.77 $1,171.26 |
$761.70 $819.96 $881.67 $1,100.91 |
$1,091.84 $1,150.10 $1,211.81 $1,431.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$863.12 $979.64 $1,103.06 $1,541.54 $2,342.52 |
$1,193.26 $1,309.78 $1,433.20 $1,871.68 |
$1,523.40 $1,639.92 $1,763.34 $2,201.82 |
Toc - Plan #46 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.42 $343.25 $386.50 $540.13 $820.77 |
$533.77 $574.60 $617.85 $771.48 |
$765.12 $805.95 $849.20 $1,002.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$604.84 $686.50 $773.00 $1,080.26 $1,641.54 |
$836.19 $917.85 $1,004.35 $1,311.61 |
$1,067.54 $1,149.20 $1,235.70 $1,542.96 |
ADVERTISEMENT
Cigna HealthCare of Arizona, IncLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #47 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 5500 |
||||||||||||||||||||
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 |
$349.36 $396.52 $446.48 $623.96 $948.17 |
$616.62 $663.78 $713.74 $891.22 |
$883.88 $931.04 $981.00 $1,158.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.72 $793.04 $892.96 $1,247.92 $1,896.34 |
$965.98 $1,060.30 $1,160.22 $1,515.18 |
$1,233.24 $1,327.56 $1,427.48 $1,782.44 |
Toc - Plan #48 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 7000 |
||||||||||||||||||||
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 |
$302.84 $343.73 $387.04 $540.88 $821.92 |
$534.52 $575.41 $618.72 $772.56 |
$766.20 $807.09 $850.40 $1,004.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$605.68 $687.46 $774.08 $1,081.76 $1,643.84 |
$837.36 $919.14 $1,005.76 $1,313.44 |
$1,069.04 $1,150.82 $1,237.44 $1,545.12 |
Toc - Plan #49 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 8500 |
||||||||||||||||||||
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 |
$311.89 $354.00 $398.60 $557.04 $846.48 |
$550.49 $592.60 $637.20 $795.64 |
$789.09 $831.20 $875.80 $1,034.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$623.78 $708.00 $797.20 $1,114.08 $1,692.96 |
$862.38 $946.60 $1,035.80 $1,352.68 |
$1,100.98 $1,185.20 $1,274.40 $1,591.28 |
Toc - Plan #50 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 4000 |
||||||||||||||||||||
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 |
$349.23 $396.38 $446.32 $623.73 $947.82 |
$616.39 $663.54 $713.48 $890.89 |
$883.55 $930.70 $980.64 $1,158.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.46 $792.76 $892.64 $1,247.46 $1,895.64 |
$965.62 $1,059.92 $1,159.80 $1,514.62 |
$1,232.78 $1,327.08 $1,426.96 $1,781.78 |
Toc - Plan #51 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Gold
(HMO) Cigna Connect 1900 |
||||||||||||||||||||
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 |
$475.19 $539.34 $607.29 $848.69 $1,289.66 |
$838.71 $902.86 $970.81 $1,212.21 |
$1,202.23 $1,266.38 $1,334.33 $1,575.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$950.38 $1,078.68 $1,214.58 $1,697.38 $2,579.32 |
$1,313.90 $1,442.20 $1,578.10 $2,060.90 |
$1,677.42 $1,805.72 $1,941.62 $2,424.42 |
Toc - Plan #52 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 3800 Enhanced Diabetes Care |
||||||||||||||||||||
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 |
$353.14 $400.82 $451.32 $630.71 $958.43 |
$623.29 $670.97 $721.47 $900.86 |
$893.44 $941.12 $991.62 $1,171.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.28 $801.64 $902.64 $1,261.42 $1,916.86 |
$976.43 $1,071.79 $1,172.79 $1,531.57 |
$1,246.58 $1,341.94 $1,442.94 $1,801.72 |
Toc - Plan #53 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 6500 |
||||||||||||||||||||
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 |
$349.83 $397.06 $447.08 $624.79 $949.43 |
$617.45 $664.68 $714.70 $892.41 |
$885.07 $932.30 $982.32 $1,160.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$699.66 $794.12 $894.16 $1,249.58 $1,898.86 |
$967.28 $1,061.74 $1,161.78 $1,517.20 |
$1,234.90 $1,329.36 $1,429.40 $1,784.82 |
Toc - Plan #54 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Bronze
(HMO) Cigna Connect 8700 |
||||||||||||||||||||
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 |
$300.25 $340.79 $383.72 $536.25 $814.89 |
$529.94 $570.48 $613.41 $765.94 |
$759.63 $800.17 $843.10 $995.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$600.50 $681.58 $767.44 $1,072.50 $1,629.78 |
$830.19 $911.27 $997.13 $1,302.19 |
$1,059.88 $1,140.96 $1,226.82 $1,531.88 |
Toc - Plan #55 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 6800 Enhanced Diabetes Care |
||||||||||||||||||||
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 |
$312.02 $354.14 $398.76 $557.27 $846.82 |
$550.72 $592.84 $637.46 $795.97 |
$789.42 $831.54 $876.16 $1,034.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$624.04 $708.28 $797.52 $1,114.54 $1,693.64 |
$862.74 $946.98 $1,036.22 $1,353.24 |
$1,101.44 $1,185.68 $1,274.92 $1,591.94 |
Toc - Plan #56 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect HSA 7050 |
||||||||||||||||||||
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 |
$312.23 $354.38 $399.03 $557.65 $847.40 |
$551.09 $593.24 $637.89 $796.51 |
$789.95 $832.10 $876.75 $1,035.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$624.46 $708.76 $798.06 $1,115.30 $1,694.80 |
$863.32 $947.62 $1,036.92 $1,354.16 |
$1,102.18 $1,186.48 $1,275.78 $1,593.02 |
Toc - Plan #57 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 4200 Enhanced Asthma COPD Care |
||||||||||||||||||||
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 |
$352.42 $400.00 $450.39 $629.42 $956.47 |
$622.02 $669.60 $719.99 $899.02 |
$891.62 $939.20 $989.59 $1,168.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.84 $800.00 $900.78 $1,258.84 $1,912.94 |
$974.44 $1,069.60 $1,170.38 $1,528.44 |
$1,244.04 $1,339.20 $1,439.98 $1,798.04 |
Toc - Plan #58 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Gold
(HMO) Cigna Connect 1900 Enhanced Diabetes Care |
||||||||||||||||||||
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 |
$478.71 $543.34 $611.80 $854.98 $1,299.23 |
$844.93 $909.56 $978.02 $1,221.20 |
$1,211.15 $1,275.78 $1,344.24 $1,587.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$957.42 $1,086.68 $1,223.60 $1,709.96 $2,598.46 |
$1,323.64 $1,452.90 $1,589.82 $2,076.18 |
$1,689.86 $1,819.12 $1,956.04 $2,442.40 |
Toc - Plan #59 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 0A |
||||||||||||||||||||
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 |
$330.80 $375.45 $422.76 $590.80 $897.78 |
$583.86 $628.51 $675.82 $843.86 |
$836.92 $881.57 $928.88 $1,096.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$661.60 $750.90 $845.52 $1,181.60 $1,795.56 |
$914.66 $1,003.96 $1,098.58 $1,434.66 |
$1,167.72 $1,257.02 $1,351.64 $1,687.72 |
Toc - Plan #60 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 0B |
||||||||||||||||||||
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 |
$349.62 $396.81 $446.81 $624.41 $948.86 |
$617.08 $664.27 $714.27 $891.87 |
$884.54 $931.73 $981.73 $1,159.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$699.24 $793.62 $893.62 $1,248.82 $1,897.72 |
$966.70 $1,061.08 $1,161.08 $1,516.28 |
$1,234.16 $1,328.54 $1,428.54 $1,783.74 |
Toc - Plan #61 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Simple Choice 7500 |
||||||||||||||||||||
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 |
$309.64 $351.44 $395.72 $553.02 $840.37 |
$546.52 $588.32 $632.60 $789.90 |
$783.40 $825.20 $869.48 $1,026.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$619.28 $702.88 $791.44 $1,106.04 $1,680.74 |
$856.16 $939.76 $1,028.32 $1,342.92 |
$1,093.04 $1,176.64 $1,265.20 $1,579.80 |
Toc - Plan #62 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Bronze
(HMO) Cigna Simple Choice 9100 |
||||||||||||||||||||
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 |
$297.32 $337.46 $379.98 $531.02 $806.93 |
$524.77 $564.91 $607.43 $758.47 |
$752.22 $792.36 $834.88 $985.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$594.64 $674.92 $759.96 $1,062.04 $1,613.86 |
$822.09 $902.37 $987.41 $1,289.49 |
$1,049.54 $1,129.82 $1,214.86 $1,516.94 |
Toc - Plan #63 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Silver
(HMO) Cigna Simple Choice 5800 |
||||||||||||||||||||
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 |
$349.28 $396.43 $446.37 $623.81 $947.94 |
$616.48 $663.63 $713.57 $891.01 |
$883.68 $930.83 $980.77 $1,158.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.56 $792.86 $892.74 $1,247.62 $1,895.88 |
$965.76 $1,060.06 $1,159.94 $1,514.82 |
$1,232.96 $1,327.26 $1,427.14 $1,782.02 |
Toc - Plan #64 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Gold
(HMO) Cigna Simple Choice 2000 |
||||||||||||||||||||
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 |
$474.04 $538.04 $605.83 $846.64 $1,286.55 |
$836.68 $900.68 $968.47 $1,209.28 |
$1,199.32 $1,263.32 $1,331.11 $1,571.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$948.08 $1,076.08 $1,211.66 $1,693.28 $2,573.10 |
$1,310.72 $1,438.72 $1,574.30 $2,055.92 |
$1,673.36 $1,801.36 $1,936.94 $2,418.56 |
‡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 Gila County here.
Gila County is in “Rating Area 5” of Arizona.
Currently, there are 64 plans offered in Rating Area 5.