Obamacare 2023 Rates for Sargent County
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Obamacare > Rates > North Dakota > Sargent County
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Blue Cross Blue Shield of North DakotaLocal: 1-844-363-8457 | Toll Free: 1-844-363-8457 |
Toc - Plan #1 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Silver
(PPO) BlueCare 60 Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-363-8457
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 |
$422.99 $480.09 $540.58 $755.46 $1,147.99 |
$746.58 $803.68 $864.17 $1,079.05 |
$1,070.17 $1,127.27 $1,187.76 $1,402.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$845.98 $960.18 $1,081.16 $1,510.92 $2,295.98 |
$1,169.57 $1,283.77 $1,404.75 $1,834.51 |
$1,493.16 $1,607.36 $1,728.34 $2,158.10 |
Toc - Plan #2 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Gold
(PPO) BlueCare 70 Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-363-8457
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 |
$393.32 $446.42 $502.66 $702.47 $1,067.47 |
$694.21 $747.31 $803.55 $1,003.36 |
$995.10 $1,048.20 $1,104.44 $1,304.25 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$786.64 $892.84 $1,005.32 $1,404.94 $2,134.94 |
$1,087.53 $1,193.73 $1,306.21 $1,705.83 |
$1,388.42 $1,494.62 $1,607.10 $2,006.72 |
Toc - Plan #3 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Silver
(PPO) BlueDirect 80 Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-363-8457
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$429.18 $487.12 $548.49 $766.52 $1,164.79 |
$757.50 $815.44 $876.81 $1,094.84 |
$1,085.82 $1,143.76 $1,205.13 $1,423.16 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$858.36 $974.24 $1,096.98 $1,533.04 $2,329.58 |
$1,186.68 $1,302.56 $1,425.30 $1,861.36 |
$1,515.00 $1,630.88 $1,753.62 $2,189.68 |
Toc - Plan #4 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Expanded Bronze
(PPO) BlueDirect 100 Bronze |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-844-363-8457
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 |
$277.32 $314.76 $354.41 $495.29 $752.65 |
$489.47 $526.91 $566.56 $707.44 |
$701.62 $739.06 $778.71 $919.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$554.64 $629.52 $708.82 $990.58 $1,505.30 |
$766.79 $841.67 $920.97 $1,202.73 |
$978.94 $1,053.82 $1,133.12 $1,414.88 |
Toc - Plan #5 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Catastrophic
(PPO) BlueEssential 100 |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-844-363-8457
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 |
$152.46 $173.04 $194.84 $272.29 $413.78 |
$269.09 $289.67 $311.47 $388.92 |
$385.72 $406.30 $428.10 $505.55 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$304.92 $346.08 $389.68 $544.58 $827.56 |
$421.55 $462.71 $506.31 $661.21 |
$538.18 $579.34 $622.94 $777.84 |
Toc - Plan #6 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Gold
(PPO) BlueDirect 90 Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-363-8457
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 |
$397.99 $451.72 $508.63 $710.81 $1,080.14 |
$702.45 $756.18 $813.09 $1,015.27 |
$1,006.91 $1,060.64 $1,117.55 $1,319.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$795.98 $903.44 $1,017.26 $1,421.62 $2,160.28 |
$1,100.44 $1,207.90 $1,321.72 $1,726.08 |
$1,404.90 $1,512.36 $1,626.18 $2,030.54 |
Toc - Plan #7 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Expanded Bronze
(PPO) SimplyBlue 50 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-363-8457
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 |
$246.30 $279.55 $314.77 $439.89 $668.46 |
$434.72 $467.97 $503.19 $628.31 |
$623.14 $656.39 $691.61 $816.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$492.60 $559.10 $629.54 $879.78 $1,336.92 |
$681.02 $747.52 $817.96 $1,068.20 |
$869.44 $935.94 $1,006.38 $1,256.62 |
Toc - Plan #8 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Gold
(PPO) BlueValue Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-363-8457
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$400.16 $454.18 $511.40 $714.69 $1,086.03 |
$706.28 $760.30 $817.52 $1,020.81 |
$1,012.40 $1,066.42 $1,123.64 $1,326.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$800.32 $908.36 $1,022.80 $1,429.38 $2,172.06 |
$1,106.44 $1,214.48 $1,328.92 $1,735.50 |
$1,412.56 $1,520.60 $1,635.04 $2,041.62 |
Toc - Plan #9 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Silver
(PPO) BlueValue Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-363-8457
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$416.67 $472.92 $532.50 $744.17 $1,130.84 |
$735.42 $791.67 $851.25 $1,062.92 |
$1,054.17 $1,110.42 $1,170.00 $1,381.67 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$833.34 $945.84 $1,065.00 $1,488.34 $2,261.68 |
$1,152.09 $1,264.59 $1,383.75 $1,807.09 |
$1,470.84 $1,583.34 $1,702.50 $2,125.84 |
Toc - Plan #10 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Expanded Bronze
(PPO) BlueValue Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-363-8457
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 |
$268.85 $305.14 $343.59 $480.17 $729.66 |
$474.52 $510.81 $549.26 $685.84 |
$680.19 $716.48 $754.93 $891.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$537.70 $610.28 $687.18 $960.34 $1,459.32 |
$743.37 $815.95 $892.85 $1,166.01 |
$949.04 $1,021.62 $1,098.52 $1,371.68 |
Toc - Plan #11 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Gold
(PPO) BluePrime 70 Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-363-8457
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 |
$391.69 $444.57 $500.58 $699.56 $1,063.05 |
$691.33 $744.21 $800.22 $999.20 |
$990.97 $1,043.85 $1,099.86 $1,298.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$783.38 $889.14 $1,001.16 $1,399.12 $2,126.10 |
$1,083.02 $1,188.78 $1,300.80 $1,698.76 |
$1,382.66 $1,488.42 $1,600.44 $1,998.40 |
ADVERTISEMENT
MedicaLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-800-269-7477 |
Toc - Plan #12 Medica | ||||||||||||||||||||
Expanded Bronze
(HMO) Medica Individual Choice Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$421.92 $478.86 $539.20 $753.53 $1,145.06 |
$744.68 $801.62 $861.96 $1,076.29 |
$1,067.44 $1,124.38 $1,184.72 $1,399.05 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$843.84 $957.72 $1,078.40 $1,507.06 $2,290.12 |
$1,166.60 $1,280.48 $1,401.16 $1,829.82 |
$1,489.36 $1,603.24 $1,723.92 $2,152.58 |
Toc - Plan #13 Medica | ||||||||||||||||||||
Catastrophic
(HMO) Medica Individual Choice Catastrophic ($0 Virtual Care with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$254.08 $288.36 $324.70 $453.76 $689.53 |
$448.44 $482.72 $519.06 $648.12 |
$642.80 $677.08 $713.42 $842.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$508.16 $576.72 $649.40 $907.52 $1,379.06 |
$702.52 $771.08 $843.76 $1,101.88 |
$896.88 $965.44 $1,038.12 $1,296.24 |
Toc - Plan #14 Medica | ||||||||||||||||||||
Expanded Bronze
(HMO) Medica Individual Choice Bronze Share Plus ($0 Virtual Care with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$369.12 $418.94 $471.72 $659.22 $1,001.76 |
$651.49 $701.31 $754.09 $941.59 |
$933.86 $983.68 $1,036.46 $1,223.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$738.24 $837.88 $943.44 $1,318.44 $2,003.52 |
$1,020.61 $1,120.25 $1,225.81 $1,600.81 |
$1,302.98 $1,402.62 $1,508.18 $1,883.18 |
Toc - Plan #15 Medica | ||||||||||||||||||||
Expanded Bronze
(HMO) Medica Individual Choice Bronze Copay $0 PCP ($0 Virtual Care with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$360.22 $408.84 $460.35 $643.34 $977.62 |
$635.78 $684.40 $735.91 $918.90 |
$911.34 $959.96 $1,011.47 $1,194.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$720.44 $817.68 $920.70 $1,286.68 $1,955.24 |
$996.00 $1,093.24 $1,196.26 $1,562.24 |
$1,271.56 $1,368.80 $1,471.82 $1,837.80 |
Toc - Plan #16 Medica | ||||||||||||||||||||
Silver
(HMO) Medica Individual Choice Silver Standard ($0 Virtual Care with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$499.02 $566.38 $637.73 $891.23 $1,354.31 |
$880.76 $948.12 $1,019.47 $1,272.97 |
$1,262.50 $1,329.86 $1,401.21 $1,654.71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$998.04 $1,132.76 $1,275.46 $1,782.46 $2,708.62 |
$1,379.78 $1,514.50 $1,657.20 $2,164.20 |
$1,761.52 $1,896.24 $2,038.94 $2,545.94 |
Toc - Plan #17 Medica | ||||||||||||||||||||
Bronze
(HMO) Medica Individual Choice Bronze Standard ($0 Virtual Care with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$338.41 $384.08 $432.47 $604.38 $918.41 |
$597.28 $642.95 $691.34 $863.25 |
$856.15 $901.82 $950.21 $1,122.12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$676.82 $768.16 $864.94 $1,208.76 $1,836.82 |
$935.69 $1,027.03 $1,123.81 $1,467.63 |
$1,194.56 $1,285.90 $1,382.68 $1,726.50 |
Toc - Plan #18 Medica | ||||||||||||||||||||
Expanded Bronze
(HMO) Essentia Choice Care with Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327.39 $371.58 $418.40 $584.71 $888.52 |
$577.84 $622.03 $668.85 $835.16 |
$828.29 $872.48 $919.30 $1,085.61 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$654.78 $743.16 $836.80 $1,169.42 $1,777.04 |
$905.23 $993.61 $1,087.25 $1,419.87 |
$1,155.68 $1,244.06 $1,337.70 $1,670.32 |
Toc - Plan #19 Medica | ||||||||||||||||||||
Catastrophic
(HMO) Essentia Choice Care with Medica Catastrophic ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$197.16 $223.76 $251.95 $352.10 $535.05 |
$347.98 $374.58 $402.77 $502.92 |
$498.80 $525.40 $553.59 $653.74 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$394.32 $447.52 $503.90 $704.20 $1,070.10 |
$545.14 $598.34 $654.72 $855.02 |
$695.96 $749.16 $805.54 $1,005.84 |
Toc - Plan #20 Medica | ||||||||||||||||||||
Expanded Bronze
(HMO) Essentia Choice Care with Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$286.42 $325.08 $366.04 $511.53 $777.32 |
$505.53 $544.19 $585.15 $730.64 |
$724.64 $763.30 $804.26 $949.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$572.84 $650.16 $732.08 $1,023.06 $1,554.64 |
$791.95 $869.27 $951.19 $1,242.17 |
$1,011.06 $1,088.38 $1,170.30 $1,461.28 |
Toc - Plan #21 Medica | ||||||||||||||||||||
Expanded Bronze
(HMO) Essentia Choice Care with Medica Bronze Copay $0 PCP ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$279.52 $317.25 $357.22 $499.21 $758.60 |
$493.35 $531.08 $571.05 $713.04 |
$707.18 $744.91 $784.88 $926.87 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$559.04 $634.50 $714.44 $998.42 $1,517.20 |
$772.87 $848.33 $928.27 $1,212.25 |
$986.70 $1,062.16 $1,142.10 $1,426.08 |
Toc - Plan #22 Medica | ||||||||||||||||||||
Gold
(HMO) Essentia Choice Care with Medica Gold Copay $0 PCP ($0 Virtual Care with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$423.99 $481.22 $541.85 $757.23 $1,150.69 |
$748.34 $805.57 $866.20 $1,081.58 |
$1,072.69 $1,129.92 $1,190.55 $1,405.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$847.98 $962.44 $1,083.70 $1,514.46 $2,301.38 |
$1,172.33 $1,286.79 $1,408.05 $1,838.81 |
$1,496.68 $1,611.14 $1,732.40 $2,163.16 |
Toc - Plan #23 Medica | ||||||||||||||||||||
Silver
(HMO) Essentia Choice Care with Medica Silver Copay $0 PCP ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.28 $448.63 $505.15 $705.95 $1,072.76 |
$697.66 $751.01 $807.53 $1,008.33 |
$1,000.04 $1,053.39 $1,109.91 $1,310.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790.56 $897.26 $1,010.30 $1,411.90 $2,145.52 |
$1,092.94 $1,199.64 $1,312.68 $1,714.28 |
$1,395.32 $1,502.02 $1,615.06 $2,016.66 |
Toc - Plan #24 Medica | ||||||||||||||||||||
Gold
(HMO) Essentia Choice Care with Medica Gold Standard ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.78 $440.12 $495.57 $692.56 $1,052.40 |
$684.42 $736.76 $792.21 $989.20 |
$981.06 $1,033.40 $1,088.85 $1,285.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$775.56 $880.24 $991.14 $1,385.12 $2,104.80 |
$1,072.20 $1,176.88 $1,287.78 $1,681.76 |
$1,368.84 $1,473.52 $1,584.42 $1,978.40 |
Toc - Plan #25 Medica | ||||||||||||||||||||
Silver
(HMO) Essentia Choice Care with Medica Silver Standard ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.22 $439.49 $494.86 $691.56 $1,050.89 |
$683.44 $735.71 $791.08 $987.78 |
$979.66 $1,031.93 $1,087.30 $1,284.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$774.44 $878.98 $989.72 $1,383.12 $2,101.78 |
$1,070.66 $1,175.20 $1,285.94 $1,679.34 |
$1,366.88 $1,471.42 $1,582.16 $1,975.56 |
Toc - Plan #26 Medica | ||||||||||||||||||||
Bronze
(HMO) Essentia Choice Care with Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$262.59 $298.03 $335.58 $468.98 $712.65 |
$463.47 $498.91 $536.46 $669.86 |
$664.35 $699.79 $737.34 $870.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$525.18 $596.06 $671.16 $937.96 $1,425.30 |
$726.06 $796.94 $872.04 $1,138.84 |
$926.94 $997.82 $1,072.92 $1,339.72 |
ADVERTISEMENT
Sanford Health PlanLocal: 1-605-328-6800 | Toll Free: 1-800-752-5863 | TTY: 1-877-652-1844 |
Toc - Plan #27 Sanford Health Plan | ||||||||||||||||||||
Gold
(PPO) Sanford Simplicity $1,750 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.29 $453.19 $510.29 $713.12 $1,083.65 |
$704.74 $758.64 $815.74 $1,018.57 |
$1,010.19 $1,064.09 $1,121.19 $1,324.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$798.58 $906.38 $1,020.58 $1,426.24 $2,167.30 |
$1,104.03 $1,211.83 $1,326.03 $1,731.69 |
$1,409.48 $1,517.28 $1,631.48 $2,037.14 |
Toc - Plan #28 Sanford Health Plan | ||||||||||||||||||||
Silver
(PPO) Sanford Simplicity $3,500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$458.56 $520.46 $586.03 $818.98 $1,244.51 |
$809.36 $871.26 $936.83 $1,169.78 |
$1,160.16 $1,222.06 $1,287.63 $1,520.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$917.12 $1,040.92 $1,172.06 $1,637.96 $2,489.02 |
$1,267.92 $1,391.72 $1,522.86 $1,988.76 |
$1,618.72 $1,742.52 $1,873.66 $2,339.56 |
Toc - Plan #29 Sanford Health Plan | ||||||||||||||||||||
Silver
(PPO) Sanford Simplicity $4,750 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.54 $450.08 $506.78 $708.22 $1,076.21 |
$699.90 $753.44 $810.14 $1,011.58 |
$1,003.26 $1,056.80 $1,113.50 $1,314.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$793.08 $900.16 $1,013.56 $1,416.44 $2,152.42 |
$1,096.44 $1,203.52 $1,316.92 $1,719.80 |
$1,399.80 $1,506.88 $1,620.28 $2,023.16 |
Toc - Plan #30 Sanford Health Plan | ||||||||||||||||||||
Expanded Bronze
(PPO) Sanford Simplicity $6,900 HSA/HDHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$268.07 $304.26 $342.60 $478.77 $727.54 |
$473.15 $509.34 $547.68 $683.85 |
$678.23 $714.42 $752.76 $888.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$536.14 $608.52 $685.20 $957.54 $1,455.08 |
$741.22 $813.60 $890.28 $1,162.62 |
$946.30 $1,018.68 $1,095.36 $1,367.70 |
Toc - Plan #31 Sanford Health Plan | ||||||||||||||||||||
Expanded Bronze
(PPO) Sanford Simplicity $6,000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$256.42 $291.03 $327.70 $457.96 $695.90 |
$452.58 $487.19 $523.86 $654.12 |
$648.74 $683.35 $720.02 $850.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$512.84 $582.06 $655.40 $915.92 $1,391.80 |
$709.00 $778.22 $851.56 $1,112.08 |
$905.16 $974.38 $1,047.72 $1,308.24 |
Toc - Plan #32 Sanford Health Plan | ||||||||||||||||||||
Expanded Bronze
(PPO) Sanford Simplicity $7,000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$254.33 $288.66 $325.03 $454.23 $690.24 |
$448.89 $483.22 $519.59 $648.79 |
$643.45 $677.78 $714.15 $843.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$508.66 $577.32 $650.06 $908.46 $1,380.48 |
$703.22 $771.88 $844.62 $1,103.02 |
$897.78 $966.44 $1,039.18 $1,297.58 |
Toc - Plan #33 Sanford Health Plan | ||||||||||||||||||||
Catastrophic
(PPO) Sanford Simplicity $9,100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$160.23 $181.86 $204.77 $286.16 $434.85 |
$282.81 $304.44 $327.35 $408.74 |
$405.39 $427.02 $449.93 $531.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$320.46 $363.72 $409.54 $572.32 $869.70 |
$443.04 $486.30 $532.12 $694.90 |
$565.62 $608.88 $654.70 $817.48 |
Toc - Plan #34 Sanford Health Plan | ||||||||||||||||||||
Silver
(PPO) Sanford Simplicity Enhanced - Diabetes & Asthma/COPD Care Plan $3,700 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406.64 $461.53 $519.68 $726.25 $1,103.61 |
$717.72 $772.61 $830.76 $1,037.33 |
$1,028.80 $1,083.69 $1,141.84 $1,348.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$813.28 $923.06 $1,039.36 $1,452.50 $2,207.22 |
$1,124.36 $1,234.14 $1,350.44 $1,763.58 |
$1,435.44 $1,545.22 $1,661.52 $2,074.66 |
Toc - Plan #35 Sanford Health Plan | ||||||||||||||||||||
Gold
(PPO) Sanford Simplicity Enhanced - Diabetes & Asthma/COPD Care Plan $1,250 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$403.45 $457.92 $515.61 $720.56 $1,094.96 |
$712.09 $766.56 $824.25 $1,029.20 |
$1,020.73 $1,075.20 $1,132.89 $1,337.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$806.90 $915.84 $1,031.22 $1,441.12 $2,189.92 |
$1,115.54 $1,224.48 $1,339.86 $1,749.76 |
$1,424.18 $1,533.12 $1,648.50 $2,058.40 |
Toc - Plan #36 Sanford Health Plan | ||||||||||||||||||||
Expanded Bronze
(PPO) Sanford Simplicity - Standardized $7,500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$280.84 $318.75 $358.91 $501.57 $762.19 |
$495.68 $533.59 $573.75 $716.41 |
$710.52 $748.43 $788.59 $931.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$561.68 $637.50 $717.82 $1,003.14 $1,524.38 |
$776.52 $852.34 $932.66 $1,217.98 |
$991.36 $1,067.18 $1,147.50 $1,432.82 |
Toc - Plan #37 Sanford Health Plan | ||||||||||||||||||||
Silver
(PPO) Sanford Simplicity - Standardized $5,800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.97 $452.83 $509.88 $712.55 $1,082.79 |
$704.18 $758.04 $815.09 $1,017.76 |
$1,009.39 $1,063.25 $1,120.30 $1,322.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$797.94 $905.66 $1,019.76 $1,425.10 $2,165.58 |
$1,103.15 $1,210.87 $1,324.97 $1,730.31 |
$1,408.36 $1,516.08 $1,630.18 $2,035.52 |
Toc - Plan #38 Sanford Health Plan | ||||||||||||||||||||
Gold
(PPO) Sanford Simplicity - Standardized $2,000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.03 $443.82 $499.74 $698.38 $1,061.26 |
$690.17 $742.96 $798.88 $997.52 |
$989.31 $1,042.10 $1,098.02 $1,296.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$782.06 $887.64 $999.48 $1,396.76 $2,122.52 |
$1,081.20 $1,186.78 $1,298.62 $1,695.90 |
$1,380.34 $1,485.92 $1,597.76 $1,995.04 |
‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Sargent County here.
Sargent County is in “Rating Area 4” of North Dakota.
Currently, there are 38 plans offered in Rating Area 4.