Obamacare 2023 Rates for Hamilton County
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Obamacare > Rates > Ohio > Hamilton County
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Anthem Blue Cross and Blue ShieldLocal: 1-855-748-1808 | Toll Free: 1-855-748-1808 |
Toc - Plan #1 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
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 |
$289.50 $328.58 $369.98 $517.05 $785.70 |
$510.97 $550.05 $591.45 $738.52 |
$732.44 $771.52 $812.92 $959.99 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$579.00 $657.16 $739.96 $1,034.10 $1,571.40 |
$800.47 $878.63 $961.43 $1,255.57 |
$1,021.94 $1,100.10 $1,182.90 $1,477.04 |
Toc - Plan #2 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway X HMO 9100 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
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 |
$273.43 $310.34 $349.44 $488.35 $742.09 |
$482.60 $519.51 $558.61 $697.52 |
$691.77 $728.68 $767.78 $906.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$546.86 $620.68 $698.88 $976.70 $1,484.18 |
$756.03 $829.85 $908.05 $1,185.87 |
$965.20 $1,039.02 $1,117.22 $1,395.04 |
Toc - Plan #3 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
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 |
$364.74 $413.98 $466.14 $651.43 $989.90 |
$643.77 $693.01 $745.17 $930.46 |
$922.80 $972.04 $1,024.20 $1,209.49 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$729.48 $827.96 $932.28 $1,302.86 $1,979.80 |
$1,008.51 $1,106.99 $1,211.31 $1,581.89 |
$1,287.54 $1,386.02 $1,490.34 $1,860.92 |
Toc - Plan #4 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X HMO 7450/0% for HSA (+ Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
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 |
$293.70 $333.35 $375.35 $524.55 $797.10 |
$518.38 $558.03 $600.03 $749.23 |
$743.06 $782.71 $824.71 $973.91 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$587.40 $666.70 $750.70 $1,049.10 $1,594.20 |
$812.08 $891.38 $975.38 $1,273.78 |
$1,036.76 $1,116.06 $1,200.06 $1,498.46 |
Toc - Plan #5 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 3200/10% for HSA (+ Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
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 |
$367.03 $416.58 $469.06 $655.52 $996.12 |
$647.81 $697.36 $749.84 $936.30 |
$928.59 $978.14 $1,030.62 $1,217.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$734.06 $833.16 $938.12 $1,311.04 $1,992.24 |
$1,014.84 $1,113.94 $1,218.90 $1,591.82 |
$1,295.62 $1,394.72 $1,499.68 $1,872.60 |
Toc - Plan #6 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X HMO 6000/20% for HSA (+ Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
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 |
$297.54 $337.71 $380.26 $531.41 $807.52 |
$525.16 $565.33 $607.88 $759.03 |
$752.78 $792.95 $835.50 $986.65 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$595.08 $675.42 $760.52 $1,062.82 $1,615.04 |
$822.70 $903.04 $988.14 $1,290.44 |
$1,050.32 $1,130.66 $1,215.76 $1,518.06 |
Toc - Plan #7 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 5400/0% for HSA ( + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$373.43 $423.84 $477.24 $666.95 $1,013.49 |
$659.10 $709.51 $762.91 $952.62 |
$944.77 $995.18 $1,048.58 $1,238.29 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$746.86 $847.68 $954.48 $1,333.90 $2,026.98 |
$1,032.53 $1,133.35 $1,240.15 $1,619.57 |
$1,318.20 $1,419.02 $1,525.82 $1,905.24 |
Toc - Plan #8 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 3000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$373.63 $424.07 $477.50 $667.30 $1,014.03 |
$659.46 $709.90 $763.33 $953.13 |
$945.29 $995.73 $1,049.16 $1,238.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$747.26 $848.14 $955.00 $1,334.60 $2,028.06 |
$1,033.09 $1,133.97 $1,240.83 $1,620.43 |
$1,318.92 $1,419.80 $1,526.66 $1,906.26 |
Toc - Plan #9 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
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 |
$359.79 $408.36 $459.81 $642.58 $976.47 |
$635.03 $683.60 $735.05 $917.82 |
$910.27 $958.84 $1,010.29 $1,193.06 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$719.58 $816.72 $919.62 $1,285.16 $1,952.94 |
$994.82 $1,091.96 $1,194.86 $1,560.40 |
$1,270.06 $1,367.20 $1,470.10 $1,835.64 |
Toc - Plan #10 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Catastrophic
(HMO) Anthem Catastrophic Pathway X HMO 9100 ( + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
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 |
$216.39 $245.60 $276.55 $386.47 $587.28 |
$381.93 $411.14 $442.09 $552.01 |
$547.47 $576.68 $607.63 $717.55 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$432.78 $491.20 $553.10 $772.94 $1,174.56 |
$598.32 $656.74 $718.64 $938.48 |
$763.86 $822.28 $884.18 $1,104.02 |
Toc - Plan #11 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 6000/25% ($0 Virtual PCP + $0 Select Drugs + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
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 |
$362.12 $411.01 $462.79 $646.75 $982.79 |
$639.14 $688.03 $739.81 $923.77 |
$916.16 $965.05 $1,016.83 $1,200.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$724.24 $822.02 $925.58 $1,293.50 $1,965.58 |
$1,001.26 $1,099.04 $1,202.60 $1,570.52 |
$1,278.28 $1,376.06 $1,479.62 $1,847.54 |
Toc - Plan #12 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X HMO 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
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 |
$293.41 $333.02 $374.98 $524.03 $796.31 |
$517.87 $557.48 $599.44 $748.49 |
$742.33 $781.94 $823.90 $972.95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$586.82 $666.04 $749.96 $1,048.06 $1,592.62 |
$811.28 $890.50 $974.42 $1,272.52 |
$1,035.74 $1,114.96 $1,198.88 $1,496.98 |
Toc - Plan #13 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
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 |
$278.80 $316.44 $356.31 $497.94 $756.66 |
$492.08 $529.72 $569.59 $711.22 |
$705.36 $743.00 $782.87 $924.50 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$557.60 $632.88 $712.62 $995.88 $1,513.32 |
$770.88 $846.16 $925.90 $1,209.16 |
$984.16 $1,059.44 $1,139.18 $1,422.44 |
Toc - Plan #14 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway X HMO 9100/0% Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
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 |
$274.05 $311.05 $350.24 $489.45 $743.77 |
$483.70 $520.70 $559.89 $699.10 |
$693.35 $730.35 $769.54 $908.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$548.10 $622.10 $700.48 $978.90 $1,487.54 |
$757.75 $831.75 $910.13 $1,188.55 |
$967.40 $1,041.40 $1,119.78 $1,398.20 |
Toc - Plan #15 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X HMO 7500/50% Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
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 |
$300.03 $340.53 $383.44 $535.85 $814.28 |
$529.55 $570.05 $612.96 $765.37 |
$759.07 $799.57 $842.48 $994.89 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$600.06 $681.06 $766.88 $1,071.70 $1,628.56 |
$829.58 $910.58 $996.40 $1,301.22 |
$1,059.10 $1,140.10 $1,225.92 $1,530.74 |
Toc - Plan #16 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 5800/40% Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
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 |
$357.79 $406.09 $457.26 $639.01 $971.04 |
$631.50 $679.80 $730.97 $912.72 |
$905.21 $953.51 $1,004.68 $1,186.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$715.58 $812.18 $914.52 $1,278.02 $1,942.08 |
$989.29 $1,085.89 $1,188.23 $1,551.73 |
$1,263.00 $1,359.60 $1,461.94 $1,825.44 |
Toc - Plan #17 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Gold
(HMO) Anthem Gold Pathway X HMO 2000/25% Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
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 |
$519.36 $589.47 $663.74 $927.58 $1,409.54 |
$916.67 $986.78 $1,061.05 $1,324.89 |
$1,313.98 $1,384.09 $1,458.36 $1,722.20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,038.72 $1,178.94 $1,327.48 $1,855.16 $2,819.08 |
$1,436.03 $1,576.25 $1,724.79 $2,252.47 |
$1,833.34 $1,973.56 $2,122.10 $2,649.78 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-877-760-3310 | Toll Free: 1-877-760-3310 | TTY: 1-800-331-4680 |
Toc - Plan #18 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $1 T1 Preferred Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-760-3310
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 |
$379.30 $430.50 $484.74 $677.43 $1,029.41 |
$669.46 $720.66 $774.90 $967.59 |
$959.62 $1,010.82 $1,065.06 $1,257.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$758.60 $861.00 $969.48 $1,354.86 $2,058.82 |
$1,048.76 $1,151.16 $1,259.64 $1,645.02 |
$1,338.92 $1,441.32 $1,549.80 $1,935.18 |
Toc - Plan #19 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $1 T1 Preferred Rx, Dental + Vision) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-760-3310
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 |
$404.61 $459.23 $517.09 $722.63 $1,098.10 |
$714.13 $768.75 $826.61 $1,032.15 |
$1,023.65 $1,078.27 $1,136.13 $1,341.67 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$809.22 $918.46 $1,034.18 $1,445.26 $2,196.20 |
$1,118.74 $1,227.98 $1,343.70 $1,754.78 |
$1,428.26 $1,537.50 $1,653.22 $2,064.30 |
Toc - Plan #20 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-760-3310
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 |
$388.07 $440.46 $495.96 $693.10 $1,053.23 |
$684.95 $737.34 $792.84 $989.98 |
$981.83 $1,034.22 $1,089.72 $1,286.86 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$776.14 $880.92 $991.92 $1,386.20 $2,106.46 |
$1,073.02 $1,177.80 $1,288.80 $1,683.08 |
$1,369.90 $1,474.68 $1,585.68 $1,979.96 |
Toc - Plan #21 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $3,450 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-760-3310
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 |
$341.84 $387.99 $436.87 $610.52 $927.75 |
$603.35 $649.50 $698.38 $872.03 |
$864.86 $911.01 $959.89 $1,133.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$683.68 $775.98 $873.74 $1,221.04 $1,855.50 |
$945.19 $1,037.49 $1,135.25 $1,482.55 |
$1,206.70 $1,299.00 $1,396.76 $1,744.06 |
Toc - Plan #22 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $3,000 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-760-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340.55 $386.53 $435.23 $608.23 $924.27 |
$601.07 $647.05 $695.75 $868.75 |
$861.59 $907.57 $956.27 $1,129.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$681.10 $773.06 $870.46 $1,216.46 $1,848.54 |
$941.62 $1,033.58 $1,130.98 $1,476.98 |
$1,202.14 $1,294.10 $1,391.50 $1,737.50 |
Toc - Plan #23 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First (Unlimited $0 App-based Care, $3 T1 Preferred Rx) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-760-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339.69 $385.54 $434.12 $606.68 $921.91 |
$599.55 $645.40 $693.98 $866.54 |
$859.41 $905.26 $953.84 $1,126.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$679.38 $771.08 $868.24 $1,213.36 $1,843.82 |
$939.24 $1,030.94 $1,128.10 $1,473.22 |
$1,199.10 $1,290.80 $1,387.96 $1,733.08 |
Toc - Plan #24 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage $0 Medical Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-760-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.14 $394.01 $443.65 $619.99 $942.14 |
$612.70 $659.57 $709.21 $885.55 |
$878.26 $925.13 $974.77 $1,151.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$694.28 $788.02 $887.30 $1,239.98 $1,884.28 |
$959.84 $1,053.58 $1,152.86 $1,505.54 |
$1,225.40 $1,319.14 $1,418.42 $1,771.10 |
Toc - Plan #25 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-760-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339.17 $384.96 $433.46 $605.76 $920.51 |
$598.64 $644.43 $692.93 $865.23 |
$858.11 $903.90 $952.40 $1,124.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$678.34 $769.92 $866.92 $1,211.52 $1,841.02 |
$937.81 $1,029.39 $1,126.39 $1,470.99 |
$1,197.28 $1,288.86 $1,385.86 $1,730.46 |
Toc - Plan #26 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-760-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.75 $403.77 $454.64 $635.36 $965.50 |
$627.90 $675.92 $726.79 $907.51 |
$900.05 $948.07 $998.94 $1,179.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$711.50 $807.54 $909.28 $1,270.72 $1,931.00 |
$983.65 $1,079.69 $1,181.43 $1,542.87 |
$1,255.80 $1,351.84 $1,453.58 $1,815.02 |
Toc - Plan #27 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-760-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$343.50 $389.87 $438.99 $613.49 $932.26 |
$606.28 $652.65 $701.77 $876.27 |
$869.06 $915.43 $964.55 $1,139.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$687.00 $779.74 $877.98 $1,226.98 $1,864.52 |
$949.78 $1,042.52 $1,140.76 $1,489.76 |
$1,212.56 $1,305.30 $1,403.54 $1,752.54 |
Toc - Plan #28 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential ($3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-760-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291.44 $330.78 $372.45 $520.50 $790.96 |
$514.39 $553.73 $595.40 $743.45 |
$737.34 $776.68 $818.35 $966.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$582.88 $661.56 $744.90 $1,041.00 $1,581.92 |
$805.83 $884.51 $967.85 $1,263.95 |
$1,028.78 $1,107.46 $1,190.80 $1,486.90 |
Toc - Plan #29 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value HSA $6,700 Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-760-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.69 $343.55 $386.84 $540.61 $821.50 |
$534.25 $575.11 $618.40 $772.17 |
$765.81 $806.67 $849.96 $1,003.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$605.38 $687.10 $773.68 $1,081.22 $1,643.00 |
$836.94 $918.66 $1,005.24 $1,312.78 |
$1,068.50 $1,150.22 $1,236.80 $1,544.34 |
Toc - Plan #30 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value $8,100 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-760-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.39 $354.56 $399.23 $557.93 $847.83 |
$551.37 $593.54 $638.21 $796.91 |
$790.35 $832.52 $877.19 $1,035.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$624.78 $709.12 $798.46 $1,115.86 $1,695.66 |
$863.76 $948.10 $1,037.44 $1,354.84 |
$1,102.74 $1,187.08 $1,276.42 $1,593.82 |
Toc - Plan #31 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Virtual First (Unlimited $0 App-based Care, $3 T1 Preferred Rx) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-760-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.54 $343.38 $386.65 $540.34 $821.09 |
$533.98 $574.82 $618.09 $771.78 |
$765.42 $806.26 $849.53 $1,003.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$605.08 $686.76 $773.30 $1,080.68 $1,642.18 |
$836.52 $918.20 $1,004.74 $1,312.12 |
$1,067.96 $1,149.64 $1,236.18 $1,543.56 |
Toc - Plan #32 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard $7,500 Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-760-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.43 $351.20 $395.45 $552.64 $839.79 |
$546.14 $587.91 $632.16 $789.35 |
$782.85 $824.62 $868.87 $1,026.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$618.86 $702.40 $790.90 $1,105.28 $1,679.58 |
$855.57 $939.11 $1,027.61 $1,341.99 |
$1,092.28 $1,175.82 $1,264.32 $1,578.70 |
Toc - Plan #33 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Standard $9,100 Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-760-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291.47 $330.81 $372.49 $520.56 $791.04 |
$514.44 $553.78 $595.46 $743.53 |
$737.41 $776.75 $818.43 $966.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$582.94 $661.62 $744.98 $1,041.12 $1,582.08 |
$805.91 $884.59 $967.95 $1,264.09 |
$1,028.88 $1,107.56 $1,190.92 $1,487.06 |
ADVERTISEMENT
Ambetter from Buckeye Health PlanLocal: 1-877-687-1189 | Toll Free: 1-877-687-1189 | TTY: 1-877-941-9236 |
Toc - Plan #34 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Complete Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326.98 $371.11 $417.87 $583.97 $887.39 |
$577.11 $621.24 $668.00 $834.10 |
$827.24 $871.37 $918.13 $1,084.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$653.96 $742.22 $835.74 $1,167.94 $1,774.78 |
$904.09 $992.35 $1,085.87 $1,418.07 |
$1,154.22 $1,242.48 $1,336.00 $1,668.20 |
Toc - Plan #35 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Everyday Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$324.00 $367.73 $414.06 $578.65 $879.32 |
$571.85 $615.58 $661.91 $826.50 |
$819.70 $863.43 $909.76 $1,074.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$648.00 $735.46 $828.12 $1,157.30 $1,758.64 |
$895.85 $983.31 $1,075.97 $1,405.15 |
$1,143.70 $1,231.16 $1,323.82 $1,653.00 |
Toc - Plan #36 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Gold
(HMO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.87 $397.09 $447.12 $624.84 $949.51 |
$617.51 $664.73 $714.76 $892.48 |
$885.15 $932.37 $982.40 $1,160.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$699.74 $794.18 $894.24 $1,249.68 $1,899.02 |
$967.38 $1,061.82 $1,161.88 $1,517.32 |
$1,235.02 $1,329.46 $1,429.52 $1,784.96 |
Toc - Plan #37 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$262.89 $298.37 $335.96 $469.51 $713.46 |
$464.00 $499.48 $537.07 $670.62 |
$665.11 $700.59 $738.18 $871.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$525.78 $596.74 $671.92 $939.02 $1,426.92 |
$726.89 $797.85 $873.03 $1,140.13 |
$928.00 $998.96 $1,074.14 $1,341.24 |
Toc - Plan #38 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287.81 $326.65 $367.81 $514.01 $781.08 |
$507.98 $546.82 $587.98 $734.18 |
$728.15 $766.99 $808.15 $954.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$575.62 $653.30 $735.62 $1,028.02 $1,562.16 |
$795.79 $873.47 $955.79 $1,248.19 |
$1,015.96 $1,093.64 $1,175.96 $1,468.36 |
Toc - Plan #39 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$280.19 $318.00 $358.07 $500.40 $760.41 |
$494.53 $532.34 $572.41 $714.74 |
$708.87 $746.68 $786.75 $929.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$560.38 $636.00 $716.14 $1,000.80 $1,520.82 |
$774.72 $850.34 $930.48 $1,215.14 |
$989.06 $1,064.68 $1,144.82 $1,429.48 |
Toc - Plan #40 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.67 $356.00 $400.86 $560.20 $851.27 |
$553.62 $595.95 $640.81 $800.15 |
$793.57 $835.90 $880.76 $1,040.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$627.34 $712.00 $801.72 $1,120.40 $1,702.54 |
$867.29 $951.95 $1,041.67 $1,360.35 |
$1,107.24 $1,191.90 $1,281.62 $1,600.30 |
Toc - Plan #41 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$320.60 $363.87 $409.72 $572.58 $870.09 |
$565.85 $609.12 $654.97 $817.83 |
$811.10 $854.37 $900.22 $1,063.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$641.20 $727.74 $819.44 $1,145.16 $1,740.18 |
$886.45 $972.99 $1,064.69 $1,390.41 |
$1,131.70 $1,218.24 $1,309.94 $1,635.66 |
Toc - Plan #42 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$322.92 $366.51 $412.68 $576.72 $876.39 |
$569.95 $613.54 $659.71 $823.75 |
$816.98 $860.57 $906.74 $1,070.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$645.84 $733.02 $825.36 $1,153.44 $1,752.78 |
$892.87 $980.05 $1,072.39 $1,400.47 |
$1,139.90 $1,227.08 $1,319.42 $1,647.50 |
Toc - Plan #43 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Gold
(HMO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335.87 $381.20 $429.23 $599.85 $911.53 |
$592.80 $638.13 $686.16 $856.78 |
$849.73 $895.06 $943.09 $1,113.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$671.74 $762.40 $858.46 $1,199.70 $1,823.06 |
$928.67 $1,019.33 $1,115.39 $1,456.63 |
$1,185.60 $1,276.26 $1,372.32 $1,713.56 |
Toc - Plan #44 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Enhanced Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$322.17 $365.65 $411.72 $575.38 $874.35 |
$568.62 $612.10 $658.17 $821.83 |
$815.07 $858.55 $904.62 $1,068.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$644.34 $731.30 $823.44 $1,150.76 $1,748.70 |
$890.79 $977.75 $1,069.89 $1,397.21 |
$1,137.24 $1,224.20 $1,316.34 $1,643.66 |
Toc - Plan #45 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Gold
(HMO) Clear Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.52 $376.27 $423.67 $592.08 $899.73 |
$585.13 $629.88 $677.28 $845.69 |
$838.74 $883.49 $930.89 $1,099.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$663.04 $752.54 $847.34 $1,184.16 $1,799.46 |
$916.65 $1,006.15 $1,100.95 $1,437.77 |
$1,170.26 $1,259.76 $1,354.56 $1,691.38 |
Toc - Plan #46 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) CMS Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$274.79 $311.88 $351.17 $490.76 $745.76 |
$485.00 $522.09 $561.38 $700.97 |
$695.21 $732.30 $771.59 $911.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$549.58 $623.76 $702.34 $981.52 $1,491.52 |
$759.79 $833.97 $912.55 $1,191.73 |
$970.00 $1,044.18 $1,122.76 $1,401.94 |
Toc - Plan #47 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) CMS Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$320.14 $363.35 $409.13 $571.76 $868.85 |
$565.04 $608.25 $654.03 $816.66 |
$809.94 $853.15 $898.93 $1,061.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$640.28 $726.70 $818.26 $1,143.52 $1,737.70 |
$885.18 $971.60 $1,063.16 $1,388.42 |
$1,130.08 $1,216.50 $1,308.06 $1,633.32 |
Toc - Plan #48 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Gold
(HMO) CMS Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333.55 $378.57 $426.26 $595.70 $905.23 |
$588.71 $633.73 $681.42 $850.86 |
$843.87 $888.89 $936.58 $1,106.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$667.10 $757.14 $852.52 $1,191.40 $1,810.46 |
$922.26 $1,012.30 $1,107.68 $1,446.56 |
$1,177.42 $1,267.46 $1,362.84 $1,701.72 |
Toc - Plan #49 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Everyday Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.74 $379.92 $427.79 $597.83 $908.47 |
$590.81 $635.99 $683.86 $853.90 |
$846.88 $892.06 $939.93 $1,109.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$669.48 $759.84 $855.58 $1,195.66 $1,816.94 |
$925.55 $1,015.91 $1,111.65 $1,451.73 |
$1,181.62 $1,271.98 $1,367.72 $1,707.80 |
Toc - Plan #50 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337.82 $383.41 $431.72 $603.32 $916.81 |
$596.24 $641.83 $690.14 $861.74 |
$854.66 $900.25 $948.56 $1,120.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$675.64 $766.82 $863.44 $1,206.64 $1,833.62 |
$934.06 $1,025.24 $1,121.86 $1,465.06 |
$1,192.48 $1,283.66 $1,380.28 $1,723.48 |
Toc - Plan #51 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Gold
(HMO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.46 $410.25 $461.94 $645.56 $980.98 |
$637.97 $686.76 $738.45 $922.07 |
$914.48 $963.27 $1,014.96 $1,198.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$722.92 $820.50 $923.88 $1,291.12 $1,961.96 |
$999.43 $1,097.01 $1,200.39 $1,567.63 |
$1,275.94 $1,373.52 $1,476.90 $1,844.14 |
Toc - Plan #52 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$271.61 $308.26 $347.10 $485.07 $737.11 |
$479.38 $516.03 $554.87 $692.84 |
$687.15 $723.80 $762.64 $900.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$543.22 $616.52 $694.20 $970.14 $1,474.22 |
$750.99 $824.29 $901.97 $1,177.91 |
$958.76 $1,032.06 $1,109.74 $1,385.68 |
Toc - Plan #53 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$297.35 $337.48 $380.00 $531.05 $806.97 |
$524.81 $564.94 $607.46 $758.51 |
$752.27 $792.40 $834.92 $985.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$594.70 $674.96 $760.00 $1,062.10 $1,613.94 |
$822.16 $902.42 $987.46 $1,289.56 |
$1,049.62 $1,129.88 $1,214.92 $1,517.02 |
Toc - Plan #54 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289.48 $328.54 $369.94 $516.99 $785.61 |
$510.92 $549.98 $591.38 $738.43 |
$732.36 $771.42 $812.82 $959.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$578.96 $657.08 $739.88 $1,033.98 $1,571.22 |
$800.40 $878.52 $961.32 $1,255.42 |
$1,021.84 $1,099.96 $1,182.76 $1,476.86 |
Toc - Plan #55 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$324.07 $367.81 $414.15 $578.77 $879.49 |
$571.97 $615.71 $662.05 $826.67 |
$819.87 $863.61 $909.95 $1,074.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$648.14 $735.62 $828.30 $1,157.54 $1,758.98 |
$896.04 $983.52 $1,076.20 $1,405.44 |
$1,143.94 $1,231.42 $1,324.10 $1,653.34 |
Toc - Plan #56 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.23 $375.93 $423.30 $591.56 $898.93 |
$584.61 $629.31 $676.68 $844.94 |
$837.99 $882.69 $930.06 $1,098.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$662.46 $751.86 $846.60 $1,183.12 $1,797.86 |
$915.84 $1,005.24 $1,099.98 $1,436.50 |
$1,169.22 $1,258.62 $1,353.36 $1,689.88 |
Toc - Plan #57 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333.63 $378.66 $426.36 $595.84 $905.44 |
$588.85 $633.88 $681.58 $851.06 |
$844.07 $889.10 $936.80 $1,106.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$667.26 $757.32 $852.72 $1,191.68 $1,810.88 |
$922.48 $1,012.54 $1,107.94 $1,446.90 |
$1,177.70 $1,267.76 $1,363.16 $1,702.12 |
Toc - Plan #58 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Gold
(HMO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.01 $393.84 $443.46 $619.73 $941.75 |
$612.46 $659.29 $708.91 $885.18 |
$877.91 $924.74 $974.36 $1,150.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$694.02 $787.68 $886.92 $1,239.46 $1,883.50 |
$959.47 $1,053.13 $1,152.37 $1,504.91 |
$1,224.92 $1,318.58 $1,417.82 $1,770.36 |
Toc - Plan #59 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Enhanced Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.85 $377.77 $425.37 $594.45 $903.33 |
$587.47 $632.39 $679.99 $849.07 |
$842.09 $887.01 $934.61 $1,103.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$665.70 $755.54 $850.74 $1,188.90 $1,806.66 |
$920.32 $1,010.16 $1,105.36 $1,443.52 |
$1,174.94 $1,264.78 $1,359.98 $1,698.14 |
Toc - Plan #60 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Gold
(HMO) Clear Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342.51 $388.74 $437.72 $611.71 $929.55 |
$604.52 $650.75 $699.73 $873.72 |
$866.53 $912.76 $961.74 $1,135.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$685.02 $777.48 $875.44 $1,223.42 $1,859.10 |
$947.03 $1,039.49 $1,137.45 $1,485.43 |
$1,209.04 $1,301.50 $1,399.46 $1,747.44 |
Toc - Plan #61 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Virtual Access Bronze - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$274.40 $311.43 $350.67 $490.06 $744.70 |
$484.31 $521.34 $560.58 $699.97 |
$694.22 $731.25 $770.49 $909.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$548.80 $622.86 $701.34 $980.12 $1,489.40 |
$758.71 $832.77 $911.25 $1,190.03 |
$968.62 $1,042.68 $1,121.16 $1,399.94 |
Toc - Plan #62 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Virtual Access Silver - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316.84 $359.60 $404.91 $565.86 $859.88 |
$559.22 $601.98 $647.29 $808.24 |
$801.60 $844.36 $889.67 $1,050.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$633.68 $719.20 $809.82 $1,131.72 $1,719.76 |
$876.06 $961.58 $1,052.20 $1,374.10 |
$1,118.44 $1,203.96 $1,294.58 $1,616.48 |
Toc - Plan #63 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Gold
(HMO) Ambetter Virtual Access Gold - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336.30 $381.69 $429.77 $600.61 $912.68 |
$593.56 $638.95 $687.03 $857.87 |
$850.82 $896.21 $944.29 $1,115.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$672.60 $763.38 $859.54 $1,201.22 $1,825.36 |
$929.86 $1,020.64 $1,116.80 $1,458.48 |
$1,187.12 $1,277.90 $1,374.06 $1,715.74 |
ADVERTISEMENT
Molina HealthcareLocal: 1-888-296-7677 | Toll Free: 1-888-296-7677 |
Toc - Plan #64 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-296-7677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.74 $425.33 $478.92 $669.28 $1,017.04 |
$661.42 $712.01 $765.60 $955.96 |
$948.10 $998.69 $1,052.28 $1,242.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$749.48 $850.66 $957.84 $1,338.56 $2,034.08 |
$1,036.16 $1,137.34 $1,244.52 $1,625.24 |
$1,322.84 $1,424.02 $1,531.20 $1,911.92 |
Toc - Plan #65 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-296-7677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336.00 $381.36 $429.40 $600.09 $911.90 |
$593.04 $638.40 $686.44 $857.13 |
$850.08 $895.44 $943.48 $1,114.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$672.00 $762.72 $858.80 $1,200.18 $1,823.80 |
$929.04 $1,019.76 $1,115.84 $1,457.22 |
$1,186.08 $1,276.80 $1,372.88 $1,714.26 |
Toc - Plan #66 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 8 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-296-7677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.44 $438.61 $493.87 $690.18 $1,048.80 |
$682.07 $734.24 $789.50 $985.81 |
$977.70 $1,029.87 $1,085.13 $1,281.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$772.88 $877.22 $987.74 $1,380.36 $2,097.60 |
$1,068.51 $1,172.85 $1,283.37 $1,675.99 |
$1,364.14 $1,468.48 $1,579.00 $1,971.62 |
Toc - Plan #67 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 8 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-296-7677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342.68 $388.94 $437.94 $612.02 $930.02 |
$604.83 $651.09 $700.09 $874.17 |
$866.98 $913.24 $962.24 $1,136.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$685.36 $777.88 $875.88 $1,224.04 $1,860.04 |
$947.51 $1,040.03 $1,138.03 $1,486.19 |
$1,209.66 $1,302.18 $1,400.18 $1,748.34 |
Toc - Plan #68 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-296-7677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.33 $428.27 $482.23 $673.91 $1,024.07 |
$665.99 $716.93 $770.89 $962.57 |
$954.65 $1,005.59 $1,059.55 $1,251.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$754.66 $856.54 $964.46 $1,347.82 $2,048.14 |
$1,043.32 $1,145.20 $1,253.12 $1,636.48 |
$1,331.98 $1,433.86 $1,541.78 $1,925.14 |
Toc - Plan #69 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-296-7677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.59 $384.30 $432.72 $604.72 $918.94 |
$597.61 $643.32 $691.74 $863.74 |
$856.63 $902.34 $950.76 $1,122.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$677.18 $768.60 $865.44 $1,209.44 $1,837.88 |
$936.20 $1,027.62 $1,124.46 $1,468.46 |
$1,195.22 $1,286.64 $1,383.48 $1,727.48 |
ADVERTISEMENT
CareSourceLocal: 1-833-230-2099 | Toll Free: 1-833-230-2099 | TTY: 1-800-750-0750 |
Toc - Plan #70 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Low Premium Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$440.47 $499.93 $562.91 $786.67 $1,195.42 |
$777.43 $836.89 $899.87 $1,123.63 |
$1,114.39 $1,173.85 $1,236.83 $1,460.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$880.94 $999.86 $1,125.82 $1,573.34 $2,390.84 |
$1,217.90 $1,336.82 $1,462.78 $1,910.30 |
$1,554.86 $1,673.78 $1,799.74 $2,247.26 |
Toc - Plan #71 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$623.08 $707.19 $796.29 $1,112.81 $1,691.03 |
$1,099.73 $1,183.84 $1,272.94 $1,589.46 |
$1,576.38 $1,660.49 $1,749.59 $2,066.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,246.16 $1,414.38 $1,592.58 $2,225.62 $3,382.06 |
$1,722.81 $1,891.03 $2,069.23 $2,702.27 |
$2,199.46 $2,367.68 $2,545.88 $3,178.92 |
Toc - Plan #72 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$449.87 $510.59 $574.92 $803.45 $1,220.93 |
$794.01 $854.73 $919.06 $1,147.59 |
$1,138.15 $1,198.87 $1,263.20 $1,491.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$899.74 $1,021.18 $1,149.84 $1,606.90 $2,441.86 |
$1,243.88 $1,365.32 $1,493.98 $1,951.04 |
$1,588.02 $1,709.46 $1,838.12 $2,295.18 |
Toc - Plan #73 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace Bronze First |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326.69 $370.79 $417.51 $583.46 $886.63 |
$576.61 $620.71 $667.43 $833.38 |
$826.53 $870.63 $917.35 $1,083.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$653.38 $741.58 $835.02 $1,166.92 $1,773.26 |
$903.30 $991.50 $1,084.94 $1,416.84 |
$1,153.22 $1,241.42 $1,334.86 $1,666.76 |
Toc - Plan #74 CareSource | ||||||||||||||||||||
Bronze
(HMO) CareSource Marketplace Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$319.56 $362.70 $408.39 $570.73 $867.28 |
$564.02 $607.16 $652.85 $815.19 |
$808.48 $851.62 $897.31 $1,059.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$639.12 $725.40 $816.78 $1,141.46 $1,734.56 |
$883.58 $969.86 $1,061.24 $1,385.92 |
$1,128.04 $1,214.32 $1,305.70 $1,630.38 |
Toc - Plan #75 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Essential Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$503.62 $571.61 $643.62 $899.46 $1,366.82 |
$888.89 $956.88 $1,028.89 $1,284.73 |
$1,274.16 $1,342.15 $1,414.16 $1,670.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,007.24 $1,143.22 $1,287.24 $1,798.92 $2,733.64 |
$1,392.51 $1,528.49 $1,672.51 $2,184.19 |
$1,777.78 $1,913.76 $2,057.78 $2,569.46 |
Toc - Plan #76 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Low Premium Silver Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$447.55 $507.97 $571.97 $799.32 $1,214.65 |
$789.93 $850.35 $914.35 $1,141.70 |
$1,132.31 $1,192.73 $1,256.73 $1,484.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$895.10 $1,015.94 $1,143.94 $1,598.64 $2,429.30 |
$1,237.48 $1,358.32 $1,486.32 $1,941.02 |
$1,579.86 $1,700.70 $1,828.70 $2,283.40 |
Toc - Plan #77 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Gold Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$631.66 $716.93 $807.25 $1,128.13 $1,714.31 |
$1,114.88 $1,200.15 $1,290.47 $1,611.35 |
$1,598.10 $1,683.37 $1,773.69 $2,094.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,263.32 $1,433.86 $1,614.50 $2,256.26 $3,428.62 |
$1,746.54 $1,917.08 $2,097.72 $2,739.48 |
$2,229.76 $2,400.30 $2,580.94 $3,222.70 |
Toc - Plan #78 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Standard Silver Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$456.94 $518.62 $583.96 $816.09 $1,240.13 |
$806.50 $868.18 $933.52 $1,165.65 |
$1,156.06 $1,217.74 $1,283.08 $1,515.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$913.88 $1,037.24 $1,167.92 $1,632.18 $2,480.26 |
$1,263.44 $1,386.80 $1,517.48 $1,981.74 |
$1,613.00 $1,736.36 $1,867.04 $2,331.30 |
Toc - Plan #79 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace Bronze First Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333.03 $377.99 $425.61 $594.79 $903.84 |
$587.80 $632.76 $680.38 $849.56 |
$842.57 $887.53 $935.15 $1,104.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$666.06 $755.98 $851.22 $1,189.58 $1,807.68 |
$920.83 $1,010.75 $1,105.99 $1,444.35 |
$1,175.60 $1,265.52 $1,360.76 $1,699.12 |
Toc - Plan #80 CareSource | ||||||||||||||||||||
Bronze
(HMO) CareSource Marketplace Bronze Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$325.54 $369.48 $416.03 $581.41 $883.50 |
$574.57 $618.51 $665.06 $830.44 |
$823.60 $867.54 $914.09 $1,079.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$651.08 $738.96 $832.06 $1,162.82 $1,767.00 |
$900.11 $987.99 $1,081.09 $1,411.85 |
$1,149.14 $1,237.02 $1,330.12 $1,660.88 |
Toc - Plan #81 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Essential Silver Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$510.46 $579.37 $652.37 $911.68 $1,385.39 |
$900.96 $969.87 $1,042.87 $1,302.18 |
$1,291.46 $1,360.37 $1,433.37 $1,692.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,020.92 $1,158.74 $1,304.74 $1,823.36 $2,770.78 |
$1,411.42 $1,549.24 $1,695.24 $2,213.86 |
$1,801.92 $1,939.74 $2,085.74 $2,604.36 |
ADVERTISEMENT
MedMutualLocal: 1-888-308-0357 | Toll Free: 1-888-308-0357 |
Toc - Plan #82 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO 3500 - Southern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371.38 $421.51 $474.62 $663.28 $1,007.92 |
$655.48 $705.61 $758.72 $947.38 |
$939.58 $989.71 $1,042.82 $1,231.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$742.76 $843.02 $949.24 $1,326.56 $2,015.84 |
$1,026.86 $1,127.12 $1,233.34 $1,610.66 |
$1,310.96 $1,411.22 $1,517.44 $1,894.76 |
Toc - Plan #83 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO 4000 HSA - Southern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371.38 $421.51 $474.62 $663.28 $1,007.92 |
$655.48 $705.61 $758.72 $947.38 |
$939.58 $989.71 $1,042.82 $1,231.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$742.76 $843.02 $949.24 $1,326.56 $2,015.84 |
$1,026.86 $1,127.12 $1,233.34 $1,610.66 |
$1,310.96 $1,411.22 $1,517.44 $1,894.76 |
Toc - Plan #84 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO 6500 - Southern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370.38 $420.38 $473.34 $661.49 $1,005.20 |
$653.72 $703.72 $756.68 $944.83 |
$937.06 $987.06 $1,040.02 $1,228.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$740.76 $840.76 $946.68 $1,322.98 $2,010.40 |
$1,024.10 $1,124.10 $1,230.02 $1,606.32 |
$1,307.44 $1,407.44 $1,513.36 $1,889.66 |
Toc - Plan #85 MedMutual | ||||||||||||||||||||
Expanded Bronze
(HMO) Market HMO 7000 HSA - Southern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$282.62 $320.77 $361.19 $504.76 $767.03 |
$498.82 $536.97 $577.39 $720.96 |
$715.02 $753.17 $793.59 $937.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$565.24 $641.54 $722.38 $1,009.52 $1,534.06 |
$781.44 $857.74 $938.58 $1,225.72 |
$997.64 $1,073.94 $1,154.78 $1,441.92 |
Toc - Plan #86 MedMutual | ||||||||||||||||||||
Bronze
(HMO) Market HMO 9100 - Southern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$267.27 $303.35 $341.57 $477.35 $725.37 |
$471.73 $507.81 $546.03 $681.81 |
$676.19 $712.27 $750.49 $886.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$534.54 $606.70 $683.14 $954.70 $1,450.74 |
$739.00 $811.16 $887.60 $1,159.16 |
$943.46 $1,015.62 $1,092.06 $1,363.62 |
Toc - Plan #87 MedMutual | ||||||||||||||||||||
Catastrophic
(HMO) Market HMO Young Adult Essentials - Southern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$176.51 $200.34 $225.58 $315.25 $479.06 |
$311.54 $335.37 $360.61 $450.28 |
$446.57 $470.40 $495.64 $585.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$353.02 $400.68 $451.16 $630.50 $958.12 |
$488.05 $535.71 $586.19 $765.53 |
$623.08 $670.74 $721.22 $900.56 |
Toc - Plan #88 MedMutual | ||||||||||||||||||||
Expanded Bronze
(HMO) Market HMO Select Bronze - Southern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.99 $362.05 $407.67 $569.72 $865.74 |
$563.02 $606.08 $651.70 $813.75 |
$807.05 $850.11 $895.73 $1,057.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$637.98 $724.10 $815.34 $1,139.44 $1,731.48 |
$882.01 $968.13 $1,059.37 $1,383.47 |
$1,126.04 $1,212.16 $1,303.40 $1,627.50 |
Toc - Plan #89 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO Select Silver - Southern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.07 $452.95 $510.01 $712.74 $1,083.08 |
$704.36 $758.24 $815.30 $1,018.03 |
$1,009.65 $1,063.53 $1,120.59 $1,323.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$798.14 $905.90 $1,020.02 $1,425.48 $2,166.16 |
$1,103.43 $1,211.19 $1,325.31 $1,730.77 |
$1,408.72 $1,516.48 $1,630.60 $2,036.06 |
Toc - Plan #90 MedMutual | ||||||||||||||||||||
Expanded Bronze
(HMO) Market HMO 8000 - Southern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$270.94 $307.52 $346.26 $483.90 $735.34 |
$478.21 $514.79 $553.53 $691.17 |
$685.48 $722.06 $760.80 $898.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$541.88 $615.04 $692.52 $967.80 $1,470.68 |
$749.15 $822.31 $899.79 $1,175.07 |
$956.42 $1,029.58 $1,107.06 $1,382.34 |
Toc - Plan #91 MedMutual | ||||||||||||||||||||
Gold
(HMO) Market HMO 2500 - Southern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$494.50 $561.26 $631.97 $883.18 $1,342.08 |
$872.79 $939.55 $1,010.26 $1,261.47 |
$1,251.08 $1,317.84 $1,388.55 $1,639.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$989.00 $1,122.52 $1,263.94 $1,766.36 $2,684.16 |
$1,367.29 $1,500.81 $1,642.23 $2,144.65 |
$1,745.58 $1,879.10 $2,020.52 $2,522.94 |
Toc - Plan #92 MedMutual | ||||||||||||||||||||
Gold
(HMO) Market HMO Standard Gold - Southern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$475.48 $539.67 $607.67 $849.21 $1,290.46 |
$839.22 $903.41 $971.41 $1,212.95 |
$1,202.96 $1,267.15 $1,335.15 $1,576.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$950.96 $1,079.34 $1,215.34 $1,698.42 $2,580.92 |
$1,314.70 $1,443.08 $1,579.08 $2,062.16 |
$1,678.44 $1,806.82 $1,942.82 $2,425.90 |
Toc - Plan #93 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO Standard Silver - Southern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.37 $418.10 $470.78 $657.92 $999.77 |
$650.18 $699.91 $752.59 $939.73 |
$931.99 $981.72 $1,034.40 $1,221.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736.74 $836.20 $941.56 $1,315.84 $1,999.54 |
$1,018.55 $1,118.01 $1,223.37 $1,597.65 |
$1,300.36 $1,399.82 $1,505.18 $1,879.46 |
Toc - Plan #94 MedMutual | ||||||||||||||||||||
Expanded Bronze
(HMO) Market HMO Standard Expanded Bronze - Southern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289.29 $328.35 $369.72 $516.68 $785.14 |
$510.60 $549.66 $591.03 $737.99 |
$731.91 $770.97 $812.34 $959.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$578.58 $656.70 $739.44 $1,033.36 $1,570.28 |
$799.89 $878.01 $960.75 $1,254.67 |
$1,021.20 $1,099.32 $1,182.06 $1,475.98 |
Toc - Plan #95 MedMutual | ||||||||||||||||||||
Bronze
(HMO) Market HMO Standard Bronze - Southern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$270.61 $307.14 $345.84 $483.31 $734.43 |
$477.63 $514.16 $552.86 $690.33 |
$684.65 $721.18 $759.88 $897.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$541.22 $614.28 $691.68 $966.62 $1,468.86 |
$748.24 $821.30 $898.70 $1,173.64 |
$955.26 $1,028.32 $1,105.72 $1,380.66 |
‡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 Hamilton County here.
Hamilton County is in “Rating Area 4” of Ohio.
Currently, there are 95 plans offered in Rating Area 4.