Obamacare 2023 Rates for Caldwell County
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Oscar Insurance CompanyLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #1 Oscar Insurance Company | ||||||||||||||||||||
Bronze
(EPO) Bronze Simple |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$322.78 $366.35 $412.51 $576.48 $876.01 |
$569.70 $613.27 $659.43 $823.40 |
$816.62 $860.19 $906.35 $1,070.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$645.56 $732.70 $825.02 $1,152.96 $1,752.02 |
$892.48 $979.62 $1,071.94 $1,399.88 |
$1,139.40 $1,226.54 $1,318.86 $1,646.80 |
Toc - Plan #2 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$324.39 $368.17 $414.55 $579.34 $880.36 |
$572.54 $616.32 $662.70 $827.49 |
$820.69 $864.47 $910.85 $1,075.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$648.78 $736.34 $829.10 $1,158.68 $1,760.72 |
$896.93 $984.49 $1,077.25 $1,406.83 |
$1,145.08 $1,232.64 $1,325.40 $1,654.98 |
Toc - Plan #3 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded+PCP Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$367.66 $417.29 $469.86 $656.63 $997.81 |
$648.91 $698.54 $751.11 $937.88 |
$930.16 $979.79 $1,032.36 $1,219.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$735.32 $834.58 $939.72 $1,313.26 $1,995.62 |
$1,016.57 $1,115.83 $1,220.97 $1,594.51 |
$1,297.82 $1,397.08 $1,502.22 $1,875.76 |
Toc - Plan #4 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$472.25 $535.99 $603.52 $843.41 $1,281.65 |
$833.51 $897.25 $964.78 $1,204.67 |
$1,194.77 $1,258.51 $1,326.04 $1,565.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$944.50 $1,071.98 $1,207.04 $1,686.82 $2,563.30 |
$1,305.76 $1,433.24 $1,568.30 $2,048.08 |
$1,667.02 $1,794.50 $1,929.56 $2,409.34 |
Toc - Plan #5 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- Specialist Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$467.77 $530.90 $597.79 $835.41 $1,269.49 |
$825.60 $888.73 $955.62 $1,193.24 |
$1,183.43 $1,246.56 $1,313.45 $1,551.07 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$935.54 $1,061.80 $1,195.58 $1,670.82 $2,538.98 |
$1,293.37 $1,419.63 $1,553.41 $2,028.65 |
$1,651.20 $1,777.46 $1,911.24 $2,386.48 |
Toc - Plan #6 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic- PCP Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$472.77 $536.59 $604.19 $844.36 $1,283.08 |
$834.43 $898.25 $965.85 $1,206.02 |
$1,196.09 $1,259.91 $1,327.51 $1,567.68 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$945.54 $1,073.18 $1,208.38 $1,688.72 $2,566.16 |
$1,307.20 $1,434.84 $1,570.04 $2,050.38 |
$1,668.86 $1,796.50 $1,931.70 $2,412.04 |
Toc - Plan #7 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded+Specialist Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$366.35 $415.80 $468.19 $654.29 $994.25 |
$646.60 $696.05 $748.44 $934.54 |
$926.85 $976.30 $1,028.69 $1,214.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$732.70 $831.60 $936.38 $1,308.58 $1,988.50 |
$1,012.95 $1,111.85 $1,216.63 $1,588.83 |
$1,293.20 $1,392.10 $1,496.88 $1,869.08 |
Toc - Plan #8 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Simple- HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$339.45 $385.26 $433.80 $606.24 $921.24 |
$599.12 $644.93 $693.47 $865.91 |
$858.79 $904.60 $953.14 $1,125.58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$678.90 $770.52 $867.60 $1,212.48 $1,842.48 |
$938.57 $1,030.19 $1,127.27 $1,472.15 |
$1,198.24 $1,289.86 $1,386.94 $1,731.82 |
Toc - Plan #9 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $4700 Ded |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$344.83 $391.37 $440.68 $615.85 $935.85 |
$608.62 $655.16 $704.47 $879.64 |
$872.41 $918.95 $968.26 $1,143.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$689.66 $782.74 $881.36 $1,231.70 $1,871.70 |
$953.45 $1,046.53 $1,145.15 $1,495.49 |
$1,217.24 $1,310.32 $1,408.94 $1,759.28 |
Toc - Plan #10 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- PCP Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$460.56 $522.72 $588.58 $822.54 $1,249.93 |
$812.88 $875.04 $940.90 $1,174.86 |
$1,165.20 $1,227.36 $1,293.22 $1,527.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$921.12 $1,045.44 $1,177.16 $1,645.08 $2,499.86 |
$1,273.44 $1,397.76 $1,529.48 $1,997.40 |
$1,625.76 $1,750.08 $1,881.80 $2,349.72 |
Toc - Plan #11 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Elite- $0 Ded |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$481.53 $546.52 $615.38 $859.99 $1,306.83 |
$849.89 $914.88 $983.74 $1,228.35 |
$1,218.25 $1,283.24 $1,352.10 $1,596.71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$963.06 $1,093.04 $1,230.76 $1,719.98 $2,613.66 |
$1,331.42 $1,461.40 $1,599.12 $2,088.34 |
$1,699.78 $1,829.76 $1,967.48 $2,456.70 |
Toc - Plan #12 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- For Diabetes |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$470.00 $533.43 $600.64 $839.40 $1,275.54 |
$829.54 $892.97 $960.18 $1,198.94 |
$1,189.08 $1,252.51 $1,319.72 $1,558.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$940.00 $1,066.86 $1,201.28 $1,678.80 $2,551.08 |
$1,299.54 $1,426.40 $1,560.82 $2,038.34 |
$1,659.08 $1,785.94 $1,920.36 $2,397.88 |
Toc - Plan #13 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$329.58 $374.06 $421.19 $588.61 $894.45 |
$581.70 $626.18 $673.31 $840.73 |
$833.82 $878.30 $925.43 $1,092.85 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$659.16 $748.12 $842.38 $1,177.22 $1,788.90 |
$911.28 $1,000.24 $1,094.50 $1,429.34 |
$1,163.40 $1,252.36 $1,346.62 $1,681.46 |
Toc - Plan #14 Oscar Insurance Company | ||||||||||||||||||||
Bronze
(EPO) Bronze Simple- Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$309.97 $351.80 $396.13 $553.59 $841.23 |
$547.09 $588.92 $633.25 $790.71 |
$784.21 $826.04 $870.37 $1,027.83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$619.94 $703.60 $792.26 $1,107.18 $1,682.46 |
$857.06 $940.72 $1,029.38 $1,344.30 |
$1,094.18 $1,177.84 $1,266.50 $1,581.42 |
Toc - Plan #15 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic- Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$461.01 $523.23 $589.16 $823.35 $1,251.15 |
$813.67 $875.89 $941.82 $1,176.01 |
$1,166.33 $1,228.55 $1,294.48 $1,528.67 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$922.02 $1,046.46 $1,178.32 $1,646.70 $2,502.30 |
$1,274.68 $1,399.12 $1,530.98 $1,999.36 |
$1,627.34 $1,751.78 $1,883.64 $2,352.02 |
Toc - Plan #16 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Classic- Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$419.56 $476.19 $536.19 $749.32 $1,138.66 |
$740.52 $797.15 $857.15 $1,070.28 |
$1,061.48 $1,118.11 $1,178.11 $1,391.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$839.12 $952.38 $1,072.38 $1,498.64 $2,277.32 |
$1,160.08 $1,273.34 $1,393.34 $1,819.60 |
$1,481.04 $1,594.30 $1,714.30 $2,140.56 |
ADVERTISEMENT
Ambetter from Superior HealthPlanLocal: 1-877-687-1196 | Toll Free: 1-877-687-1196 | TTY: 1-800-735-2989 |
Toc - Plan #17 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Complete Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$504.89 $573.04 $645.24 $901.72 $1,370.25 |
$891.12 $959.27 $1,031.47 $1,287.95 |
$1,277.35 $1,345.50 $1,417.70 $1,674.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,009.78 $1,146.08 $1,290.48 $1,803.44 $2,740.50 |
$1,396.01 $1,532.31 $1,676.71 $2,189.67 |
$1,782.24 $1,918.54 $2,062.94 $2,575.90 |
Toc - Plan #18 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$464.75 $527.48 $593.94 $830.03 $1,261.31 |
$820.28 $883.01 $949.47 $1,185.56 |
$1,175.81 $1,238.54 $1,305.00 $1,541.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$929.50 $1,054.96 $1,187.88 $1,660.06 $2,522.62 |
$1,285.03 $1,410.49 $1,543.41 $2,015.59 |
$1,640.56 $1,766.02 $1,898.94 $2,371.12 |
Toc - Plan #19 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Clear Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$499.84 $567.31 $638.78 $892.70 $1,356.54 |
$882.21 $949.68 $1,021.15 $1,275.07 |
$1,264.58 $1,332.05 $1,403.52 $1,657.44 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$999.68 $1,134.62 $1,277.56 $1,785.40 $2,713.08 |
$1,382.05 $1,516.99 $1,659.93 $2,167.77 |
$1,764.42 $1,899.36 $2,042.30 $2,550.14 |
Toc - Plan #20 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Focused Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$497.97 $565.19 $636.40 $889.36 $1,351.47 |
$878.91 $946.13 $1,017.34 $1,270.30 |
$1,259.85 $1,327.07 $1,398.28 $1,651.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$995.94 $1,130.38 $1,272.80 $1,778.72 $2,702.94 |
$1,376.88 $1,511.32 $1,653.74 $2,159.66 |
$1,757.82 $1,892.26 $2,034.68 $2,540.60 |
Toc - Plan #21 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Everyday Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$452.28 $513.33 $578.00 $807.76 $1,227.47 |
$798.27 $859.32 $923.99 $1,153.75 |
$1,144.26 $1,205.31 $1,269.98 $1,499.74 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$904.56 $1,026.66 $1,156.00 $1,615.52 $2,454.94 |
$1,250.55 $1,372.65 $1,501.99 $1,961.51 |
$1,596.54 $1,718.64 $1,847.98 $2,307.50 |
Toc - Plan #22 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Clear Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$449.56 $510.23 $574.52 $802.89 $1,220.07 |
$793.46 $854.13 $918.42 $1,146.79 |
$1,137.36 $1,198.03 $1,262.32 $1,490.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$899.12 $1,020.46 $1,149.04 $1,605.78 $2,440.14 |
$1,243.02 $1,364.36 $1,492.94 $1,949.68 |
$1,586.92 $1,708.26 $1,836.84 $2,293.58 |
Toc - Plan #23 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) CMS Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$497.62 $564.79 $635.95 $888.73 $1,350.51 |
$878.29 $945.46 $1,016.62 $1,269.40 |
$1,258.96 $1,326.13 $1,397.29 $1,650.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$995.24 $1,129.58 $1,271.90 $1,777.46 $2,701.02 |
$1,375.91 $1,510.25 $1,652.57 $2,158.13 |
$1,756.58 $1,890.92 $2,033.24 $2,538.80 |
Toc - Plan #24 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) CMS Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$448.70 $509.26 $573.42 $801.36 $1,217.74 |
$791.95 $852.51 $916.67 $1,144.61 |
$1,135.20 $1,195.76 $1,259.92 $1,487.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$897.40 $1,018.52 $1,146.84 $1,602.72 $2,435.48 |
$1,240.65 $1,361.77 $1,490.09 $1,945.97 |
$1,583.90 $1,705.02 $1,833.34 $2,289.22 |
Toc - Plan #25 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$484.08 $549.42 $618.65 $864.55 $1,313.77 |
$854.40 $919.74 $988.97 $1,234.87 |
$1,224.72 $1,290.06 $1,359.29 $1,605.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$968.16 $1,098.84 $1,237.30 $1,729.10 $2,627.54 |
$1,338.48 $1,469.16 $1,607.62 $2,099.42 |
$1,708.80 $1,839.48 $1,977.94 $2,469.74 |
Toc - Plan #26 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$525.89 $596.87 $672.08 $939.22 $1,427.24 |
$928.19 $999.17 $1,074.38 $1,341.52 |
$1,330.49 $1,401.47 $1,476.68 $1,743.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,051.78 $1,193.74 $1,344.16 $1,878.44 $2,854.48 |
$1,454.08 $1,596.04 $1,746.46 $2,280.74 |
$1,856.38 $1,998.34 $2,148.76 $2,683.04 |
Toc - Plan #27 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$518.69 $588.70 $662.87 $926.35 $1,407.69 |
$915.48 $985.49 $1,059.66 $1,323.14 |
$1,312.27 $1,382.28 $1,456.45 $1,719.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,037.38 $1,177.40 $1,325.74 $1,852.70 $2,815.38 |
$1,434.17 $1,574.19 $1,722.53 $2,249.49 |
$1,830.96 $1,970.98 $2,119.32 $2,646.28 |
Toc - Plan #28 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$471.09 $534.68 $602.04 $841.36 $1,278.52 |
$831.47 $895.06 $962.42 $1,201.74 |
$1,191.85 $1,255.44 $1,322.80 $1,562.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$942.18 $1,069.36 $1,204.08 $1,682.72 $2,557.04 |
$1,302.56 $1,429.74 $1,564.46 $2,043.10 |
$1,662.94 $1,790.12 $1,924.84 $2,403.48 |
Toc - Plan #29 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$520.63 $590.91 $665.35 $929.83 $1,412.97 |
$918.91 $989.19 $1,063.63 $1,328.11 |
$1,317.19 $1,387.47 $1,461.91 $1,726.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,041.26 $1,181.82 $1,330.70 $1,859.66 $2,825.94 |
$1,439.54 $1,580.10 $1,728.98 $2,257.94 |
$1,837.82 $1,978.38 $2,127.26 $2,656.22 |
Toc - Plan #30 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Clear Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$468.25 $531.46 $598.42 $836.28 $1,270.81 |
$826.46 $889.67 $956.63 $1,194.49 |
$1,184.67 $1,247.88 $1,314.84 $1,552.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$936.50 $1,062.92 $1,196.84 $1,672.56 $2,541.62 |
$1,294.71 $1,421.13 $1,555.05 $2,030.77 |
$1,652.92 $1,779.34 $1,913.26 $2,388.98 |
ADVERTISEMENT
Blue Cross and Blue Shield of TexasLocal: 1-888-697-0683 | Toll Free: 1-888-697-0683 | TTY: 1-800-735-2989 |
Toc - Plan #31 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Gold HMO? 206 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$438.53 $497.73 $560.44 $783.21 $1,190.17 |
$774.00 $833.20 $895.91 $1,118.68 |
$1,109.47 $1,168.67 $1,231.38 $1,454.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$877.06 $995.46 $1,120.88 $1,566.42 $2,380.34 |
$1,212.53 $1,330.93 $1,456.35 $1,901.89 |
$1,548.00 $1,666.40 $1,791.82 $2,237.36 |
Toc - Plan #32 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Catastrophic
(HMO) Blue Advantage Security HMO? 200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$321.17 $364.53 $410.45 $573.61 $871.65 |
$566.86 $610.22 $656.14 $819.30 |
$812.55 $855.91 $901.83 $1,064.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$642.34 $729.06 $820.90 $1,147.22 $1,743.30 |
$888.03 $974.75 $1,066.59 $1,392.91 |
$1,133.72 $1,220.44 $1,312.28 $1,638.60 |
Toc - Plan #33 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Silver HMO? 205 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$527.42 $598.62 $674.04 $941.97 $1,431.41 |
$930.90 $1,002.10 $1,077.52 $1,345.45 |
$1,334.38 $1,405.58 $1,481.00 $1,748.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,054.84 $1,197.24 $1,348.08 $1,883.94 $2,862.82 |
$1,458.32 $1,600.72 $1,751.56 $2,287.42 |
$1,861.80 $2,004.20 $2,155.04 $2,690.90 |
Toc - Plan #34 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Bronze HMO? 204 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.87 $407.32 $458.64 $640.95 $973.98 |
$633.41 $681.86 $733.18 $915.49 |
$907.95 $956.40 $1,007.72 $1,190.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$717.74 $814.64 $917.28 $1,281.90 $1,947.96 |
$992.28 $1,089.18 $1,191.82 $1,556.44 |
$1,266.82 $1,363.72 $1,466.36 $1,830.98 |
Toc - Plan #35 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Bronze HMO? 302 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.24 $423.62 $476.99 $666.60 $1,012.96 |
$658.76 $709.14 $762.51 $952.12 |
$944.28 $994.66 $1,048.03 $1,237.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$746.48 $847.24 $953.98 $1,333.20 $2,025.92 |
$1,032.00 $1,132.76 $1,239.50 $1,618.72 |
$1,317.52 $1,418.28 $1,525.02 $1,904.24 |
Toc - Plan #36 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Bronze
(HMO) Blue Advantage Bronze HMO? 301 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.01 $405.21 $456.26 $637.63 $968.94 |
$630.13 $678.33 $729.38 $910.75 |
$903.25 $951.45 $1,002.50 $1,183.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.02 $810.42 $912.52 $1,275.26 $1,937.88 |
$987.14 $1,083.54 $1,185.64 $1,548.38 |
$1,260.26 $1,356.66 $1,458.76 $1,821.50 |
Toc - Plan #37 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Gold HMO? 603 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$451.41 $512.35 $576.90 $806.22 $1,225.12 |
$796.74 $857.68 $922.23 $1,151.55 |
$1,142.07 $1,203.01 $1,267.56 $1,496.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$902.82 $1,024.70 $1,153.80 $1,612.44 $2,450.24 |
$1,248.15 $1,370.03 $1,499.13 $1,957.77 |
$1,593.48 $1,715.36 $1,844.46 $2,303.10 |
Toc - Plan #38 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Bronze HMO? 702 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.74 $424.20 $477.64 $667.50 $1,014.34 |
$659.65 $710.11 $763.55 $953.41 |
$945.56 $996.02 $1,049.46 $1,239.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.48 $848.40 $955.28 $1,335.00 $2,028.68 |
$1,033.39 $1,134.31 $1,241.19 $1,620.91 |
$1,319.30 $1,420.22 $1,527.10 $1,906.82 |
Toc - Plan #39 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Gold HMO? 706 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$444.48 $504.49 $568.05 $793.85 $1,206.33 |
$784.51 $844.52 $908.08 $1,133.88 |
$1,124.54 $1,184.55 $1,248.11 $1,473.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$888.96 $1,008.98 $1,136.10 $1,587.70 $2,412.66 |
$1,228.99 $1,349.01 $1,476.13 $1,927.73 |
$1,569.02 $1,689.04 $1,816.16 $2,267.76 |
Toc - Plan #40 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Silver HMO? 705 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$530.06 $601.62 $677.42 $946.69 $1,438.59 |
$935.56 $1,007.12 $1,082.92 $1,352.19 |
$1,341.06 $1,412.62 $1,488.42 $1,757.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,060.12 $1,203.24 $1,354.84 $1,893.38 $2,877.18 |
$1,465.62 $1,608.74 $1,760.34 $2,298.88 |
$1,871.12 $2,014.24 $2,165.84 $2,704.38 |
Toc - Plan #41 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Bronze
(HMO) Blue Advantage Bronze HMO? 704 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.19 $396.33 $446.26 $623.65 $947.70 |
$616.32 $663.46 $713.39 $890.78 |
$883.45 $930.59 $980.52 $1,157.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.38 $792.66 $892.52 $1,247.30 $1,895.40 |
$965.51 $1,059.79 $1,159.65 $1,514.43 |
$1,232.64 $1,326.92 $1,426.78 $1,781.56 |
Toc - Plan #42 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Bronze HMO? 707 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.51 $422.80 $476.07 $665.30 $1,010.99 |
$657.48 $707.77 $761.04 $950.27 |
$942.45 $992.74 $1,046.01 $1,235.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745.02 $845.60 $952.14 $1,330.60 $2,021.98 |
$1,029.99 $1,130.57 $1,237.11 $1,615.57 |
$1,314.96 $1,415.54 $1,522.08 $1,900.54 |
Toc - Plan #43 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Plus Gold? 203 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$492.83 $559.36 $629.84 $880.20 $1,337.55 |
$869.85 $936.38 $1,006.86 $1,257.22 |
$1,246.87 $1,313.40 $1,383.88 $1,634.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$985.66 $1,118.72 $1,259.68 $1,760.40 $2,675.10 |
$1,362.68 $1,495.74 $1,636.70 $2,137.42 |
$1,739.70 $1,872.76 $2,013.72 $2,514.44 |
Toc - Plan #44 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Plus Silver? 202 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$589.63 $669.23 $753.55 $1,053.08 $1,600.26 |
$1,040.70 $1,120.30 $1,204.62 $1,504.15 |
$1,491.77 $1,571.37 $1,655.69 $1,955.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,179.26 $1,338.46 $1,507.10 $2,106.16 $3,200.52 |
$1,630.33 $1,789.53 $1,958.17 $2,557.23 |
$2,081.40 $2,240.60 $2,409.24 $3,008.30 |
Toc - Plan #45 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Plus Bronze? 303 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$404.25 $458.83 $516.64 $722.00 $1,097.15 |
$713.50 $768.08 $825.89 $1,031.25 |
$1,022.75 $1,077.33 $1,135.14 $1,340.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$808.50 $917.66 $1,033.28 $1,444.00 $2,194.30 |
$1,117.75 $1,226.91 $1,342.53 $1,753.25 |
$1,427.00 $1,536.16 $1,651.78 $2,062.50 |
Toc - Plan #46 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Bronze
(HMO) Blue Advantage Plus Bronze? 305 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.46 $437.49 $492.61 $688.43 $1,046.13 |
$680.33 $732.36 $787.48 $983.30 |
$975.20 $1,027.23 $1,082.35 $1,278.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$770.92 $874.98 $985.22 $1,376.86 $2,092.26 |
$1,065.79 $1,169.85 $1,280.09 $1,671.73 |
$1,360.66 $1,464.72 $1,574.96 $1,966.60 |
Toc - Plan #47 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Plus Silver? 605 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$595.24 $675.60 $760.72 $1,063.11 $1,615.49 |
$1,050.60 $1,130.96 $1,216.08 $1,518.47 |
$1,505.96 $1,586.32 $1,671.44 $1,973.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,190.48 $1,351.20 $1,521.44 $2,126.22 $3,230.98 |
$1,645.84 $1,806.56 $1,976.80 $2,581.58 |
$2,101.20 $2,261.92 $2,432.16 $3,036.94 |
Toc - Plan #48 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Plus Gold? 706 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$490.93 $557.20 $627.40 $876.79 $1,332.37 |
$866.49 $932.76 $1,002.96 $1,252.35 |
$1,242.05 $1,308.32 $1,378.52 $1,627.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$981.86 $1,114.40 $1,254.80 $1,753.58 $2,664.74 |
$1,357.42 $1,489.96 $1,630.36 $2,129.14 |
$1,732.98 $1,865.52 $2,005.92 $2,504.70 |
Toc - Plan #49 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Plus Silver? 705 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$586.08 $665.20 $749.01 $1,046.74 $1,590.63 |
$1,034.43 $1,113.55 $1,197.36 $1,495.09 |
$1,482.78 $1,561.90 $1,645.71 $1,943.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,172.16 $1,330.40 $1,498.02 $2,093.48 $3,181.26 |
$1,620.51 $1,778.75 $1,946.37 $2,541.83 |
$2,068.86 $2,227.10 $2,394.72 $2,990.18 |
Toc - Plan #50 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Bronze
(HMO) Blue Advantage Plus Bronze? 704 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.05 $439.30 $494.64 $691.26 $1,050.44 |
$683.14 $735.39 $790.73 $987.35 |
$979.23 $1,031.48 $1,086.82 $1,283.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$774.10 $878.60 $989.28 $1,382.52 $2,100.88 |
$1,070.19 $1,174.69 $1,285.37 $1,678.61 |
$1,366.28 $1,470.78 $1,581.46 $1,974.70 |
Toc - Plan #51 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Plus Bronze? 707 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$411.97 $467.58 $526.49 $735.77 $1,118.07 |
$727.12 $782.73 $841.64 $1,050.92 |
$1,042.27 $1,097.88 $1,156.79 $1,366.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$823.94 $935.16 $1,052.98 $1,471.54 $2,236.14 |
$1,139.09 $1,250.31 $1,368.13 $1,786.69 |
$1,454.24 $1,565.46 $1,683.28 $2,101.84 |
ADVERTISEMENT
US Health and LifeLocal: 1-833-600-1311 | Toll Free: |
Toc - Plan #52 US Health and Life | ||||||||||||||||||||
Expanded Bronze
(EPO) Ascension Personalized Care Balanced Bronze 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$261.34 $296.62 $334.00 $466.76 $709.29 |
$461.27 $496.55 $533.93 $666.69 |
$661.20 $696.48 $733.86 $866.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$522.68 $593.24 $668.00 $933.52 $1,418.58 |
$722.61 $793.17 $867.93 $1,133.45 |
$922.54 $993.10 $1,067.86 $1,333.38 |
Toc - Plan #53 US Health and Life | ||||||||||||||||||||
Expanded Bronze
(EPO) Ascension Personalized Care Balanced Bronze 2 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$261.34 $296.62 $334.00 $466.76 $709.29 |
$461.27 $496.55 $533.93 $666.69 |
$661.20 $696.48 $733.86 $866.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$522.68 $593.24 $668.00 $933.52 $1,418.58 |
$722.61 $793.17 $867.93 $1,133.45 |
$922.54 $993.10 $1,067.86 $1,333.38 |
Toc - Plan #54 US Health and Life | ||||||||||||||||||||
Expanded Bronze
(EPO) Ascension Personalized Care No Deductible Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$262.94 $298.43 $336.03 $469.61 $713.61 |
$464.09 $499.58 $537.18 $670.76 |
$665.24 $700.73 $738.33 $871.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$525.88 $596.86 $672.06 $939.22 $1,427.22 |
$727.03 $798.01 $873.21 $1,140.37 |
$928.18 $999.16 $1,074.36 $1,341.52 |
Toc - Plan #55 US Health and Life | ||||||||||||||||||||
Silver
(EPO) Ascension Personalized Care Balanced Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.97 $449.43 $506.05 $707.21 $1,074.67 |
$698.89 $752.35 $808.97 $1,010.13 |
$1,001.81 $1,055.27 $1,111.89 $1,313.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$791.94 $898.86 $1,012.10 $1,414.42 $2,149.34 |
$1,094.86 $1,201.78 $1,315.02 $1,717.34 |
$1,397.78 $1,504.70 $1,617.94 $2,020.26 |
Toc - Plan #56 US Health and Life | ||||||||||||||||||||
Silver
(EPO) Ascension Personalized Care No Deductible Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.53 $454.60 $511.88 $715.34 $1,087.03 |
$706.93 $761.00 $818.28 $1,021.74 |
$1,013.33 $1,067.40 $1,124.68 $1,328.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$801.06 $909.20 $1,023.76 $1,430.68 $2,174.06 |
$1,107.46 $1,215.60 $1,330.16 $1,737.08 |
$1,413.86 $1,522.00 $1,636.56 $2,043.48 |
Toc - Plan #57 US Health and Life | ||||||||||||||||||||
Silver
(EPO) Ascension Personalized Care Low Premium Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.45 $448.83 $505.38 $706.27 $1,073.24 |
$697.97 $751.35 $807.90 $1,008.79 |
$1,000.49 $1,053.87 $1,110.42 $1,311.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790.90 $897.66 $1,010.76 $1,412.54 $2,146.48 |
$1,093.42 $1,200.18 $1,313.28 $1,715.06 |
$1,395.94 $1,502.70 $1,615.80 $2,017.58 |
Toc - Plan #58 US Health and Life | ||||||||||||||||||||
Expanded Bronze
(EPO) Ascension Personalized Care Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$260.94 $296.16 $333.48 $466.03 $708.18 |
$460.56 $495.78 $533.10 $665.65 |
$660.18 $695.40 $732.72 $865.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$521.88 $592.32 $666.96 $932.06 $1,416.36 |
$721.50 $791.94 $866.58 $1,131.68 |
$921.12 $991.56 $1,066.20 $1,331.30 |
Toc - Plan #59 US Health and Life | ||||||||||||||||||||
Silver
(EPO) Ascension Personalized Care Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.97 $449.43 $506.05 $707.21 $1,074.67 |
$698.89 $752.35 $808.97 $1,010.13 |
$1,001.81 $1,055.27 $1,111.89 $1,313.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$791.94 $898.86 $1,012.10 $1,414.42 $2,149.34 |
$1,094.86 $1,201.78 $1,315.02 $1,717.34 |
$1,397.78 $1,504.70 $1,617.94 $2,020.26 |
Toc - Plan #60 US Health and Life | ||||||||||||||||||||
Gold
(EPO) Ascension Personalized Care Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342.27 $388.47 $437.42 $611.29 $928.91 |
$604.10 $650.30 $699.25 $873.12 |
$865.93 $912.13 $961.08 $1,134.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$684.54 $776.94 $874.84 $1,222.58 $1,857.82 |
$946.37 $1,038.77 $1,136.67 $1,484.41 |
$1,208.20 $1,300.60 $1,398.50 $1,746.24 |
ADVERTISEMENT
CHRISTUS Health PlanLocal: 1-844-282-3025 | Toll Free: 1-844-282-3025 | TTY: 1-800-659-8331 |
Toc - Plan #61 CHRISTUS Health Plan | ||||||||||||||||||||
Catastrophic
(HMO) CHRISTUS Catastrophic - 3 free PCP visits, includes Virtual |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$242.48 $275.21 $309.88 $433.06 $658.08 |
$427.97 $460.70 $495.37 $618.55 |
$613.46 $646.19 $680.86 $804.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$484.96 $550.42 $619.76 $866.12 $1,316.16 |
$670.45 $735.91 $805.25 $1,051.61 |
$855.94 $921.40 $990.74 $1,237.10 |
Toc - Plan #62 CHRISTUS Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) CHRISTUS Bronze - 2 free PCP visits;Virtual;$0 PrefGen;$30 NonPrefGen |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$286.72 $325.42 $366.43 $512.08 $778.15 |
$506.06 $544.76 $585.77 $731.42 |
$725.40 $764.10 $805.11 $950.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$573.44 $650.84 $732.86 $1,024.16 $1,556.30 |
$792.78 $870.18 $952.20 $1,243.50 |
$1,012.12 $1,089.52 $1,171.54 $1,462.84 |
Toc - Plan #63 CHRISTUS Health Plan | ||||||||||||||||||||
Silver
(HMO) CHRISTUS Silver HD - 2 free PCP;Virtual;$25 PCP;$40 SPE;$40 Urgent;$0 PrefGen |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$449.95 $510.69 $575.03 $803.60 $1,221.15 |
$794.16 $854.90 $919.24 $1,147.81 |
$1,138.37 $1,199.11 $1,263.45 $1,492.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$899.90 $1,021.38 $1,150.06 $1,607.20 $2,442.30 |
$1,244.11 $1,365.59 $1,494.27 $1,951.41 |
$1,588.32 $1,709.80 $1,838.48 $2,295.62 |
Toc - Plan #64 CHRISTUS Health Plan | ||||||||||||||||||||
Silver
(HMO) CHRISTUS Silver LD - 2 free PCP visits, includes Virtual; $1,000 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$461.86 $524.21 $590.26 $824.88 $1,253.49 |
$815.18 $877.53 $943.58 $1,178.20 |
$1,168.50 $1,230.85 $1,296.90 $1,531.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$923.72 $1,048.42 $1,180.52 $1,649.76 $2,506.98 |
$1,277.04 $1,401.74 $1,533.84 $2,003.08 |
$1,630.36 $1,755.06 $1,887.16 $2,356.40 |
Toc - Plan #65 CHRISTUS Health Plan | ||||||||||||||||||||
Gold
(HMO) CHRISTUS Gold - 2 free PCP visits;$10 PCP;$35 SPE;$35 UC;$1,600 Med Ded;$0 Rx Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.59 $442.19 $497.90 $695.81 $1,057.36 |
$687.63 $740.23 $795.94 $993.85 |
$985.67 $1,038.27 $1,093.98 $1,291.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$779.18 $884.38 $995.80 $1,391.62 $2,114.72 |
$1,077.22 $1,182.42 $1,293.84 $1,689.66 |
$1,375.26 $1,480.46 $1,591.88 $1,987.70 |
Toc - Plan #66 CHRISTUS Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) CHRISTUS Bronze HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
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 |
$295.82 $335.75 $378.05 $528.33 $802.85 |
$522.12 $562.05 $604.35 $754.63 |
$748.42 $788.35 $830.65 $980.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$591.64 $671.50 $756.10 $1,056.66 $1,605.70 |
$817.94 $897.80 $982.40 $1,282.96 |
$1,044.24 $1,124.10 $1,208.70 $1,509.26 |
Toc - Plan #67 CHRISTUS Health Plan | ||||||||||||||||||||
Gold
(HMO) CHRISTUS Gold Plus HD-2 Free PCP;$10 PCP;$35 SPE;$0 Rx Ded;Adult vision,dental,fitness |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$407.29 $462.28 $520.52 $727.43 $1,105.40 |
$718.87 $773.86 $832.10 $1,039.01 |
$1,030.45 $1,085.44 $1,143.68 $1,350.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$814.58 $924.56 $1,041.04 $1,454.86 $2,210.80 |
$1,126.16 $1,236.14 $1,352.62 $1,766.44 |
$1,437.74 $1,547.72 $1,664.20 $2,078.02 |
Toc - Plan #68 CHRISTUS Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) CHRISTUS Bronze Plus-2 free PCP;$0 PrefGen;$30 Non-prefGen;Adult vision,dental,fitness |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
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 |
$304.42 $345.52 $389.05 $543.69 $826.19 |
$537.30 $578.40 $621.93 $776.57 |
$770.18 $811.28 $854.81 $1,009.45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$608.84 $691.04 $778.10 $1,087.38 $1,652.38 |
$841.72 $923.92 $1,010.98 $1,320.26 |
$1,074.60 $1,156.80 $1,243.86 $1,553.14 |
Toc - Plan #69 CHRISTUS Health Plan | ||||||||||||||||||||
Silver
(HMO) CHRISTUS Silver Plus HD-2 Free PCP;$25 PCP;$40 SPE;$0 PrefGen;Adult vision,dental,fitness |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
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 |
$467.65 $530.78 $597.65 $835.22 $1,269.19 |
$825.40 $888.53 $955.40 $1,192.97 |
$1,183.15 $1,246.28 $1,313.15 $1,550.72 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$935.30 $1,061.56 $1,195.30 $1,670.44 $2,538.38 |
$1,293.05 $1,419.31 $1,553.05 $2,028.19 |
$1,650.80 $1,777.06 $1,910.80 $2,385.94 |
Toc - Plan #70 CHRISTUS Health Plan | ||||||||||||||||||||
Silver
(HMO) CHRISTUS Silver - 2 free PCP visits, includes Virtual |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
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 |
$411.90 $467.50 $526.41 $735.65 $1,117.89 |
$727.00 $782.60 $841.51 $1,050.75 |
$1,042.10 $1,097.70 $1,156.61 $1,365.85 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$823.80 $935.00 $1,052.82 $1,471.30 $2,235.78 |
$1,138.90 $1,250.10 $1,367.92 $1,786.40 |
$1,454.00 $1,565.20 $1,683.02 $2,101.50 |
Toc - Plan #71 CHRISTUS Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) CHRISTUS Bronze - 2 free PCP visits, includes Virtual |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
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 |
$277.16 $314.58 $354.21 $495.01 $752.22 |
$489.19 $526.61 $566.24 $707.04 |
$701.22 $738.64 $778.27 $919.07 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$554.32 $629.16 $708.42 $990.02 $1,504.44 |
$766.35 $841.19 $920.45 $1,202.05 |
$978.38 $1,053.22 $1,132.48 $1,414.08 |
Toc - Plan #72 CHRISTUS Health Plan | ||||||||||||||||||||
Bronze
(HMO) CHRISTUS Standard Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
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 |
$272.04 $308.77 $347.67 $485.86 $738.32 |
$480.15 $516.88 $555.78 $693.97 |
$688.26 $724.99 $763.89 $902.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$544.08 $617.54 $695.34 $971.72 $1,476.64 |
$752.19 $825.65 $903.45 $1,179.83 |
$960.30 $1,033.76 $1,111.56 $1,387.94 |
Toc - Plan #73 CHRISTUS Health Plan | ||||||||||||||||||||
Silver
(HMO) CHRISTUS Standard Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
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 |
$422.88 $479.97 $540.44 $755.26 $1,147.69 |
$746.38 $803.47 $863.94 $1,078.76 |
$1,069.88 $1,126.97 $1,187.44 $1,402.26 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$845.76 $959.94 $1,080.88 $1,510.52 $2,295.38 |
$1,169.26 $1,283.44 $1,404.38 $1,834.02 |
$1,492.76 $1,606.94 $1,727.88 $2,157.52 |
Toc - Plan #74 CHRISTUS Health Plan | ||||||||||||||||||||
Gold
(HMO) CHRISTUS Standard Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$358.14 $406.49 $457.70 $639.64 $971.99 |
$632.12 $680.47 $731.68 $913.62 |
$906.10 $954.45 $1,005.66 $1,187.60 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.28 $812.98 $915.40 $1,279.28 $1,943.98 |
$990.26 $1,086.96 $1,189.38 $1,553.26 |
$1,264.24 $1,360.94 $1,463.36 $1,827.24 |
ADVERTISEMENT
Sendero Health Plans, Local NonprofitLocal: 1-844-800-4693 | Toll Free: 1-844-800-4693 | TTY: 1-800-855-2880 |
Toc - Plan #75 Sendero Health Plans, Local Nonprofit | ||||||||||||||||||||
Silver
(HMO) Sendero IdealCare Silver 100 / $20 PCP / $10 Gen Rx + Free Wellness & Preventive Screening + Free Dedicated Healthcare Team + No Pre-existing Condition Restrictions + Free 24/7 Virtual MD Visits |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-800-4693
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$481.09 $546.04 $614.83 $859.22 $1,305.68 |
$849.12 $914.07 $982.86 $1,227.25 |
$1,217.15 $1,282.10 $1,350.89 $1,595.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$962.18 $1,092.08 $1,229.66 $1,718.44 $2,611.36 |
$1,330.21 $1,460.11 $1,597.69 $2,086.47 |
$1,698.24 $1,828.14 $1,965.72 $2,454.50 |
Toc - Plan #76 Sendero Health Plans, Local Nonprofit | ||||||||||||||||||||
Gold
(HMO) Sendero IdealCare Gold 200 / Free Wellness & Preventive Screening + Free Dedicated Healthcare Team + Free 24/7 Virtual MD Visits + No Pre-existing Condition Restrictions |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-800-4693
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 |
$452.17 $513.21 $577.87 $807.57 $1,227.18 |
$798.08 $859.12 $923.78 $1,153.48 |
$1,143.99 $1,205.03 $1,269.69 $1,499.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$904.34 $1,026.42 $1,155.74 $1,615.14 $2,454.36 |
$1,250.25 $1,372.33 $1,501.65 $1,961.05 |
$1,596.16 $1,718.24 $1,847.56 $2,306.96 |
Toc - Plan #77 Sendero Health Plans, Local Nonprofit | ||||||||||||||||||||
Expanded Bronze
(HMO) Sendero IdealCare Bronze 300 / $25 PCP / $11 Gen Rx + Free Wellness & Preventive Screening + Free Dedicated Healthcare Team + Free 24/7 Virtual MDVisits + No Pre-existing Condition Restrictions |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-800-4693
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 |
$312.75 $354.98 $399.70 $558.58 $848.81 |
$552.01 $594.24 $638.96 $797.84 |
$791.27 $833.50 $878.22 $1,037.10 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$625.50 $709.96 $799.40 $1,117.16 $1,697.62 |
$864.76 $949.22 $1,038.66 $1,356.42 |
$1,104.02 $1,188.48 $1,277.92 $1,595.68 |
Toc - Plan #78 Sendero Health Plans, Local Nonprofit | ||||||||||||||||||||
Bronze
(HMO) Sendero IdealCare Bronze High Deductible 700 / Free Wellness & Preventive Screening + Free Dedicated Healthcare Team + Free 24/7 Virtual MD Visits + No Pre-existing Condition Restrictions |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-800-4693
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 |
$301.80 $342.55 $385.70 $539.02 $819.09 |
$532.68 $573.43 $616.58 $769.90 |
$763.56 $804.31 $847.46 $1,000.78 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$603.60 $685.10 $771.40 $1,078.04 $1,638.18 |
$834.48 $915.98 $1,002.28 $1,308.92 |
$1,065.36 $1,146.86 $1,233.16 $1,539.80 |
Toc - Plan #79 Sendero Health Plans, Local Nonprofit | ||||||||||||||||||||
Expanded Bronze
(HMO) Sendero IdealCare Bronze 800 / $25 PCP / $22 Gen Rx + Free Wellness & Preventive Screening + Free Dedicated Healthcare Team + Free 24/7 Virtual MD Visits + No Pre-existing Condition Restrictions |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-800-4693
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 |
$324.01 $367.76 $414.09 $578.69 $879.38 |
$571.88 $615.63 $661.96 $826.56 |
$819.75 $863.50 $909.83 $1,074.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$648.02 $735.52 $828.18 $1,157.38 $1,758.76 |
$895.89 $983.39 $1,076.05 $1,405.25 |
$1,143.76 $1,231.26 $1,323.92 $1,653.12 |
Toc - Plan #80 Sendero Health Plans, Local Nonprofit | ||||||||||||||||||||
Silver
(HMO) Sendero IdealCare Silver 1700 / Free Wellness & Preventive Screening + Free Dedicated Healthcare Team + No Pre-existing Condition Restrictions + Free 24/7 Virtual MD Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-800-4693
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 |
$523.51 $594.19 $669.05 $934.99 $1,420.81 |
$924.00 $994.68 $1,069.54 $1,335.48 |
$1,324.49 $1,395.17 $1,470.03 $1,735.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,047.02 $1,188.38 $1,338.10 $1,869.98 $2,841.62 |
$1,447.51 $1,588.87 $1,738.59 $2,270.47 |
$1,848.00 $1,989.36 $2,139.08 $2,670.96 |
Toc - Plan #81 Sendero Health Plans, Local Nonprofit | ||||||||||||||||||||
Gold
(HMO) Sendero IdealCare Gold 1800 / Free Wellness & Preventive Screening + Free Dedicated Healthcare Team + Free 24/7 Virtual MD Visits + No Pre-existing Condition Restrictions |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-800-4693
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 |
$434.40 $493.05 $555.17 $775.85 $1,178.97 |
$766.72 $825.37 $887.49 $1,108.17 |
$1,099.04 $1,157.69 $1,219.81 $1,440.49 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$868.80 $986.10 $1,110.34 $1,551.70 $2,357.94 |
$1,201.12 $1,318.42 $1,442.66 $1,884.02 |
$1,533.44 $1,650.74 $1,774.98 $2,216.34 |
Toc - Plan #82 Sendero Health Plans, Local Nonprofit | ||||||||||||||||||||
Bronze
(HMO) Sendero IdealCare Bronze 1900 / $11 Gen Rx + Free Wellness & Preventive Screening + Free Dedicated Healthcare Team + Free 24/7 Virtual MDVisits + No Pre-existing Condition Restrictions |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-800-4693
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 |
$289.36 $328.43 $369.81 $516.80 $785.33 |
$510.72 $549.79 $591.17 $738.16 |
$732.08 $771.15 $812.53 $959.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$578.72 $656.86 $739.62 $1,033.60 $1,570.66 |
$800.08 $878.22 $960.98 $1,254.96 |
$1,021.44 $1,099.58 $1,182.34 $1,476.32 |
Toc - Plan #83 Sendero Health Plans, Local Nonprofit | ||||||||||||||||||||
Expanded Bronze
(HMO) Sendero IdealCare Bronze 2000 / Free Wellness & Preventive Screening + Free Dedicated Healthcare Team + Free 24/7 Virtual MDVisits + No Pre-existing Condition Restrictions |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-800-4693
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 |
$333.07 $378.03 $425.66 $594.86 $903.94 |
$587.87 $632.83 $680.46 $849.66 |
$842.67 $887.63 $935.26 $1,104.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$666.14 $756.06 $851.32 $1,189.72 $1,807.88 |
$920.94 $1,010.86 $1,106.12 $1,444.52 |
$1,175.74 $1,265.66 $1,360.92 $1,699.32 |
ADVERTISEMENT
Ambetter from Superior HealthPlanLocal: 1-877-687-1196 | Toll Free: 1-877-687-1196 | TTY: 1-800-735-2989 |
Toc - Plan #84 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(HMO) Ambetter Virtual Access Silver (Virtual PCP Selection Required for $0 Virtual Visits on Ambetter's Telehealth Platform) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$497.09 $564.18 $635.27 $887.78 $1,349.07 |
$877.35 $944.44 $1,015.53 $1,268.04 |
$1,257.61 $1,324.70 $1,395.79 $1,648.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$994.18 $1,128.36 $1,270.54 $1,775.56 $2,698.14 |
$1,374.44 $1,508.62 $1,650.80 $2,155.82 |
$1,754.70 $1,888.88 $2,031.06 $2,536.08 |
Toc - Plan #85 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(HMO) Ambetter Virtual Access Gold (Virtual PCP Selection Required for $0 Virtual Visits on Ambetter's Telehealth Platform) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$467.46 $530.55 $597.40 $834.86 $1,268.65 |
$825.06 $888.15 $955.00 $1,192.46 |
$1,182.66 $1,245.75 $1,312.60 $1,550.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$934.92 $1,061.10 $1,194.80 $1,669.72 $2,537.30 |
$1,292.52 $1,418.70 $1,552.40 $2,027.32 |
$1,650.12 $1,776.30 $1,910.00 $2,384.92 |
Toc - Plan #86 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(HMO) CMS Standard Virtual Access Basic Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$513.43 $582.73 $656.15 $916.97 $1,393.42 |
$906.20 $975.50 $1,048.92 $1,309.74 |
$1,298.97 $1,368.27 $1,441.69 $1,702.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,026.86 $1,165.46 $1,312.30 $1,833.94 $2,786.84 |
$1,419.63 $1,558.23 $1,705.07 $2,226.71 |
$1,812.40 $1,951.00 $2,097.84 $2,619.48 |
Toc - Plan #87 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(HMO) CMS Standard Virtual Access Basic Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$462.99 $525.49 $591.69 $826.89 $1,256.54 |
$817.17 $879.67 $945.87 $1,181.07 |
$1,171.35 $1,233.85 $1,300.05 $1,535.25 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$925.98 $1,050.98 $1,183.38 $1,653.78 $2,513.08 |
$1,280.16 $1,405.16 $1,537.56 $2,007.96 |
$1,634.34 $1,759.34 $1,891.74 $2,362.14 |
‡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 Caldwell County here.
Caldwell County is in “Rating Area 3” of Texas.
Currently, there are 87 plans offered in Rating Area 3.