Obamacare 2023 Rates for Rich County
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Obamacare > Rates > Utah > Rich County
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Molina HealthcareLocal: 1-801-858-0400 | Toll Free: 1-888-858-3973 |
Toc - Plan #1 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-858-3973
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 |
$398.54 $553.97 $589.44 $847.69 $1,195.62 |
$714.58 $870.01 $905.48 $1,163.73 |
$1,030.62 $1,186.05 $1,221.52 $1,479.77 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$797.08 $1,107.94 $1,178.88 $1,695.38 $2,391.24 |
$1,113.12 $1,423.98 $1,494.92 $2,011.42 |
$1,429.16 $1,740.02 $1,810.96 $2,327.46 |
Toc - Plan #2 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-858-3973
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 |
$409.93 $569.80 $606.29 $871.92 $1,229.79 |
$735.01 $894.88 $931.37 $1,197.00 |
$1,060.09 $1,219.96 $1,256.45 $1,522.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$819.86 $1,139.60 $1,212.58 $1,743.84 $2,459.58 |
$1,144.94 $1,464.68 $1,537.66 $2,068.92 |
$1,470.02 $1,789.76 $1,862.74 $2,394.00 |
Toc - Plan #3 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 8 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-858-3973
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 |
$408.84 $568.29 $604.68 $869.61 $1,226.52 |
$733.05 $892.50 $928.89 $1,193.82 |
$1,057.26 $1,216.71 $1,253.10 $1,518.03 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$817.68 $1,136.58 $1,209.36 $1,739.22 $2,453.04 |
$1,141.89 $1,460.79 $1,533.57 $2,063.43 |
$1,466.10 $1,785.00 $1,857.78 $2,387.64 |
Toc - Plan #4 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 8 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-858-3973
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 |
$417.15 $579.83 $616.96 $887.27 $1,251.44 |
$747.95 $910.63 $947.76 $1,218.07 |
$1,078.75 $1,241.43 $1,278.56 $1,548.87 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$834.30 $1,159.66 $1,233.92 $1,774.54 $2,502.88 |
$1,165.10 $1,490.46 $1,564.72 $2,105.34 |
$1,495.90 $1,821.26 $1,895.52 $2,436.14 |
Toc - Plan #5 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 + Vision |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-858-3973
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 |
$403.33 $560.63 $596.53 $857.88 $1,209.99 |
$723.17 $880.47 $916.37 $1,177.72 |
$1,043.01 $1,200.31 $1,236.21 $1,497.56 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$806.66 $1,121.26 $1,193.06 $1,715.76 $2,419.98 |
$1,126.50 $1,441.10 $1,512.90 $2,035.60 |
$1,446.34 $1,760.94 $1,832.74 $2,355.44 |
Toc - Plan #6 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 + Vision |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-858-3973
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 |
$413.34 $574.55 $611.33 $879.18 $1,240.02 |
$741.12 $902.33 $939.11 $1,206.96 |
$1,068.90 $1,230.11 $1,266.89 $1,534.74 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$826.68 $1,149.10 $1,222.66 $1,758.36 $2,480.04 |
$1,154.46 $1,476.88 $1,550.44 $2,086.14 |
$1,482.24 $1,804.66 $1,878.22 $2,413.92 |
ADVERTISEMENT
Regence BlueCross BlueShield of UtahLocal: 1-888-231-8424 | Toll Free: 1-888-231-8424 |
Toc - Plan #7 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Silver
(EPO) Silver 4500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
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 |
$394.95 $548.98 $584.12 $840.06 $1,184.84 |
$708.15 $862.18 $897.32 $1,153.26 |
$1,021.35 $1,175.38 $1,210.52 $1,466.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$789.90 $1,097.96 $1,168.24 $1,680.12 $2,369.68 |
$1,103.10 $1,411.16 $1,481.44 $1,993.32 |
$1,416.30 $1,724.36 $1,794.64 $2,306.52 |
Toc - Plan #8 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Silver
(EPO) Silver 5500 Separate RX Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$397.19 $552.10 $587.45 $844.83 $1,191.57 |
$712.17 $867.08 $902.43 $1,159.81 |
$1,027.15 $1,182.06 $1,217.41 $1,474.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$794.38 $1,104.20 $1,174.90 $1,689.66 $2,383.14 |
$1,109.36 $1,419.18 $1,489.88 $2,004.64 |
$1,424.34 $1,734.16 $1,804.86 $2,319.62 |
Toc - Plan #9 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Silver
(EPO) Silver 6500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
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 |
$378.40 $525.97 $559.65 $804.85 $1,135.19 |
$678.47 $826.04 $859.72 $1,104.92 |
$978.54 $1,126.11 $1,159.79 $1,404.99 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$756.80 $1,051.94 $1,119.30 $1,609.70 $2,270.38 |
$1,056.87 $1,352.01 $1,419.37 $1,909.77 |
$1,356.94 $1,652.08 $1,719.44 $2,209.84 |
Toc - Plan #10 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Gold
(EPO) Gold 2500 With Dental and Vision Exam |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
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 |
$413.28 $574.46 $611.24 $879.05 $1,239.84 |
$741.02 $902.20 $938.98 $1,206.79 |
$1,068.76 $1,229.94 $1,266.72 $1,534.53 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$826.56 $1,148.92 $1,222.48 $1,758.10 $2,479.68 |
$1,154.30 $1,476.66 $1,550.22 $2,085.84 |
$1,482.04 $1,804.40 $1,877.96 $2,413.58 |
Toc - Plan #11 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze HSA 6750 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
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 |
$298.49 $414.90 $441.46 $634.88 $895.46 |
$535.18 $651.59 $678.15 $871.57 |
$771.87 $888.28 $914.84 $1,108.26 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$596.98 $829.80 $882.92 $1,269.76 $1,790.92 |
$833.67 $1,066.49 $1,119.61 $1,506.45 |
$1,070.36 $1,303.18 $1,356.30 $1,743.14 |
Toc - Plan #12 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Essential 8500 With 4 Copay No Deductible Office Visits |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
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 |
$280.14 $389.39 $414.32 $595.85 $840.42 |
$502.29 $611.54 $636.47 $818.00 |
$724.44 $833.69 $858.62 $1,040.15 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$560.28 $778.78 $828.64 $1,191.70 $1,680.84 |
$782.43 $1,000.93 $1,050.79 $1,413.85 |
$1,004.58 $1,223.08 $1,272.94 $1,636.00 |
Toc - Plan #13 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 8000 Separate RX Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
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 |
$296.57 $412.23 $438.62 $630.79 $889.70 |
$531.75 $647.41 $673.80 $865.97 |
$766.93 $882.59 $908.98 $1,101.15 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$593.14 $824.46 $877.24 $1,261.58 $1,779.40 |
$828.32 $1,059.64 $1,112.42 $1,496.76 |
$1,063.50 $1,294.82 $1,347.60 $1,731.94 |
Toc - Plan #14 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Gold
(EPO) Regence Standard Gold Plan |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
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 |
$424.96 $590.69 $628.51 $903.88 $1,274.87 |
$761.96 $927.69 $965.51 $1,240.88 |
$1,098.96 $1,264.69 $1,302.51 $1,577.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$849.92 $1,181.38 $1,257.02 $1,807.76 $2,549.74 |
$1,186.92 $1,518.38 $1,594.02 $2,144.76 |
$1,523.92 $1,855.38 $1,931.02 $2,481.76 |
Toc - Plan #15 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Silver
(EPO) Regence Standard Silver Plan |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
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 |
$385.19 $535.42 $569.70 $819.30 $1,155.57 |
$690.65 $840.88 $875.16 $1,124.76 |
$996.11 $1,146.34 $1,180.62 $1,430.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$770.38 $1,070.84 $1,139.40 $1,638.60 $2,311.14 |
$1,075.84 $1,376.30 $1,444.86 $1,944.06 |
$1,381.30 $1,681.76 $1,750.32 $2,249.52 |
Toc - Plan #16 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Expanded Bronze
(EPO) Regence Standard Expanded Bronze Plan |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
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 |
$293.42 $407.85 $433.97 $624.10 $880.25 |
$526.10 $640.53 $666.65 $856.78 |
$758.78 $873.21 $899.33 $1,089.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$586.84 $815.70 $867.94 $1,248.20 $1,760.50 |
$819.52 $1,048.38 $1,100.62 $1,480.88 |
$1,052.20 $1,281.06 $1,333.30 $1,713.56 |
ADVERTISEMENT
BridgeSpan Health CompanyLocal: 1-855-857-9944 | Toll Free: 1-855-857-9944 | TTY: 1-800-735-2900 |
Toc - Plan #17 BridgeSpan Health Company | ||||||||||||||||||||
Gold
(HMO) BridgeSpan Standard Gold Plan |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-857-9944
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 |
$434.38 $603.79 $642.46 $923.93 $1,303.14 |
$778.85 $948.26 $986.93 $1,268.40 |
$1,123.32 $1,292.73 $1,331.40 $1,612.87 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$868.76 $1,207.58 $1,284.92 $1,847.86 $2,606.28 |
$1,213.23 $1,552.05 $1,629.39 $2,192.33 |
$1,557.70 $1,896.52 $1,973.86 $2,536.80 |
Toc - Plan #18 BridgeSpan Health Company | ||||||||||||||||||||
Silver
(HMO) BridgeSpan Standard Silver Plan |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-857-9944
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$393.82 $547.41 $582.45 $837.65 $1,181.45 |
$706.11 $859.70 $894.74 $1,149.94 |
$1,018.40 $1,171.99 $1,207.03 $1,462.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$787.64 $1,094.82 $1,164.90 $1,675.30 $2,362.90 |
$1,099.93 $1,407.11 $1,477.19 $1,987.59 |
$1,412.22 $1,719.40 $1,789.48 $2,299.88 |
Toc - Plan #19 BridgeSpan Health Company | ||||||||||||||||||||
Expanded Bronze
(HMO) BridgeSpan Standard Expanded Bronze Plan |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-857-9944
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 |
$300.43 $417.59 $444.33 $639.00 $901.28 |
$538.67 $655.83 $682.57 $877.24 |
$776.91 $894.07 $920.81 $1,115.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$600.86 $835.18 $888.66 $1,278.00 $1,802.56 |
$839.10 $1,073.42 $1,126.90 $1,516.24 |
$1,077.34 $1,311.66 $1,365.14 $1,754.48 |
Toc - Plan #20 BridgeSpan Health Company | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Virtual Saver 8500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-857-9944
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 |
$278.33 $386.89 $411.66 $592.01 $834.99 |
$499.05 $607.61 $632.38 $812.73 |
$719.77 $828.33 $853.10 $1,033.45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$556.66 $773.78 $823.32 $1,184.02 $1,669.98 |
$777.38 $994.50 $1,044.04 $1,404.74 |
$998.10 $1,215.22 $1,264.76 $1,625.46 |
ADVERTISEMENT
SelectHealthLocal: 1-801-442-5038 | Toll Free: 1-800-538-5038 |
Toc - Plan #21 SelectHealth | ||||||||||||||||||||
Silver
(HMO) Med Silver 3000 - no deductible for office visits |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
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 |
$365.11 $507.51 $540.00 $776.59 $1,095.33 |
$654.64 $797.04 $829.53 $1,066.12 |
$944.17 $1,086.57 $1,119.06 $1,355.65 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$730.22 $1,015.02 $1,080.00 $1,553.18 $2,190.66 |
$1,019.75 $1,304.55 $1,369.53 $1,842.71 |
$1,309.28 $1,594.08 $1,659.06 $2,132.24 |
Toc - Plan #22 SelectHealth | ||||||||||||||||||||
Gold
(HMO) Med Gold 1500 - no deductible for office visits |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
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 |
$455.69 $633.41 $673.97 $969.26 $1,367.07 |
$817.06 $994.78 $1,035.34 $1,330.63 |
$1,178.43 $1,356.15 $1,396.71 $1,692.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$911.38 $1,266.82 $1,347.94 $1,938.52 $2,734.14 |
$1,272.75 $1,628.19 $1,709.31 $2,299.89 |
$1,634.12 $1,989.56 $2,070.68 $2,661.26 |
Toc - Plan #23 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Med Expanded Bronze 6900 - no deductible for office visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$272.21 $378.37 $402.60 $578.99 $816.63 |
$488.07 $594.23 $618.46 $794.85 |
$703.93 $810.09 $834.32 $1,010.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$544.42 $756.74 $805.20 $1,157.98 $1,633.26 |
$760.28 $972.60 $1,021.06 $1,373.84 |
$976.14 $1,188.46 $1,236.92 $1,589.70 |
Toc - Plan #24 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Med Expanded Bronze 7500 HSA Qualified |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$276.85 $384.83 $409.47 $588.87 $830.55 |
$496.39 $604.37 $629.01 $808.41 |
$715.93 $823.91 $848.55 $1,027.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$553.70 $769.66 $818.94 $1,177.74 $1,661.10 |
$773.24 $989.20 $1,038.48 $1,397.28 |
$992.78 $1,208.74 $1,258.02 $1,616.82 |
Toc - Plan #25 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Med Expanded Bronze 5900 Copay Plan - no deductible for all office visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294.97 $410.01 $436.26 $627.40 $884.91 |
$528.88 $643.92 $670.17 $861.31 |
$762.79 $877.83 $904.08 $1,095.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$589.94 $820.02 $872.52 $1,254.80 $1,769.82 |
$823.85 $1,053.93 $1,106.43 $1,488.71 |
$1,057.76 $1,287.84 $1,340.34 $1,722.62 |
Toc - Plan #26 SelectHealth | ||||||||||||||||||||
Silver
(HMO) Med Silver 6500 - Diabetes Support Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.13 $543.66 $578.47 $831.92 $1,173.38 |
$701.29 $853.82 $888.63 $1,142.08 |
$1,011.45 $1,163.98 $1,198.79 $1,452.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$782.26 $1,087.32 $1,156.94 $1,663.84 $2,346.76 |
$1,092.42 $1,397.48 $1,467.10 $1,974.00 |
$1,402.58 $1,707.64 $1,777.26 $2,284.16 |
Toc - Plan #27 SelectHealth | ||||||||||||||||||||
Bronze
(HMO) Med Benchmark Bronze 9100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$254.55 $353.83 $376.48 $541.43 $763.65 |
$456.41 $555.69 $578.34 $743.29 |
$658.27 $757.55 $780.20 $945.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$509.10 $707.66 $752.96 $1,082.86 $1,527.30 |
$710.96 $909.52 $954.82 $1,284.72 |
$912.82 $1,111.38 $1,156.68 $1,486.58 |
Toc - Plan #28 SelectHealth | ||||||||||||||||||||
Silver
(HMO) Med Benchmark Silver 6300 - no deductible for office visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.03 $490.72 $522.14 $750.91 $1,059.09 |
$632.99 $770.68 $802.10 $1,030.87 |
$912.95 $1,050.64 $1,082.06 $1,310.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.06 $981.44 $1,044.28 $1,501.82 $2,118.18 |
$986.02 $1,261.40 $1,324.24 $1,781.78 |
$1,265.98 $1,541.36 $1,604.20 $2,061.74 |
Toc - Plan #29 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Med Benchmark Expanded Bronze 0 Copay Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$283.32 $393.82 $419.03 $602.63 $849.96 |
$507.99 $618.49 $643.70 $827.30 |
$732.66 $843.16 $868.37 $1,051.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$566.64 $787.64 $838.06 $1,205.26 $1,699.92 |
$791.31 $1,012.31 $1,062.73 $1,429.93 |
$1,015.98 $1,236.98 $1,287.40 $1,654.60 |
Toc - Plan #30 SelectHealth | ||||||||||||||||||||
Silver
(HMO) Med Benchmark Silver 0 Copay Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.46 $537.18 $571.58 $822.00 $1,159.38 |
$692.92 $843.64 $878.04 $1,128.46 |
$999.38 $1,150.10 $1,184.50 $1,434.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$772.92 $1,074.36 $1,143.16 $1,644.00 $2,318.76 |
$1,079.38 $1,380.82 $1,449.62 $1,950.46 |
$1,385.84 $1,687.28 $1,756.08 $2,256.92 |
Toc - Plan #31 SelectHealth | ||||||||||||||||||||
Gold
(HMO) Med Benchmark Gold Standardized Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$482.59 $670.80 $713.76 $1,026.48 $1,447.77 |
$865.29 $1,053.50 $1,096.46 $1,409.18 |
$1,247.99 $1,436.20 $1,479.16 $1,791.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$965.18 $1,341.60 $1,427.52 $2,052.96 $2,895.54 |
$1,347.88 $1,724.30 $1,810.22 $2,435.66 |
$1,730.58 $2,107.00 $2,192.92 $2,818.36 |
Toc - Plan #32 SelectHealth | ||||||||||||||||||||
Silver
(HMO) Med Benchmark Silver Standardized Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.39 $556.54 $592.17 $851.62 $1,201.16 |
$717.90 $874.05 $909.68 $1,169.13 |
$1,035.41 $1,191.56 $1,227.19 $1,486.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$800.78 $1,113.08 $1,184.34 $1,703.24 $2,402.32 |
$1,118.29 $1,430.59 $1,501.85 $2,020.75 |
$1,435.80 $1,748.10 $1,819.36 $2,338.26 |
Toc - Plan #33 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Med Benchmark Expanded Bronze Standardized Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.87 $420.99 $447.95 $644.21 $908.61 |
$543.05 $661.17 $688.13 $884.39 |
$783.23 $901.35 $928.31 $1,124.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$605.74 $841.98 $895.90 $1,288.42 $1,817.22 |
$845.92 $1,082.16 $1,136.08 $1,528.60 |
$1,086.10 $1,322.34 $1,376.26 $1,768.78 |
Toc - Plan #34 SelectHealth | ||||||||||||||||||||
Gold
(HMO) Med Benchmark Gold 0 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$460.32 $639.85 $680.82 $979.11 $1,380.96 |
$825.36 $1,004.89 $1,045.86 $1,344.15 |
$1,190.40 $1,369.93 $1,410.90 $1,709.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$920.64 $1,279.70 $1,361.64 $1,958.22 $2,761.92 |
$1,285.68 $1,644.74 $1,726.68 $2,323.26 |
$1,650.72 $2,009.78 $2,091.72 $2,688.30 |
Toc - Plan #35 SelectHealth | ||||||||||||||||||||
Platinum
(HMO) Med Benchmark Platinum 0 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$545.34 $758.03 $806.56 $1,159.95 $1,636.02 |
$977.80 $1,190.49 $1,239.02 $1,592.41 |
$1,410.26 $1,622.95 $1,671.48 $2,024.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,090.68 $1,516.06 $1,613.12 $2,319.90 $3,272.04 |
$1,523.14 $1,948.52 $2,045.58 $2,752.36 |
$1,955.60 $2,380.98 $2,478.04 $3,184.82 |
Toc - Plan #36 SelectHealth | ||||||||||||||||||||
Platinum
(HMO) Med Benchmark Platinum Standardized Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$578.77 $804.49 $856.00 $1,231.05 $1,736.31 |
$1,037.74 $1,263.46 $1,314.97 $1,690.02 |
$1,496.71 $1,722.43 $1,773.94 $2,148.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,157.54 $1,608.98 $1,712.00 $2,462.10 $3,472.62 |
$1,616.51 $2,067.95 $2,170.97 $2,921.07 |
$2,075.48 $2,526.92 $2,629.94 $3,380.04 |
‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Rich County here.
Rich County is in “Rating Area 1” of Utah.
Currently, there are 36 plans offered in Rating Area 1.