Obamacare 2024 Rates for Starke County, Indiana
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Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Bass Lake, IN.
The health insurance rates listed below are for calendar year 2024.
For information on subsidies to make your coverage affordable, you must take one of the following actions:
- Contact a licensed health insurance agent
- Complete an application at Healthcare.gov
- Contact the provider directly
Obamacare Providers, 61 Plans and 2024 Rates for Starke County, Indiana
Below, you’ll find a summary of the 61 plans for Starke County, Indiana and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.
Obamacare Rates and Providers for Other Years
2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
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Anthem Blue Cross and Blue ShieldLocal: 1-855-886-6152 | Toll Free: 1-855-886-6152 |
Toc - Plan #1 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway Essentials 9450 ($0 Virtual PCP + $0 Virtual Chat + $0 Select Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-886-6152
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 |
$259.07 $294.04 $331.09 $462.70 $703.12 |
$457.26 $492.23 $529.28 $660.89 |
$655.45 $690.42 $727.47 $859.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$518.14 $588.08 $662.18 $925.40 $1,406.24 |
$716.33 $786.27 $860.37 $1,123.59 |
$914.52 $984.46 $1,058.56 $1,321.78 |
Toc - Plan #2 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway Essentials 4500 (3 $0 PCP Visits + $0 Virtual PCP + $0 Select Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-886-6152
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 |
$275.36 $312.53 $351.91 $491.79 $747.33 |
$486.01 $523.18 $562.56 $702.44 |
$696.66 $733.83 $773.21 $913.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$550.72 $625.06 $703.82 $983.58 $1,494.66 |
$761.37 $835.71 $914.47 $1,194.23 |
$972.02 $1,046.36 $1,125.12 $1,404.88 |
Toc - Plan #3 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway Essentials 5500 ($0 Virtual PCP + $0 Virtual Chat + $0 Select Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-886-6152
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 |
$269.16 $305.50 $343.99 $480.72 $730.50 |
$475.07 $511.41 $549.90 $686.63 |
$680.98 $717.32 $755.81 $892.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$538.32 $611.00 $687.98 $961.44 $1,461.00 |
$744.23 $816.91 $893.89 $1,167.35 |
$950.14 $1,022.82 $1,099.80 $1,373.26 |
Toc - Plan #4 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway Essentials 7200 ($0 Virtual PCP + $0 Virtual Chat + $0 Select Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-886-6152
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 |
$309.11 $350.84 $395.04 $552.07 $838.92 |
$545.58 $587.31 $631.51 $788.54 |
$782.05 $823.78 $867.98 $1,025.01 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$618.22 $701.68 $790.08 $1,104.14 $1,677.84 |
$854.69 $938.15 $1,026.55 $1,340.61 |
$1,091.16 $1,174.62 $1,263.02 $1,577.08 |
Toc - Plan #5 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Gold
(HMO) Anthem Gold Pathway Essentials 2700 ($0 Virtual PCP + $0 Virtual Chat + $0 Select Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-886-6152
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 |
$461.93 $524.29 $590.35 $825.01 $1,253.68 |
$815.31 $877.67 $943.73 $1,178.39 |
$1,168.69 $1,231.05 $1,297.11 $1,531.77 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$923.86 $1,048.58 $1,180.70 $1,650.02 $2,507.36 |
$1,277.24 $1,401.96 $1,534.08 $2,003.40 |
$1,630.62 $1,755.34 $1,887.46 $2,356.78 |
Toc - Plan #6 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway Essentials 6500 HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-886-6152
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 |
$286.41 $325.08 $366.03 $511.53 $777.32 |
$505.51 $544.18 $585.13 $730.63 |
$724.61 $763.28 $804.23 $949.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$572.82 $650.16 $732.06 $1,023.06 $1,554.64 |
$791.92 $869.26 $951.16 $1,242.16 |
$1,011.02 $1,088.36 $1,170.26 $1,461.26 |
Toc - Plan #7 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway Essentials 3000 ($0 Virtual PCP + $0 Virtual Chat + $0 Select Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-886-6152
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$328.70 $373.07 $420.08 $587.06 $892.09 |
$580.16 $624.53 $671.54 $838.52 |
$831.62 $875.99 $923.00 $1,089.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$657.40 $746.14 $840.16 $1,174.12 $1,784.18 |
$908.86 $997.60 $1,091.62 $1,425.58 |
$1,160.32 $1,249.06 $1,343.08 $1,677.04 |
Toc - Plan #8 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway Essentials 5000 ($0 Virtual PCP + $0 Virtual Chat + $0 Select Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-886-6152
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 |
$324.86 $368.72 $415.17 $580.20 $881.67 |
$573.38 $617.24 $663.69 $828.72 |
$821.90 $865.76 $912.21 $1,077.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$649.72 $737.44 $830.34 $1,160.40 $1,763.34 |
$898.24 $985.96 $1,078.86 $1,408.92 |
$1,146.76 $1,234.48 $1,327.38 $1,657.44 |
Toc - Plan #9 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway Essentials 4000 HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-886-6152
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 |
$344.75 $391.29 $440.59 $615.72 $935.65 |
$608.48 $655.02 $704.32 $879.45 |
$872.21 $918.75 $968.05 $1,143.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$689.50 $782.58 $881.18 $1,231.44 $1,871.30 |
$953.23 $1,046.31 $1,144.91 $1,495.17 |
$1,216.96 $1,310.04 $1,408.64 $1,758.90 |
Toc - Plan #10 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway Essentials 7500 Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-886-6152
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 |
$275.12 $312.26 $351.60 $491.36 $746.68 |
$485.59 $522.73 $562.07 $701.83 |
$696.06 $733.20 $772.54 $912.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$550.24 $624.52 $703.20 $982.72 $1,493.36 |
$760.71 $834.99 $913.67 $1,193.19 |
$971.18 $1,045.46 $1,124.14 $1,403.66 |
Toc - Plan #11 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway Essentials 5900 Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-886-6152
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 |
$317.29 $360.12 $405.50 $566.68 $861.13 |
$560.02 $602.85 $648.23 $809.41 |
$802.75 $845.58 $890.96 $1,052.14 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$634.58 $720.24 $811.00 $1,133.36 $1,722.26 |
$877.31 $962.97 $1,053.73 $1,376.09 |
$1,120.04 $1,205.70 $1,296.46 $1,618.82 |
Toc - Plan #12 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Gold
(HMO) Anthem Gold Pathway Essentials 1500 Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-886-6152
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 |
$483.67 $548.97 $618.13 $863.83 $1,312.68 |
$853.68 $918.98 $988.14 $1,233.84 |
$1,223.69 $1,288.99 $1,358.15 $1,603.85 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$967.34 $1,097.94 $1,236.26 $1,727.66 $2,625.36 |
$1,337.35 $1,467.95 $1,606.27 $2,097.67 |
$1,707.36 $1,837.96 $1,976.28 $2,467.68 |
Toc - Plan #13 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(POS) Anthem Bronze Pathway Essentials POS 5000 ($0 Virtual PCP + $0 Virtual Chat + $0 Select Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-886-6152
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 |
$272.84 $309.67 $348.69 $487.29 $740.49 |
$481.56 $518.39 $557.41 $696.01 |
$690.28 $727.11 $766.13 $904.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$545.68 $619.34 $697.38 $974.58 $1,480.98 |
$754.40 $828.06 $906.10 $1,183.30 |
$963.12 $1,036.78 $1,114.82 $1,392.02 |
Toc - Plan #14 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(POS) Anthem Bronze Pathway Essentials POS 7500 Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-886-6152
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 |
$275.12 $312.26 $351.60 $491.36 $746.68 |
$485.59 $522.73 $562.07 $701.83 |
$696.06 $733.20 $772.54 $912.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$550.24 $624.52 $703.20 $982.72 $1,493.36 |
$760.71 $834.99 $913.67 $1,193.19 |
$971.18 $1,045.46 $1,124.14 $1,403.66 |
ADVERTISEMENT
CareSourceLocal: 1-833-230-2099 | Toll Free: 1-833-230-2099 | TTY: 1-800-743-3333 |
Toc - Plan #15 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace HSA Eligible Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$332.78 $377.71 $425.29 $594.35 $903.17 |
$587.36 $632.29 $679.87 $848.93 |
$841.94 $886.87 $934.45 $1,103.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$665.56 $755.42 $850.58 $1,188.70 $1,806.34 |
$920.14 $1,010.00 $1,105.16 $1,443.28 |
$1,174.72 $1,264.58 $1,359.74 $1,697.86 |
Toc - Plan #16 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Low Premium Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$351.18 $398.59 $448.81 $627.21 $953.10 |
$619.83 $667.24 $717.46 $895.86 |
$888.48 $935.89 $986.11 $1,164.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$702.36 $797.18 $897.62 $1,254.42 $1,906.20 |
$971.01 $1,065.83 $1,166.27 $1,523.07 |
$1,239.66 $1,334.48 $1,434.92 $1,791.72 |
Toc - Plan #17 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$563.47 $639.54 $720.12 $1,006.36 $1,529.26 |
$994.52 $1,070.59 $1,151.17 $1,437.41 |
$1,425.57 $1,501.64 $1,582.22 $1,868.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,126.94 $1,279.08 $1,440.24 $2,012.72 $3,058.52 |
$1,557.99 $1,710.13 $1,871.29 $2,443.77 |
$1,989.04 $2,141.18 $2,302.34 $2,874.82 |
Toc - Plan #18 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$347.07 $393.92 $443.55 $619.86 $941.94 |
$612.58 $659.43 $709.06 $885.37 |
$878.09 $924.94 $974.57 $1,150.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$694.14 $787.84 $887.10 $1,239.72 $1,883.88 |
$959.65 $1,053.35 $1,152.61 $1,505.23 |
$1,225.16 $1,318.86 $1,418.12 $1,770.74 |
Toc - Plan #19 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace Bronze First |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$302.65 $343.51 $386.78 $540.53 $821.39 |
$534.18 $575.04 $618.31 $772.06 |
$765.71 $806.57 $849.84 $1,003.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$605.30 $687.02 $773.56 $1,081.06 $1,642.78 |
$836.83 $918.55 $1,005.09 $1,312.59 |
$1,068.36 $1,150.08 $1,236.62 $1,544.12 |
Toc - Plan #20 CareSource | ||||||||||||||||||||
Bronze
(HMO) CareSource Marketplace Low Premium Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$296.49 $336.52 $378.92 $529.53 $804.68 |
$523.31 $563.34 $605.74 $756.35 |
$750.13 $790.16 $832.56 $983.17 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$592.98 $673.04 $757.84 $1,059.06 $1,609.36 |
$819.80 $899.86 $984.66 $1,285.88 |
$1,046.62 $1,126.68 $1,211.48 $1,512.70 |
Toc - Plan #21 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Essential Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$377.62 $428.59 $482.59 $674.42 $1,024.84 |
$666.49 $717.46 $771.46 $963.29 |
$955.36 $1,006.33 $1,060.33 $1,252.16 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$755.24 $857.18 $965.18 $1,348.84 $2,049.68 |
$1,044.11 $1,146.05 $1,254.05 $1,637.71 |
$1,332.98 $1,434.92 $1,542.92 $1,926.58 |
Toc - Plan #22 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Core Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$529.58 $601.07 $676.80 $945.83 $1,437.27 |
$934.71 $1,006.20 $1,081.93 $1,350.96 |
$1,339.84 $1,411.33 $1,487.06 $1,756.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,059.16 $1,202.14 $1,353.60 $1,891.66 $2,874.54 |
$1,464.29 $1,607.27 $1,758.73 $2,296.79 |
$1,869.42 $2,012.40 $2,163.86 $2,701.92 |
Toc - Plan #23 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Diabetes Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.35 $415.80 $468.19 $654.29 $994.26 |
$646.60 $696.05 $748.44 $934.54 |
$926.85 $976.30 $1,028.69 $1,214.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$732.70 $831.60 $936.38 $1,308.58 $1,988.52 |
$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 #24 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Diabetes Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$580.96 $659.39 $742.47 $1,037.59 $1,576.72 |
$1,025.39 $1,103.82 $1,186.90 $1,482.02 |
$1,469.82 $1,548.25 $1,631.33 $1,926.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,161.92 $1,318.78 $1,484.94 $2,075.18 $3,153.44 |
$1,606.35 $1,763.21 $1,929.37 $2,519.61 |
$2,050.78 $2,207.64 $2,373.80 $2,964.04 |
Toc - Plan #25 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Core Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.74 $404.90 $455.91 $637.13 $968.18 |
$629.64 $677.80 $728.81 $910.03 |
$902.54 $950.70 $1,001.71 $1,182.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$713.48 $809.80 $911.82 $1,274.26 $1,936.36 |
$986.38 $1,082.70 $1,184.72 $1,547.16 |
$1,259.28 $1,355.60 $1,457.62 $1,820.06 |
Toc - Plan #26 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Low Premium Silver Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.49 $405.75 $456.87 $638.48 $970.23 |
$630.97 $679.23 $730.35 $911.96 |
$904.45 $952.71 $1,003.83 $1,185.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.98 $811.50 $913.74 $1,276.96 $1,940.46 |
$988.46 $1,084.98 $1,187.22 $1,550.44 |
$1,261.94 $1,358.46 $1,460.70 $1,823.92 |
Toc - Plan #27 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Gold Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$571.35 $648.47 $730.18 $1,020.42 $1,550.62 |
$1,008.43 $1,085.55 $1,167.26 $1,457.50 |
$1,445.51 $1,522.63 $1,604.34 $1,894.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,142.70 $1,296.94 $1,460.36 $2,040.84 $3,101.24 |
$1,579.78 $1,734.02 $1,897.44 $2,477.92 |
$2,016.86 $2,171.10 $2,334.52 $2,915.00 |
Toc - Plan #28 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Silver Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.38 $401.09 $451.62 $631.13 $959.07 |
$623.71 $671.42 $721.95 $901.46 |
$894.04 $941.75 $992.28 $1,171.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.76 $802.18 $903.24 $1,262.26 $1,918.14 |
$977.09 $1,072.51 $1,173.57 $1,532.59 |
$1,247.42 $1,342.84 $1,443.90 $1,802.92 |
Toc - Plan #29 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace Bronze First Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$308.55 $350.20 $394.32 $551.06 $837.40 |
$544.59 $586.24 $630.36 $787.10 |
$780.63 $822.28 $866.40 $1,023.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$617.10 $700.40 $788.64 $1,102.12 $1,674.80 |
$853.14 $936.44 $1,024.68 $1,338.16 |
$1,089.18 $1,172.48 $1,260.72 $1,574.20 |
Toc - Plan #30 CareSource | ||||||||||||||||||||
Bronze
(HMO) CareSource Marketplace Low Premium Bronze Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.09 $342.87 $386.07 $539.53 $819.87 |
$533.19 $573.97 $617.17 $770.63 |
$764.29 $805.07 $848.27 $1,001.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$604.18 $685.74 $772.14 $1,079.06 $1,639.74 |
$835.28 $916.84 $1,003.24 $1,310.16 |
$1,066.38 $1,147.94 $1,234.34 $1,541.26 |
Toc - Plan #31 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Essential Silver Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.74 $435.54 $490.42 $685.36 $1,041.47 |
$677.30 $729.10 $783.98 $978.92 |
$970.86 $1,022.66 $1,077.54 $1,272.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.48 $871.08 $980.84 $1,370.72 $2,082.94 |
$1,061.04 $1,164.64 $1,274.40 $1,664.28 |
$1,354.60 $1,458.20 $1,567.96 $1,957.84 |
Toc - Plan #32 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Core Gold Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$537.44 $609.99 $686.85 $959.87 $1,458.61 |
$948.58 $1,021.13 $1,097.99 $1,371.01 |
$1,359.72 $1,432.27 $1,509.13 $1,782.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,074.88 $1,219.98 $1,373.70 $1,919.74 $2,917.22 |
$1,486.02 $1,631.12 $1,784.84 $2,330.88 |
$1,897.16 $2,042.26 $2,195.98 $2,742.02 |
Toc - Plan #33 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Diabetes Silver Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.65 $422.95 $476.24 $665.54 $1,011.36 |
$657.72 $708.02 $761.31 $950.61 |
$942.79 $993.09 $1,046.38 $1,235.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745.30 $845.90 $952.48 $1,331.08 $2,022.72 |
$1,030.37 $1,130.97 $1,237.55 $1,616.15 |
$1,315.44 $1,416.04 $1,522.62 $1,901.22 |
Toc - Plan #34 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Diabetes Gold Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$588.82 $668.31 $752.51 $1,051.63 $1,598.06 |
$1,039.27 $1,118.76 $1,202.96 $1,502.08 |
$1,489.72 $1,569.21 $1,653.41 $1,952.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,177.64 $1,336.62 $1,505.02 $2,103.26 $3,196.12 |
$1,628.09 $1,787.07 $1,955.47 $2,553.71 |
$2,078.54 $2,237.52 $2,405.92 $3,004.16 |
Toc - Plan #35 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Core Silver Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.05 $412.06 $463.98 $648.40 $985.31 |
$640.78 $689.79 $741.71 $926.13 |
$918.51 $967.52 $1,019.44 $1,203.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$726.10 $824.12 $927.96 $1,296.80 $1,970.62 |
$1,003.83 $1,101.85 $1,205.69 $1,574.53 |
$1,281.56 $1,379.58 $1,483.42 $1,852.26 |
ADVERTISEMENT
Ambetter from MHSLocal: 1-877-687-1182 | Toll Free: 1-877-687-1182 | TTY: 1-800-743-3333 |
Toc - Plan #36 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Complete Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344.16 $390.61 $439.82 $614.65 $934.01 |
$607.43 $653.88 $703.09 $877.92 |
$870.70 $917.15 $966.36 $1,141.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$688.32 $781.22 $879.64 $1,229.30 $1,868.02 |
$951.59 $1,044.49 $1,142.91 $1,492.57 |
$1,214.86 $1,307.76 $1,406.18 $1,755.84 |
Toc - Plan #37 Ambetter from MHS | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$423.56 $480.73 $541.30 $756.47 $1,149.53 |
$747.58 $804.75 $865.32 $1,080.49 |
$1,071.60 $1,128.77 $1,189.34 $1,404.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$847.12 $961.46 $1,082.60 $1,512.94 $2,299.06 |
$1,171.14 $1,285.48 $1,406.62 $1,836.96 |
$1,495.16 $1,609.50 $1,730.64 $2,160.98 |
Toc - Plan #38 Ambetter from MHS | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.88 $412.99 $465.02 $649.86 $987.53 |
$642.24 $691.35 $743.38 $928.22 |
$920.60 $969.71 $1,021.74 $1,206.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$727.76 $825.98 $930.04 $1,299.72 $1,975.06 |
$1,006.12 $1,104.34 $1,208.40 $1,578.08 |
$1,284.48 $1,382.70 $1,486.76 $1,856.44 |
Toc - Plan #39 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Premier Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340.19 $386.11 $434.75 $607.57 $923.26 |
$600.43 $646.35 $694.99 $867.81 |
$860.67 $906.59 $955.23 $1,128.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$680.38 $772.22 $869.50 $1,215.14 $1,846.52 |
$940.62 $1,032.46 $1,129.74 $1,475.38 |
$1,200.86 $1,292.70 $1,389.98 $1,735.62 |
Toc - Plan #40 Ambetter from MHS | ||||||||||||||||||||
Gold
(EPO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$461.60 $523.91 $589.92 $824.41 $1,252.76 |
$814.72 $877.03 $943.04 $1,177.53 |
$1,167.84 $1,230.15 $1,296.16 $1,530.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$923.20 $1,047.82 $1,179.84 $1,648.82 $2,505.52 |
$1,276.32 $1,400.94 $1,532.96 $2,001.94 |
$1,629.44 $1,754.06 $1,886.08 $2,355.06 |
Toc - Plan #41 Ambetter from MHS | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327.14 $371.29 $418.07 $584.25 $887.82 |
$577.39 $621.54 $668.32 $834.50 |
$827.64 $871.79 $918.57 $1,084.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$654.28 $742.58 $836.14 $1,168.50 $1,775.64 |
$904.53 $992.83 $1,086.39 $1,418.75 |
$1,154.78 $1,243.08 $1,336.64 $1,669.00 |
Toc - Plan #42 Ambetter from MHS | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.74 $361.76 $407.34 $569.25 $865.04 |
$562.57 $605.59 $651.17 $813.08 |
$806.40 $849.42 $895.00 $1,056.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$637.48 $723.52 $814.68 $1,138.50 $1,730.08 |
$881.31 $967.35 $1,058.51 $1,382.33 |
$1,125.14 $1,211.18 $1,302.34 $1,626.16 |
Toc - Plan #43 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.83 $380.02 $427.90 $597.99 $908.70 |
$590.97 $636.16 $684.04 $854.13 |
$847.11 $892.30 $940.18 $1,110.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$669.66 $760.04 $855.80 $1,195.98 $1,817.40 |
$925.80 $1,016.18 $1,111.94 $1,452.12 |
$1,181.94 $1,272.32 $1,368.08 $1,708.26 |
Toc - Plan #44 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339.29 $385.09 $433.60 $605.96 $920.81 |
$598.84 $644.64 $693.15 $865.51 |
$858.39 $904.19 $952.70 $1,125.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$678.58 $770.18 $867.20 $1,211.92 $1,841.62 |
$938.13 $1,029.73 $1,126.75 $1,471.47 |
$1,197.68 $1,289.28 $1,386.30 $1,731.02 |
Toc - Plan #45 Ambetter from MHS | ||||||||||||||||||||
Gold
(EPO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406.01 $460.81 $518.87 $725.12 $1,101.89 |
$716.60 $771.40 $829.46 $1,035.71 |
$1,027.19 $1,081.99 $1,140.05 $1,346.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$812.02 $921.62 $1,037.74 $1,450.24 $2,203.78 |
$1,122.61 $1,232.21 $1,348.33 $1,760.83 |
$1,433.20 $1,542.80 $1,658.92 $2,071.42 |
Toc - Plan #46 Ambetter from MHS | ||||||||||||||||||||
Expanded Bronze
(EPO) Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.88 $356.24 $401.12 $560.57 $851.84 |
$553.99 $596.35 $641.23 $800.68 |
$794.10 $836.46 $881.34 $1,040.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$627.76 $712.48 $802.24 $1,121.14 $1,703.68 |
$867.87 $952.59 $1,042.35 $1,361.25 |
$1,107.98 $1,192.70 $1,282.46 $1,601.36 |
Toc - Plan #47 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333.10 $378.05 $425.69 $594.89 $904.00 |
$587.91 $632.86 $680.50 $849.70 |
$842.72 $887.67 $935.31 $1,104.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$666.20 $756.10 $851.38 $1,189.78 $1,808.00 |
$921.01 $1,010.91 $1,106.19 $1,444.59 |
$1,175.82 $1,265.72 $1,361.00 $1,699.40 |
Toc - Plan #48 Ambetter from MHS | ||||||||||||||||||||
Gold
(EPO) Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408.44 $463.57 $521.98 $729.46 $1,108.49 |
$720.89 $776.02 $834.43 $1,041.91 |
$1,033.34 $1,088.47 $1,146.88 $1,354.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$816.88 $927.14 $1,043.96 $1,458.92 $2,216.98 |
$1,129.33 $1,239.59 $1,356.41 $1,771.37 |
$1,441.78 $1,552.04 $1,668.86 $2,083.82 |
Toc - Plan #49 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.14 $405.35 $456.42 $637.84 $969.26 |
$630.35 $678.56 $729.63 $911.05 |
$903.56 $951.77 $1,002.84 $1,184.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.28 $810.70 $912.84 $1,275.68 $1,938.52 |
$987.49 $1,083.91 $1,186.05 $1,548.89 |
$1,260.70 $1,357.12 $1,459.26 $1,822.10 |
Toc - Plan #50 Ambetter from MHS | ||||||||||||||||||||
Gold
(EPO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$439.55 $498.88 $561.73 $785.02 $1,192.91 |
$775.80 $835.13 $897.98 $1,121.27 |
$1,112.05 $1,171.38 $1,234.23 $1,457.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$879.10 $997.76 $1,123.46 $1,570.04 $2,385.82 |
$1,215.35 $1,334.01 $1,459.71 $1,906.29 |
$1,551.60 $1,670.26 $1,795.96 $2,242.54 |
Toc - Plan #51 Ambetter from MHS | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339.48 $385.30 $433.84 $606.30 $921.32 |
$599.18 $645.00 $693.54 $866.00 |
$858.88 $904.70 $953.24 $1,125.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$678.96 $770.60 $867.68 $1,212.60 $1,842.64 |
$938.66 $1,030.30 $1,127.38 $1,472.30 |
$1,198.36 $1,290.00 $1,387.08 $1,732.00 |
Toc - Plan #52 Ambetter from MHS | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$330.77 $375.41 $422.71 $590.74 $897.68 |
$583.80 $628.44 $675.74 $843.77 |
$836.83 $881.47 $928.77 $1,096.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$661.54 $750.82 $845.42 $1,181.48 $1,795.36 |
$914.57 $1,003.85 $1,098.45 $1,434.51 |
$1,167.60 $1,256.88 $1,351.48 $1,687.54 |
Toc - Plan #53 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.47 $394.36 $444.05 $620.56 $943.00 |
$613.27 $660.16 $709.85 $886.36 |
$879.07 $925.96 $975.65 $1,152.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$694.94 $788.72 $888.10 $1,241.12 $1,886.00 |
$960.74 $1,054.52 $1,153.90 $1,506.92 |
$1,226.54 $1,320.32 $1,419.70 $1,772.72 |
Toc - Plan #54 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.10 $399.62 $449.97 $628.83 $955.57 |
$621.45 $668.97 $719.32 $898.18 |
$890.80 $938.32 $988.67 $1,167.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.20 $799.24 $899.94 $1,257.66 $1,911.14 |
$973.55 $1,068.59 $1,169.29 $1,527.01 |
$1,242.90 $1,337.94 $1,438.64 $1,796.36 |
Toc - Plan #55 Ambetter from MHS | ||||||||||||||||||||
Gold
(EPO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$421.33 $478.20 $538.45 $752.48 $1,143.47 |
$743.64 $800.51 $860.76 $1,074.79 |
$1,065.95 $1,122.82 $1,183.07 $1,397.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$842.66 $956.40 $1,076.90 $1,504.96 $2,286.94 |
$1,164.97 $1,278.71 $1,399.21 $1,827.27 |
$1,487.28 $1,601.02 $1,721.52 $2,149.58 |
Toc - Plan #56 Ambetter from MHS | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.61 $428.57 $482.57 $674.39 $1,024.80 |
$666.47 $717.43 $771.43 $963.25 |
$955.33 $1,006.29 $1,060.29 $1,252.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$755.22 $857.14 $965.14 $1,348.78 $2,049.60 |
$1,044.08 $1,146.00 $1,254.00 $1,637.64 |
$1,332.94 $1,434.86 $1,542.86 $1,926.50 |
Toc - Plan #57 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Premier Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.03 $400.68 $451.16 $630.50 $958.10 |
$623.09 $670.74 $721.22 $900.56 |
$893.15 $940.80 $991.28 $1,170.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.06 $801.36 $902.32 $1,261.00 $1,916.20 |
$976.12 $1,071.42 $1,172.38 $1,531.06 |
$1,246.18 $1,341.48 $1,442.44 $1,801.12 |
Toc - Plan #58 Ambetter from MHS | ||||||||||||||||||||
Gold
(EPO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$479.02 $543.68 $612.18 $855.52 $1,300.04 |
$845.47 $910.13 $978.63 $1,221.97 |
$1,211.92 $1,276.58 $1,345.08 $1,588.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$958.04 $1,087.36 $1,224.36 $1,711.04 $2,600.08 |
$1,324.49 $1,453.81 $1,590.81 $2,077.49 |
$1,690.94 $1,820.26 $1,957.26 $2,443.94 |
Toc - Plan #59 Ambetter from MHS | ||||||||||||||||||||
Expanded Bronze
(EPO) Standard Expanded Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$325.72 $369.69 $416.26 $581.72 $883.99 |
$574.89 $618.86 $665.43 $830.89 |
$824.06 $868.03 $914.60 $1,080.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$651.44 $739.38 $832.52 $1,163.44 $1,767.98 |
$900.61 $988.55 $1,081.69 $1,412.61 |
$1,149.78 $1,237.72 $1,330.86 $1,661.78 |
Toc - Plan #60 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Standard Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.67 $392.32 $441.75 $617.35 $938.12 |
$610.10 $656.75 $706.18 $881.78 |
$874.53 $921.18 $970.61 $1,146.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$691.34 $784.64 $883.50 $1,234.70 $1,876.24 |
$955.77 $1,049.07 $1,147.93 $1,499.13 |
$1,220.20 $1,313.50 $1,412.36 $1,763.56 |
Toc - Plan #61 Ambetter from MHS | ||||||||||||||||||||
Gold
(EPO) Standard Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$423.86 $481.07 $541.68 $756.99 $1,150.32 |
$748.10 $805.31 $865.92 $1,081.23 |
$1,072.34 $1,129.55 $1,190.16 $1,405.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$847.72 $962.14 $1,083.36 $1,513.98 $2,300.64 |
$1,171.96 $1,286.38 $1,407.60 $1,838.22 |
$1,496.20 $1,610.62 $1,731.84 $2,162.46 |
‡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 Starke County here.
Starke County is in “Rating Area 2” of Indiana.
Currently, there are 61 plans offered in Rating Area 2.