Obamacare 2024 Rates for Franklin County, Missouri
ADVERTISEMENT
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 Gray Summit, MO.
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, 72 Plans and 2024 Rates for Franklin County, Missouri
Below, you’ll find a summary of the 72 plans for Franklin County, Missouri 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 |
ADVERTISEMENT
Anthem Blue Cross and Blue ShieldLocal: 1-855-738-6677 | Toll Free: 1-855-738-6677 |
Toc - Plan #1 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(EPO) Anthem Silver Pathway 2950 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.50 $401.22 $451.77 $631.35 $959.40 |
$623.93 $671.65 $722.20 $901.78 |
$894.36 $942.08 $992.63 $1,172.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$707.00 $802.44 $903.54 $1,262.70 $1,918.80 |
$977.43 $1,072.87 $1,173.97 $1,533.13 |
$1,247.86 $1,343.30 $1,444.40 $1,803.56 |
Toc - Plan #2 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(EPO) Anthem Bronze Pathway 20% for HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$297.26 $337.39 $379.90 $530.91 $806.76 |
$524.66 $564.79 $607.30 $758.31 |
$752.06 $792.19 $834.70 $985.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$594.52 $674.78 $759.80 $1,061.82 $1,613.52 |
$821.92 $902.18 $987.20 $1,289.22 |
$1,049.32 $1,129.58 $1,214.60 $1,516.62 |
Toc - Plan #3 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(EPO) Anthem Silver Pathway 3950 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$346.86 $393.69 $443.29 $619.49 $941.38 |
$612.21 $659.04 $708.64 $884.84 |
$877.56 $924.39 $973.99 $1,150.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$693.72 $787.38 $886.58 $1,238.98 $1,882.76 |
$959.07 $1,052.73 $1,151.93 $1,504.33 |
$1,224.42 $1,318.08 $1,417.28 $1,769.68 |
Toc - Plan #4 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(EPO) Anthem Bronze Pathway 6500 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$281.82 $319.87 $360.17 $503.33 $764.86 |
$497.41 $535.46 $575.76 $718.92 |
$713.00 $751.05 $791.35 $934.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$563.64 $639.74 $720.34 $1,006.66 $1,529.72 |
$779.23 $855.33 $935.93 $1,222.25 |
$994.82 $1,070.92 $1,151.52 $1,437.84 |
Toc - Plan #5 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(EPO) Anthem Silver Pathway 4950 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.33 $391.95 $441.33 $616.76 $937.23 |
$609.51 $656.13 $705.51 $880.94 |
$873.69 $920.31 $969.69 $1,145.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$690.66 $783.90 $882.66 $1,233.52 $1,874.46 |
$954.84 $1,048.08 $1,146.84 $1,497.70 |
$1,219.02 $1,312.26 $1,411.02 $1,761.88 |
Toc - Plan #6 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(EPO) Anthem Silver Pathway 7050 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339.75 $385.62 $434.20 $606.79 $922.08 |
$599.66 $645.53 $694.11 $866.70 |
$859.57 $905.44 $954.02 $1,126.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$679.50 $771.24 $868.40 $1,213.58 $1,844.16 |
$939.41 $1,031.15 $1,128.31 $1,473.49 |
$1,199.32 $1,291.06 $1,388.22 $1,733.40 |
Toc - Plan #7 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Catastrophic
(EPO) Anthem Catastrophic Pathway 9450 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$204.58 $232.20 $261.45 $365.38 $555.23 |
$361.08 $388.70 $417.95 $521.88 |
$517.58 $545.20 $574.45 $678.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$409.16 $464.40 $522.90 $730.76 $1,110.46 |
$565.66 $620.90 $679.40 $887.26 |
$722.16 $777.40 $835.90 $1,043.76 |
Toc - Plan #8 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(EPO) Anthem Bronze Pathway 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$290.11 $329.27 $370.76 $518.14 $787.36 |
$512.04 $551.20 $592.69 $740.07 |
$733.97 $773.13 $814.62 $962.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$580.22 $658.54 $741.52 $1,036.28 $1,574.72 |
$802.15 $880.47 $963.45 $1,258.21 |
$1,024.08 $1,102.40 $1,185.38 $1,480.14 |
Toc - Plan #9 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(EPO) Anthem Bronze Pathway 7500/50% Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$281.75 $319.79 $360.08 $503.21 $764.67 |
$497.29 $535.33 $575.62 $718.75 |
$712.83 $750.87 $791.16 $934.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$563.50 $639.58 $720.16 $1,006.42 $1,529.34 |
$779.04 $855.12 $935.70 $1,221.96 |
$994.58 $1,070.66 $1,151.24 $1,437.50 |
Toc - Plan #10 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(EPO) Anthem Silver Pathway 5900/40% Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336.78 $382.25 $430.40 $601.49 $914.02 |
$594.42 $639.89 $688.04 $859.13 |
$852.06 $897.53 $945.68 $1,116.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$673.56 $764.50 $860.80 $1,202.98 $1,828.04 |
$931.20 $1,022.14 $1,118.44 $1,460.62 |
$1,188.84 $1,279.78 $1,376.08 $1,718.26 |
Toc - Plan #11 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Gold
(EPO) Anthem Gold Pathway 1500/25% Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$416.89 $473.17 $532.79 $744.57 $1,131.44 |
$735.81 $792.09 $851.71 $1,063.49 |
$1,054.73 $1,111.01 $1,170.63 $1,382.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$833.78 $946.34 $1,065.58 $1,489.14 $2,262.88 |
$1,152.70 $1,265.26 $1,384.50 $1,808.06 |
$1,471.62 $1,584.18 $1,703.42 $2,126.98 |
Toc - Plan #12 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(EPO) Anthem Bronze Pathway 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6677
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$266.60 $302.59 $340.71 $476.15 $723.55 |
$470.55 $506.54 $544.66 $680.10 |
$674.50 $710.49 $748.61 $884.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$533.20 $605.18 $681.42 $952.30 $1,447.10 |
$737.15 $809.13 $885.37 $1,156.25 |
$941.10 $1,013.08 $1,089.32 $1,360.20 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
Toc - Plan #13 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 2 HSA: Aetna network of doctors & hospitals + MinuteClinic + Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.72 $384.44 $432.88 $604.95 $919.27 |
$597.84 $643.56 $692.00 $864.07 |
$856.96 $902.68 $951.12 $1,123.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$677.44 $768.88 $865.76 $1,209.90 $1,838.54 |
$936.56 $1,028.00 $1,124.88 $1,469.02 |
$1,195.68 $1,287.12 $1,384.00 $1,728.14 |
Toc - Plan #14 Aetna CVS Health | ||||||||||||||||||||
Silver
(EPO) Silver 5: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$424.89 $482.25 $543.01 $758.86 $1,153.15 |
$749.93 $807.29 $868.05 $1,083.90 |
$1,074.97 $1,132.33 $1,193.09 $1,408.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$849.78 $964.50 $1,086.02 $1,517.72 $2,306.30 |
$1,174.82 $1,289.54 $1,411.06 $1,842.76 |
$1,499.86 $1,614.58 $1,736.10 $2,167.80 |
Toc - Plan #15 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$350.47 $397.79 $447.90 $625.94 $951.17 |
$618.58 $665.90 $716.01 $894.05 |
$886.69 $934.01 $984.12 $1,162.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$700.94 $795.58 $895.80 $1,251.88 $1,902.34 |
$969.05 $1,063.69 $1,163.91 $1,519.99 |
$1,237.16 $1,331.80 $1,432.02 $1,788.10 |
Toc - Plan #16 Aetna CVS Health | ||||||||||||||||||||
Gold
(EPO) Gold S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$457.37 $519.11 $584.51 $816.85 $1,241.29 |
$807.26 $869.00 $934.40 $1,166.74 |
$1,157.15 $1,218.89 $1,284.29 $1,516.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$914.74 $1,038.22 $1,169.02 $1,633.70 $2,482.58 |
$1,264.63 $1,388.11 $1,518.91 $1,983.59 |
$1,614.52 $1,738.00 $1,868.80 $2,333.48 |
Toc - Plan #17 Aetna CVS Health | ||||||||||||||||||||
Silver
(EPO) Silver S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414.85 $470.85 $530.18 $740.92 $1,125.89 |
$732.21 $788.21 $847.54 $1,058.28 |
$1,049.57 $1,105.57 $1,164.90 $1,375.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$829.70 $941.70 $1,060.36 $1,481.84 $2,251.78 |
$1,147.06 $1,259.06 $1,377.72 $1,799.20 |
$1,464.42 $1,576.42 $1,695.08 $2,116.56 |
Toc - Plan #18 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.39 $434.02 $488.70 $682.95 $1,037.81 |
$674.92 $726.55 $781.23 $975.48 |
$967.45 $1,019.08 $1,073.76 $1,268.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.78 $868.04 $977.40 $1,365.90 $2,075.62 |
$1,057.31 $1,160.57 $1,269.93 $1,658.43 |
$1,349.84 $1,453.10 $1,562.46 $1,950.96 |
Toc - Plan #19 Aetna CVS Health | ||||||||||||||||||||
Gold
(EPO) Gold 3: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$454.51 $515.87 $580.86 $811.75 $1,233.53 |
$802.21 $863.57 $928.56 $1,159.45 |
$1,149.91 $1,211.27 $1,276.26 $1,507.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$909.02 $1,031.74 $1,161.72 $1,623.50 $2,467.06 |
$1,256.72 $1,379.44 $1,509.42 $1,971.20 |
$1,604.42 $1,727.14 $1,857.12 $2,318.90 |
Toc - Plan #20 Aetna CVS Health | ||||||||||||||||||||
Silver
(EPO) Silver 6: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$425.78 $483.26 $544.14 $760.43 $1,155.55 |
$751.50 $808.98 $869.86 $1,086.15 |
$1,077.22 $1,134.70 $1,195.58 $1,411.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$851.56 $966.52 $1,088.28 $1,520.86 $2,311.10 |
$1,177.28 $1,292.24 $1,414.00 $1,846.58 |
$1,503.00 $1,617.96 $1,739.72 $2,172.30 |
Toc - Plan #21 Aetna CVS Health | ||||||||||||||||||||
Silver
(EPO) Silver 7: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$424.85 $482.20 $542.96 $758.78 $1,153.03 |
$749.86 $807.21 $867.97 $1,083.79 |
$1,074.87 $1,132.22 $1,192.98 $1,408.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$849.70 $964.40 $1,085.92 $1,517.56 $2,306.06 |
$1,174.71 $1,289.41 $1,410.93 $1,842.57 |
$1,499.72 $1,614.42 $1,735.94 $2,167.58 |
ADVERTISEMENT
MedicaLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-800-676-3777 |
Toc - Plan #22 Medica | ||||||||||||||||||||
Catastrophic
(EPO) Balance by Medica Catastrophic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$197.92 $224.64 $252.94 $353.48 $537.15 |
$349.33 $376.05 $404.35 $504.89 |
$500.74 $527.46 $555.76 $656.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$395.84 $449.28 $505.88 $706.96 $1,074.30 |
$547.25 $600.69 $657.29 $858.37 |
$698.66 $752.10 $808.70 $1,009.78 |
Toc - Plan #23 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Balance by Medica Bronze Share Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.54 $343.39 $386.65 $540.34 $821.10 |
$533.99 $574.84 $618.10 $771.79 |
$765.44 $806.29 $849.55 $1,003.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$605.08 $686.78 $773.30 $1,080.68 $1,642.20 |
$836.53 $918.23 $1,004.75 $1,312.13 |
$1,067.98 $1,149.68 $1,236.20 $1,543.58 |
Toc - Plan #24 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Balance by Medica Bronze Copay $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$295.38 $335.26 $377.50 $527.55 $801.67 |
$521.35 $561.23 $603.47 $753.52 |
$747.32 $787.20 $829.44 $979.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$590.76 $670.52 $755.00 $1,055.10 $1,603.34 |
$816.73 $896.49 $980.97 $1,281.07 |
$1,042.70 $1,122.46 $1,206.94 $1,507.04 |
Toc - Plan #25 Medica | ||||||||||||||||||||
Gold
(EPO) Balance by Medica Gold Copay $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$419.26 $475.86 $535.81 $748.79 $1,137.86 |
$739.99 $796.59 $856.54 $1,069.52 |
$1,060.72 $1,117.32 $1,177.27 $1,390.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$838.52 $951.72 $1,071.62 $1,497.58 $2,275.72 |
$1,159.25 $1,272.45 $1,392.35 $1,818.31 |
$1,479.98 $1,593.18 $1,713.08 $2,139.04 |
Toc - Plan #26 Medica | ||||||||||||||||||||
Silver
(EPO) Balance by Medica Silver Copay $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$403.02 $457.43 $515.06 $719.80 $1,093.80 |
$711.33 $765.74 $823.37 $1,028.11 |
$1,019.64 $1,074.05 $1,131.68 $1,336.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$806.04 $914.86 $1,030.12 $1,439.60 $2,187.60 |
$1,114.35 $1,223.17 $1,338.43 $1,747.91 |
$1,422.66 $1,531.48 $1,646.74 $2,056.22 |
Toc - Plan #27 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Balance by Medica Bronze Premier |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$307.24 $348.72 $392.65 $548.73 $833.85 |
$542.28 $583.76 $627.69 $783.77 |
$777.32 $818.80 $862.73 $1,018.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$614.48 $697.44 $785.30 $1,097.46 $1,667.70 |
$849.52 $932.48 $1,020.34 $1,332.50 |
$1,084.56 $1,167.52 $1,255.38 $1,567.54 |
Toc - Plan #28 Medica | ||||||||||||||||||||
Gold
(EPO) Balance by Medica Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$435.41 $494.19 $556.46 $777.65 $1,181.71 |
$768.50 $827.28 $889.55 $1,110.74 |
$1,101.59 $1,160.37 $1,222.64 $1,443.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$870.82 $988.38 $1,112.92 $1,555.30 $2,363.42 |
$1,203.91 $1,321.47 $1,446.01 $1,888.39 |
$1,537.00 $1,654.56 $1,779.10 $2,221.48 |
Toc - Plan #29 Medica | ||||||||||||||||||||
Silver
(EPO) Balance by Medica Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422.52 $479.56 $539.98 $754.62 $1,146.72 |
$745.75 $802.79 $863.21 $1,077.85 |
$1,068.98 $1,126.02 $1,186.44 $1,401.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$845.04 $959.12 $1,079.96 $1,509.24 $2,293.44 |
$1,168.27 $1,282.35 $1,403.19 $1,832.47 |
$1,491.50 $1,605.58 $1,726.42 $2,155.70 |
Toc - Plan #30 Medica | ||||||||||||||||||||
Bronze
(EPO) Balance by Medica Bronze Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$266.89 $302.92 $341.09 $476.67 $724.34 |
$471.06 $507.09 $545.26 $680.84 |
$675.23 $711.26 $749.43 $885.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$533.78 $605.84 $682.18 $953.34 $1,448.68 |
$737.95 $810.01 $886.35 $1,157.51 |
$942.12 $1,014.18 $1,090.52 $1,361.68 |
Toc - Plan #31 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Balance by Medica Expanded Bronze Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285.67 $324.24 $365.09 $510.21 $775.31 |
$504.21 $542.78 $583.63 $728.75 |
$722.75 $761.32 $802.17 $947.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$571.34 $648.48 $730.18 $1,020.42 $1,550.62 |
$789.88 $867.02 $948.72 $1,238.96 |
$1,008.42 $1,085.56 $1,167.26 $1,457.50 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-877-940-4172 | Toll Free: 1-877-940-4172 | TTY: 1-877-940-4172 |
Toc - Plan #32 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $5 Tier 2 Rx, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-940-4172
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.43 $427.25 $481.08 $672.31 $1,021.64 |
$664.40 $715.22 $769.05 $960.28 |
$952.37 $1,003.19 $1,057.02 $1,248.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$752.86 $854.50 $962.16 $1,344.62 $2,043.28 |
$1,040.83 $1,142.47 $1,250.13 $1,632.59 |
$1,328.80 $1,430.44 $1,538.10 $1,920.56 |
Toc - Plan #33 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Standard (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-940-4172
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.86 $423.19 $476.51 $665.92 $1,011.94 |
$658.10 $708.43 $761.75 $951.16 |
$943.34 $993.67 $1,046.99 $1,236.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745.72 $846.38 $953.02 $1,331.84 $2,023.88 |
$1,030.96 $1,131.62 $1,238.26 $1,617.08 |
$1,316.20 $1,416.86 $1,523.50 $1,902.32 |
Toc - Plan #34 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Standard (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-940-4172
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$433.38 $491.89 $553.86 $774.02 $1,176.19 |
$764.92 $823.43 $885.40 $1,105.56 |
$1,096.46 $1,154.97 $1,216.94 $1,437.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$866.76 $983.78 $1,107.72 $1,548.04 $2,352.38 |
$1,198.30 $1,315.32 $1,439.26 $1,879.58 |
$1,529.84 $1,646.86 $1,770.80 $2,211.12 |
Toc - Plan #35 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-940-4172
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.12 $342.90 $386.11 $539.58 $819.95 |
$533.24 $574.02 $617.23 $770.70 |
$764.36 $805.14 $848.35 $1,001.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$604.24 $685.80 $772.22 $1,079.16 $1,639.90 |
$835.36 $916.92 $1,003.34 $1,310.28 |
$1,066.48 $1,148.04 $1,234.46 $1,541.40 |
Toc - Plan #36 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Value HSA (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-940-4172
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$297.28 $337.42 $379.93 $530.95 $806.83 |
$524.70 $564.84 $607.35 $758.37 |
$752.12 $792.26 $834.77 $985.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$594.56 $674.84 $759.86 $1,061.90 $1,613.66 |
$821.98 $902.26 $987.28 $1,289.32 |
$1,049.40 $1,129.68 $1,214.70 $1,516.74 |
Toc - Plan #37 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Standard (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-940-4172
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$307.46 $348.97 $392.93 $549.12 $834.44 |
$542.67 $584.18 $628.14 $784.33 |
$777.88 $819.39 $863.35 $1,019.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$614.92 $697.94 $785.86 $1,098.24 $1,668.88 |
$850.13 $933.15 $1,021.07 $1,333.45 |
$1,085.34 $1,168.36 $1,256.28 $1,568.66 |
Toc - Plan #38 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-940-4172
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365.80 $415.18 $467.49 $653.32 $992.78 |
$645.64 $695.02 $747.33 $933.16 |
$925.48 $974.86 $1,027.17 $1,213.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731.60 $830.36 $934.98 $1,306.64 $1,985.56 |
$1,011.44 $1,110.20 $1,214.82 $1,586.48 |
$1,291.28 $1,390.04 $1,494.66 $1,866.32 |
Toc - Plan #39 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-940-4172
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.82 $419.74 $472.63 $660.49 $1,003.68 |
$652.73 $702.65 $755.54 $943.40 |
$935.64 $985.56 $1,038.45 $1,226.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$739.64 $839.48 $945.26 $1,320.98 $2,007.36 |
$1,022.55 $1,122.39 $1,228.17 $1,603.89 |
$1,305.46 $1,405.30 $1,511.08 $1,886.80 |
Toc - Plan #40 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Value ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-940-4172
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$411.00 $466.49 $525.26 $734.05 $1,115.46 |
$725.42 $780.91 $839.68 $1,048.47 |
$1,039.84 $1,095.33 $1,154.10 $1,362.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$822.00 $932.98 $1,050.52 $1,468.10 $2,230.92 |
$1,136.42 $1,247.40 $1,364.94 $1,782.52 |
$1,450.84 $1,561.82 $1,679.36 $2,096.94 |
Toc - Plan #41 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-940-4172
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$437.20 $496.22 $558.74 $780.84 $1,186.55 |
$771.66 $830.68 $893.20 $1,115.30 |
$1,106.12 $1,165.14 $1,227.66 $1,449.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$874.40 $992.44 $1,117.48 $1,561.68 $2,373.10 |
$1,208.86 $1,326.90 $1,451.94 $1,896.14 |
$1,543.32 $1,661.36 $1,786.40 $2,230.60 |
Toc - Plan #42 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Copay Focus $0 Indiv Med Ded (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-940-4172
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.24 $361.21 $406.72 $568.38 $863.71 |
$561.70 $604.67 $650.18 $811.84 |
$805.16 $848.13 $893.64 $1,055.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$636.48 $722.42 $813.44 $1,136.76 $1,727.42 |
$879.94 $965.88 $1,056.90 $1,380.22 |
$1,123.40 $1,209.34 $1,300.36 $1,623.68 |
Toc - Plan #43 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-940-4172
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$441.13 $500.68 $563.76 $787.85 $1,197.22 |
$778.59 $838.14 $901.22 $1,125.31 |
$1,116.05 $1,175.60 $1,238.68 $1,462.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$882.26 $1,001.36 $1,127.52 $1,575.70 $2,394.44 |
$1,219.72 $1,338.82 $1,464.98 $1,913.16 |
$1,557.18 $1,676.28 $1,802.44 $2,250.62 |
Toc - Plan #44 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-940-4172
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.51 $434.15 $488.85 $683.17 $1,038.14 |
$675.13 $726.77 $781.47 $975.79 |
$967.75 $1,019.39 $1,074.09 $1,268.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.02 $868.30 $977.70 $1,366.34 $2,076.28 |
$1,057.64 $1,160.92 $1,270.32 $1,658.96 |
$1,350.26 $1,453.54 $1,562.94 $1,951.58 |
ADVERTISEMENT
Ambetter from Home State HealthLocal: 1-855-650-3789 | Toll Free: 1-855-650-3789 | TTY: 1-855-650-3789 |
Toc - Plan #45 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Premier Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.39 $399.95 $450.34 $629.35 $956.37 |
$621.96 $669.52 $719.91 $898.92 |
$891.53 $939.09 $989.48 $1,168.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.78 $799.90 $900.68 $1,258.70 $1,912.74 |
$974.35 $1,069.47 $1,170.25 $1,528.27 |
$1,243.92 $1,339.04 $1,439.82 $1,797.84 |
Toc - Plan #46 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Complete Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.79 $407.22 $458.52 $640.78 $973.73 |
$633.26 $681.69 $732.99 $915.25 |
$907.73 $956.16 $1,007.46 $1,189.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$717.58 $814.44 $917.04 $1,281.56 $1,947.46 |
$992.05 $1,088.91 $1,191.51 $1,556.03 |
$1,266.52 $1,363.38 $1,465.98 $1,830.50 |
Toc - Plan #47 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.00 $435.83 $490.74 $685.81 $1,042.15 |
$677.75 $729.58 $784.49 $979.56 |
$971.50 $1,023.33 $1,078.24 $1,273.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$768.00 $871.66 $981.48 $1,371.62 $2,084.30 |
$1,061.75 $1,165.41 $1,275.23 $1,665.37 |
$1,355.50 $1,459.16 $1,568.98 $1,959.12 |
Toc - Plan #48 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291.99 $331.40 $373.16 $521.48 $792.44 |
$515.36 $554.77 $596.53 $744.85 |
$738.73 $778.14 $819.90 $968.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$583.98 $662.80 $746.32 $1,042.96 $1,584.88 |
$807.35 $886.17 $969.69 $1,266.33 |
$1,030.72 $1,109.54 $1,193.06 $1,489.70 |
Toc - Plan #49 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$295.54 $335.42 $377.68 $527.81 $802.06 |
$521.62 $561.50 $603.76 $753.89 |
$747.70 $787.58 $829.84 $979.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$591.08 $670.84 $755.36 $1,055.62 $1,604.12 |
$817.16 $896.92 $981.44 $1,281.70 |
$1,043.24 $1,123.00 $1,207.52 $1,507.78 |
Toc - Plan #50 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$329.62 $374.11 $421.24 $588.69 $894.57 |
$581.77 $626.26 $673.39 $840.84 |
$833.92 $878.41 $925.54 $1,092.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$659.24 $748.22 $842.48 $1,177.38 $1,789.14 |
$911.39 $1,000.37 $1,094.63 $1,429.53 |
$1,163.54 $1,252.52 $1,346.78 $1,681.68 |
Toc - Plan #51 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$346.55 $393.32 $442.87 $618.91 $940.50 |
$611.65 $658.42 $707.97 $884.01 |
$876.75 $923.52 $973.07 $1,149.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$693.10 $786.64 $885.74 $1,237.82 $1,881.00 |
$958.20 $1,051.74 $1,150.84 $1,502.92 |
$1,223.30 $1,316.84 $1,415.94 $1,768.02 |
Toc - Plan #52 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.08 $401.87 $452.50 $632.37 $960.94 |
$624.94 $672.73 $723.36 $903.23 |
$895.80 $943.59 $994.22 $1,174.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$708.16 $803.74 $905.00 $1,264.74 $1,921.88 |
$979.02 $1,074.60 $1,175.86 $1,535.60 |
$1,249.88 $1,345.46 $1,446.72 $1,806.46 |
Toc - Plan #53 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.21 $417.91 $470.57 $657.61 $999.31 |
$649.89 $699.59 $752.25 $939.29 |
$931.57 $981.27 $1,033.93 $1,220.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736.42 $835.82 $941.14 $1,315.22 $1,998.62 |
$1,018.10 $1,117.50 $1,222.82 $1,596.90 |
$1,299.78 $1,399.18 $1,504.50 $1,878.58 |
Toc - Plan #54 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Clear Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.85 $410.69 $462.43 $646.25 $982.04 |
$638.66 $687.50 $739.24 $923.06 |
$915.47 $964.31 $1,016.05 $1,199.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$723.70 $821.38 $924.86 $1,292.50 $1,964.08 |
$1,000.51 $1,098.19 $1,201.67 $1,569.31 |
$1,277.32 $1,375.00 $1,478.48 $1,846.12 |
Toc - Plan #55 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.12 $474.56 $534.35 $746.75 $1,134.76 |
$737.98 $794.42 $854.21 $1,066.61 |
$1,057.84 $1,114.28 $1,174.07 $1,386.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$836.24 $949.12 $1,068.70 $1,493.50 $2,269.52 |
$1,156.10 $1,268.98 $1,388.56 $1,813.36 |
$1,475.96 $1,588.84 $1,708.42 $2,133.22 |
Toc - Plan #56 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$284.29 $322.66 $363.31 $507.72 $771.53 |
$501.76 $540.13 $580.78 $725.19 |
$719.23 $757.60 $798.25 $942.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$568.58 $645.32 $726.62 $1,015.44 $1,543.06 |
$786.05 $862.79 $944.09 $1,232.91 |
$1,003.52 $1,080.26 $1,161.56 $1,450.38 |
Toc - Plan #57 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$343.97 $390.39 $439.58 $614.30 $933.50 |
$607.10 $653.52 $702.71 $877.43 |
$870.23 $916.65 $965.84 $1,140.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$687.94 $780.78 $879.16 $1,228.60 $1,867.00 |
$951.07 $1,043.91 $1,142.29 $1,491.73 |
$1,214.20 $1,307.04 $1,405.42 $1,754.86 |
Toc - Plan #58 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.39 $416.97 $469.51 $656.14 $997.07 |
$648.43 $698.01 $750.55 $937.18 |
$929.47 $979.05 $1,031.59 $1,218.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734.78 $833.94 $939.02 $1,312.28 $1,994.14 |
$1,015.82 $1,114.98 $1,220.06 $1,593.32 |
$1,296.86 $1,396.02 $1,501.10 $1,874.36 |
Toc - Plan #59 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.72 $340.17 $383.02 $535.27 $813.40 |
$528.99 $569.44 $612.29 $764.54 |
$758.26 $798.71 $841.56 $993.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$599.44 $680.34 $766.04 $1,070.54 $1,626.80 |
$828.71 $909.61 $995.31 $1,299.81 |
$1,057.98 $1,138.88 $1,224.58 $1,529.08 |
Toc - Plan #60 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.16 $447.36 $503.72 $703.95 $1,069.71 |
$695.68 $748.88 $805.24 $1,005.47 |
$997.20 $1,050.40 $1,106.76 $1,306.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$788.32 $894.72 $1,007.44 $1,407.90 $2,139.42 |
$1,089.84 $1,196.24 $1,308.96 $1,709.42 |
$1,391.36 $1,497.76 $1,610.48 $2,010.94 |
Toc - Plan #61 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.28 $417.98 $470.65 $657.73 $999.48 |
$650.00 $699.70 $752.37 $939.45 |
$931.72 $981.42 $1,034.09 $1,221.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736.56 $835.96 $941.30 $1,315.46 $1,998.96 |
$1,018.28 $1,117.68 $1,223.02 $1,597.18 |
$1,300.00 $1,399.40 $1,504.74 $1,878.90 |
Toc - Plan #62 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Premier Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.71 $410.53 $462.25 $646.00 $981.66 |
$638.41 $687.23 $738.95 $922.70 |
$915.11 $963.93 $1,015.65 $1,199.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$723.42 $821.06 $924.50 $1,292.00 $1,963.32 |
$1,000.12 $1,097.76 $1,201.20 $1,568.70 |
$1,276.82 $1,374.46 $1,477.90 $1,845.40 |
Toc - Plan #63 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303.35 $344.29 $387.67 $541.77 $823.27 |
$535.41 $576.35 $619.73 $773.83 |
$767.47 $808.41 $851.79 $1,005.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$606.70 $688.58 $775.34 $1,083.54 $1,646.54 |
$838.76 $920.64 $1,007.40 $1,315.60 |
$1,070.82 $1,152.70 $1,239.46 $1,547.66 |
Toc - Plan #64 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.34 $384.00 $432.38 $604.26 $918.22 |
$597.16 $642.82 $691.20 $863.08 |
$855.98 $901.64 $950.02 $1,121.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$676.68 $768.00 $864.76 $1,208.52 $1,836.44 |
$935.50 $1,026.82 $1,123.58 $1,467.34 |
$1,194.32 $1,285.64 $1,382.40 $1,726.16 |
Toc - Plan #65 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.44 $412.49 $464.46 $649.09 $986.35 |
$641.46 $690.51 $742.48 $927.11 |
$919.48 $968.53 $1,020.50 $1,205.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$726.88 $824.98 $928.92 $1,298.18 $1,972.70 |
$1,004.90 $1,103.00 $1,206.94 $1,576.20 |
$1,282.92 $1,381.02 $1,484.96 $1,854.22 |
Toc - Plan #66 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.95 $428.96 $483.01 $675.00 $1,025.73 |
$667.08 $718.09 $772.14 $964.13 |
$956.21 $1,007.22 $1,061.27 $1,253.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$755.90 $857.92 $966.02 $1,350.00 $2,051.46 |
$1,045.03 $1,147.05 $1,255.15 $1,639.13 |
$1,334.16 $1,436.18 $1,544.28 $1,928.26 |
Toc - Plan #67 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.71 $403.72 $454.58 $635.28 $965.37 |
$627.82 $675.83 $726.69 $907.39 |
$899.93 $947.94 $998.80 $1,179.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$711.42 $807.44 $909.16 $1,270.56 $1,930.74 |
$983.53 $1,079.55 $1,181.27 $1,542.67 |
$1,255.64 $1,351.66 $1,453.38 $1,814.78 |
Toc - Plan #68 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Clear Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371.42 $421.55 $474.66 $663.34 $1,008.01 |
$655.55 $705.68 $758.79 $947.47 |
$939.68 $989.81 $1,042.92 $1,231.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$742.84 $843.10 $949.32 $1,326.68 $2,016.02 |
$1,026.97 $1,127.23 $1,233.45 $1,610.81 |
$1,311.10 $1,411.36 $1,517.58 $1,894.94 |
Toc - Plan #69 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$429.18 $487.11 $548.48 $766.50 $1,164.76 |
$757.49 $815.42 $876.79 $1,094.81 |
$1,085.80 $1,143.73 $1,205.10 $1,423.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$858.36 $974.22 $1,096.96 $1,533.00 $2,329.52 |
$1,186.67 $1,302.53 $1,425.27 $1,861.31 |
$1,514.98 $1,630.84 $1,753.58 $2,189.62 |
Toc - Plan #70 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Standard Expanded Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291.81 $331.19 $372.92 $521.15 $791.94 |
$515.03 $554.41 $596.14 $744.37 |
$738.25 $777.63 $819.36 $967.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$583.62 $662.38 $745.84 $1,042.30 $1,583.88 |
$806.84 $885.60 $969.06 $1,265.52 |
$1,030.06 $1,108.82 $1,192.28 $1,488.74 |
Toc - Plan #71 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Standard Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.06 $400.71 $451.20 $630.55 $958.18 |
$623.14 $670.79 $721.28 $900.63 |
$893.22 $940.87 $991.36 $1,170.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.12 $801.42 $902.40 $1,261.10 $1,916.36 |
$976.20 $1,071.50 $1,172.48 $1,531.18 |
$1,246.28 $1,341.58 $1,442.56 $1,801.26 |
Toc - Plan #72 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Standard Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.10 $428.00 $481.93 $673.49 $1,023.43 |
$665.58 $716.48 $770.41 $961.97 |
$954.06 $1,004.96 $1,058.89 $1,250.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$754.20 $856.00 $963.86 $1,346.98 $2,046.86 |
$1,042.68 $1,144.48 $1,252.34 $1,635.46 |
$1,331.16 $1,432.96 $1,540.82 $1,923.94 |
‡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 Franklin County here.
Franklin County is in “Rating Area 6” of Missouri.
Currently, there are 72 plans offered in Rating Area 6.