Obamacare 2024 Rates for Medina County, Ohio
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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 Guilford, OH.
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, 124 Plans and 2024 Rates for Medina County, Ohio
Below, you’ll find a summary of the 124 plans for Medina County, Ohio 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: 1-855-748-1808 | Toll Free: 1-855-748-1808 |
Toc - Plan #1 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway HMO 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$324.66 $368.49 $414.92 $579.84 $881.13 |
$573.02 $616.85 $663.28 $828.20 |
$821.38 $865.21 $911.64 $1,076.56 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$649.32 $736.98 $829.84 $1,159.68 $1,762.26 |
$897.68 $985.34 $1,078.20 $1,408.04 |
$1,146.04 $1,233.70 $1,326.56 $1,656.40 |
Toc - Plan #2 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway HMO 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$425.62 $483.08 $543.94 $760.16 $1,155.13 |
$751.22 $808.68 $869.54 $1,085.76 |
$1,076.82 $1,134.28 $1,195.14 $1,411.36 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$851.24 $966.16 $1,087.88 $1,520.32 $2,310.26 |
$1,176.84 $1,291.76 $1,413.48 $1,845.92 |
$1,502.44 $1,617.36 $1,739.08 $2,171.52 |
Toc - Plan #3 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway HMO 7450/0% (+ Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$354.76 $402.65 $453.38 $633.60 $962.82 |
$626.15 $674.04 $724.77 $904.99 |
$897.54 $945.43 $996.16 $1,176.38 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$709.52 $805.30 $906.76 $1,267.20 $1,925.64 |
$980.91 $1,076.69 $1,178.15 $1,538.59 |
$1,252.30 $1,348.08 $1,449.54 $1,809.98 |
Toc - Plan #4 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway HMO 5400/0% ( + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$449.82 $510.55 $574.87 $803.38 $1,220.81 |
$793.93 $854.66 $918.98 $1,147.49 |
$1,138.04 $1,198.77 $1,263.09 $1,491.60 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$899.64 $1,021.10 $1,149.74 $1,606.76 $2,441.62 |
$1,243.75 $1,365.21 $1,493.85 $1,950.87 |
$1,587.86 $1,709.32 $1,837.96 $2,294.98 |
Toc - Plan #5 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$420.72 $477.52 $537.68 $751.41 $1,141.83 |
$742.57 $799.37 $859.53 $1,073.26 |
$1,064.42 $1,121.22 $1,181.38 $1,395.11 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$841.44 $955.04 $1,075.36 $1,502.82 $2,283.66 |
$1,163.29 $1,276.89 $1,397.21 $1,824.67 |
$1,485.14 $1,598.74 $1,719.06 $2,146.52 |
Toc - Plan #6 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Catastrophic
(HMO) Anthem Catastrophic Pathway HMO 9450 ( + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$251.70 $285.68 $321.67 $449.54 $683.11 |
$444.25 $478.23 $514.22 $642.09 |
$636.80 $670.78 $706.77 $834.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$503.40 $571.36 $643.34 $899.08 $1,366.22 |
$695.95 $763.91 $835.89 $1,091.63 |
$888.50 $956.46 $1,028.44 $1,284.18 |
Toc - Plan #7 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway HMO 6000/25% ($0 Virtual PCP + $0 Select Drugs + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$422.56 $479.61 $540.03 $754.69 $1,146.83 |
$745.82 $802.87 $863.29 $1,077.95 |
$1,069.08 $1,126.13 $1,186.55 $1,401.21 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$845.12 $959.22 $1,080.06 $1,509.38 $2,293.66 |
$1,168.38 $1,282.48 $1,403.32 $1,832.64 |
$1,491.64 $1,605.74 $1,726.58 $2,155.90 |
Toc - Plan #8 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway HMO 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$343.40 $389.76 $438.87 $613.31 $931.99 |
$606.10 $652.46 $701.57 $876.01 |
$868.80 $915.16 $964.27 $1,138.71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$686.80 $779.52 $877.74 $1,226.62 $1,863.98 |
$949.50 $1,042.22 $1,140.44 $1,489.32 |
$1,212.20 $1,304.92 $1,403.14 $1,752.02 |
Toc - Plan #9 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$336.56 $382.00 $430.12 $601.10 $913.42 |
$594.03 $639.47 $687.59 $858.57 |
$851.50 $896.94 $945.06 $1,116.04 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$673.12 $764.00 $860.24 $1,202.20 $1,826.84 |
$930.59 $1,021.47 $1,117.71 $1,459.67 |
$1,188.06 $1,278.94 $1,375.18 $1,717.14 |
Toc - Plan #10 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway HMO 7500/50% Standard (Cleveland) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$343.02 $389.33 $438.38 $612.63 $930.96 |
$605.43 $651.74 $700.79 $875.04 |
$867.84 $914.15 $963.20 $1,137.45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$686.04 $778.66 $876.76 $1,225.26 $1,861.92 |
$948.45 $1,041.07 $1,139.17 $1,487.67 |
$1,210.86 $1,303.48 $1,401.58 $1,750.08 |
Toc - Plan #11 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway HMO 5800/40% Standard (Cleveland) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$413.65 $469.49 $528.64 $738.78 $1,122.65 |
$730.09 $785.93 $845.08 $1,055.22 |
$1,046.53 $1,102.37 $1,161.52 $1,371.66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$827.30 $938.98 $1,057.28 $1,477.56 $2,245.30 |
$1,143.74 $1,255.42 $1,373.72 $1,794.00 |
$1,460.18 $1,571.86 $1,690.16 $2,110.44 |
Toc - Plan #12 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Gold
(HMO) Anthem Gold Pathway HMO 2000/25% Standard (Cincinnati) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$614.49 $697.45 $785.32 $1,097.48 $1,667.73 |
$1,084.57 $1,167.53 $1,255.40 $1,567.56 |
$1,554.65 $1,637.61 $1,725.48 $2,037.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,228.98 $1,394.90 $1,570.64 $2,194.96 $3,335.46 |
$1,699.06 $1,864.98 $2,040.72 $2,665.04 |
$2,169.14 $2,335.06 $2,510.80 $3,135.12 |
Toc - Plan #13 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway HMO 9450 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$328.68 $373.05 $420.05 $587.02 $892.04 |
$580.12 $624.49 $671.49 $838.46 |
$831.56 $875.93 $922.93 $1,089.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$657.36 $746.10 $840.10 $1,174.04 $1,784.08 |
$908.80 $997.54 $1,091.54 $1,425.48 |
$1,160.24 $1,248.98 $1,342.98 $1,676.92 |
Toc - Plan #14 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway HMO 5000 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$424.74 $482.08 $542.82 $758.59 $1,152.74 |
$749.67 $807.01 $867.75 $1,083.52 |
$1,074.60 $1,131.94 $1,192.68 $1,408.45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$849.48 $964.16 $1,085.64 $1,517.18 $2,305.48 |
$1,174.41 $1,289.09 $1,410.57 $1,842.11 |
$1,499.34 $1,614.02 $1,735.50 $2,167.04 |
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UnitedHealthcareLocal: 1-800-331-4680 | Toll Free: 1-800-331-4680 | TTY: 1-800-331-4680 |
Toc - Plan #15 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-331-4680
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$417.65 $474.03 $533.76 $745.93 $1,133.51 |
$737.15 $793.53 $853.26 $1,065.43 |
$1,056.65 $1,113.03 $1,172.76 $1,384.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$835.30 $948.06 $1,067.52 $1,491.86 $2,267.02 |
$1,154.80 $1,267.56 $1,387.02 $1,811.36 |
$1,474.30 $1,587.06 $1,706.52 $2,130.86 |
Toc - Plan #16 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-331-4680
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 |
$439.32 $498.63 $561.46 $784.63 $1,192.33 |
$775.40 $834.71 $897.54 $1,120.71 |
$1,111.48 $1,170.79 $1,233.62 $1,456.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$878.64 $997.26 $1,122.92 $1,569.26 $2,384.66 |
$1,214.72 $1,333.34 $1,459.00 $1,905.34 |
$1,550.80 $1,669.42 $1,795.08 $2,241.42 |
Toc - Plan #17 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-331-4680
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 |
$386.78 $438.99 $494.30 $690.79 $1,049.72 |
$682.67 $734.88 $790.19 $986.68 |
$978.56 $1,030.77 $1,086.08 $1,282.57 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$773.56 $877.98 $988.60 $1,381.58 $2,099.44 |
$1,069.45 $1,173.87 $1,284.49 $1,677.47 |
$1,365.34 $1,469.76 $1,580.38 $1,973.36 |
Toc - Plan #18 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First (Unlimited $0 App-based Care, $3 Tier 2 Rx) (Disponible en espanol) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-331-4680
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 |
$390.76 $443.51 $499.39 $697.89 $1,060.52 |
$689.69 $742.44 $798.32 $996.82 |
$988.62 $1,041.37 $1,097.25 $1,295.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$781.52 $887.02 $998.78 $1,395.78 $2,121.04 |
$1,080.45 $1,185.95 $1,297.71 $1,694.71 |
$1,379.38 $1,484.88 $1,596.64 $1,993.64 |
Toc - Plan #19 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-331-4680
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$388.11 $440.51 $496.01 $693.17 $1,053.33 |
$685.01 $737.41 $792.91 $990.07 |
$981.91 $1,034.31 $1,089.81 $1,286.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$776.22 $881.02 $992.02 $1,386.34 $2,106.66 |
$1,073.12 $1,177.92 $1,288.92 $1,683.24 |
$1,370.02 $1,474.82 $1,585.82 $1,980.14 |
Toc - Plan #20 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-331-4680
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 |
$336.42 $381.84 $429.94 $600.85 $913.04 |
$593.78 $639.20 $687.30 $858.21 |
$851.14 $896.56 $944.66 $1,115.57 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$672.84 $763.68 $859.88 $1,201.70 $1,826.08 |
$930.20 $1,021.04 $1,117.24 $1,459.06 |
$1,187.56 $1,278.40 $1,374.60 $1,716.42 |
Toc - Plan #21 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Virtual First (Unlimited $0 App-based Care, $3 Tier 2 Rx) (Disponible en espanol) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-331-4680
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$341.27 $387.34 $436.14 $609.50 $926.20 |
$602.34 $648.41 $697.21 $870.57 |
$863.41 $909.48 $958.28 $1,131.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$682.54 $774.68 $872.28 $1,219.00 $1,852.40 |
$943.61 $1,035.75 $1,133.35 $1,480.07 |
$1,204.68 $1,296.82 $1,394.42 $1,741.14 |
Toc - Plan #22 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-331-4680
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.91 $392.61 $442.07 $617.79 $938.79 |
$610.53 $657.23 $706.69 $882.41 |
$875.15 $921.85 $971.31 $1,147.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$691.82 $785.22 $884.14 $1,235.58 $1,877.58 |
$956.44 $1,049.84 $1,148.76 $1,500.20 |
$1,221.06 $1,314.46 $1,413.38 $1,764.82 |
Toc - Plan #23 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value ($0 PCP Visits, $3 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-331-4680
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340.85 $386.87 $435.61 $608.76 $925.08 |
$601.60 $647.62 $696.36 $869.51 |
$862.35 $908.37 $957.11 $1,130.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$681.70 $773.74 $871.22 $1,217.52 $1,850.16 |
$942.45 $1,034.49 $1,131.97 $1,478.27 |
$1,203.20 $1,295.24 $1,392.72 $1,739.02 |
Toc - Plan #24 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Copay Focus $0 Indiv Med Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-331-4680
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.42 $403.41 $454.23 $634.79 $964.62 |
$627.32 $675.31 $726.13 $906.69 |
$899.22 $947.21 $998.03 $1,178.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$710.84 $806.82 $908.46 $1,269.58 $1,929.24 |
$982.74 $1,078.72 $1,180.36 $1,541.48 |
$1,254.64 $1,350.62 $1,452.26 $1,813.38 |
Toc - Plan #25 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $5 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-331-4680
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.69 $444.57 $500.58 $699.56 $1,063.05 |
$691.33 $744.21 $800.22 $999.20 |
$990.97 $1,043.85 $1,099.86 $1,298.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783.38 $889.14 $1,001.16 $1,399.12 $2,126.10 |
$1,083.02 $1,188.78 $1,300.80 $1,698.76 |
$1,382.66 $1,488.42 $1,600.44 $1,998.40 |
Toc - Plan #26 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-331-4680
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.14 $437.14 $492.21 $687.87 $1,045.28 |
$679.78 $731.78 $786.85 $982.51 |
$974.42 $1,026.42 $1,081.49 $1,277.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$770.28 $874.28 $984.42 $1,375.74 $2,090.56 |
$1,064.92 $1,168.92 $1,279.06 $1,670.38 |
$1,359.56 $1,463.56 $1,573.70 $1,965.02 |
Toc - Plan #27 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-331-4680
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$442.95 $502.74 $566.08 $791.10 $1,202.15 |
$781.80 $841.59 $904.93 $1,129.95 |
$1,120.65 $1,180.44 $1,243.78 $1,468.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$885.90 $1,005.48 $1,132.16 $1,582.20 $2,404.30 |
$1,224.75 $1,344.33 $1,471.01 $1,921.05 |
$1,563.60 $1,683.18 $1,809.86 $2,259.90 |
Toc - Plan #28 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Virtual First (Unlimited $0 App-based Care, $3 Tier 2 Rx) (Disponible en espanol) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-331-4680
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$430.48 $488.60 $550.16 $768.84 $1,168.33 |
$759.80 $817.92 $879.48 $1,098.16 |
$1,089.12 $1,147.24 $1,208.80 $1,427.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$860.96 $977.20 $1,100.32 $1,537.68 $2,336.66 |
$1,190.28 $1,306.52 $1,429.64 $1,867.00 |
$1,519.60 $1,635.84 $1,758.96 $2,196.32 |
Toc - Plan #29 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, Dental + Vision, $0 Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-331-4680
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.93 $455.05 $512.38 $716.05 $1,088.11 |
$707.64 $761.76 $819.09 $1,022.76 |
$1,014.35 $1,068.47 $1,125.80 $1,329.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$801.86 $910.10 $1,024.76 $1,432.10 $2,176.22 |
$1,108.57 $1,216.81 $1,331.47 $1,738.81 |
$1,415.28 $1,523.52 $1,638.18 $2,045.52 |
Toc - Plan #30 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-331-4680
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$448.81 $509.40 $573.58 $801.57 $1,218.07 |
$792.15 $852.74 $916.92 $1,144.91 |
$1,135.49 $1,196.08 $1,260.26 $1,488.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$897.62 $1,018.80 $1,147.16 $1,603.14 $2,436.14 |
$1,240.96 $1,362.14 $1,490.50 $1,946.48 |
$1,584.30 $1,705.48 $1,833.84 $2,289.82 |
ADVERTISEMENT
Ambetter from Buckeye Health PlanLocal: 1-877-687-1189 | Toll Free: 1-877-687-1189 | TTY: 1-877-941-9236 |
Toc - Plan #31 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Complete Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.84 $406.14 $457.31 $639.09 $971.15 |
$631.58 $679.88 $731.05 $912.83 |
$905.32 $953.62 $1,004.79 $1,186.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$715.68 $812.28 $914.62 $1,278.18 $1,942.30 |
$989.42 $1,086.02 $1,188.36 $1,551.92 |
$1,263.16 $1,359.76 $1,462.10 $1,825.66 |
Toc - Plan #32 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Gold
(HMO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.07 $418.88 $471.66 $659.14 $1,001.63 |
$651.40 $701.21 $753.99 $941.47 |
$933.73 $983.54 $1,036.32 $1,223.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.14 $837.76 $943.32 $1,318.28 $2,003.26 |
$1,020.47 $1,120.09 $1,225.65 $1,600.61 |
$1,302.80 $1,402.42 $1,507.98 $1,882.94 |
Toc - Plan #33 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$304.15 $345.20 $388.69 $543.19 $825.43 |
$536.81 $577.86 $621.35 $775.85 |
$769.47 $810.52 $854.01 $1,008.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$608.30 $690.40 $777.38 $1,086.38 $1,650.86 |
$840.96 $923.06 $1,010.04 $1,319.04 |
$1,073.62 $1,155.72 $1,242.70 $1,551.70 |
Toc - Plan #34 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$295.97 $335.91 $378.23 $528.58 $803.23 |
$522.38 $562.32 $604.64 $754.99 |
$748.79 $788.73 $831.05 $981.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$591.94 $671.82 $756.46 $1,057.16 $1,606.46 |
$818.35 $898.23 $982.87 $1,283.57 |
$1,044.76 $1,124.64 $1,209.28 $1,509.98 |
Toc - Plan #35 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335.21 $380.45 $428.38 $598.66 $909.72 |
$591.63 $636.87 $684.80 $855.08 |
$848.05 $893.29 $941.22 $1,111.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$670.42 $760.90 $856.76 $1,197.32 $1,819.44 |
$926.84 $1,017.32 $1,113.18 $1,453.74 |
$1,183.26 $1,273.74 $1,369.60 $1,710.16 |
Toc - Plan #36 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.11 $396.22 $446.14 $623.48 $947.45 |
$616.17 $663.28 $713.20 $890.54 |
$883.23 $930.34 $980.26 $1,157.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.22 $792.44 $892.28 $1,246.96 $1,894.90 |
$965.28 $1,059.50 $1,159.34 $1,514.02 |
$1,232.34 $1,326.56 $1,426.40 $1,781.08 |
Toc - Plan #37 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.02 $400.67 $451.15 $630.48 $958.08 |
$623.07 $670.72 $721.20 $900.53 |
$893.12 $940.77 $991.25 $1,170.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.04 $801.34 $902.30 $1,260.96 $1,916.16 |
$976.09 $1,071.39 $1,172.35 $1,531.01 |
$1,246.14 $1,341.44 $1,442.40 $1,801.06 |
Toc - Plan #38 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Gold
(HMO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.44 $402.28 $452.97 $633.02 $961.93 |
$625.58 $673.42 $724.11 $904.16 |
$896.72 $944.56 $995.25 $1,175.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$708.88 $804.56 $905.94 $1,266.04 $1,923.86 |
$980.02 $1,075.70 $1,177.08 $1,537.18 |
$1,251.16 $1,346.84 $1,448.22 $1,808.32 |
Toc - Plan #39 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Gold
(HMO) Clear Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.38 $396.54 $446.50 $623.98 $948.20 |
$616.65 $663.81 $713.77 $891.25 |
$883.92 $931.08 $981.04 $1,158.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.76 $793.08 $893.00 $1,247.96 $1,896.40 |
$966.03 $1,060.35 $1,160.27 $1,515.23 |
$1,233.30 $1,327.62 $1,427.54 $1,782.50 |
Toc - Plan #40 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291.60 $330.95 $372.65 $520.78 $791.37 |
$514.67 $554.02 $595.72 $743.85 |
$737.74 $777.09 $818.79 $966.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$583.20 $661.90 $745.30 $1,041.56 $1,582.74 |
$806.27 $884.97 $968.37 $1,264.63 |
$1,029.34 $1,108.04 $1,191.44 $1,487.70 |
Toc - Plan #41 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$346.64 $393.43 $443.00 $619.09 $940.77 |
$611.82 $658.61 $708.18 $884.27 |
$877.00 $923.79 $973.36 $1,149.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$693.28 $786.86 $886.00 $1,238.18 $1,881.54 |
$958.46 $1,052.04 $1,151.18 $1,503.36 |
$1,223.64 $1,317.22 $1,416.36 $1,768.54 |
Toc - Plan #42 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Gold
(HMO) Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.42 $404.52 $455.49 $636.55 $967.30 |
$629.07 $677.17 $728.14 $909.20 |
$901.72 $949.82 $1,000.79 $1,181.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$712.84 $809.04 $910.98 $1,273.10 $1,934.60 |
$985.49 $1,081.69 $1,183.63 $1,545.75 |
$1,258.14 $1,354.34 $1,456.28 $1,818.40 |
Toc - Plan #43 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.45 $418.18 $470.87 $658.04 $999.95 |
$650.31 $700.04 $752.73 $939.90 |
$932.17 $981.90 $1,034.59 $1,221.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736.90 $836.36 $941.74 $1,316.08 $1,999.90 |
$1,018.76 $1,118.22 $1,223.60 $1,597.94 |
$1,300.62 $1,400.08 $1,505.46 $1,879.80 |
Toc - Plan #44 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Gold
(HMO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$380.02 $431.31 $485.65 $678.69 $1,031.34 |
$670.73 $722.02 $776.36 $969.40 |
$961.44 $1,012.73 $1,067.07 $1,260.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$760.04 $862.62 $971.30 $1,357.38 $2,062.68 |
$1,050.75 $1,153.33 $1,262.01 $1,648.09 |
$1,341.46 $1,444.04 $1,552.72 $1,938.80 |
Toc - Plan #45 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.17 $355.43 $400.21 $559.30 $849.91 |
$552.74 $595.00 $639.78 $798.87 |
$792.31 $834.57 $879.35 $1,038.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$626.34 $710.86 $800.42 $1,118.60 $1,699.82 |
$865.91 $950.43 $1,039.99 $1,358.17 |
$1,105.48 $1,190.00 $1,279.56 $1,597.74 |
Toc - Plan #46 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$304.74 $345.87 $389.45 $544.25 $827.05 |
$537.86 $578.99 $622.57 $777.37 |
$770.98 $812.11 $855.69 $1,010.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$609.48 $691.74 $778.90 $1,088.50 $1,654.10 |
$842.60 $924.86 $1,012.02 $1,321.62 |
$1,075.72 $1,157.98 $1,245.14 $1,554.74 |
Toc - Plan #47 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.15 $391.73 $441.08 $616.41 $936.70 |
$609.18 $655.76 $705.11 $880.44 |
$873.21 $919.79 $969.14 $1,144.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$690.30 $783.46 $882.16 $1,232.82 $1,873.40 |
$954.33 $1,047.49 $1,146.19 $1,496.85 |
$1,218.36 $1,311.52 $1,410.22 $1,760.88 |
Toc - Plan #48 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359.46 $407.97 $459.38 $641.98 $975.54 |
$634.44 $682.95 $734.36 $916.96 |
$909.42 $957.93 $1,009.34 $1,191.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$718.92 $815.94 $918.76 $1,283.96 $1,951.08 |
$993.90 $1,090.92 $1,193.74 $1,558.94 |
$1,268.88 $1,365.90 $1,468.72 $1,833.92 |
Toc - Plan #49 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.49 $412.55 $464.53 $649.18 $986.49 |
$641.55 $690.61 $742.59 $927.24 |
$919.61 $968.67 $1,020.65 $1,205.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$726.98 $825.10 $929.06 $1,298.36 $1,972.98 |
$1,005.04 $1,103.16 $1,207.12 $1,576.42 |
$1,283.10 $1,381.22 $1,485.18 $1,854.48 |
Toc - Plan #50 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Gold
(HMO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.96 $414.21 $466.40 $651.79 $990.46 |
$644.14 $693.39 $745.58 $930.97 |
$923.32 $972.57 $1,024.76 $1,210.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$729.92 $828.42 $932.80 $1,303.58 $1,980.92 |
$1,009.10 $1,107.60 $1,211.98 $1,582.76 |
$1,288.28 $1,386.78 $1,491.16 $1,861.94 |
Toc - Plan #51 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Gold
(HMO) Clear Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359.74 $408.30 $459.74 $642.49 $976.32 |
$634.94 $683.50 $734.94 $917.69 |
$910.14 $958.70 $1,010.14 $1,192.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$719.48 $816.60 $919.48 $1,284.98 $1,952.64 |
$994.68 $1,091.80 $1,194.68 $1,560.18 |
$1,269.88 $1,367.00 $1,469.88 $1,835.38 |
Toc - Plan #52 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$300.25 $340.77 $383.70 $536.22 $814.84 |
$529.93 $570.45 $613.38 $765.90 |
$759.61 $800.13 $843.06 $995.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$600.50 $681.54 $767.40 $1,072.44 $1,629.68 |
$830.18 $911.22 $997.08 $1,302.12 |
$1,059.86 $1,140.90 $1,226.76 $1,531.80 |
Toc - Plan #53 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Silver
(HMO) Standard Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.92 $405.10 $456.14 $637.45 $968.67 |
$629.96 $678.14 $729.18 $910.49 |
$903.00 $951.18 $1,002.22 $1,183.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$713.84 $810.20 $912.28 $1,274.90 $1,937.34 |
$986.88 $1,083.24 $1,185.32 $1,547.94 |
$1,259.92 $1,356.28 $1,458.36 $1,820.98 |
Toc - Plan #54 Ambetter from Buckeye Health Plan | ||||||||||||||||||||
Gold
(HMO) Standard Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1189
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.99 $416.52 $469.00 $655.43 $995.98 |
$647.73 $697.26 $749.74 $936.17 |
$928.47 $978.00 $1,030.48 $1,216.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$733.98 $833.04 $938.00 $1,310.86 $1,991.96 |
$1,014.72 $1,113.78 $1,218.74 $1,591.60 |
$1,295.46 $1,394.52 $1,499.48 $1,872.34 |
ADVERTISEMENT
Oscar Insurance Corporation of OhioLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #55 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.14 $462.09 $520.31 $727.13 $1,104.95 |
$718.59 $773.54 $831.76 $1,038.58 |
$1,030.04 $1,084.99 $1,143.21 $1,350.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$814.28 $924.18 $1,040.62 $1,454.26 $2,209.90 |
$1,125.73 $1,235.63 $1,352.07 $1,765.71 |
$1,437.18 $1,547.08 $1,663.52 $2,077.16 |
Toc - Plan #56 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412.75 $468.45 $527.48 $737.15 $1,120.16 |
$728.49 $784.19 $843.22 $1,052.89 |
$1,044.23 $1,099.93 $1,158.96 $1,368.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$825.50 $936.90 $1,054.96 $1,474.30 $2,240.32 |
$1,141.24 $1,252.64 $1,370.70 $1,790.04 |
$1,456.98 $1,568.38 $1,686.44 $2,105.78 |
Toc - Plan #57 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422.62 $479.67 $540.10 $754.79 $1,146.97 |
$745.92 $802.97 $863.40 $1,078.09 |
$1,069.22 $1,126.27 $1,186.70 $1,401.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$845.24 $959.34 $1,080.20 $1,509.58 $2,293.94 |
$1,168.54 $1,282.64 $1,403.50 $1,832.88 |
$1,491.84 $1,605.94 $1,726.80 $2,156.18 |
Toc - Plan #58 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) Silver Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$482.68 $547.83 $616.86 $862.05 $1,309.97 |
$851.92 $917.07 $986.10 $1,231.29 |
$1,221.16 $1,286.31 $1,355.34 $1,600.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$965.36 $1,095.66 $1,233.72 $1,724.10 $2,619.94 |
$1,334.60 $1,464.90 $1,602.96 $2,093.34 |
$1,703.84 $1,834.14 $1,972.20 $2,462.58 |
Toc - Plan #59 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Catastrophic
(HMO) Secure |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327.35 $371.54 $418.35 $584.64 $888.41 |
$577.77 $621.96 $668.77 $835.06 |
$828.19 $872.38 $919.19 $1,085.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$654.70 $743.08 $836.70 $1,169.28 $1,776.82 |
$905.12 $993.50 $1,087.12 $1,419.70 |
$1,155.54 $1,243.92 $1,337.54 $1,670.12 |
Toc - Plan #60 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Gold
(HMO) Gold Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$544.07 $617.51 $695.31 $971.70 $1,476.59 |
$960.28 $1,033.72 $1,111.52 $1,387.91 |
$1,376.49 $1,449.93 $1,527.73 $1,804.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,088.14 $1,235.02 $1,390.62 $1,943.40 $2,953.18 |
$1,504.35 $1,651.23 $1,806.83 $2,359.61 |
$1,920.56 $2,067.44 $2,223.04 $2,775.82 |
Toc - Plan #61 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Simple HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.58 $475.08 $534.93 $747.57 $1,136.00 |
$738.79 $795.29 $855.14 $1,067.78 |
$1,059.00 $1,115.50 $1,175.35 $1,387.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$837.16 $950.16 $1,069.86 $1,495.14 $2,272.00 |
$1,157.37 $1,270.37 $1,390.07 $1,815.35 |
$1,477.58 $1,590.58 $1,710.28 $2,135.56 |
Toc - Plan #62 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) Silver Simple PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$461.12 $523.36 $589.29 $823.54 $1,251.44 |
$813.87 $876.11 $942.04 $1,176.29 |
$1,166.62 $1,228.86 $1,294.79 $1,529.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$922.24 $1,046.72 $1,178.58 $1,647.08 $2,502.88 |
$1,274.99 $1,399.47 $1,531.33 $1,999.83 |
$1,627.74 $1,752.22 $1,884.08 $2,352.58 |
Toc - Plan #63 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) Silver Elite Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$496.25 $563.23 $634.19 $886.28 $1,346.78 |
$875.87 $942.85 $1,013.81 $1,265.90 |
$1,255.49 $1,322.47 $1,393.43 $1,645.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$992.50 $1,126.46 $1,268.38 $1,772.56 $2,693.56 |
$1,372.12 $1,506.08 $1,648.00 $2,152.18 |
$1,751.74 $1,885.70 $2,027.62 $2,531.80 |
Toc - Plan #64 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Gold
(HMO) Gold Elite Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$590.26 $669.93 $754.33 $1,054.18 $1,601.93 |
$1,041.80 $1,121.47 $1,205.87 $1,505.72 |
$1,493.34 $1,573.01 $1,657.41 $1,957.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,180.52 $1,339.86 $1,508.66 $2,108.36 $3,203.86 |
$1,632.06 $1,791.40 $1,960.20 $2,559.90 |
$2,083.60 $2,242.94 $2,411.74 $3,011.44 |
Toc - Plan #65 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Gold
(HMO) Gold Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$573.72 $651.16 $733.21 $1,024.65 $1,557.06 |
$1,012.61 $1,090.05 $1,172.10 $1,463.54 |
$1,451.50 $1,528.94 $1,610.99 $1,902.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,147.44 $1,302.32 $1,466.42 $2,049.30 $3,114.12 |
$1,586.33 $1,741.21 $1,905.31 $2,488.19 |
$2,025.22 $2,180.10 $2,344.20 $2,927.08 |
Toc - Plan #66 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) Silver Simple Diabetes |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$477.37 $541.81 $610.07 $852.57 $1,295.57 |
$842.55 $906.99 $975.25 $1,217.75 |
$1,207.73 $1,272.17 $1,340.43 $1,582.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$954.74 $1,083.62 $1,220.14 $1,705.14 $2,591.14 |
$1,319.92 $1,448.80 $1,585.32 $2,070.32 |
$1,685.10 $1,813.98 $1,950.50 $2,435.50 |
Toc - Plan #67 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413.92 $469.79 $528.98 $739.25 $1,123.36 |
$730.56 $786.43 $845.62 $1,055.89 |
$1,047.20 $1,103.07 $1,162.26 $1,372.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$827.84 $939.58 $1,057.96 $1,478.50 $2,246.72 |
$1,144.48 $1,256.22 $1,374.60 $1,795.14 |
$1,461.12 $1,572.86 $1,691.24 $2,111.78 |
Toc - Plan #68 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) Silver Classic Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$456.93 $518.60 $583.94 $816.05 $1,240.07 |
$806.47 $868.14 $933.48 $1,165.59 |
$1,156.01 $1,217.68 $1,283.02 $1,515.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$913.86 $1,037.20 $1,167.88 $1,632.10 $2,480.14 |
$1,263.40 $1,386.74 $1,517.42 $1,981.64 |
$1,612.94 $1,736.28 $1,866.96 $2,331.18 |
Toc - Plan #69 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Gold
(HMO) Gold Classic Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$532.07 $603.89 $679.97 $950.26 $1,444.01 |
$939.10 $1,010.92 $1,087.00 $1,357.29 |
$1,346.13 $1,417.95 $1,494.03 $1,764.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,064.14 $1,207.78 $1,359.94 $1,900.52 $2,888.02 |
$1,471.17 $1,614.81 $1,766.97 $2,307.55 |
$1,878.20 $2,021.84 $2,174.00 $2,714.58 |
ADVERTISEMENT
SummaCareLocal: 1-330-996-8675 | Toll Free: 1-888-996-8675 | TTY: 1-800-750-0750 |
Toc - Plan #70 SummaCare | ||||||||||||||||||||
Catastrophic
(HMO) SummaCare Value with 3 Free PCP Visits + Travel Assistance + Adult Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$206.02 $233.83 $263.29 $367.95 $559.13 |
$363.62 $391.43 $420.89 $525.55 |
$521.22 $549.03 $578.49 $683.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$412.04 $467.66 $526.58 $735.90 $1,118.26 |
$569.64 $625.26 $684.18 $893.50 |
$727.24 $782.86 $841.78 $1,051.10 |
Toc - Plan #71 SummaCare | ||||||||||||||||||||
Expanded Bronze
(HMO) SummaCare Bronze 9450 with 3 Free PCP Visits + Travel Assistance + Adult Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$260.20 $295.32 $332.53 $464.71 $706.17 |
$459.25 $494.37 $531.58 $663.76 |
$658.30 $693.42 $730.63 $862.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$520.40 $590.64 $665.06 $929.42 $1,412.34 |
$719.45 $789.69 $864.11 $1,128.47 |
$918.50 $988.74 $1,063.16 $1,327.52 |
Toc - Plan #72 SummaCare | ||||||||||||||||||||
Gold
(HMO) SummaCare Gold 2000 with 3 Free PCP Visits + Travel Assistance + Adult Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.79 $452.63 $509.66 $712.24 $1,082.32 |
$703.87 $757.71 $814.74 $1,017.32 |
$1,008.95 $1,062.79 $1,119.82 $1,322.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$797.58 $905.26 $1,019.32 $1,424.48 $2,164.64 |
$1,102.66 $1,210.34 $1,324.40 $1,729.56 |
$1,407.74 $1,515.42 $1,629.48 $2,034.64 |
Toc - Plan #73 SummaCare | ||||||||||||||||||||
Silver
(HMO) SummaCare Silver 6000 with 3 Free PCP Visits + Travel Assistance + Adult Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$328.06 $372.35 $419.26 $585.92 $890.36 |
$579.03 $623.32 $670.23 $836.89 |
$830.00 $874.29 $921.20 $1,087.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$656.12 $744.70 $838.52 $1,171.84 $1,780.72 |
$907.09 $995.67 $1,089.49 $1,422.81 |
$1,158.06 $1,246.64 $1,340.46 $1,673.78 |
Toc - Plan #74 SummaCare | ||||||||||||||||||||
Expanded Bronze
(HMO) SummaCare Bronze 9450 with 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$260.02 $295.12 $332.31 $464.40 $705.70 |
$458.94 $494.04 $531.23 $663.32 |
$657.86 $692.96 $730.15 $862.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$520.04 $590.24 $664.62 $928.80 $1,411.40 |
$718.96 $789.16 $863.54 $1,127.72 |
$917.88 $988.08 $1,062.46 $1,326.64 |
Toc - Plan #75 SummaCare | ||||||||||||||||||||
Bronze
(HMO) SummaCare Bronze 8000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$249.65 $283.36 $319.06 $445.88 $677.56 |
$440.64 $474.35 $510.05 $636.87 |
$631.63 $665.34 $701.04 $827.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$499.30 $566.72 $638.12 $891.76 $1,355.12 |
$690.29 $757.71 $829.11 $1,082.75 |
$881.28 $948.70 $1,020.10 $1,273.74 |
Toc - Plan #76 SummaCare | ||||||||||||||||||||
Silver
(HMO) SummaCare Silver 5000 1000 Rx with 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326.30 $370.36 $417.02 $582.78 $885.59 |
$575.92 $619.98 $666.64 $832.40 |
$825.54 $869.60 $916.26 $1,082.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$652.60 $740.72 $834.04 $1,165.56 $1,771.18 |
$902.22 $990.34 $1,083.66 $1,415.18 |
$1,151.84 $1,239.96 $1,333.28 $1,664.80 |
Toc - Plan #77 SummaCare | ||||||||||||||||||||
Gold
(HMO) SummaCare Gold 2000 with 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.15 $451.90 $508.83 $711.09 $1,080.57 |
$702.73 $756.48 $813.41 $1,015.67 |
$1,007.31 $1,061.06 $1,117.99 $1,320.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$796.30 $903.80 $1,017.66 $1,422.18 $2,161.14 |
$1,100.88 $1,208.38 $1,322.24 $1,726.76 |
$1,405.46 $1,512.96 $1,626.82 $2,031.34 |
Toc - Plan #78 SummaCare | ||||||||||||||||||||
Silver
(HMO) SummaCare Silver 3500 with 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336.12 $381.50 $429.56 $600.31 $912.23 |
$593.25 $638.63 $686.69 $857.44 |
$850.38 $895.76 $943.82 $1,114.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$672.24 $763.00 $859.12 $1,200.62 $1,824.46 |
$929.37 $1,020.13 $1,116.25 $1,457.75 |
$1,186.50 $1,277.26 $1,373.38 $1,714.88 |
Toc - Plan #79 SummaCare | ||||||||||||||||||||
Silver
(HMO) SummaCare Silver 7000 with 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$323.66 $367.36 $413.64 $578.06 $878.42 |
$571.26 $614.96 $661.24 $825.66 |
$818.86 $862.56 $908.84 $1,073.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$647.32 $734.72 $827.28 $1,156.12 $1,756.84 |
$894.92 $982.32 $1,074.88 $1,403.72 |
$1,142.52 $1,229.92 $1,322.48 $1,651.32 |
Toc - Plan #80 SummaCare | ||||||||||||||||||||
Expanded Bronze
(HMO) SummaCare Standard Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$268.93 $305.23 $343.69 $480.31 $729.87 |
$474.66 $510.96 $549.42 $686.04 |
$680.39 $716.69 $755.15 $891.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$537.86 $610.46 $687.38 $960.62 $1,459.74 |
$743.59 $816.19 $893.11 $1,166.35 |
$949.32 $1,021.92 $1,098.84 $1,372.08 |
Toc - Plan #81 SummaCare | ||||||||||||||||||||
Bronze
(HMO) SummaCare Bronze 8000 with Travel Assistance + Adult Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$249.83 $283.56 $319.28 $446.20 $678.04 |
$440.95 $474.68 $510.40 $637.32 |
$632.07 $665.80 $701.52 $828.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$499.66 $567.12 $638.56 $892.40 $1,356.08 |
$690.78 $758.24 $829.68 $1,083.52 |
$881.90 $949.36 $1,020.80 $1,274.64 |
Toc - Plan #82 SummaCare | ||||||||||||||||||||
Silver
(HMO) SummaCare Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.23 $375.95 $423.32 $591.58 $898.97 |
$584.62 $629.34 $676.71 $844.97 |
$838.01 $882.73 $930.10 $1,098.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$662.46 $751.90 $846.64 $1,183.16 $1,797.94 |
$915.85 $1,005.29 $1,100.03 $1,436.55 |
$1,169.24 $1,258.68 $1,353.42 $1,689.94 |
Toc - Plan #83 SummaCare | ||||||||||||||||||||
Gold
(HMO) SummaCare Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-996-8675
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$403.09 $457.50 $515.14 $719.91 $1,093.98 |
$711.45 $765.86 $823.50 $1,028.27 |
$1,019.81 $1,074.22 $1,131.86 $1,336.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$806.18 $915.00 $1,030.28 $1,439.82 $2,187.96 |
$1,114.54 $1,223.36 $1,338.64 $1,748.18 |
$1,422.90 $1,531.72 $1,647.00 $2,056.54 |
ADVERTISEMENT
CareSourceLocal: 1-833-230-2099 | Toll Free: 1-833-230-2099 | TTY: 1-800-750-0750 |
Toc - Plan #84 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Low Premium Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.57 $410.37 $462.08 $645.75 $981.28 |
$638.17 $686.97 $738.68 $922.35 |
$914.77 $963.57 $1,015.28 $1,198.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$723.14 $820.74 $924.16 $1,291.50 $1,962.56 |
$999.74 $1,097.34 $1,200.76 $1,568.10 |
$1,276.34 $1,373.94 $1,477.36 $1,844.70 |
Toc - Plan #85 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$577.06 $654.96 $737.48 $1,030.62 $1,566.13 |
$1,018.51 $1,096.41 $1,178.93 $1,472.07 |
$1,459.96 $1,537.86 $1,620.38 $1,913.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,154.12 $1,309.92 $1,474.96 $2,061.24 $3,132.26 |
$1,595.57 $1,751.37 $1,916.41 $2,502.69 |
$2,037.02 $2,192.82 $2,357.86 $2,944.14 |
Toc - Plan #86 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace 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 |
$355.66 $403.67 $454.53 $635.21 $965.26 |
$627.74 $675.75 $726.61 $907.29 |
$899.82 $947.83 $998.69 $1,179.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$711.32 $807.34 $909.06 $1,270.42 $1,930.52 |
$983.40 $1,079.42 $1,181.14 $1,542.50 |
$1,255.48 $1,351.50 $1,453.22 $1,814.58 |
Toc - Plan #87 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace Bronze First |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$286.14 $324.77 $365.69 $511.05 $776.59 |
$505.04 $543.67 $584.59 $729.95 |
$723.94 $762.57 $803.49 $948.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$572.28 $649.54 $731.38 $1,022.10 $1,553.18 |
$791.18 $868.44 $950.28 $1,241.00 |
$1,010.08 $1,087.34 $1,169.18 $1,459.90 |
Toc - Plan #88 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 |
$375.35 $426.01 $479.69 $670.36 $1,018.68 |
$662.49 $713.15 $766.83 $957.50 |
$949.63 $1,000.29 $1,053.97 $1,244.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$750.70 $852.02 $959.38 $1,340.72 $2,037.36 |
$1,037.84 $1,139.16 $1,246.52 $1,627.86 |
$1,324.98 $1,426.30 $1,533.66 $1,915.00 |
Toc - Plan #89 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 |
$591.11 $670.91 $755.44 $1,055.72 $1,604.27 |
$1,043.31 $1,123.11 $1,207.64 $1,507.92 |
$1,495.51 $1,575.31 $1,659.84 $1,960.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,182.22 $1,341.82 $1,510.88 $2,111.44 $3,208.54 |
$1,634.42 $1,794.02 $1,963.08 $2,563.64 |
$2,086.62 $2,246.22 $2,415.28 $3,015.84 |
Toc - Plan #90 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Core 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 |
$539.10 $611.87 $688.96 $962.82 $1,463.11 |
$951.51 $1,024.28 $1,101.37 $1,375.23 |
$1,363.92 $1,436.69 $1,513.78 $1,787.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,078.20 $1,223.74 $1,377.92 $1,925.64 $2,926.22 |
$1,490.61 $1,636.15 $1,790.33 $2,338.05 |
$1,903.02 $2,048.56 $2,202.74 $2,750.46 |
Toc - Plan #91 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 |
$367.04 $416.58 $469.07 $655.52 $996.13 |
$647.82 $697.36 $749.85 $936.30 |
$928.60 $978.14 $1,030.63 $1,217.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734.08 $833.16 $938.14 $1,311.04 $1,992.26 |
$1,014.86 $1,113.94 $1,218.92 $1,591.82 |
$1,295.64 $1,394.72 $1,499.70 $1,872.60 |
Toc - Plan #92 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 |
$366.40 $415.87 $468.26 $654.39 $994.41 |
$646.70 $696.17 $748.56 $934.69 |
$927.00 $976.47 $1,028.86 $1,214.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$732.80 $831.74 $936.52 $1,308.78 $1,988.82 |
$1,013.10 $1,112.04 $1,216.82 $1,589.08 |
$1,293.40 $1,392.34 $1,497.12 $1,869.38 |
Toc - Plan #93 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 |
$583.68 $662.47 $745.93 $1,042.44 $1,584.09 |
$1,030.19 $1,108.98 $1,192.44 $1,488.95 |
$1,476.70 $1,555.49 $1,638.95 $1,935.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,167.36 $1,324.94 $1,491.86 $2,084.88 $3,168.18 |
$1,613.87 $1,771.45 $1,938.37 $2,531.39 |
$2,060.38 $2,217.96 $2,384.88 $2,977.90 |
Toc - Plan #94 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 |
$360.50 $409.17 $460.72 $643.85 $978.39 |
$636.28 $684.95 $736.50 $919.63 |
$912.06 $960.73 $1,012.28 $1,195.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721.00 $818.34 $921.44 $1,287.70 $1,956.78 |
$996.78 $1,094.12 $1,197.22 $1,563.48 |
$1,272.56 $1,369.90 $1,473.00 $1,839.26 |
Toc - Plan #95 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 |
$290.77 $330.02 $371.60 $519.31 $789.14 |
$513.21 $552.46 $594.04 $741.75 |
$735.65 $774.90 $816.48 $964.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$581.54 $660.04 $743.20 $1,038.62 $1,578.28 |
$803.98 $882.48 $965.64 $1,261.06 |
$1,026.42 $1,104.92 $1,188.08 $1,483.50 |
Toc - Plan #96 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 |
$380.18 $431.50 $485.87 $679.00 $1,031.81 |
$671.02 $722.34 $776.71 $969.84 |
$961.86 $1,013.18 $1,067.55 $1,260.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$760.36 $863.00 $971.74 $1,358.00 $2,063.62 |
$1,051.20 $1,153.84 $1,262.58 $1,648.84 |
$1,342.04 $1,444.68 $1,553.42 $1,939.68 |
Toc - Plan #97 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 |
$597.73 $678.42 $763.90 $1,067.54 $1,622.23 |
$1,054.99 $1,135.68 $1,221.16 $1,524.80 |
$1,512.25 $1,592.94 $1,678.42 $1,982.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,195.46 $1,356.84 $1,527.80 $2,135.08 $3,244.46 |
$1,652.72 $1,814.10 $1,985.06 $2,592.34 |
$2,109.98 $2,271.36 $2,442.32 $3,049.60 |
Toc - Plan #98 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 |
$545.72 $619.39 $697.42 $974.65 $1,481.07 |
$963.19 $1,036.86 $1,114.89 $1,392.12 |
$1,380.66 $1,454.33 $1,532.36 $1,809.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,091.44 $1,238.78 $1,394.84 $1,949.30 $2,962.14 |
$1,508.91 $1,656.25 $1,812.31 $2,366.77 |
$1,926.38 $2,073.72 $2,229.78 $2,784.24 |
Toc - Plan #99 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 |
$371.88 $422.08 $475.25 $664.16 $1,009.26 |
$656.36 $706.56 $759.73 $948.64 |
$940.84 $991.04 $1,044.21 $1,233.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$743.76 $844.16 $950.50 $1,328.32 $2,018.52 |
$1,028.24 $1,128.64 $1,234.98 $1,612.80 |
$1,312.72 $1,413.12 $1,519.46 $1,897.28 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-888-438-8581 | Toll Free: 1-877-336-3915 |
Toc - Plan #100 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$315.69 $358.31 $403.45 $563.82 $856.78 |
$557.20 $599.82 $644.96 $805.33 |
$798.71 $841.33 $886.47 $1,046.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$631.38 $716.62 $806.90 $1,127.64 $1,713.56 |
$872.89 $958.13 $1,048.41 $1,369.15 |
$1,114.40 $1,199.64 $1,289.92 $1,610.66 |
Toc - Plan #101 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$336.13 $381.50 $429.57 $600.32 $912.24 |
$593.27 $638.64 $686.71 $857.46 |
$850.41 $895.78 $943.85 $1,114.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$672.26 $763.00 $859.14 $1,200.64 $1,824.48 |
$929.40 $1,020.14 $1,116.28 $1,457.78 |
$1,186.54 $1,277.28 $1,373.42 $1,714.92 |
Toc - Plan #102 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$321.45 $364.85 $410.81 $574.11 $872.41 |
$567.36 $610.76 $656.72 $820.02 |
$813.27 $856.67 $902.63 $1,065.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$642.90 $729.70 $821.62 $1,148.22 $1,744.82 |
$888.81 $975.61 $1,067.53 $1,394.13 |
$1,134.72 $1,221.52 $1,313.44 $1,640.04 |
Toc - Plan #103 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) 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 |
$466.94 $529.97 $596.74 $833.95 $1,267.26 |
$824.15 $887.18 $953.95 $1,191.16 |
$1,181.36 $1,244.39 $1,311.16 $1,548.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$933.88 $1,059.94 $1,193.48 $1,667.90 $2,534.52 |
$1,291.09 $1,417.15 $1,550.69 $2,025.11 |
$1,648.30 $1,774.36 $1,907.90 $2,382.32 |
Toc - Plan #104 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) 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 |
$469.21 $532.55 $599.64 $838.00 $1,273.42 |
$828.15 $891.49 $958.58 $1,196.94 |
$1,187.09 $1,250.43 $1,317.52 $1,555.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$938.42 $1,065.10 $1,199.28 $1,676.00 $2,546.84 |
$1,297.36 $1,424.04 $1,558.22 $2,034.94 |
$1,656.30 $1,782.98 $1,917.16 $2,393.88 |
Toc - Plan #105 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) 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 |
$383.34 $435.09 $489.91 $684.65 $1,040.38 |
$676.60 $728.35 $783.17 $977.91 |
$969.86 $1,021.61 $1,076.43 $1,271.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$766.68 $870.18 $979.82 $1,369.30 $2,080.76 |
$1,059.94 $1,163.44 $1,273.08 $1,662.56 |
$1,353.20 $1,456.70 $1,566.34 $1,955.82 |
Toc - Plan #106 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) 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 |
$391.39 $444.23 $500.19 $699.02 $1,062.22 |
$690.80 $743.64 $799.60 $998.43 |
$990.21 $1,043.05 $1,099.01 $1,297.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$782.78 $888.46 $1,000.38 $1,398.04 $2,124.44 |
$1,082.19 $1,187.87 $1,299.79 $1,697.45 |
$1,381.60 $1,487.28 $1,599.20 $1,996.86 |
Toc - Plan #107 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) 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 |
$391.55 $444.40 $500.40 $699.30 $1,062.65 |
$691.08 $743.93 $799.93 $998.83 |
$990.61 $1,043.46 $1,099.46 $1,298.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783.10 $888.80 $1,000.80 $1,398.60 $2,125.30 |
$1,082.63 $1,188.33 $1,300.33 $1,698.13 |
$1,382.16 $1,487.86 $1,599.86 $1,997.66 |
Toc - Plan #108 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) 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 |
$383.50 $435.27 $490.11 $684.93 $1,040.81 |
$676.88 $728.65 $783.49 $978.31 |
$970.26 $1,022.03 $1,076.87 $1,271.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.00 $870.54 $980.22 $1,369.86 $2,081.62 |
$1,060.38 $1,163.92 $1,273.60 $1,663.24 |
$1,353.76 $1,457.30 $1,566.98 $1,956.62 |
ADVERTISEMENT
MedMutualLocal: 1-888-308-0357 | Toll Free: 1-888-308-0357 |
Toc - Plan #109 MedMutual | ||||||||||||||||||||
Gold
(HMO) Market HMO 2500 |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$499.62 $567.07 $638.51 $892.32 $1,355.96 |
$881.83 $949.28 $1,020.72 $1,274.53 |
$1,264.04 $1,331.49 $1,402.93 $1,656.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$999.24 $1,134.14 $1,277.02 $1,784.64 $2,711.92 |
$1,381.45 $1,516.35 $1,659.23 $2,166.85 |
$1,763.66 $1,898.56 $2,041.44 $2,549.06 |
Toc - Plan #110 MedMutual | ||||||||||||||||||||
Gold
(HMO) Market HMO Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$513.91 $583.29 $656.78 $917.85 $1,394.76 |
$907.05 $976.43 $1,049.92 $1,310.99 |
$1,300.19 $1,369.57 $1,443.06 $1,704.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,027.82 $1,166.58 $1,313.56 $1,835.70 $2,789.52 |
$1,420.96 $1,559.72 $1,706.70 $2,228.84 |
$1,814.10 $1,952.86 $2,099.84 $2,621.98 |
Toc - Plan #111 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO 3850 |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$457.80 $519.61 $585.07 $817.64 $1,242.48 |
$808.02 $869.83 $935.29 $1,167.86 |
$1,158.24 $1,220.05 $1,285.51 $1,518.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$915.60 $1,039.22 $1,170.14 $1,635.28 $2,484.96 |
$1,265.82 $1,389.44 $1,520.36 $1,985.50 |
$1,616.04 $1,739.66 $1,870.58 $2,335.72 |
Toc - Plan #112 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO 4000 HSA |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$467.10 $530.15 $596.95 $834.23 $1,267.70 |
$824.43 $887.48 $954.28 $1,191.56 |
$1,181.76 $1,244.81 $1,311.61 $1,548.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$934.20 $1,060.30 $1,193.90 $1,668.46 $2,535.40 |
$1,291.53 $1,417.63 $1,551.23 $2,025.79 |
$1,648.86 $1,774.96 $1,908.56 $2,383.12 |
Toc - Plan #113 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO Select Silver |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$486.04 $551.65 $621.16 $868.06 $1,319.11 |
$857.86 $923.47 $992.98 $1,239.88 |
$1,229.68 $1,295.29 $1,364.80 $1,611.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$972.08 $1,103.30 $1,242.32 $1,736.12 $2,638.22 |
$1,343.90 $1,475.12 $1,614.14 $2,107.94 |
$1,715.72 $1,846.94 $1,985.96 $2,479.76 |
Toc - Plan #114 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$455.66 $517.17 $582.33 $813.81 $1,236.66 |
$804.24 $865.75 $930.91 $1,162.39 |
$1,152.82 $1,214.33 $1,279.49 $1,510.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$911.32 $1,034.34 $1,164.66 $1,627.62 $2,473.32 |
$1,259.90 $1,382.92 $1,513.24 $1,976.20 |
$1,608.48 $1,731.50 $1,861.82 $2,324.78 |
Toc - Plan #115 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO 6900 |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$451.37 $512.31 $576.85 $806.15 $1,225.02 |
$796.67 $857.61 $922.15 $1,151.45 |
$1,141.97 $1,202.91 $1,267.45 $1,496.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$902.74 $1,024.62 $1,153.70 $1,612.30 $2,450.04 |
$1,248.04 $1,369.92 $1,499.00 $1,957.60 |
$1,593.34 $1,715.22 $1,844.30 $2,302.90 |
Toc - Plan #116 MedMutual | ||||||||||||||||||||
Expanded Bronze
(HMO) Market HMO 7300 HSA |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$330.58 $375.21 $422.48 $590.41 $897.19 |
$583.47 $628.10 $675.37 $843.30 |
$836.36 $880.99 $928.26 $1,096.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$661.16 $750.42 $844.96 $1,180.82 $1,794.38 |
$914.05 $1,003.31 $1,097.85 $1,433.71 |
$1,166.94 $1,256.20 $1,350.74 $1,686.60 |
Toc - Plan #117 MedMutual | ||||||||||||||||||||
Expanded Bronze
(HMO) Market HMO 8300 |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.35 $360.20 $405.58 $566.79 $861.30 |
$560.13 $602.98 $648.36 $809.57 |
$802.91 $845.76 $891.14 $1,052.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$634.70 $720.40 $811.16 $1,133.58 $1,722.60 |
$877.48 $963.18 $1,053.94 $1,376.36 |
$1,120.26 $1,205.96 $1,296.72 $1,619.14 |
Toc - Plan #118 MedMutual | ||||||||||||||||||||
Expanded Bronze
(HMO) Market HMO Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341.66 $387.78 $436.64 $610.20 $927.25 |
$603.03 $649.15 $698.01 $871.57 |
$864.40 $910.52 $959.38 $1,132.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$683.32 $775.56 $873.28 $1,220.40 $1,854.50 |
$944.69 $1,036.93 $1,134.65 $1,481.77 |
$1,206.06 $1,298.30 $1,396.02 $1,743.14 |
Toc - Plan #119 MedMutual | ||||||||||||||||||||
Bronze
(HMO) Market HMO 9450 |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$314.49 $356.95 $401.92 $561.69 $853.54 |
$555.08 $597.54 $642.51 $802.28 |
$795.67 $838.13 $883.10 $1,042.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$628.98 $713.90 $803.84 $1,123.38 $1,707.08 |
$869.57 $954.49 $1,044.43 $1,363.97 |
$1,110.16 $1,195.08 $1,285.02 $1,604.56 |
Toc - Plan #120 MedMutual | ||||||||||||||||||||
Expanded Bronze
(HMO) Market HMO Select Bronze |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.53 $425.10 $478.66 $668.92 $1,016.49 |
$661.05 $711.62 $765.18 $955.44 |
$947.57 $998.14 $1,051.70 $1,241.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$749.06 $850.20 $957.32 $1,337.84 $2,032.98 |
$1,035.58 $1,136.72 $1,243.84 $1,624.36 |
$1,322.10 $1,423.24 $1,530.36 $1,910.88 |
Toc - Plan #121 MedMutual | ||||||||||||||||||||
Catastrophic
(HMO) Market HMO Young Adult Essentials |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$205.49 $233.24 $262.62 $367.01 $557.71 |
$362.69 $390.44 $419.82 $524.21 |
$519.89 $547.64 $577.02 $681.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$410.98 $466.48 $525.24 $734.02 $1,115.42 |
$568.18 $623.68 $682.44 $891.22 |
$725.38 $780.88 $839.64 $1,048.42 |
Toc - Plan #122 MedMutual | ||||||||||||||||||||
Gold
(HMO) Market HMO Standard Gold - CLE-Care |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$454.23 $515.55 $580.51 $811.26 $1,232.78 |
$801.72 $863.04 $928.00 $1,158.75 |
$1,149.21 $1,210.53 $1,275.49 $1,506.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$908.46 $1,031.10 $1,161.02 $1,622.52 $2,465.56 |
$1,255.95 $1,378.59 $1,508.51 $1,970.01 |
$1,603.44 $1,726.08 $1,856.00 $2,317.50 |
Toc - Plan #123 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO Standard Silver - CLE-Care |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$402.77 $457.14 $514.74 $719.34 $1,093.11 |
$710.89 $765.26 $822.86 $1,027.46 |
$1,019.01 $1,073.38 $1,130.98 $1,335.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$805.54 $914.28 $1,029.48 $1,438.68 $2,186.22 |
$1,113.66 $1,222.40 $1,337.60 $1,746.80 |
$1,421.78 $1,530.52 $1,645.72 $2,054.92 |
Toc - Plan #124 MedMutual | ||||||||||||||||||||
Expanded Bronze
(HMO) Market HMO Standard Expanded Bronze - CLE-Care |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301.99 $342.75 $385.94 $539.35 $819.59 |
$533.01 $573.77 $616.96 $770.37 |
$764.03 $804.79 $847.98 $1,001.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$603.98 $685.50 $771.88 $1,078.70 $1,639.18 |
$835.00 $916.52 $1,002.90 $1,309.72 |
$1,066.02 $1,147.54 $1,233.92 $1,540.74 |
‡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 Medina County here.
Medina County is in “Rating Area 12” of Ohio.
Currently, there are 124 plans offered in Rating Area 12.