Obamacare 2024 Rates for Maricopa County, Arizona
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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 Phoenix, AZ.
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, 110 Plans and 2024 Rates for Maricopa County, Arizona
Below, you’ll find a summary of the 110 plans for Maricopa County, Arizona 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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Oscar Health Plan, Inc.Local: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #1 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic PCP Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$265.23 $301.03 $338.96 $473.69 $719.82 |
$468.13 $503.93 $541.86 $676.59 |
$671.03 $706.83 $744.76 $879.49 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$530.46 $602.06 $677.92 $947.38 $1,439.64 |
$733.36 $804.96 $880.82 $1,150.28 |
$936.26 $1,007.86 $1,083.72 $1,353.18 |
Toc - Plan #2 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$263.39 $298.93 $336.60 $470.39 $714.81 |
$464.87 $500.41 $538.08 $671.87 |
$666.35 $701.89 $739.56 $873.35 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$526.78 $597.86 $673.20 $940.78 $1,429.62 |
$728.26 $799.34 $874.68 $1,142.26 |
$929.74 $1,000.82 $1,076.16 $1,343.74 |
Toc - Plan #3 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Elite + PCP Saver Plus |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$295.53 $335.42 $377.67 $527.80 $802.04 |
$521.60 $561.49 $603.74 $753.87 |
$747.67 $787.56 $829.81 $979.94 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$591.06 $670.84 $755.34 $1,055.60 $1,604.08 |
$817.13 $896.91 $981.41 $1,281.67 |
$1,043.20 $1,122.98 $1,207.48 $1,507.74 |
Toc - Plan #4 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Classic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$315.02 $357.53 $402.58 $562.60 $854.93 |
$556.00 $598.51 $643.56 $803.58 |
$796.98 $839.49 $884.54 $1,044.56 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$630.04 $715.06 $805.16 $1,125.20 $1,709.86 |
$871.02 $956.04 $1,046.14 $1,366.18 |
$1,112.00 $1,197.02 $1,287.12 $1,607.16 |
Toc - Plan #5 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Simple Specialist Saver with COPD |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$309.82 $351.63 $395.93 $553.31 $840.82 |
$546.82 $588.63 $632.93 $790.31 |
$783.82 $825.63 $869.93 $1,027.31 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$619.64 $703.26 $791.86 $1,106.62 $1,681.64 |
$856.64 $940.26 $1,028.86 $1,343.62 |
$1,093.64 $1,177.26 $1,265.86 $1,580.62 |
Toc - Plan #6 Oscar Health Plan, Inc. | ||||||||||||||||||||
Catastrophic
(HMO) Secure |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$204.37 $231.94 $261.17 $364.98 $554.62 |
$360.70 $388.27 $417.50 $521.31 |
$517.03 $544.60 $573.83 $677.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$408.74 $463.88 $522.34 $729.96 $1,109.24 |
$565.07 $620.21 $678.67 $886.29 |
$721.40 $776.54 $835.00 $1,042.62 |
Toc - Plan #7 Oscar Health Plan, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Classic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$385.39 $437.40 $492.51 $688.28 $1,045.92 |
$680.20 $732.21 $787.32 $983.09 |
$975.01 $1,027.02 $1,082.13 $1,277.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$770.78 $874.80 $985.02 $1,376.56 $2,091.84 |
$1,065.59 $1,169.61 $1,279.83 $1,671.37 |
$1,360.40 $1,464.42 $1,574.64 $1,966.18 |
Toc - Plan #8 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic 4700 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$270.66 $307.19 $345.90 $483.39 $734.56 |
$477.71 $514.24 $552.95 $690.44 |
$684.76 $721.29 $760.00 $897.49 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$541.32 $614.38 $691.80 $966.78 $1,469.12 |
$748.37 $821.43 $898.85 $1,173.83 |
$955.42 $1,028.48 $1,105.90 $1,380.88 |
Toc - Plan #9 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Simple PCP Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$305.45 $346.67 $390.35 $545.51 $828.96 |
$539.11 $580.33 $624.01 $779.17 |
$772.77 $813.99 $857.67 $1,012.83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$610.90 $693.34 $780.70 $1,091.02 $1,657.92 |
$844.56 $927.00 $1,014.36 $1,324.68 |
$1,078.22 $1,160.66 $1,248.02 $1,558.34 |
Toc - Plan #10 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Elite Saver Plus |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$323.51 $367.17 $413.43 $577.77 $877.98 |
$570.99 $614.65 $660.91 $825.25 |
$818.47 $862.13 $908.39 $1,072.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$647.02 $734.34 $826.86 $1,155.54 $1,755.96 |
$894.50 $981.82 $1,074.34 $1,403.02 |
$1,141.98 $1,229.30 $1,321.82 $1,650.50 |
Toc - Plan #11 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$264.74 $300.47 $338.32 $472.80 $718.47 |
$467.26 $502.99 $540.84 $675.32 |
$669.78 $705.51 $743.36 $877.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$529.48 $600.94 $676.64 $945.60 $1,436.94 |
$732.00 $803.46 $879.16 $1,148.12 |
$934.52 $1,005.98 $1,081.68 $1,350.64 |
Toc - Plan #12 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Classic Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$302.25 $343.04 $386.26 $539.80 $820.28 |
$533.46 $574.25 $617.47 $771.01 |
$764.67 $805.46 $848.68 $1,002.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$604.50 $686.08 $772.52 $1,079.60 $1,640.56 |
$835.71 $917.29 $1,003.73 $1,310.81 |
$1,066.92 $1,148.50 $1,234.94 $1,542.02 |
Toc - Plan #13 Oscar Health Plan, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Classic Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$372.18 $422.41 $475.63 $664.69 $1,010.06 |
$656.89 $707.12 $760.34 $949.40 |
$941.60 $991.83 $1,045.05 $1,234.11 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$744.36 $844.82 $951.26 $1,329.38 $2,020.12 |
$1,029.07 $1,129.53 $1,235.97 $1,614.09 |
$1,313.78 $1,414.24 $1,520.68 $1,898.80 |
ADVERTISEMENT
BannerAetnaLocal: 1-866-365-7374 | Toll Free: 1-844-365-7374 |
Toc - Plan #14 BannerAetna | ||||||||||||||||||||
Expanded Bronze
(HMO) BannerAetna Bronze 2 HSA: No PCP required + MinuteClinic + free 98point6 virtual care 24/7 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-365-7374
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 |
$240.96 $273.49 $307.94 $430.34 $653.95 |
$425.29 $457.82 $492.27 $614.67 |
$609.62 $642.15 $676.60 $799.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$481.92 $546.98 $615.88 $860.68 $1,307.90 |
$666.25 $731.31 $800.21 $1,045.01 |
$850.58 $915.64 $984.54 $1,229.34 |
Toc - Plan #15 BannerAetna | ||||||||||||||||||||
Silver
(HMO) BannerAetna Silver 2: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-365-7374
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 |
$294.51 $334.27 $376.38 $525.99 $799.30 |
$519.81 $559.57 $601.68 $751.29 |
$745.11 $784.87 $826.98 $976.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$589.02 $668.54 $752.76 $1,051.98 $1,598.60 |
$814.32 $893.84 $978.06 $1,277.28 |
$1,039.62 $1,119.14 $1,203.36 $1,502.58 |
Toc - Plan #16 BannerAetna | ||||||||||||||||||||
Expanded Bronze
(HMO) BannerAetna Bronze S: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-365-7374
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 |
$245.17 $278.27 $313.32 $437.87 $665.38 |
$432.72 $465.82 $500.87 $625.42 |
$620.27 $653.37 $688.42 $812.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$490.34 $556.54 $626.64 $875.74 $1,330.76 |
$677.89 $744.09 $814.19 $1,063.29 |
$865.44 $931.64 $1,001.74 $1,250.84 |
Toc - Plan #17 BannerAetna | ||||||||||||||||||||
Gold
(HMO) BannerAetna Gold S: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-365-7374
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 |
$338.19 $383.84 $432.20 $604.00 $917.83 |
$596.90 $642.55 $690.91 $862.71 |
$855.61 $901.26 $949.62 $1,121.42 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$676.38 $767.68 $864.40 $1,208.00 $1,835.66 |
$935.09 $1,026.39 $1,123.11 $1,466.71 |
$1,193.80 $1,285.10 $1,381.82 $1,725.42 |
Toc - Plan #18 BannerAetna | ||||||||||||||||||||
Silver
(HMO) BannerAetna Silver 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-365-7374
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$304.29 $345.37 $388.88 $543.46 $825.83 |
$537.07 $578.15 $621.66 $776.24 |
$769.85 $810.93 $854.44 $1,009.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$608.58 $690.74 $777.76 $1,086.92 $1,651.66 |
$841.36 $923.52 $1,010.54 $1,319.70 |
$1,074.14 $1,156.30 $1,243.32 $1,552.48 |
Toc - Plan #19 BannerAetna | ||||||||||||||||||||
Silver
(HMO) BannerAetna Silver S: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-365-7374
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 |
$284.74 $323.18 $363.89 $508.54 $772.77 |
$502.57 $541.01 $581.72 $726.37 |
$720.40 $758.84 $799.55 $944.20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$569.48 $646.36 $727.78 $1,017.08 $1,545.54 |
$787.31 $864.19 $945.61 $1,234.91 |
$1,005.14 $1,082.02 $1,163.44 $1,452.74 |
Toc - Plan #20 BannerAetna | ||||||||||||||||||||
Expanded Bronze
(HMO) BannerAetna Bronze 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-365-7374
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 |
$270.19 $306.67 $345.30 $482.56 $733.29 |
$476.89 $513.37 $552.00 $689.26 |
$683.59 $720.07 $758.70 $895.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$540.38 $613.34 $690.60 $965.12 $1,466.58 |
$747.08 $820.04 $897.30 $1,171.82 |
$953.78 $1,026.74 $1,104.00 $1,378.52 |
Toc - Plan #21 BannerAetna | ||||||||||||||||||||
Gold
(HMO) BannerAetna Gold 3: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-365-7374
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 |
$336.79 $382.25 $430.41 $601.50 $914.03 |
$594.43 $639.89 $688.05 $859.14 |
$852.07 $897.53 $945.69 $1,116.78 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$673.58 $764.50 $860.82 $1,203.00 $1,828.06 |
$931.22 $1,022.14 $1,118.46 $1,460.64 |
$1,188.86 $1,279.78 $1,376.10 $1,718.28 |
Toc - Plan #22 BannerAetna | ||||||||||||||||||||
Gold
(HMO) BannerAetna Gold 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-365-7374
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 |
$341.35 $387.43 $436.25 $609.65 $926.42 |
$602.49 $648.57 $697.39 $870.79 |
$863.63 $909.71 $958.53 $1,131.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$682.70 $774.86 $872.50 $1,219.30 $1,852.84 |
$943.84 $1,036.00 $1,133.64 $1,480.44 |
$1,204.98 $1,297.14 $1,394.78 $1,741.58 |
Toc - Plan #23 BannerAetna | ||||||||||||||||||||
Silver
(HMO) BannerAetna Silver 5: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-365-7374
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$284.54 $322.95 $363.64 $508.19 $772.24 |
$502.22 $540.63 $581.32 $725.87 |
$719.90 $758.31 $799.00 $943.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$569.08 $645.90 $727.28 $1,016.38 $1,544.48 |
$786.76 $863.58 $944.96 $1,234.06 |
$1,004.44 $1,081.26 $1,162.64 $1,451.74 |
Toc - Plan #24 BannerAetna | ||||||||||||||||||||
Silver
(HMO) BannerAetna Silver 6: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-365-7374
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$290.42 $329.62 $371.15 $518.68 $788.19 |
$512.59 $551.79 $593.32 $740.85 |
$734.76 $773.96 $815.49 $963.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$580.84 $659.24 $742.30 $1,037.36 $1,576.38 |
$803.01 $881.41 $964.47 $1,259.53 |
$1,025.18 $1,103.58 $1,186.64 $1,481.70 |
ADVERTISEMENT
MedicaLocal: 1-877-347-0267 | Toll Free: 1-877-347-0267 | TTY: 1-800-676-3777 |
Toc - Plan #25 Medica | ||||||||||||||||||||
Gold
(HMO) Medica Pinnacle Gold Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-347-0267
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$454.78 $516.17 $581.21 $812.23 $1,234.27 |
$802.69 $864.08 $929.12 $1,160.14 |
$1,150.60 $1,211.99 $1,277.03 $1,508.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$909.56 $1,032.34 $1,162.42 $1,624.46 $2,468.54 |
$1,257.47 $1,380.25 $1,510.33 $1,972.37 |
$1,605.38 $1,728.16 $1,858.24 $2,320.28 |
Toc - Plan #26 Medica | ||||||||||||||||||||
Gold
(HMO) Medica Pinnacle Gold Share |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-347-0267
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$475.39 $539.57 $607.55 $849.06 $1,290.22 |
$839.07 $903.25 $971.23 $1,212.74 |
$1,202.75 $1,266.93 $1,334.91 $1,576.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$950.78 $1,079.14 $1,215.10 $1,698.12 $2,580.44 |
$1,314.46 $1,442.82 $1,578.78 $2,061.80 |
$1,678.14 $1,806.50 $1,942.46 $2,425.48 |
Toc - Plan #27 Medica | ||||||||||||||||||||
Expanded Bronze
(HMO) Medica Pinnacle Bronze Share Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-347-0267
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294.18 $333.90 $375.96 $525.41 $798.41 |
$519.23 $558.95 $601.01 $750.46 |
$744.28 $784.00 $826.06 $975.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$588.36 $667.80 $751.92 $1,050.82 $1,596.82 |
$813.41 $892.85 $976.97 $1,275.87 |
$1,038.46 $1,117.90 $1,202.02 $1,500.92 |
Toc - Plan #28 Medica | ||||||||||||||||||||
Expanded Bronze
(HMO) Medica Pinnacle Bronze Copay $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-347-0267
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294.66 $334.44 $376.58 $526.27 $799.72 |
$520.08 $559.86 $602.00 $751.69 |
$745.50 $785.28 $827.42 $977.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$589.32 $668.88 $753.16 $1,052.54 $1,599.44 |
$814.74 $894.30 $978.58 $1,277.96 |
$1,040.16 $1,119.72 $1,204.00 $1,503.38 |
Toc - Plan #29 Medica | ||||||||||||||||||||
Silver
(HMO) Medica Pinnacle Silver Copay $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-347-0267
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.65 $475.17 $535.04 $747.71 $1,136.22 |
$738.92 $795.44 $855.31 $1,067.98 |
$1,059.19 $1,115.71 $1,175.58 $1,388.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$837.30 $950.34 $1,070.08 $1,495.42 $2,272.44 |
$1,157.57 $1,270.61 $1,390.35 $1,815.69 |
$1,477.84 $1,590.88 $1,710.62 $2,135.96 |
Toc - Plan #30 Medica | ||||||||||||||||||||
Gold
(HMO) Medica Pinnacle Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-347-0267
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$468.14 $531.34 $598.28 $836.10 $1,270.53 |
$826.27 $889.47 $956.41 $1,194.23 |
$1,184.40 $1,247.60 $1,314.54 $1,552.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$936.28 $1,062.68 $1,196.56 $1,672.20 $2,541.06 |
$1,294.41 $1,420.81 $1,554.69 $2,030.33 |
$1,652.54 $1,778.94 $1,912.82 $2,388.46 |
Toc - Plan #31 Medica | ||||||||||||||||||||
Silver
(HMO) Medica Pinnacle Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-347-0267
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$417.58 $473.96 $533.67 $745.80 $1,133.32 |
$737.03 $793.41 $853.12 $1,065.25 |
$1,056.48 $1,112.86 $1,172.57 $1,384.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$835.16 $947.92 $1,067.34 $1,491.60 $2,266.64 |
$1,154.61 $1,267.37 $1,386.79 $1,811.05 |
$1,474.06 $1,586.82 $1,706.24 $2,130.50 |
Toc - Plan #32 Medica | ||||||||||||||||||||
Bronze
(HMO) Medica Pinnacle Bronze Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-347-0267
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$264.71 $300.45 $338.31 $472.78 $718.44 |
$467.22 $502.96 $540.82 $675.29 |
$669.73 $705.47 $743.33 $877.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$529.42 $600.90 $676.62 $945.56 $1,436.88 |
$731.93 $803.41 $879.13 $1,148.07 |
$934.44 $1,005.92 $1,081.64 $1,350.58 |
Toc - Plan #33 Medica | ||||||||||||||||||||
Expanded Bronze
(HMO) Medica Pinnacle Expanded Bronze Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-347-0267
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$275.92 $313.17 $352.63 $492.79 $748.85 |
$487.00 $524.25 $563.71 $703.87 |
$698.08 $735.33 $774.79 $914.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$551.84 $626.34 $705.26 $985.58 $1,497.70 |
$762.92 $837.42 $916.34 $1,196.66 |
$974.00 $1,048.50 $1,127.42 $1,407.74 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-877-482-9045 | Toll Free: 1-877-482-9045 | TTY: 1-877-482-9045 |
Toc - Plan #34 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.40 $346.62 $390.30 $545.44 $828.84 |
$539.03 $580.25 $623.93 $779.07 |
$772.66 $813.88 $857.56 $1,012.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$610.80 $693.24 $780.60 $1,090.88 $1,657.68 |
$844.43 $926.87 $1,014.23 $1,324.51 |
$1,078.06 $1,160.50 $1,247.86 $1,558.14 |
Toc - Plan #35 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$243.03 $275.83 $310.59 $434.05 $659.57 |
$428.95 $461.75 $496.51 $619.97 |
$614.87 $647.67 $682.43 $805.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$486.06 $551.66 $621.18 $868.10 $1,319.14 |
$671.98 $737.58 $807.10 $1,054.02 |
$857.90 $923.50 $993.02 $1,239.94 |
Toc - Plan #36 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$235.12 $266.86 $300.48 $419.92 $638.11 |
$414.99 $446.73 $480.35 $599.79 |
$594.86 $626.60 $660.22 $779.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$470.24 $533.72 $600.96 $839.84 $1,276.22 |
$650.11 $713.59 $780.83 $1,019.71 |
$829.98 $893.46 $960.70 $1,199.58 |
Toc - Plan #37 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$235.70 $267.52 $301.23 $420.96 $639.69 |
$416.01 $447.83 $481.54 $601.27 |
$596.32 $628.14 $661.85 $781.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$471.40 $535.04 $602.46 $841.92 $1,279.38 |
$651.71 $715.35 $782.77 $1,022.23 |
$832.02 $895.66 $963.08 $1,202.54 |
Toc - Plan #38 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.82 $424.29 $477.74 $667.64 $1,014.55 |
$659.79 $710.26 $763.71 $953.61 |
$945.76 $996.23 $1,049.68 $1,239.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.64 $848.58 $955.48 $1,335.28 $2,029.10 |
$1,033.61 $1,134.55 $1,241.45 $1,621.25 |
$1,319.58 $1,420.52 $1,527.42 $1,907.22 |
Toc - Plan #39 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.22 $433.82 $488.48 $682.65 $1,037.36 |
$674.62 $726.22 $780.88 $975.05 |
$967.02 $1,018.62 $1,073.28 $1,267.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.44 $867.64 $976.96 $1,365.30 $2,074.72 |
$1,056.84 $1,160.04 $1,269.36 $1,657.70 |
$1,349.24 $1,452.44 $1,561.76 $1,950.10 |
Toc - Plan #40 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: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303.57 $344.55 $387.96 $542.18 $823.89 |
$535.80 $576.78 $620.19 $774.41 |
$768.03 $809.01 $852.42 $1,006.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$607.14 $689.10 $775.92 $1,084.36 $1,647.78 |
$839.37 $921.33 $1,008.15 $1,316.59 |
$1,071.60 $1,153.56 $1,240.38 $1,548.82 |
Toc - Plan #41 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.22 $347.57 $391.36 $546.92 $831.09 |
$540.48 $581.83 $625.62 $781.18 |
$774.74 $816.09 $859.88 $1,015.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$612.44 $695.14 $782.72 $1,093.84 $1,662.18 |
$846.70 $929.40 $1,016.98 $1,328.10 |
$1,080.96 $1,163.66 $1,251.24 $1,562.36 |
Toc - Plan #42 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$241.57 $274.18 $308.73 $431.45 $655.63 |
$426.37 $458.98 $493.53 $616.25 |
$611.17 $643.78 $678.33 $801.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$483.14 $548.36 $617.46 $862.90 $1,311.26 |
$667.94 $733.16 $802.26 $1,047.70 |
$852.74 $917.96 $987.06 $1,232.50 |
Toc - Plan #43 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: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.37 $436.26 $491.22 $686.48 $1,043.17 |
$678.41 $730.30 $785.26 $980.52 |
$972.45 $1,024.34 $1,079.30 $1,274.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$768.74 $872.52 $982.44 $1,372.96 $2,086.34 |
$1,062.78 $1,166.56 $1,276.48 $1,667.00 |
$1,356.82 $1,460.60 $1,570.52 $1,961.04 |
Toc - Plan #44 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: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.83 $352.79 $397.24 $555.15 $843.60 |
$548.62 $590.58 $635.03 $792.94 |
$786.41 $828.37 $872.82 $1,030.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.66 $705.58 $794.48 $1,110.30 $1,687.20 |
$859.45 $943.37 $1,032.27 $1,348.09 |
$1,097.24 $1,181.16 $1,270.06 $1,585.88 |
Toc - Plan #45 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Copay Focus $0 Indiv Med Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$253.91 $288.19 $324.49 $453.48 $689.11 |
$448.15 $482.43 $518.73 $647.72 |
$642.39 $676.67 $712.97 $841.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$507.82 $576.38 $648.98 $906.96 $1,378.22 |
$702.06 $770.62 $843.22 $1,101.20 |
$896.30 $964.86 $1,037.46 $1,295.44 |
Toc - Plan #46 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.71 $416.22 $468.66 $654.95 $995.25 |
$647.24 $696.75 $749.19 $935.48 |
$927.77 $977.28 $1,029.72 $1,216.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$733.42 $832.44 $937.32 $1,309.90 $1,990.50 |
$1,013.95 $1,112.97 $1,217.85 $1,590.43 |
$1,294.48 $1,393.50 $1,498.38 $1,870.96 |
Toc - Plan #47 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: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.77 $444.66 $500.68 $699.70 $1,063.27 |
$691.47 $744.36 $800.38 $999.40 |
$991.17 $1,044.06 $1,100.08 $1,299.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783.54 $889.32 $1,001.36 $1,399.40 $2,126.54 |
$1,083.24 $1,189.02 $1,301.06 $1,699.10 |
$1,382.94 $1,488.72 $1,600.76 $1,998.80 |
Toc - Plan #48 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$320.13 $363.35 $409.13 $571.75 $868.84 |
$565.03 $608.25 $654.03 $816.65 |
$809.93 $853.15 $898.93 $1,061.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$640.26 $726.70 $818.26 $1,143.50 $1,737.68 |
$885.16 $971.60 $1,063.16 $1,388.40 |
$1,130.06 $1,216.50 $1,308.06 $1,633.30 |
ADVERTISEMENT
Blue Cross Blue Shield of ArizonaLocal: 1-844-341-5837 | Toll Free: 1-844-341-5837 | TTY: 1-602-864-4823 |
Toc - Plan #49 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(HMO) Blue EverydayHealth Gold - MaricopaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$409.02 $464.23 $522.72 $730.50 $1,110.06 |
$721.92 $777.13 $835.62 $1,043.40 |
$1,034.82 $1,090.03 $1,148.52 $1,356.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$818.04 $928.46 $1,045.44 $1,461.00 $2,220.12 |
$1,130.94 $1,241.36 $1,358.34 $1,773.90 |
$1,443.84 $1,554.26 $1,671.24 $2,086.80 |
Toc - Plan #50 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue EverydayHealth Silver - MaricopaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.01 $350.73 $394.92 $551.90 $838.66 |
$545.41 $587.13 $631.32 $788.30 |
$781.81 $823.53 $867.72 $1,024.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$618.02 $701.46 $789.84 $1,103.80 $1,677.32 |
$854.42 $937.86 $1,026.24 $1,340.20 |
$1,090.82 $1,174.26 $1,262.64 $1,576.60 |
Toc - Plan #51 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue EverydayHealth Bronze - MaricopaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$273.18 $310.06 $349.12 $487.90 $741.40 |
$482.16 $519.04 $558.10 $696.88 |
$691.14 $728.02 $767.08 $905.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$546.36 $620.12 $698.24 $975.80 $1,482.80 |
$755.34 $829.10 $907.22 $1,184.78 |
$964.32 $1,038.08 $1,116.20 $1,393.76 |
Toc - Plan #52 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue AdvanceHealth Silver - MaricopaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.21 $339.60 $382.39 $534.39 $812.05 |
$528.11 $568.50 $611.29 $763.29 |
$757.01 $797.40 $840.19 $992.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$598.42 $679.20 $764.78 $1,068.78 $1,624.10 |
$827.32 $908.10 $993.68 $1,297.68 |
$1,056.22 $1,137.00 $1,222.58 $1,526.58 |
Toc - Plan #53 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Portfolio HSA Bronze - MaricopaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294.39 $334.13 $376.23 $525.78 $798.97 |
$519.60 $559.34 $601.44 $750.99 |
$744.81 $784.55 $826.65 $976.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$588.78 $668.26 $752.46 $1,051.56 $1,597.94 |
$813.99 $893.47 $977.67 $1,276.77 |
$1,039.20 $1,118.68 $1,202.88 $1,501.98 |
Toc - Plan #54 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue AdvanceHealth Bronze - MaricopaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$255.74 $290.27 $326.84 $456.75 $694.08 |
$451.38 $485.91 $522.48 $652.39 |
$647.02 $681.55 $718.12 $848.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$511.48 $580.54 $653.68 $913.50 $1,388.16 |
$707.12 $776.18 $849.32 $1,109.14 |
$902.76 $971.82 $1,044.96 $1,304.78 |
Toc - Plan #55 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(HMO) Blue AdvanceHealth Gold - MaricopaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.06 $452.93 $509.99 $712.71 $1,083.03 |
$704.34 $758.21 $815.27 $1,017.99 |
$1,009.62 $1,063.49 $1,120.55 $1,323.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$798.12 $905.86 $1,019.98 $1,425.42 $2,166.06 |
$1,103.40 $1,211.14 $1,325.26 $1,730.70 |
$1,408.68 $1,516.42 $1,630.54 $2,035.98 |
Toc - Plan #56 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(HMO) Blue StandardHealth Gold - MaricopaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408.97 $464.18 $522.66 $730.41 $1,109.93 |
$721.83 $777.04 $835.52 $1,043.27 |
$1,034.69 $1,089.90 $1,148.38 $1,356.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$817.94 $928.36 $1,045.32 $1,460.82 $2,219.86 |
$1,130.80 $1,241.22 $1,358.18 $1,773.68 |
$1,443.66 $1,554.08 $1,671.04 $2,086.54 |
Toc - Plan #57 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue StandardHealth Silver - MaricopaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.05 $346.23 $389.85 $544.81 $827.89 |
$538.41 $579.59 $623.21 $778.17 |
$771.77 $812.95 $856.57 $1,011.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$610.10 $692.46 $779.70 $1,089.62 $1,655.78 |
$843.46 $925.82 $1,013.06 $1,322.98 |
$1,076.82 $1,159.18 $1,246.42 $1,556.34 |
Toc - Plan #58 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue StandardHealth Bronze - MaricopaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$274.94 $312.06 $351.37 $491.04 $746.18 |
$485.27 $522.39 $561.70 $701.37 |
$695.60 $732.72 $772.03 $911.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$549.88 $624.12 $702.74 $982.08 $1,492.36 |
$760.21 $834.45 $913.07 $1,192.41 |
$970.54 $1,044.78 $1,123.40 $1,402.74 |
Toc - Plan #59 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue ACA StandardHealth Silver with Health Choice |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$259.87 $294.95 $332.12 $464.13 $705.29 |
$458.67 $493.75 $530.92 $662.93 |
$657.47 $692.55 $729.72 $861.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$519.74 $589.90 $664.24 $928.26 $1,410.58 |
$718.54 $788.70 $863.04 $1,127.06 |
$917.34 $987.50 $1,061.84 $1,325.86 |
Toc - Plan #60 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(PPO) Blue PPO PremierHealth Gold - Statewide PPO Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$629.87 $714.90 $804.98 $1,124.95 $1,709.46 |
$1,111.72 $1,196.75 $1,286.83 $1,606.80 |
$1,593.57 $1,678.60 $1,768.68 $2,088.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,259.74 $1,429.80 $1,609.96 $2,249.90 $3,418.92 |
$1,741.59 $1,911.65 $2,091.81 $2,731.75 |
$2,223.44 $2,393.50 $2,573.66 $3,213.60 |
Toc - Plan #61 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(PPO) Blue PPO PremierHealth Silver - Statewide PPO Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$512.48 $581.66 $654.94 $915.28 $1,390.85 |
$904.53 $973.71 $1,046.99 $1,307.33 |
$1,296.58 $1,365.76 $1,439.04 $1,699.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,024.96 $1,163.32 $1,309.88 $1,830.56 $2,781.70 |
$1,417.01 $1,555.37 $1,701.93 $2,222.61 |
$1,809.06 $1,947.42 $2,093.98 $2,614.66 |
Toc - Plan #62 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(PPO) Blue PPO StandardHealth Gold - Statewide PPO Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$608.76 $690.94 $777.99 $1,087.24 $1,652.16 |
$1,074.46 $1,156.64 $1,243.69 $1,552.94 |
$1,540.16 $1,622.34 $1,709.39 $2,018.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,217.52 $1,381.88 $1,555.98 $2,174.48 $3,304.32 |
$1,683.22 $1,847.58 $2,021.68 $2,640.18 |
$2,148.92 $2,313.28 $2,487.38 $3,105.88 |
Toc - Plan #63 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(PPO) Blue PPO StandardHealth Silver - Statewide PPO Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$495.12 $561.96 $632.76 $884.28 $1,343.75 |
$873.89 $940.73 $1,011.53 $1,263.05 |
$1,252.66 $1,319.50 $1,390.30 $1,641.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$990.24 $1,123.92 $1,265.52 $1,768.56 $2,687.50 |
$1,369.01 $1,502.69 $1,644.29 $2,147.33 |
$1,747.78 $1,881.46 $2,023.06 $2,526.10 |
Toc - Plan #64 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(PPO) Blue Portfolio HSA Gold - Statewide PPO Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$650.35 $738.15 $831.15 $1,161.52 $1,765.05 |
$1,147.87 $1,235.67 $1,328.67 $1,659.04 |
$1,645.39 $1,733.19 $1,826.19 $2,156.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,300.70 $1,476.30 $1,662.30 $2,323.04 $3,530.10 |
$1,798.22 $1,973.82 $2,159.82 $2,820.56 |
$2,295.74 $2,471.34 $2,657.34 $3,318.08 |
ADVERTISEMENT
Imperial Insurance Companies, Inc.Local: 1-626-838-5100x8 | Toll Free: 1-800-595-0619 | TTY: 1-800-595-0619 |
Toc - Plan #65 Imperial Insurance Companies, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Imperial Standard Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-595-0619
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$284.84 $323.29 $364.02 $508.72 $773.05 |
$502.74 $541.19 $581.92 $726.62 |
$720.64 $759.09 $799.82 $944.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$569.68 $646.58 $728.04 $1,017.44 $1,546.10 |
$787.58 $864.48 $945.94 $1,235.34 |
$1,005.48 $1,082.38 $1,163.84 $1,453.24 |
Toc - Plan #66 Imperial Insurance Companies, Inc. | ||||||||||||||||||||
Silver
(HMO) Imperial Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-595-0619
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.89 $377.83 $425.43 $594.54 $903.46 |
$587.55 $632.49 $680.09 $849.20 |
$842.21 $887.15 $934.75 $1,103.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$665.78 $755.66 $850.86 $1,189.08 $1,806.92 |
$920.44 $1,010.32 $1,105.52 $1,443.74 |
$1,175.10 $1,264.98 $1,360.18 $1,698.40 |
Toc - Plan #67 Imperial Insurance Companies, Inc. | ||||||||||||||||||||
Gold
(HMO) Imperial Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-595-0619
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413.17 $468.95 $528.03 $737.92 $1,121.35 |
$729.25 $785.03 $844.11 $1,054.00 |
$1,045.33 $1,101.11 $1,160.19 $1,370.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$826.34 $937.90 $1,056.06 $1,475.84 $2,242.70 |
$1,142.42 $1,253.98 $1,372.14 $1,791.92 |
$1,458.50 $1,570.06 $1,688.22 $2,108.00 |
Toc - Plan #68 Imperial Insurance Companies, Inc. | ||||||||||||||||||||
Silver
(HMO) Imperial Preferred Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-595-0619
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.35 $379.49 $427.30 $597.16 $907.44 |
$590.13 $635.27 $683.08 $852.94 |
$845.91 $891.05 $938.86 $1,108.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$668.70 $758.98 $854.60 $1,194.32 $1,814.88 |
$924.48 $1,014.76 $1,110.38 $1,450.10 |
$1,180.26 $1,270.54 $1,366.16 $1,705.88 |
Toc - Plan #69 Imperial Insurance Companies, Inc. | ||||||||||||||||||||
Gold
(HMO) Imperial Preferred Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-595-0619
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$426.90 $484.53 $545.58 $762.44 $1,158.61 |
$753.48 $811.11 $872.16 $1,089.02 |
$1,080.06 $1,137.69 $1,198.74 $1,415.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$853.80 $969.06 $1,091.16 $1,524.88 $2,317.22 |
$1,180.38 $1,295.64 $1,417.74 $1,851.46 |
$1,506.96 $1,622.22 $1,744.32 $2,178.04 |
ADVERTISEMENT
Ambetter from Arizona Complete HealthLocal: 1-888-926-5057 | Toll Free: 1-888-926-5057 | TTY: 1-888-926-5180 |
Toc - Plan #70 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$276.90 $314.28 $353.87 $494.53 $751.49 |
$488.72 $526.10 $565.69 $706.35 |
$700.54 $737.92 $777.51 $918.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$553.80 $628.56 $707.74 $989.06 $1,502.98 |
$765.62 $840.38 $919.56 $1,200.88 |
$977.44 $1,052.20 $1,131.38 $1,412.70 |
Toc - Plan #71 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Complete Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$324.62 $368.44 $414.86 $579.77 $881.01 |
$572.95 $616.77 $663.19 $828.10 |
$821.28 $865.10 $911.52 $1,076.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$649.24 $736.88 $829.72 $1,159.54 $1,762.02 |
$897.57 $985.21 $1,078.05 $1,407.87 |
$1,145.90 $1,233.54 $1,326.38 $1,656.20 |
Toc - Plan #72 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Everyday Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$321.58 $365.00 $410.99 $574.35 $872.78 |
$567.59 $611.01 $657.00 $820.36 |
$813.60 $857.02 $903.01 $1,066.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$643.16 $730.00 $821.98 $1,148.70 $1,745.56 |
$889.17 $976.01 $1,067.99 $1,394.71 |
$1,135.18 $1,222.02 $1,314.00 $1,640.72 |
Toc - Plan #73 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.97 $411.97 $463.87 $648.26 $985.10 |
$640.64 $689.64 $741.54 $925.93 |
$918.31 $967.31 $1,019.21 $1,203.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725.94 $823.94 $927.74 $1,296.52 $1,970.20 |
$1,003.61 $1,101.61 $1,205.41 $1,574.19 |
$1,281.28 $1,379.28 $1,483.08 $1,851.86 |
Toc - Plan #74 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.88 $352.85 $397.31 $555.24 $843.74 |
$548.71 $590.68 $635.14 $793.07 |
$786.54 $828.51 $872.97 $1,030.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.76 $705.70 $794.62 $1,110.48 $1,687.48 |
$859.59 $943.53 $1,032.45 $1,348.31 |
$1,097.42 $1,181.36 $1,270.28 $1,586.14 |
Toc - Plan #75 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.60 $354.81 $399.51 $558.31 $848.41 |
$551.74 $593.95 $638.65 $797.45 |
$790.88 $833.09 $877.79 $1,036.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$625.20 $709.62 $799.02 $1,116.62 $1,696.82 |
$864.34 $948.76 $1,038.16 $1,355.76 |
$1,103.48 $1,187.90 $1,277.30 $1,594.90 |
Toc - Plan #76 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$319.35 $362.46 $408.13 $570.36 $866.71 |
$563.65 $606.76 $652.43 $814.66 |
$807.95 $851.06 $896.73 $1,058.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$638.70 $724.92 $816.26 $1,140.72 $1,733.42 |
$883.00 $969.22 $1,060.56 $1,385.02 |
$1,127.30 $1,213.52 $1,304.86 $1,629.32 |
Toc - Plan #77 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Clear Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342.82 $389.10 $438.12 $612.28 $930.41 |
$605.08 $651.36 $700.38 $874.54 |
$867.34 $913.62 $962.64 $1,136.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$685.64 $778.20 $876.24 $1,224.56 $1,860.82 |
$947.90 $1,040.46 $1,138.50 $1,486.82 |
$1,210.16 $1,302.72 $1,400.76 $1,749.08 |
Toc - Plan #78 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.86 $449.30 $505.91 $707.01 $1,074.37 |
$698.69 $752.13 $808.74 $1,009.84 |
$1,001.52 $1,054.96 $1,111.57 $1,312.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$791.72 $898.60 $1,011.82 $1,414.02 $2,148.74 |
$1,094.55 $1,201.43 $1,314.65 $1,716.85 |
$1,397.38 $1,504.26 $1,617.48 $2,019.68 |
Toc - Plan #79 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$272.06 $308.79 $347.69 $485.90 $738.37 |
$480.19 $516.92 $555.82 $694.03 |
$688.32 $725.05 $763.95 $902.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$544.12 $617.58 $695.38 $971.80 $1,476.74 |
$752.25 $825.71 $903.51 $1,179.93 |
$960.38 $1,033.84 $1,111.64 $1,388.06 |
Toc - Plan #80 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$267.50 $303.61 $341.86 $477.75 $725.99 |
$472.14 $508.25 $546.50 $682.39 |
$676.78 $712.89 $751.14 $887.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$535.00 $607.22 $683.72 $955.50 $1,451.98 |
$739.64 $811.86 $888.36 $1,160.14 |
$944.28 $1,016.50 $1,093.00 $1,364.78 |
Toc - Plan #81 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.64 $355.98 $400.83 $560.15 $851.21 |
$553.57 $595.91 $640.76 $800.08 |
$793.50 $835.84 $880.69 $1,040.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$627.28 $711.96 $801.66 $1,120.30 $1,702.42 |
$867.21 $951.89 $1,041.59 $1,360.23 |
$1,107.14 $1,191.82 $1,281.52 $1,600.16 |
Toc - Plan #82 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.06 $396.19 $446.10 $623.43 $947.36 |
$616.09 $663.22 $713.13 $890.46 |
$883.12 $930.25 $980.16 $1,157.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.12 $792.38 $892.20 $1,246.86 $1,894.72 |
$965.15 $1,059.41 $1,159.23 $1,513.89 |
$1,232.18 $1,326.44 $1,426.26 $1,780.92 |
Toc - Plan #83 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Everyday Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333.93 $379.01 $426.76 $596.40 $906.29 |
$589.39 $634.47 $682.22 $851.86 |
$844.85 $889.93 $937.68 $1,107.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$667.86 $758.02 $853.52 $1,192.80 $1,812.58 |
$923.32 $1,013.48 $1,108.98 $1,448.26 |
$1,178.78 $1,268.94 $1,364.44 $1,703.72 |
Toc - Plan #84 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287.53 $326.34 $367.46 $513.52 $780.34 |
$507.49 $546.30 $587.42 $733.48 |
$727.45 $766.26 $807.38 $953.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$575.06 $652.68 $734.92 $1,027.04 $1,560.68 |
$795.02 $872.64 $954.88 $1,247.00 |
$1,014.98 $1,092.60 $1,174.84 $1,466.96 |
Toc - Plan #85 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337.08 $382.59 $430.79 $602.03 $914.84 |
$594.95 $640.46 $688.66 $859.90 |
$852.82 $898.33 $946.53 $1,117.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$674.16 $765.18 $861.58 $1,204.06 $1,829.68 |
$932.03 $1,023.05 $1,119.45 $1,461.93 |
$1,189.90 $1,280.92 $1,377.32 $1,719.80 |
Toc - Plan #86 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.90 $427.79 $481.68 $673.15 $1,022.92 |
$665.23 $716.12 $770.01 $961.48 |
$953.56 $1,004.45 $1,058.34 $1,249.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.80 $855.58 $963.36 $1,346.30 $2,045.84 |
$1,042.13 $1,143.91 $1,251.69 $1,634.63 |
$1,330.46 $1,432.24 $1,540.02 $1,922.96 |
Toc - Plan #87 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$322.82 $366.40 $412.56 $576.56 $876.13 |
$569.78 $613.36 $659.52 $823.52 |
$816.74 $860.32 $906.48 $1,070.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$645.64 $732.80 $825.12 $1,153.12 $1,752.26 |
$892.60 $979.76 $1,072.08 $1,400.08 |
$1,139.56 $1,226.72 $1,319.04 $1,647.04 |
Toc - Plan #88 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$324.61 $368.43 $414.85 $579.75 $880.98 |
$572.93 $616.75 $663.17 $828.07 |
$821.25 $865.07 $911.49 $1,076.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$649.22 $736.86 $829.70 $1,159.50 $1,761.96 |
$897.54 $985.18 $1,078.02 $1,407.82 |
$1,145.86 $1,233.50 $1,326.34 $1,656.14 |
Toc - Plan #89 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.61 $376.38 $423.80 $592.25 $899.99 |
$585.29 $630.06 $677.48 $845.93 |
$838.97 $883.74 $931.16 $1,099.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$663.22 $752.76 $847.60 $1,184.50 $1,799.98 |
$916.90 $1,006.44 $1,101.28 $1,438.18 |
$1,170.58 $1,260.12 $1,354.96 $1,691.86 |
Toc - Plan #90 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$277.77 $315.27 $354.99 $496.09 $753.86 |
$490.26 $527.76 $567.48 $708.58 |
$702.75 $740.25 $779.97 $921.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$555.54 $630.54 $709.98 $992.18 $1,507.72 |
$768.03 $843.03 $922.47 $1,204.67 |
$980.52 $1,055.52 $1,134.96 $1,417.16 |
Toc - Plan #91 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Standard Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$325.68 $369.64 $416.22 $581.66 $883.89 |
$574.82 $618.78 $665.36 $830.80 |
$823.96 $867.92 $914.50 $1,079.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$651.36 $739.28 $832.44 $1,163.32 $1,767.78 |
$900.50 $988.42 $1,081.58 $1,412.46 |
$1,149.64 $1,237.56 $1,330.72 $1,661.60 |
Toc - Plan #92 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Standard Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.47 $411.40 $463.23 $647.36 $983.73 |
$639.76 $688.69 $740.52 $924.65 |
$917.05 $965.98 $1,017.81 $1,201.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$724.94 $822.80 $926.46 $1,294.72 $1,967.46 |
$1,002.23 $1,100.09 $1,203.75 $1,572.01 |
$1,279.52 $1,377.38 $1,481.04 $1,849.30 |
Toc - Plan #93 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Clear Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.98 $404.04 $454.94 $635.78 $966.13 |
$628.31 $676.37 $727.27 $908.11 |
$900.64 $948.70 $999.60 $1,180.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$711.96 $808.08 $909.88 $1,271.56 $1,932.26 |
$984.29 $1,080.41 $1,182.21 $1,543.89 |
$1,256.62 $1,352.74 $1,454.54 $1,816.22 |
Toc - Plan #94 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$411.06 $466.55 $525.33 $734.15 $1,115.62 |
$725.52 $781.01 $839.79 $1,048.61 |
$1,039.98 $1,095.47 $1,154.25 $1,363.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$822.12 $933.10 $1,050.66 $1,468.30 $2,231.24 |
$1,136.58 $1,247.56 $1,365.12 $1,782.76 |
$1,451.04 $1,562.02 $1,679.58 $2,097.22 |
Toc - Plan #95 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$282.50 $320.64 $361.04 $504.55 $766.72 |
$498.62 $536.76 $577.16 $720.67 |
$714.74 $752.88 $793.28 $936.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$565.00 $641.28 $722.08 $1,009.10 $1,533.44 |
$781.12 $857.40 $938.20 $1,225.22 |
$997.24 $1,073.52 $1,154.32 $1,441.34 |
Toc - Plan #96 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze SELECT |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$256.80 $291.46 $328.19 $458.64 $696.95 |
$453.25 $487.91 $524.64 $655.09 |
$649.70 $684.36 $721.09 $851.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$513.60 $582.92 $656.38 $917.28 $1,393.90 |
$710.05 $779.37 $852.83 $1,113.73 |
$906.50 $975.82 $1,049.28 $1,310.18 |
Toc - Plan #97 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Standard Silver SELECT |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301.09 $341.74 $384.79 $537.75 $817.16 |
$531.42 $572.07 $615.12 $768.08 |
$761.75 $802.40 $845.45 $998.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$602.18 $683.48 $769.58 $1,075.50 $1,634.32 |
$832.51 $913.81 $999.91 $1,305.83 |
$1,062.84 $1,144.14 $1,230.24 $1,536.16 |
Toc - Plan #98 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Standard Gold SELECT |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335.10 $380.34 $428.26 $598.49 $909.47 |
$591.45 $636.69 $684.61 $854.84 |
$847.80 $893.04 $940.96 $1,111.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$670.20 $760.68 $856.52 $1,196.98 $1,818.94 |
$926.55 $1,017.03 $1,112.87 $1,453.33 |
$1,182.90 $1,273.38 $1,369.22 $1,709.68 |
ADVERTISEMENT
Cigna HealthCare of Arizona, IncLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #99 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Silver
(HMO) Connect Silver 5000 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.13 $406.47 $457.69 $639.62 $971.96 |
$632.10 $680.44 $731.66 $913.59 |
$906.07 $954.41 $1,005.63 $1,187.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.26 $812.94 $915.38 $1,279.24 $1,943.92 |
$990.23 $1,086.91 $1,189.35 $1,553.21 |
$1,264.20 $1,360.88 $1,463.32 $1,827.18 |
Toc - Plan #100 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Connect Bronze 6500 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342.57 $388.82 $437.81 $611.84 $929.75 |
$604.64 $650.89 $699.88 $873.91 |
$866.71 $912.96 $961.95 $1,135.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$685.14 $777.64 $875.62 $1,223.68 $1,859.50 |
$947.21 $1,039.71 $1,137.69 $1,485.75 |
$1,209.28 $1,301.78 $1,399.76 $1,747.82 |
Toc - Plan #101 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Connect Bronze 8900 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.35 $399.91 $450.30 $629.29 $956.27 |
$621.90 $669.46 $719.85 $898.84 |
$891.45 $939.01 $989.40 $1,168.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.70 $799.82 $900.60 $1,258.58 $1,912.54 |
$974.25 $1,069.37 $1,170.15 $1,528.13 |
$1,243.80 $1,338.92 $1,439.70 $1,797.68 |
Toc - Plan #102 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Silver
(HMO) Connect Silver 4000 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.21 $405.43 $456.51 $637.98 $969.47 |
$630.48 $678.70 $729.78 $911.25 |
$903.75 $951.97 $1,003.05 $1,184.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.42 $810.86 $913.02 $1,275.96 $1,938.94 |
$987.69 $1,084.13 $1,186.29 $1,549.23 |
$1,260.96 $1,357.40 $1,459.56 $1,822.50 |
Toc - Plan #103 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Gold
(HMO) Connect Gold 2500 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$464.70 $527.44 $593.89 $829.96 $1,261.20 |
$820.20 $882.94 $949.39 $1,185.46 |
$1,175.70 $1,238.44 $1,304.89 $1,540.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$929.40 $1,054.88 $1,187.78 $1,659.92 $2,522.40 |
$1,284.90 $1,410.38 $1,543.28 $2,015.42 |
$1,640.40 $1,765.88 $1,898.78 $2,370.92 |
Toc - Plan #104 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Silver
(HMO) Connect Silver 7000 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.89 $405.07 $456.10 $637.40 $968.60 |
$629.91 $678.09 $729.12 $910.42 |
$902.93 $951.11 $1,002.14 $1,183.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$713.78 $810.14 $912.20 $1,274.80 $1,937.20 |
$986.80 $1,083.16 $1,185.22 $1,547.82 |
$1,259.82 $1,356.18 $1,458.24 $1,820.84 |
Toc - Plan #105 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Connect Bronze 4500 Indiv Med Deductible Enhanced Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.40 $401.11 $451.65 $631.18 $959.13 |
$623.75 $671.46 $722.00 $901.53 |
$894.10 $941.81 $992.35 $1,171.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.80 $802.22 $903.30 $1,262.36 $1,918.26 |
$977.15 $1,072.57 $1,173.65 $1,532.71 |
$1,247.50 $1,342.92 $1,444.00 $1,803.06 |
Toc - Plan #106 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Connect Bronze 0 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.91 $424.39 $477.86 $667.80 $1,014.79 |
$659.95 $710.43 $763.90 $953.84 |
$945.99 $996.47 $1,049.94 $1,239.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.82 $848.78 $955.72 $1,335.60 $2,029.58 |
$1,033.86 $1,134.82 $1,241.76 $1,621.64 |
$1,319.90 $1,420.86 $1,527.80 $1,907.68 |
Toc - Plan #107 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Silver
(HMO) Connect Silver 0 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.74 $409.44 $461.03 $644.29 $979.05 |
$636.71 $685.41 $737.00 $920.26 |
$912.68 $961.38 $1,012.97 $1,196.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721.48 $818.88 $922.06 $1,288.58 $1,958.10 |
$997.45 $1,094.85 $1,198.03 $1,564.55 |
$1,273.42 $1,370.82 $1,474.00 $1,840.52 |
Toc - Plan #108 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Connect Bronze CMS Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$350.83 $398.20 $448.36 $626.59 $952.16 |
$619.22 $666.59 $716.75 $894.98 |
$887.61 $934.98 $985.14 $1,163.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$701.66 $796.40 $896.72 $1,253.18 $1,904.32 |
$970.05 $1,064.79 $1,165.11 $1,521.57 |
$1,238.44 $1,333.18 $1,433.50 $1,789.96 |
Toc - Plan #109 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Silver
(HMO) Connect Silver CMS Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.65 $403.66 $454.52 $635.19 $965.23 |
$627.72 $675.73 $726.59 $907.26 |
$899.79 $947.80 $998.66 $1,179.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$711.30 $807.32 $909.04 $1,270.38 $1,930.46 |
$983.37 $1,079.39 $1,181.11 $1,542.45 |
$1,255.44 $1,351.46 $1,453.18 $1,814.52 |
Toc - Plan #110 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Gold
(HMO) Connect Gold CMS Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$469.29 $532.65 $599.75 $838.15 $1,273.66 |
$828.30 $891.66 $958.76 $1,197.16 |
$1,187.31 $1,250.67 $1,317.77 $1,556.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$938.58 $1,065.30 $1,199.50 $1,676.30 $2,547.32 |
$1,297.59 $1,424.31 $1,558.51 $2,035.31 |
$1,656.60 $1,783.32 $1,917.52 $2,394.32 |
‡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 Maricopa County here.
Maricopa County is in “Rating Area 4” of Arizona.
Currently, there are 110 plans offered in Rating Area 4.