Obamacare 2024 Rates for Clayton County, Georgia
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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 Rex, GA.
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, 119 Plans and 2024 Rates for Clayton County, Georgia
Below, you’ll find a summary of the 119 plans for Clayton County, Georgia 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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Cigna HealthCare of Georgia, IncLocal: | Toll Free: |
Toc - Plan #1 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Connect Bronze 8500 Indiv Med Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$387.06 $439.31 $494.66 $691.28 $1,050.47 |
$683.16 $735.41 $790.76 $987.38 |
$979.26 $1,031.51 $1,086.86 $1,283.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$774.12 $878.62 $989.32 $1,382.56 $2,100.94 |
$1,070.22 $1,174.72 $1,285.42 $1,678.66 |
$1,366.32 $1,470.82 $1,581.52 $1,974.76 |
Toc - Plan #2 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Connect Bronze 6500 Indiv Med Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$391.81 $444.71 $500.74 $699.78 $1,063.38 |
$691.55 $744.45 $800.48 $999.52 |
$991.29 $1,044.19 $1,100.22 $1,299.26 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$783.62 $889.42 $1,001.48 $1,399.56 $2,126.76 |
$1,083.36 $1,189.16 $1,301.22 $1,699.30 |
$1,383.10 $1,488.90 $1,600.96 $1,999.04 |
Toc - Plan #3 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Connect Bronze 4500 Indiv Med Deductible Enhanced Diabetes Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$396.23 $449.72 $506.39 $707.67 $1,075.38 |
$699.35 $752.84 $809.51 $1,010.79 |
$1,002.47 $1,055.96 $1,112.63 $1,313.91 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$792.46 $899.44 $1,012.78 $1,415.34 $2,150.76 |
$1,095.58 $1,202.56 $1,315.90 $1,718.46 |
$1,398.70 $1,505.68 $1,619.02 $2,021.58 |
Toc - Plan #4 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Silver
(HMO) Connect Silver 3700 Indiv Med Deductible |
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Benefits & Coverage
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Provider Directory
Customer Service Phone:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$471.94 $535.65 $603.14 $842.89 $1,280.85 |
$832.98 $896.69 $964.18 $1,203.93 |
$1,194.02 $1,257.73 $1,325.22 $1,564.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$943.88 $1,071.30 $1,206.28 $1,685.78 $2,561.70 |
$1,304.92 $1,432.34 $1,567.32 $2,046.82 |
$1,665.96 $1,793.38 $1,928.36 $2,407.86 |
Toc - Plan #5 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Silver
(HMO) Connect Silver 5000 Indiv Med Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$473.06 $536.93 $604.57 $844.89 $1,283.89 |
$834.95 $898.82 $966.46 $1,206.78 |
$1,196.84 $1,260.71 $1,328.35 $1,568.67 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$946.12 $1,073.86 $1,209.14 $1,689.78 $2,567.78 |
$1,308.01 $1,435.75 $1,571.03 $2,051.67 |
$1,669.90 $1,797.64 $1,932.92 $2,413.56 |
Toc - Plan #6 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Silver
(HMO) Connect Silver 7000 Indiv Med Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$472.39 $536.16 $603.71 $843.69 $1,282.07 |
$833.77 $897.54 $965.09 $1,205.07 |
$1,195.15 $1,258.92 $1,326.47 $1,566.45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$944.78 $1,072.32 $1,207.42 $1,687.38 $2,564.14 |
$1,306.16 $1,433.70 $1,568.80 $2,048.76 |
$1,667.54 $1,795.08 $1,930.18 $2,410.14 |
Toc - Plan #7 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Silver
(HMO) Connect Silver 2700 Indiv Med Deductible Enhanced Diabetes Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$478.66 $543.28 $611.72 $854.88 $1,299.08 |
$844.83 $909.45 $977.89 $1,221.05 |
$1,211.00 $1,275.62 $1,344.06 $1,587.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$957.32 $1,086.56 $1,223.44 $1,709.76 $2,598.16 |
$1,323.49 $1,452.73 $1,589.61 $2,075.93 |
$1,689.66 $1,818.90 $1,955.78 $2,442.10 |
Toc - Plan #8 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Gold
(HMO) Connect Gold 500 Indiv Med Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
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Annual Out of Pocket Expenses:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$612.17 $694.81 $782.35 $1,093.34 $1,661.43 |
$1,080.48 $1,163.12 $1,250.66 $1,561.65 |
$1,548.79 $1,631.43 $1,718.97 $2,029.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,224.34 $1,389.62 $1,564.70 $2,186.68 $3,322.86 |
$1,692.65 $1,857.93 $2,033.01 $2,654.99 |
$2,160.96 $2,326.24 $2,501.32 $3,123.30 |
Toc - Plan #9 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Connect Bronze CMS Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$389.97 $442.61 $498.38 $696.48 $1,058.37 |
$688.29 $740.93 $796.70 $994.80 |
$986.61 $1,039.25 $1,095.02 $1,293.12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$779.94 $885.22 $996.76 $1,392.96 $2,116.74 |
$1,078.26 $1,183.54 $1,295.08 $1,691.28 |
$1,376.58 $1,481.86 $1,593.40 $1,989.60 |
Toc - Plan #10 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Connect Bronze 0 Indiv Med Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$425.95 $483.45 $544.36 $760.74 $1,156.02 |
$751.80 $809.30 $870.21 $1,086.59 |
$1,077.65 $1,135.15 $1,196.06 $1,412.44 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$851.90 $966.90 $1,088.72 $1,521.48 $2,312.04 |
$1,177.75 $1,292.75 $1,414.57 $1,847.33 |
$1,503.60 $1,618.60 $1,740.42 $2,173.18 |
Toc - Plan #11 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Gold
(HMO) Connect Gold CMS Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$609.65 $691.96 $779.14 $1,088.84 $1,654.60 |
$1,076.03 $1,158.34 $1,245.52 $1,555.22 |
$1,542.41 $1,624.72 $1,711.90 $2,021.60 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,219.30 $1,383.92 $1,558.28 $2,177.68 $3,309.20 |
$1,685.68 $1,850.30 $2,024.66 $2,644.06 |
$2,152.06 $2,316.68 $2,491.04 $3,110.44 |
Toc - Plan #12 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Silver
(HMO) Connect Silver CMS Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$473.34 $537.24 $604.93 $845.39 $1,284.65 |
$835.45 $899.35 $967.04 $1,207.50 |
$1,197.56 $1,261.46 $1,329.15 $1,569.61 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$946.68 $1,074.48 $1,209.86 $1,690.78 $2,569.30 |
$1,308.79 $1,436.59 $1,571.97 $2,052.89 |
$1,670.90 $1,798.70 $1,934.08 $2,415.00 |
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UnitedHealthcareLocal: 1-800-609-9754 | Toll Free: 1-800-609-9754 | TTY: 1-800-609-9754 |
Toc - Plan #13 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: 1-800-609-9754
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 |
$516.97 $586.77 $660.69 $923.32 $1,403.07 |
$912.45 $982.25 $1,056.17 $1,318.80 |
$1,307.93 $1,377.73 $1,451.65 $1,714.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,033.94 $1,173.54 $1,321.38 $1,846.64 $2,806.14 |
$1,429.42 $1,569.02 $1,716.86 $2,242.12 |
$1,824.90 $1,964.50 $2,112.34 $2,637.60 |
Toc - Plan #14 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: 1-800-609-9754
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 |
$453.76 $515.02 $579.90 $810.41 $1,231.50 |
$800.89 $862.15 $927.03 $1,157.54 |
$1,148.02 $1,209.28 $1,274.16 $1,504.67 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$907.52 $1,030.04 $1,159.80 $1,620.82 $2,463.00 |
$1,254.65 $1,377.17 $1,506.93 $1,967.95 |
$1,601.78 $1,724.30 $1,854.06 $2,315.08 |
Toc - Plan #15 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$572.89 $650.24 $732.16 $1,023.19 $1,554.84 |
$1,011.15 $1,088.50 $1,170.42 $1,461.45 |
$1,449.41 $1,526.76 $1,608.68 $1,899.71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,145.78 $1,300.48 $1,464.32 $2,046.38 $3,109.68 |
$1,584.04 $1,738.74 $1,902.58 $2,484.64 |
$2,022.30 $2,177.00 $2,340.84 $2,922.90 |
Toc - Plan #16 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
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 |
$525.19 $596.09 $671.19 $937.99 $1,425.36 |
$926.96 $997.86 $1,072.96 $1,339.76 |
$1,328.73 $1,399.63 $1,474.73 $1,741.53 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,050.38 $1,192.18 $1,342.38 $1,875.98 $2,850.72 |
$1,452.15 $1,593.95 $1,744.15 $2,277.75 |
$1,853.92 $1,995.72 $2,145.92 $2,679.52 |
Toc - Plan #17 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
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 |
$518.04 $587.98 $662.06 $925.22 $1,405.97 |
$914.34 $984.28 $1,058.36 $1,321.52 |
$1,310.64 $1,380.58 $1,454.66 $1,717.82 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,036.08 $1,175.96 $1,324.12 $1,850.44 $2,811.94 |
$1,432.38 $1,572.26 $1,720.42 $2,246.74 |
$1,828.68 $1,968.56 $2,116.72 $2,643.04 |
Toc - Plan #18 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
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 |
$523.68 $594.37 $669.26 $935.28 $1,421.25 |
$924.29 $994.98 $1,069.87 $1,335.89 |
$1,324.90 $1,395.59 $1,470.48 $1,736.50 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,047.36 $1,188.74 $1,338.52 $1,870.56 $2,842.50 |
$1,447.97 $1,589.35 $1,739.13 $2,271.17 |
$1,848.58 $1,989.96 $2,139.74 $2,671.78 |
Toc - Plan #19 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
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 |
$451.60 $512.56 $577.14 $806.56 $1,225.64 |
$797.07 $858.03 $922.61 $1,152.03 |
$1,142.54 $1,203.50 $1,268.08 $1,497.50 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$903.20 $1,025.12 $1,154.28 $1,613.12 $2,451.28 |
$1,248.67 $1,370.59 $1,499.75 $1,958.59 |
$1,594.14 $1,716.06 $1,845.22 $2,304.06 |
Toc - Plan #20 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
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 |
$468.18 $531.38 $598.33 $836.17 $1,270.64 |
$826.34 $889.54 $956.49 $1,194.33 |
$1,184.50 $1,247.70 $1,314.65 $1,552.49 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$936.36 $1,062.76 $1,196.66 $1,672.34 $2,541.28 |
$1,294.52 $1,420.92 $1,554.82 $2,030.50 |
$1,652.68 $1,779.08 $1,912.98 $2,388.66 |
Toc - Plan #21 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
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 |
$460.45 $522.61 $588.45 $822.36 $1,249.66 |
$812.69 $874.85 $940.69 $1,174.60 |
$1,164.93 $1,227.09 $1,292.93 $1,526.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$920.90 $1,045.22 $1,176.90 $1,644.72 $2,499.32 |
$1,273.14 $1,397.46 $1,529.14 $1,996.96 |
$1,625.38 $1,749.70 $1,881.38 $2,349.20 |
Toc - Plan #22 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$477.92 $542.44 $610.78 $853.56 $1,297.07 |
$843.53 $908.05 $976.39 $1,219.17 |
$1,209.14 $1,273.66 $1,342.00 $1,584.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$955.84 $1,084.88 $1,221.56 $1,707.12 $2,594.14 |
$1,321.45 $1,450.49 $1,587.17 $2,072.73 |
$1,687.06 $1,816.10 $1,952.78 $2,438.34 |
Toc - Plan #23 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$519.98 $590.18 $664.54 $928.69 $1,411.23 |
$917.77 $987.97 $1,062.33 $1,326.48 |
$1,315.56 $1,385.76 $1,460.12 $1,724.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,039.96 $1,180.36 $1,329.08 $1,857.38 $2,822.46 |
$1,437.75 $1,578.15 $1,726.87 $2,255.17 |
$1,835.54 $1,975.94 $2,124.66 $2,652.96 |
Toc - Plan #24 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$546.66 $620.46 $698.63 $976.33 $1,483.63 |
$964.85 $1,038.65 $1,116.82 $1,394.52 |
$1,383.04 $1,456.84 $1,535.01 $1,812.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,093.32 $1,240.92 $1,397.26 $1,952.66 $2,967.26 |
$1,511.51 $1,659.11 $1,815.45 $2,370.85 |
$1,929.70 $2,077.30 $2,233.64 $2,789.04 |
Toc - Plan #25 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: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$549.65 $623.85 $702.45 $981.67 $1,491.74 |
$970.13 $1,044.33 $1,122.93 $1,402.15 |
$1,390.61 $1,464.81 $1,543.41 $1,822.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,099.30 $1,247.70 $1,404.90 $1,963.34 $2,983.48 |
$1,519.78 $1,668.18 $1,825.38 $2,383.82 |
$1,940.26 $2,088.66 $2,245.86 $2,804.30 |
Toc - Plan #26 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$574.99 $652.61 $734.84 $1,026.93 $1,560.52 |
$1,014.86 $1,092.48 $1,174.71 $1,466.80 |
$1,454.73 $1,532.35 $1,614.58 $1,906.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,149.98 $1,305.22 $1,469.68 $2,053.86 $3,121.04 |
$1,589.85 $1,745.09 $1,909.55 $2,493.73 |
$2,029.72 $2,184.96 $2,349.42 $2,933.60 |
Toc - Plan #27 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$542.56 $615.81 $693.39 $969.02 $1,472.51 |
$957.62 $1,030.87 $1,108.45 $1,384.08 |
$1,372.68 $1,445.93 $1,523.51 $1,799.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,085.12 $1,231.62 $1,386.78 $1,938.04 $2,945.02 |
$1,500.18 $1,646.68 $1,801.84 $2,353.10 |
$1,915.24 $2,061.74 $2,216.90 $2,768.16 |
Toc - Plan #28 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$586.71 $665.92 $749.82 $1,047.86 $1,592.33 |
$1,035.54 $1,114.75 $1,198.65 $1,496.69 |
$1,484.37 $1,563.58 $1,647.48 $1,945.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,173.42 $1,331.84 $1,499.64 $2,095.72 $3,184.66 |
$1,622.25 $1,780.67 $1,948.47 $2,544.55 |
$2,071.08 $2,229.50 $2,397.30 $2,993.38 |
ADVERTISEMENT
Anthem Blue Cross and Blue ShieldLocal: 1-855-738-6652 | Toll Free: 1-855-738-6652 |
Toc - Plan #29 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway Guided Access HMO 0% for HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.68 $447.96 $504.40 $704.90 $1,071.16 |
$696.61 $749.89 $806.33 $1,006.83 |
$998.54 $1,051.82 $1,108.26 $1,308.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$789.36 $895.92 $1,008.80 $1,409.80 $2,142.32 |
$1,091.29 $1,197.85 $1,310.73 $1,711.73 |
$1,393.22 $1,499.78 $1,612.66 $2,013.66 |
Toc - Plan #30 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway Guided Access HMO 3000($0 Virtual PCP+$0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$486.25 $551.89 $621.43 $868.44 $1,319.68 |
$858.23 $923.87 $993.41 $1,240.42 |
$1,230.21 $1,295.85 $1,365.39 $1,612.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$972.50 $1,103.78 $1,242.86 $1,736.88 $2,639.36 |
$1,344.48 $1,475.76 $1,614.84 $2,108.86 |
$1,716.46 $1,847.74 $1,986.82 $2,480.84 |
Toc - Plan #31 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway Guided Access HMO 5500($0 Virtual PCP+$0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$462.26 $524.67 $590.77 $825.60 $1,254.57 |
$815.89 $878.30 $944.40 $1,179.23 |
$1,169.52 $1,231.93 $1,298.03 $1,532.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$924.52 $1,049.34 $1,181.54 $1,651.20 $2,509.14 |
$1,278.15 $1,402.97 $1,535.17 $2,004.83 |
$1,631.78 $1,756.60 $1,888.80 $2,358.46 |
Toc - Plan #32 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway Guided Access HMO 6000($0 Virtual PCP+$0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375.68 $426.40 $480.12 $670.96 $1,019.60 |
$663.08 $713.80 $767.52 $958.36 |
$950.48 $1,001.20 $1,054.92 $1,245.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$751.36 $852.80 $960.24 $1,341.92 $2,039.20 |
$1,038.76 $1,140.20 $1,247.64 $1,629.32 |
$1,326.16 $1,427.60 $1,535.04 $1,916.72 |
Toc - Plan #33 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Catastrophic
(HMO) Anthem Catastrophic Pathway X Guided Access HMO 9450 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$278.48 $316.07 $355.90 $497.37 $755.79 |
$491.52 $529.11 $568.94 $710.41 |
$704.56 $742.15 $781.98 $923.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$556.96 $632.14 $711.80 $994.74 $1,511.58 |
$770.00 $845.18 $924.84 $1,207.78 |
$983.04 $1,058.22 $1,137.88 $1,420.82 |
Toc - Plan #34 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway Guided Access HMO 8000($0 Virtual PCP+$0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.52 $412.60 $464.58 $649.25 $986.59 |
$641.61 $690.69 $742.67 $927.34 |
$919.70 $968.78 $1,020.76 $1,205.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$727.04 $825.20 $929.16 $1,298.50 $1,973.18 |
$1,005.13 $1,103.29 $1,207.25 $1,576.59 |
$1,283.22 $1,381.38 $1,485.34 $1,854.68 |
Toc - Plan #35 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway Guided Access HMO 4950($0 Virtual PCP+$0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$465.79 $528.67 $595.28 $831.90 $1,264.15 |
$822.12 $885.00 $951.61 $1,188.23 |
$1,178.45 $1,241.33 $1,307.94 $1,544.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$931.58 $1,057.34 $1,190.56 $1,663.80 $2,528.30 |
$1,287.91 $1,413.67 $1,546.89 $2,020.13 |
$1,644.24 $1,770.00 $1,903.22 $2,376.46 |
Toc - Plan #36 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Gold
(HMO) Anthem Gold Pathway Guided Access HMO 1350($0 Virtual PCP+$0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$527.02 $598.17 $673.53 $941.26 $1,430.33 |
$930.19 $1,001.34 $1,076.70 $1,344.43 |
$1,333.36 $1,404.51 $1,479.87 $1,747.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,054.04 $1,196.34 $1,347.06 $1,882.52 $2,860.66 |
$1,457.21 $1,599.51 $1,750.23 $2,285.69 |
$1,860.38 $2,002.68 $2,153.40 $2,688.86 |
Toc - Plan #37 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway Guided Access HMO 5000($0 Virtual PCP+$0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.48 $442.06 $497.76 $695.61 $1,057.05 |
$687.43 $740.01 $795.71 $993.56 |
$985.38 $1,037.96 $1,093.66 $1,291.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$778.96 $884.12 $995.52 $1,391.22 $2,114.10 |
$1,076.91 $1,182.07 $1,293.47 $1,689.17 |
$1,374.86 $1,480.02 $1,591.42 $1,987.12 |
Toc - Plan #38 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway Guided Access HMO 6450($0 Virtual PCP+$0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$456.18 $517.76 $583.00 $814.74 $1,238.07 |
$805.16 $866.74 $931.98 $1,163.72 |
$1,154.14 $1,215.72 $1,280.96 $1,512.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$912.36 $1,035.52 $1,166.00 $1,629.48 $2,476.14 |
$1,261.34 $1,384.50 $1,514.98 $1,978.46 |
$1,610.32 $1,733.48 $1,863.96 $2,327.44 |
Toc - Plan #39 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X Guided Access HMO 7500/50% Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.12 $433.71 $488.35 $682.47 $1,037.07 |
$674.44 $726.03 $780.67 $974.79 |
$966.76 $1,018.35 $1,072.99 $1,267.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.24 $867.42 $976.70 $1,364.94 $2,074.14 |
$1,056.56 $1,159.74 $1,269.02 $1,657.26 |
$1,348.88 $1,452.06 $1,561.34 $1,949.58 |
Toc - Plan #40 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway Guided Access HMO 5900/40% Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$465.92 $528.82 $595.45 $832.13 $1,264.51 |
$822.35 $885.25 $951.88 $1,188.56 |
$1,178.78 $1,241.68 $1,308.31 $1,544.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$931.84 $1,057.64 $1,190.90 $1,664.26 $2,529.02 |
$1,288.27 $1,414.07 $1,547.33 $2,020.69 |
$1,644.70 $1,770.50 $1,903.76 $2,377.12 |
Toc - Plan #41 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Gold
(HMO) Anthem Gold Pathway Guided Access HMO 1500/25% Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$548.01 $621.99 $700.36 $978.75 $1,487.30 |
$967.24 $1,041.22 $1,119.59 $1,397.98 |
$1,386.47 $1,460.45 $1,538.82 $1,817.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,096.02 $1,243.98 $1,400.72 $1,957.50 $2,974.60 |
$1,515.25 $1,663.21 $1,819.95 $2,376.73 |
$1,934.48 $2,082.44 $2,239.18 $2,795.96 |
ADVERTISEMENT
Oscar Health Plan of GeorgiaLocal: 1-855-672-2755 | Toll Free: |
Toc - Plan #42 Oscar Health Plan of Georgia | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Elite + PCP Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348.78 $395.85 $445.72 $622.90 $946.55 |
$615.59 $662.66 $712.53 $889.71 |
$882.40 $929.47 $979.34 $1,156.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$697.56 $791.70 $891.44 $1,245.80 $1,893.10 |
$964.37 $1,058.51 $1,158.25 $1,512.61 |
$1,231.18 $1,325.32 $1,425.06 $1,779.42 |
Toc - Plan #43 Oscar Health Plan of Georgia | ||||||||||||||||||||
Catastrophic
(HMO) Secure |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$254.82 $289.21 $325.65 $455.10 $691.57 |
$449.75 $484.14 $520.58 $650.03 |
$644.68 $679.07 $715.51 $844.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$509.64 $578.42 $651.30 $910.20 $1,383.14 |
$704.57 $773.35 $846.23 $1,105.13 |
$899.50 $968.28 $1,041.16 $1,300.06 |
Toc - Plan #44 Oscar Health Plan of Georgia | ||||||||||||||||||||
Silver
(HMO) Silver Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.80 $428.80 $482.82 $674.74 $1,025.33 |
$666.81 $717.81 $771.83 $963.75 |
$955.82 $1,006.82 $1,060.84 $1,252.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$755.60 $857.60 $965.64 $1,349.48 $2,050.66 |
$1,044.61 $1,146.61 $1,254.65 $1,638.49 |
$1,333.62 $1,435.62 $1,543.66 $1,927.50 |
Toc - Plan #45 Oscar Health Plan of Georgia | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic PCP Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.08 $357.60 $402.65 $562.71 $855.09 |
$556.11 $598.63 $643.68 $803.74 |
$797.14 $839.66 $884.71 $1,044.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$630.16 $715.20 $805.30 $1,125.42 $1,710.18 |
$871.19 $956.23 $1,046.33 $1,366.45 |
$1,112.22 $1,197.26 $1,287.36 $1,607.48 |
Toc - Plan #46 Oscar Health Plan of Georgia | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic 4700 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.16 $361.10 $406.59 $568.21 $863.46 |
$561.54 $604.48 $649.97 $811.59 |
$804.92 $847.86 $893.35 $1,054.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$636.32 $722.20 $813.18 $1,136.42 $1,726.92 |
$879.70 $965.58 $1,056.56 $1,379.80 |
$1,123.08 $1,208.96 $1,299.94 $1,623.18 |
Toc - Plan #47 Oscar Health Plan of Georgia | ||||||||||||||||||||
Silver
(HMO) Silver Simple PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.29 $422.54 $475.78 $664.90 $1,010.37 |
$657.09 $707.34 $760.58 $949.70 |
$941.89 $992.14 $1,045.38 $1,234.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$744.58 $845.08 $951.56 $1,329.80 $2,020.74 |
$1,029.38 $1,129.88 $1,236.36 $1,614.60 |
$1,314.18 $1,414.68 $1,521.16 $1,899.40 |
Toc - Plan #48 Oscar Health Plan of Georgia | ||||||||||||||||||||
Silver
(HMO) Silver Elite Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.99 $438.08 $493.28 $689.36 $1,047.54 |
$681.26 $733.35 $788.55 $984.63 |
$976.53 $1,028.62 $1,083.82 $1,279.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$771.98 $876.16 $986.56 $1,378.72 $2,095.08 |
$1,067.25 $1,171.43 $1,281.83 $1,673.99 |
$1,362.52 $1,466.70 $1,577.10 $1,969.26 |
Toc - Plan #49 Oscar Health Plan of Georgia | ||||||||||||||||||||
Gold
(HMO) Gold Elite Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$445.90 $506.09 $569.85 $796.37 $1,210.15 |
$787.01 $847.20 $910.96 $1,137.48 |
$1,128.12 $1,188.31 $1,252.07 $1,478.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$891.80 $1,012.18 $1,139.70 $1,592.74 $2,420.30 |
$1,232.91 $1,353.29 $1,480.81 $1,933.85 |
$1,574.02 $1,694.40 $1,821.92 $2,274.96 |
Toc - Plan #50 Oscar Health Plan of Georgia | ||||||||||||||||||||
Silver
(HMO) Silver Simple Diabetes |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.70 $429.81 $483.97 $676.34 $1,027.76 |
$668.40 $719.51 $773.67 $966.04 |
$958.10 $1,009.21 $1,063.37 $1,255.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$757.40 $859.62 $967.94 $1,352.68 $2,055.52 |
$1,047.10 $1,149.32 $1,257.64 $1,642.38 |
$1,336.80 $1,439.02 $1,547.34 $1,932.08 |
Toc - Plan #51 Oscar Health Plan of Georgia | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.19 $354.32 $398.96 $557.55 $847.24 |
$551.00 $593.13 $637.77 $796.36 |
$789.81 $831.94 $876.58 $1,035.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$624.38 $708.64 $797.92 $1,115.10 $1,694.48 |
$863.19 $947.45 $1,036.73 $1,353.91 |
$1,102.00 $1,186.26 $1,275.54 $1,592.72 |
Toc - Plan #52 Oscar Health Plan of Georgia | ||||||||||||||||||||
Bronze
(HMO) Bronze Simple 2 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$279.83 $317.59 $357.61 $499.75 $759.43 |
$493.89 $531.65 $571.67 $713.81 |
$707.95 $745.71 $785.73 $927.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$559.66 $635.18 $715.22 $999.50 $1,518.86 |
$773.72 $849.24 $929.28 $1,213.56 |
$987.78 $1,063.30 $1,143.34 $1,427.62 |
Toc - Plan #53 Oscar Health Plan of Georgia | ||||||||||||||||||||
Silver
(HMO) Silver Classic Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.72 $423.02 $476.32 $665.65 $1,011.52 |
$657.84 $708.14 $761.44 $950.77 |
$942.96 $993.26 $1,046.56 $1,235.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745.44 $846.04 $952.64 $1,331.30 $2,023.04 |
$1,030.56 $1,131.16 $1,237.76 $1,616.42 |
$1,315.68 $1,416.28 $1,522.88 $1,901.54 |
Toc - Plan #54 Oscar Health Plan of Georgia | ||||||||||||||||||||
Gold
(HMO) Gold Classic Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.72 $442.32 $498.04 $696.01 $1,057.66 |
$687.84 $740.44 $796.16 $994.13 |
$985.96 $1,038.56 $1,094.28 $1,292.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$779.44 $884.64 $996.08 $1,392.02 $2,115.32 |
$1,077.56 $1,182.76 $1,294.20 $1,690.14 |
$1,375.68 $1,480.88 $1,592.32 $1,988.26 |
ADVERTISEMENT
CareSourceLocal: 1-833-230-2099 | Toll Free: 1-833-230-2099 | TTY: 1-800-255-0056 |
Toc - Plan #55 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 |
$337.03 $382.52 $430.72 $601.93 $914.69 |
$594.86 $640.35 $688.55 $859.76 |
$852.69 $898.18 $946.38 $1,117.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$674.06 $765.04 $861.44 $1,203.86 $1,829.38 |
$931.89 $1,022.87 $1,119.27 $1,461.69 |
$1,189.72 $1,280.70 $1,377.10 $1,719.52 |
Toc - Plan #56 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 |
$533.59 $605.62 $681.93 $952.99 $1,448.16 |
$941.79 $1,013.82 $1,090.13 $1,361.19 |
$1,349.99 $1,422.02 $1,498.33 $1,769.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,067.18 $1,211.24 $1,363.86 $1,905.98 $2,896.32 |
$1,475.38 $1,619.44 $1,772.06 $2,314.18 |
$1,883.58 $2,027.64 $2,180.26 $2,722.38 |
Toc - Plan #57 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 |
$443.72 $503.61 $567.06 $792.47 $1,204.24 |
$783.16 $843.05 $906.50 $1,131.91 |
$1,122.60 $1,182.49 $1,245.94 $1,471.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$887.44 $1,007.22 $1,134.12 $1,584.94 $2,408.48 |
$1,226.88 $1,346.66 $1,473.56 $1,924.38 |
$1,566.32 $1,686.10 $1,813.00 $2,263.82 |
Toc - Plan #58 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace HSA Eligible Bronze |
||||||||||||||||||||
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 |
$370.74 $420.79 $473.81 $662.14 $1,006.19 |
$654.36 $704.41 $757.43 $945.76 |
$937.98 $988.03 $1,041.05 $1,229.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$741.48 $841.58 $947.62 $1,324.28 $2,012.38 |
$1,025.10 $1,125.20 $1,231.24 $1,607.90 |
$1,308.72 $1,408.82 $1,514.86 $1,891.52 |
Toc - Plan #59 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 |
$441.15 $500.70 $563.78 $787.89 $1,197.27 |
$778.63 $838.18 $901.26 $1,125.37 |
$1,116.11 $1,175.66 $1,238.74 $1,462.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$882.30 $1,001.40 $1,127.56 $1,575.78 $2,394.54 |
$1,219.78 $1,338.88 $1,465.04 $1,913.26 |
$1,557.26 $1,676.36 $1,802.52 $2,250.74 |
Toc - Plan #60 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 |
$556.48 $631.60 $711.18 $993.87 $1,510.28 |
$982.19 $1,057.31 $1,136.89 $1,419.58 |
$1,407.90 $1,483.02 $1,562.60 $1,845.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,112.96 $1,263.20 $1,422.36 $1,987.74 $3,020.56 |
$1,538.67 $1,688.91 $1,848.07 $2,413.45 |
$1,964.38 $2,114.62 $2,273.78 $2,839.16 |
Toc - Plan #61 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 |
$571.48 $648.62 $730.34 $1,020.65 $1,550.98 |
$1,008.66 $1,085.80 $1,167.52 $1,457.83 |
$1,445.84 $1,522.98 $1,604.70 $1,895.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,142.96 $1,297.24 $1,460.68 $2,041.30 $3,101.96 |
$1,580.14 $1,734.42 $1,897.86 $2,478.48 |
$2,017.32 $2,171.60 $2,335.04 $2,915.66 |
Toc - Plan #62 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 |
$458.39 $520.27 $585.82 $818.68 $1,244.06 |
$809.05 $870.93 $936.48 $1,169.34 |
$1,159.71 $1,221.59 $1,287.14 $1,520.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$916.78 $1,040.54 $1,171.64 $1,637.36 $2,488.12 |
$1,267.44 $1,391.20 $1,522.30 $1,988.02 |
$1,618.10 $1,741.86 $1,872.96 $2,338.68 |
Toc - Plan #63 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 |
$344.78 $391.33 $440.63 $615.78 $935.74 |
$608.54 $655.09 $704.39 $879.54 |
$872.30 $918.85 $968.15 $1,143.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$689.56 $782.66 $881.26 $1,231.56 $1,871.48 |
$953.32 $1,046.42 $1,145.02 $1,495.32 |
$1,217.08 $1,310.18 $1,408.78 $1,759.08 |
Toc - Plan #64 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 |
$543.19 $616.52 $694.20 $970.14 $1,474.21 |
$958.73 $1,032.06 $1,109.74 $1,385.68 |
$1,374.27 $1,447.60 $1,525.28 $1,801.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,086.38 $1,233.04 $1,388.40 $1,940.28 $2,948.42 |
$1,501.92 $1,648.58 $1,803.94 $2,355.82 |
$1,917.46 $2,064.12 $2,219.48 $2,771.36 |
Toc - Plan #65 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 |
$451.52 $512.48 $577.04 $806.42 $1,225.43 |
$796.93 $857.89 $922.45 $1,151.83 |
$1,142.34 $1,203.30 $1,267.86 $1,497.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$903.04 $1,024.96 $1,154.08 $1,612.84 $2,450.86 |
$1,248.45 $1,370.37 $1,499.49 $1,958.25 |
$1,593.86 $1,715.78 $1,844.90 $2,303.66 |
Toc - Plan #66 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 |
$448.96 $509.56 $573.76 $801.83 $1,218.46 |
$792.41 $853.01 $917.21 $1,145.28 |
$1,135.86 $1,196.46 $1,260.66 $1,488.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$897.92 $1,019.12 $1,147.52 $1,603.66 $2,436.92 |
$1,241.37 $1,362.57 $1,490.97 $1,947.11 |
$1,584.82 $1,706.02 $1,834.42 $2,290.56 |
Toc - Plan #67 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 |
$566.08 $642.50 $723.45 $1,011.01 $1,536.33 |
$999.13 $1,075.55 $1,156.50 $1,444.06 |
$1,432.18 $1,508.60 $1,589.55 $1,877.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,132.16 $1,285.00 $1,446.90 $2,022.02 $3,072.66 |
$1,565.21 $1,718.05 $1,879.95 $2,455.07 |
$1,998.26 $2,151.10 $2,313.00 $2,888.12 |
Toc - Plan #68 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 |
$581.07 $659.51 $742.60 $1,037.78 $1,577.01 |
$1,025.58 $1,104.02 $1,187.11 $1,482.29 |
$1,470.09 $1,548.53 $1,631.62 $1,926.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,162.14 $1,319.02 $1,485.20 $2,075.56 $3,154.02 |
$1,606.65 $1,763.53 $1,929.71 $2,520.07 |
$2,051.16 $2,208.04 $2,374.22 $2,964.58 |
Toc - Plan #69 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 |
$466.20 $529.13 $595.79 $832.62 $1,265.25 |
$822.84 $885.77 $952.43 $1,189.26 |
$1,179.48 $1,242.41 $1,309.07 $1,545.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$932.40 $1,058.26 $1,191.58 $1,665.24 $2,530.50 |
$1,289.04 $1,414.90 $1,548.22 $2,021.88 |
$1,645.68 $1,771.54 $1,904.86 $2,378.52 |
ADVERTISEMENT
Ambetter from Peach State Health PlanLocal: 1-877-687-1180 | Toll Free: 1-877-687-1180 | TTY: 1-877-941-9231 |
Toc - Plan #70 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.77 $402.65 $453.38 $633.60 $962.82 |
$626.16 $674.04 $724.77 $904.99 |
$897.55 $945.43 $996.16 $1,176.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$709.54 $805.30 $906.76 $1,267.20 $1,925.64 |
$980.93 $1,076.69 $1,178.15 $1,538.59 |
$1,252.32 $1,348.08 $1,449.54 $1,809.98 |
Toc - Plan #71 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Complete Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$421.14 $477.99 $538.21 $752.15 $1,142.96 |
$743.31 $800.16 $860.38 $1,074.32 |
$1,065.48 $1,122.33 $1,182.55 $1,396.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$842.28 $955.98 $1,076.42 $1,504.30 $2,285.92 |
$1,164.45 $1,278.15 $1,398.59 $1,826.47 |
$1,486.62 $1,600.32 $1,720.76 $2,148.64 |
Toc - Plan #72 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$443.80 $503.70 $567.16 $792.60 $1,204.44 |
$783.30 $843.20 $906.66 $1,132.10 |
$1,122.80 $1,182.70 $1,246.16 $1,471.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$887.60 $1,007.40 $1,134.32 $1,585.20 $2,408.88 |
$1,227.10 $1,346.90 $1,473.82 $1,924.70 |
$1,566.60 $1,686.40 $1,813.32 $2,264.20 |
Toc - Plan #73 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.78 $444.66 $500.68 $699.70 $1,063.26 |
$691.48 $744.36 $800.38 $999.40 |
$991.18 $1,044.06 $1,100.08 $1,299.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783.56 $889.32 $1,001.36 $1,399.40 $2,126.52 |
$1,083.26 $1,189.02 $1,301.06 $1,699.10 |
$1,382.96 $1,488.72 $1,600.76 $1,998.80 |
Toc - Plan #74 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.85 $435.66 $490.55 $685.54 $1,041.74 |
$677.49 $729.30 $784.19 $979.18 |
$971.13 $1,022.94 $1,077.83 $1,272.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.70 $871.32 $981.10 $1,371.08 $2,083.48 |
$1,061.34 $1,164.96 $1,274.74 $1,664.72 |
$1,354.98 $1,458.60 $1,568.38 $1,958.36 |
Toc - Plan #75 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408.54 $463.68 $522.10 $729.63 $1,108.74 |
$721.06 $776.20 $834.62 $1,042.15 |
$1,033.58 $1,088.72 $1,147.14 $1,354.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$817.08 $927.36 $1,044.20 $1,459.26 $2,217.48 |
$1,129.60 $1,239.88 $1,356.72 $1,771.78 |
$1,442.12 $1,552.40 $1,669.24 $2,084.30 |
Toc - Plan #76 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414.64 $470.60 $529.89 $740.52 $1,125.30 |
$731.83 $787.79 $847.08 $1,057.71 |
$1,049.02 $1,104.98 $1,164.27 $1,374.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$829.28 $941.20 $1,059.78 $1,481.04 $2,250.60 |
$1,146.47 $1,258.39 $1,376.97 $1,798.23 |
$1,463.66 $1,575.58 $1,694.16 $2,115.42 |
Toc - Plan #77 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$424.93 $482.28 $543.04 $758.90 $1,153.22 |
$749.99 $807.34 $868.10 $1,083.96 |
$1,075.05 $1,132.40 $1,193.16 $1,409.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$849.86 $964.56 $1,086.08 $1,517.80 $2,306.44 |
$1,174.92 $1,289.62 $1,411.14 $1,842.86 |
$1,499.98 $1,614.68 $1,736.20 $2,167.92 |
Toc - Plan #78 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Clear Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.91 $475.45 $535.35 $748.15 $1,136.89 |
$739.37 $795.91 $855.81 $1,068.61 |
$1,059.83 $1,116.37 $1,176.27 $1,389.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$837.82 $950.90 $1,070.70 $1,496.30 $2,273.78 |
$1,158.28 $1,271.36 $1,391.16 $1,816.76 |
$1,478.74 $1,591.82 $1,711.62 $2,137.22 |
Toc - Plan #79 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$484.87 $550.32 $619.66 $865.97 $1,315.92 |
$855.79 $921.24 $990.58 $1,236.89 |
$1,226.71 $1,292.16 $1,361.50 $1,607.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$969.74 $1,100.64 $1,239.32 $1,731.94 $2,631.84 |
$1,340.66 $1,471.56 $1,610.24 $2,102.86 |
$1,711.58 $1,842.48 $1,981.16 $2,473.78 |
Toc - Plan #80 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.38 $428.32 $482.28 $673.99 $1,024.19 |
$666.07 $717.01 $770.97 $962.68 |
$954.76 $1,005.70 $1,059.66 $1,251.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$754.76 $856.64 $964.56 $1,347.98 $2,048.38 |
$1,043.45 $1,145.33 $1,253.25 $1,636.67 |
$1,332.14 $1,434.02 $1,541.94 $1,925.36 |
Toc - Plan #81 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406.71 $461.60 $519.76 $726.36 $1,103.77 |
$717.83 $772.72 $830.88 $1,037.48 |
$1,028.95 $1,083.84 $1,142.00 $1,348.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$813.42 $923.20 $1,039.52 $1,452.72 $2,207.54 |
$1,124.54 $1,234.32 $1,350.64 $1,763.84 |
$1,435.66 $1,545.44 $1,661.76 $2,074.96 |
Toc - Plan #82 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$426.67 $484.26 $545.28 $762.02 $1,157.97 |
$753.07 $810.66 $871.68 $1,088.42 |
$1,079.47 $1,137.06 $1,198.08 $1,414.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$853.34 $968.52 $1,090.56 $1,524.04 $2,315.94 |
$1,179.74 $1,294.92 $1,416.96 $1,850.44 |
$1,506.14 $1,621.32 $1,743.36 $2,176.84 |
Toc - Plan #83 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$436.21 $495.09 $557.47 $779.06 $1,183.85 |
$769.91 $828.79 $891.17 $1,112.76 |
$1,103.61 $1,162.49 $1,224.87 $1,446.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$872.42 $990.18 $1,114.94 $1,558.12 $2,367.70 |
$1,206.12 $1,323.88 $1,448.64 $1,891.82 |
$1,539.82 $1,657.58 $1,782.34 $2,225.52 |
Toc - Plan #84 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.47 $417.06 $469.61 $656.27 $997.27 |
$648.57 $698.16 $750.71 $937.37 |
$929.67 $979.26 $1,031.81 $1,218.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734.94 $834.12 $939.22 $1,312.54 $1,994.54 |
$1,016.04 $1,115.22 $1,220.32 $1,593.64 |
$1,297.14 $1,396.32 $1,501.42 $1,874.74 |
Toc - Plan #85 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$459.68 $521.72 $587.45 $820.96 $1,247.53 |
$811.32 $873.36 $939.09 $1,172.60 |
$1,162.96 $1,225.00 $1,290.73 $1,524.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$919.36 $1,043.44 $1,174.90 $1,641.92 $2,495.06 |
$1,271.00 $1,395.08 $1,526.54 $1,993.56 |
$1,622.64 $1,746.72 $1,878.18 $2,345.20 |
Toc - Plan #86 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$405.80 $460.57 $518.60 $724.74 $1,101.31 |
$716.23 $771.00 $829.03 $1,035.17 |
$1,026.66 $1,081.43 $1,139.46 $1,345.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$811.60 $921.14 $1,037.20 $1,449.48 $2,202.62 |
$1,122.03 $1,231.57 $1,347.63 $1,759.91 |
$1,432.46 $1,542.00 $1,658.06 $2,070.34 |
Toc - Plan #87 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.58 $451.25 $508.10 $710.07 $1,079.02 |
$701.72 $755.39 $812.24 $1,014.21 |
$1,005.86 $1,059.53 $1,116.38 $1,318.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795.16 $902.50 $1,016.20 $1,420.14 $2,158.04 |
$1,099.30 $1,206.64 $1,320.34 $1,724.28 |
$1,403.44 $1,510.78 $1,624.48 $2,028.42 |
Toc - Plan #88 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$429.47 $487.44 $548.85 $767.02 $1,165.56 |
$758.01 $815.98 $877.39 $1,095.56 |
$1,086.55 $1,144.52 $1,205.93 $1,424.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$858.94 $974.88 $1,097.70 $1,534.04 $2,331.12 |
$1,187.48 $1,303.42 $1,426.24 $1,862.58 |
$1,516.02 $1,631.96 $1,754.78 $2,191.12 |
Toc - Plan #89 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$440.13 $499.54 $562.47 $786.06 $1,194.49 |
$776.82 $836.23 $899.16 $1,122.75 |
$1,113.51 $1,172.92 $1,235.85 $1,459.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$880.26 $999.08 $1,124.94 $1,572.12 $2,388.98 |
$1,216.95 $1,335.77 $1,461.63 $1,908.81 |
$1,553.64 $1,672.46 $1,798.32 $2,245.50 |
Toc - Plan #90 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$423.15 $480.27 $540.78 $755.74 $1,148.41 |
$746.86 $803.98 $864.49 $1,079.45 |
$1,070.57 $1,127.69 $1,188.20 $1,403.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$846.30 $960.54 $1,081.56 $1,511.48 $2,296.82 |
$1,170.01 $1,284.25 $1,405.27 $1,835.19 |
$1,493.72 $1,607.96 $1,728.98 $2,158.90 |
Toc - Plan #91 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Clear Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$433.90 $492.46 $554.51 $774.92 $1,177.57 |
$765.82 $824.38 $886.43 $1,106.84 |
$1,097.74 $1,156.30 $1,218.35 $1,438.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$867.80 $984.92 $1,109.02 $1,549.84 $2,355.14 |
$1,199.72 $1,316.84 $1,440.94 $1,881.76 |
$1,531.64 $1,648.76 $1,772.86 $2,213.68 |
Toc - Plan #92 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$502.22 $570.01 $641.83 $896.95 $1,363.00 |
$886.41 $954.20 $1,026.02 $1,281.14 |
$1,270.60 $1,338.39 $1,410.21 $1,665.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,004.44 $1,140.02 $1,283.66 $1,793.90 $2,726.00 |
$1,388.63 $1,524.21 $1,667.85 $2,178.09 |
$1,772.82 $1,908.40 $2,052.04 $2,562.28 |
Toc - Plan #93 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$390.89 $443.64 $499.54 $698.11 $1,060.84 |
$689.91 $742.66 $798.56 $997.13 |
$988.93 $1,041.68 $1,097.58 $1,296.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$781.78 $887.28 $999.08 $1,396.22 $2,121.68 |
$1,080.80 $1,186.30 $1,298.10 $1,695.24 |
$1,379.82 $1,485.32 $1,597.12 $1,994.26 |
Toc - Plan #94 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Standard Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$421.26 $478.12 $538.36 $752.35 $1,143.27 |
$743.52 $800.38 $860.62 $1,074.61 |
$1,065.78 $1,122.64 $1,182.88 $1,396.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$842.52 $956.24 $1,076.72 $1,504.70 $2,286.54 |
$1,164.78 $1,278.50 $1,398.98 $1,826.96 |
$1,487.04 $1,600.76 $1,721.24 $2,149.22 |
Toc - Plan #95 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Standard Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$441.94 $501.59 $564.79 $789.29 $1,199.40 |
$780.02 $839.67 $902.87 $1,127.37 |
$1,118.10 $1,177.75 $1,240.95 $1,465.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$883.88 $1,003.18 $1,129.58 $1,578.58 $2,398.80 |
$1,221.96 $1,341.26 $1,467.66 $1,916.66 |
$1,560.04 $1,679.34 $1,805.74 $2,254.74 |
Toc - Plan #96 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Standard Silver SELECT Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.73 $433.26 $487.84 $681.76 $1,036.00 |
$673.75 $725.28 $779.86 $973.78 |
$965.77 $1,017.30 $1,071.88 $1,265.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$763.46 $866.52 $975.68 $1,363.52 $2,072.00 |
$1,055.48 $1,158.54 $1,267.70 $1,655.54 |
$1,347.50 $1,450.56 $1,559.72 $1,947.56 |
Toc - Plan #97 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Standard Gold SELECT Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.48 $454.54 $511.81 $715.25 $1,086.89 |
$706.84 $760.90 $818.17 $1,021.61 |
$1,013.20 $1,067.26 $1,124.53 $1,327.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$800.96 $909.08 $1,023.62 $1,430.50 $2,173.78 |
$1,107.32 $1,215.44 $1,329.98 $1,736.86 |
$1,413.68 $1,521.80 $1,636.34 $2,043.22 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
Toc - Plan #98 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 5: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 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 |
$418.13 $474.57 $534.36 $746.77 $1,134.79 |
$738.00 $794.44 $854.23 $1,066.64 |
$1,057.87 $1,114.31 $1,174.10 $1,386.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$836.26 $949.14 $1,068.72 $1,493.54 $2,269.58 |
$1,156.13 $1,269.01 $1,388.59 $1,813.41 |
$1,476.00 $1,588.88 $1,708.46 $2,133.28 |
Toc - Plan #99 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze S: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 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 |
$347.55 $394.47 $444.16 $620.72 $943.24 |
$613.43 $660.35 $710.04 $886.60 |
$879.31 $926.23 $975.92 $1,152.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$695.10 $788.94 $888.32 $1,241.44 $1,886.48 |
$960.98 $1,054.82 $1,154.20 $1,507.32 |
$1,226.86 $1,320.70 $1,420.08 $1,773.20 |
Toc - Plan #100 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold S: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 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 |
$465.29 $528.10 $594.63 $831.00 $1,262.78 |
$821.23 $884.04 $950.57 $1,186.94 |
$1,177.17 $1,239.98 $1,306.51 $1,542.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$930.58 $1,056.20 $1,189.26 $1,662.00 $2,525.56 |
$1,286.52 $1,412.14 $1,545.20 $2,017.94 |
$1,642.46 $1,768.08 $1,901.14 $2,373.88 |
Toc - Plan #101 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 6: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 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 |
$426.66 $484.26 $545.27 $762.01 $1,157.94 |
$753.06 $810.66 $871.67 $1,088.41 |
$1,079.46 $1,137.06 $1,198.07 $1,414.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$853.32 $968.52 $1,090.54 $1,524.02 $2,315.88 |
$1,179.72 $1,294.92 $1,416.94 $1,850.42 |
$1,506.12 $1,621.32 $1,743.34 $2,176.82 |
Toc - Plan #102 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver S: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 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 |
$418.17 $474.62 $534.42 $746.85 $1,134.91 |
$738.07 $794.52 $854.32 $1,066.75 |
$1,057.97 $1,114.42 $1,174.22 $1,386.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$836.34 $949.24 $1,068.84 $1,493.70 $2,269.82 |
$1,156.24 $1,269.14 $1,388.74 $1,813.60 |
$1,476.14 $1,589.04 $1,708.64 $2,133.50 |
Toc - Plan #103 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 2 HSA: Aetna network of doctors & hospitals + walk-in clinic + 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 |
$341.36 $387.44 $436.26 $609.66 $926.44 |
$602.50 $648.58 $697.40 $870.80 |
$863.64 $909.72 $958.54 $1,131.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$682.72 $774.88 $872.52 $1,219.32 $1,852.88 |
$943.86 $1,036.02 $1,133.66 $1,480.46 |
$1,205.00 $1,297.16 $1,394.80 $1,741.60 |
Toc - Plan #104 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 4: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 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 |
$381.45 $432.95 $487.50 $681.27 $1,035.26 |
$673.26 $724.76 $779.31 $973.08 |
$965.07 $1,016.57 $1,071.12 $1,264.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$762.90 $865.90 $975.00 $1,362.54 $2,070.52 |
$1,054.71 $1,157.71 $1,266.81 $1,654.35 |
$1,346.52 $1,449.52 $1,558.62 $1,946.16 |
Toc - Plan #105 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold 3: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 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 |
$462.45 $524.88 $591.01 $825.93 $1,255.08 |
$816.23 $878.66 $944.79 $1,179.71 |
$1,170.01 $1,232.44 $1,298.57 $1,533.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$924.90 $1,049.76 $1,182.02 $1,651.86 $2,510.16 |
$1,278.68 $1,403.54 $1,535.80 $2,005.64 |
$1,632.46 $1,757.32 $1,889.58 $2,359.42 |
Toc - Plan #106 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold 4: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 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 |
$468.54 $531.80 $598.80 $836.81 $1,271.62 |
$826.98 $890.24 $957.24 $1,195.25 |
$1,185.42 $1,248.68 $1,315.68 $1,553.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$937.08 $1,063.60 $1,197.60 $1,673.62 $2,543.24 |
$1,295.52 $1,422.04 $1,556.04 $2,032.06 |
$1,653.96 $1,780.48 $1,914.48 $2,390.50 |
Toc - Plan #107 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 7: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 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 |
$426.41 $483.97 $544.95 $761.56 $1,157.27 |
$752.61 $810.17 $871.15 $1,087.76 |
$1,078.81 $1,136.37 $1,197.35 $1,413.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$852.82 $967.94 $1,089.90 $1,523.12 $2,314.54 |
$1,179.02 $1,294.14 $1,416.10 $1,849.32 |
$1,505.22 $1,620.34 $1,742.30 $2,175.52 |
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Kaiser PermanenteLocal: 1-800-494-5314 | Toll Free: 1-800-494-5314 |
Toc - Plan #108 Kaiser Permanente | ||||||||||||||||||||
Gold
(HMO) KP GA Signature Gold 500 Ded/500 Rx Ded |
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||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$425.13 $482.53 $543.32 $759.29 $1,153.81 |
$750.36 $807.76 $868.55 $1,084.52 |
$1,075.59 $1,132.99 $1,193.78 $1,409.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$850.26 $965.06 $1,086.64 $1,518.58 $2,307.62 |
$1,175.49 $1,290.29 $1,411.87 $1,843.81 |
$1,500.72 $1,615.52 $1,737.10 $2,169.04 |
Toc - Plan #109 Kaiser Permanente | ||||||||||||||||||||
Silver
(HMO) KP GA Signature Silver 3400 Ded/500 Rx Ded |
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|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$411.34 $466.88 $525.70 $734.66 $1,116.39 |
$726.02 $781.56 $840.38 $1,049.34 |
$1,040.70 $1,096.24 $1,155.06 $1,364.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$822.68 $933.76 $1,051.40 $1,469.32 $2,232.78 |
$1,137.36 $1,248.44 $1,366.08 $1,784.00 |
$1,452.04 $1,563.12 $1,680.76 $2,098.68 |
Toc - Plan #110 Kaiser Permanente | ||||||||||||||||||||
Expanded Bronze
(HMO) KP GA Signature Bronze Virtual Complete 5500/1500 RxDed |
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|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.85 $352.81 $397.27 $555.18 $843.65 |
$548.65 $590.61 $635.07 $792.98 |
$786.45 $828.41 $872.87 $1,030.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.70 $705.62 $794.54 $1,110.36 $1,687.30 |
$859.50 $943.42 $1,032.34 $1,348.16 |
$1,097.30 $1,181.22 $1,270.14 $1,585.96 |
Toc - Plan #111 Kaiser Permanente | ||||||||||||||||||||
Expanded Bronze
(HMO) KP GA Signature Bronze 6500/40%/HSA |
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||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.28 $347.63 $391.42 $547.01 $831.24 |
$540.58 $581.93 $625.72 $781.31 |
$774.88 $816.23 $860.02 $1,015.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$612.56 $695.26 $782.84 $1,094.02 $1,662.48 |
$846.86 $929.56 $1,017.14 $1,328.32 |
$1,081.16 $1,163.86 $1,251.44 $1,562.62 |
Toc - Plan #112 Kaiser Permanente | ||||||||||||||||||||
Catastrophic
(HMO) KP GA Signature Catastrophic 9450 |
||||||||||||||||||||
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Customer Service Phone: 1-800-494-5314
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|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$267.78 $303.93 $342.22 $478.25 $726.74 |
$472.63 $508.78 $547.07 $683.10 |
$677.48 $713.63 $751.92 $887.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$535.56 $607.86 $684.44 $956.50 $1,453.48 |
$740.41 $812.71 $889.29 $1,161.35 |
$945.26 $1,017.56 $1,094.14 $1,366.20 |
Toc - Plan #113 Kaiser Permanente | ||||||||||||||||||||
Gold
(HMO) KP GA Signature Gold 1500 Ded/500 Rx Ded |
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Customer Service Phone: 1-800-494-5314
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|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408.68 $463.85 $522.29 $729.90 $1,109.15 |
$721.32 $776.49 $834.93 $1,042.54 |
$1,033.96 $1,089.13 $1,147.57 $1,355.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$817.36 $927.70 $1,044.58 $1,459.80 $2,218.30 |
$1,130.00 $1,240.34 $1,357.22 $1,772.44 |
$1,442.64 $1,552.98 $1,669.86 $2,085.08 |
Toc - Plan #114 Kaiser Permanente | ||||||||||||||||||||
Silver
(HMO) KP GA Signature Silver 4500/35 |
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Customer Service Phone: 1-800-494-5314
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Monthly Premiums:
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|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.86 $452.71 $509.75 $712.37 $1,082.52 |
$703.99 $757.84 $814.88 $1,017.50 |
$1,009.12 $1,062.97 $1,120.01 $1,322.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$797.72 $905.42 $1,019.50 $1,424.74 $2,165.04 |
$1,102.85 $1,210.55 $1,324.63 $1,729.87 |
$1,407.98 $1,515.68 $1,629.76 $2,035.00 |
Toc - Plan #115 Kaiser Permanente | ||||||||||||||||||||
Gold
(HMO) KP GA Signature Gold 2000 Ded/500 Rx Ded |
||||||||||||||||||||
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Customer Service Phone: 1-800-494-5314
Annual Out of Pocket Expenses:
Monthly Premiums:
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|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.11 $440.50 $496.00 $693.16 $1,053.32 |
$685.01 $737.40 $792.90 $990.06 |
$981.91 $1,034.30 $1,089.80 $1,286.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$776.22 $881.00 $992.00 $1,386.32 $2,106.64 |
$1,073.12 $1,177.90 $1,288.90 $1,683.22 |
$1,370.02 $1,474.80 $1,585.80 $1,980.12 |
Toc - Plan #116 Kaiser Permanente | ||||||||||||||||||||
Silver
(HMO) KP GA Signature Silver Virtual Complete 5000 |
||||||||||||||||||||
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Customer Service Phone: 1-800-494-5314
Annual Out of Pocket Expenses:
Monthly Premiums:
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|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.90 $424.38 $477.85 $667.79 $1,014.77 |
$659.94 $710.42 $763.89 $953.83 |
$945.98 $996.46 $1,049.93 $1,239.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.80 $848.76 $955.70 $1,335.58 $2,029.54 |
$1,033.84 $1,134.80 $1,241.74 $1,621.62 |
$1,319.88 $1,420.84 $1,527.78 $1,907.66 |
Toc - Plan #117 Kaiser Permanente | ||||||||||||||||||||
Gold
(HMO) KP GA Signature Standard Gold 1500/30 |
||||||||||||||||||||
Benefits & Coverage
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Customer Service Phone: 1-800-494-5314
Annual Out of Pocket Expenses:
Monthly Premiums:
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|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$410.50 $465.92 $524.63 $733.16 $1,114.11 |
$724.54 $779.96 $838.67 $1,047.20 |
$1,038.58 $1,094.00 $1,152.71 $1,361.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$821.00 $931.84 $1,049.26 $1,466.32 $2,228.22 |
$1,135.04 $1,245.88 $1,363.30 $1,780.36 |
$1,449.08 $1,559.92 $1,677.34 $2,094.40 |
Toc - Plan #118 Kaiser Permanente | ||||||||||||||||||||
Silver
(HMO) KP GA Signature Standard Silver 5900/40 |
||||||||||||||||||||
Benefits & Coverage
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Customer Service Phone: 1-800-494-5314
Annual Out of Pocket Expenses:
Monthly Premiums:
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|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.74 $434.41 $489.15 $683.58 $1,038.76 |
$675.54 $727.21 $781.95 $976.38 |
$968.34 $1,020.01 $1,074.75 $1,269.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.48 $868.82 $978.30 $1,367.16 $2,077.52 |
$1,058.28 $1,161.62 $1,271.10 $1,659.96 |
$1,351.08 $1,454.42 $1,563.90 $1,952.76 |
Toc - Plan #119 Kaiser Permanente | ||||||||||||||||||||
Expanded Bronze
(HMO) KP GA Signature Standard Bronze 7500/50 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-494-5314
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$323.19 $366.82 $413.04 $577.22 $877.14 |
$570.43 $614.06 $660.28 $824.46 |
$817.67 $861.30 $907.52 $1,071.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$646.38 $733.64 $826.08 $1,154.44 $1,754.28 |
$893.62 $980.88 $1,073.32 $1,401.68 |
$1,140.86 $1,228.12 $1,320.56 $1,648.92 |
‡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 Clayton County here.
Clayton County is in “Rating Area 3” of Georgia.
Currently, there are 119 plans offered in Rating Area 3.