Obamacare 2024 Rates for Greene 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 White Plains, 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, 109 Plans and 2024 Rates for Greene County, Georgia
Below, you’ll find a summary of the 109 plans for Greene 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:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$385.57 $437.62 $492.75 $688.62 $1,046.43 |
$680.53 $732.58 $787.71 $983.58 |
$975.49 $1,027.54 $1,082.67 $1,278.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$771.14 $875.24 $985.50 $1,377.24 $2,092.86 |
$1,066.10 $1,170.20 $1,280.46 $1,672.20 |
$1,361.06 $1,465.16 $1,575.42 $1,967.16 |
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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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$390.31 $443.00 $498.81 $697.09 $1,059.29 |
$688.89 $741.58 $797.39 $995.67 |
$987.47 $1,040.16 $1,095.97 $1,294.25 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$780.62 $886.00 $997.62 $1,394.18 $2,118.58 |
$1,079.20 $1,184.58 $1,296.20 $1,692.76 |
$1,377.78 $1,483.16 $1,594.78 $1,991.34 |
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 |
$394.71 $447.99 $504.44 $704.95 $1,071.24 |
$696.66 $749.94 $806.39 $1,006.90 |
$998.61 $1,051.89 $1,108.34 $1,308.85 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$789.42 $895.98 $1,008.88 $1,409.90 $2,142.48 |
$1,091.37 $1,197.93 $1,310.83 $1,711.85 |
$1,393.32 $1,499.88 $1,612.78 $2,013.80 |
Toc - Plan #4 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Silver
(HMO) Connect Silver 3700 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 |
$470.13 $533.60 $600.82 $839.65 $1,275.93 |
$829.78 $893.25 $960.47 $1,199.30 |
$1,189.43 $1,252.90 $1,320.12 $1,558.95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$940.26 $1,067.20 $1,201.64 $1,679.30 $2,551.86 |
$1,299.91 $1,426.85 $1,561.29 $2,038.95 |
$1,659.56 $1,786.50 $1,920.94 $2,398.60 |
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
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$471.24 $534.86 $602.25 $841.64 $1,278.95 |
$831.74 $895.36 $962.75 $1,202.14 |
$1,192.24 $1,255.86 $1,323.25 $1,562.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$942.48 $1,069.72 $1,204.50 $1,683.28 $2,557.90 |
$1,302.98 $1,430.22 $1,565.00 $2,043.78 |
$1,663.48 $1,790.72 $1,925.50 $2,404.28 |
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:
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 |
$470.57 $534.10 $601.39 $840.44 $1,277.14 |
$830.56 $894.09 $961.38 $1,200.43 |
$1,190.55 $1,254.08 $1,321.37 $1,560.42 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$941.14 $1,068.20 $1,202.78 $1,680.88 $2,554.28 |
$1,301.13 $1,428.19 $1,562.77 $2,040.87 |
$1,661.12 $1,788.18 $1,922.76 $2,400.86 |
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:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$476.82 $541.19 $609.37 $851.59 $1,294.08 |
$841.58 $905.95 $974.13 $1,216.35 |
$1,206.34 $1,270.71 $1,338.89 $1,581.11 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$953.64 $1,082.38 $1,218.74 $1,703.18 $2,588.16 |
$1,318.40 $1,447.14 $1,583.50 $2,067.94 |
$1,683.16 $1,811.90 $1,948.26 $2,432.70 |
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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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$609.82 $692.14 $779.35 $1,089.13 $1,655.04 |
$1,076.33 $1,158.65 $1,245.86 $1,555.64 |
$1,542.84 $1,625.16 $1,712.37 $2,022.15 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,219.64 $1,384.28 $1,558.70 $2,178.26 $3,310.08 |
$1,686.15 $1,850.79 $2,025.21 $2,644.77 |
$2,152.66 $2,317.30 $2,491.72 $3,111.28 |
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
Customer Service Phone:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$388.47 $440.91 $496.46 $693.80 $1,054.30 |
$685.65 $738.09 $793.64 $990.98 |
$982.83 $1,035.27 $1,090.82 $1,288.16 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$776.94 $881.82 $992.92 $1,387.60 $2,108.60 |
$1,074.12 $1,179.00 $1,290.10 $1,684.78 |
$1,371.30 $1,476.18 $1,587.28 $1,981.96 |
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 |
$424.31 $481.59 $542.27 $757.81 $1,151.57 |
$748.91 $806.19 $866.87 $1,082.41 |
$1,073.51 $1,130.79 $1,191.47 $1,407.01 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$848.62 $963.18 $1,084.54 $1,515.62 $2,303.14 |
$1,173.22 $1,287.78 $1,409.14 $1,840.22 |
$1,497.82 $1,612.38 $1,733.74 $2,164.82 |
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 |
$607.31 $689.30 $776.14 $1,084.65 $1,648.24 |
$1,071.90 $1,153.89 $1,240.73 $1,549.24 |
$1,536.49 $1,618.48 $1,705.32 $2,013.83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,214.62 $1,378.60 $1,552.28 $2,169.30 $3,296.48 |
$1,679.21 $1,843.19 $2,016.87 $2,633.89 |
$2,143.80 $2,307.78 $2,481.46 $3,098.48 |
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:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$471.52 $535.18 $602.60 $842.14 $1,279.71 |
$832.23 $895.89 $963.31 $1,202.85 |
$1,192.94 $1,256.60 $1,324.02 $1,563.56 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$943.04 $1,070.36 $1,205.20 $1,684.28 $2,559.42 |
$1,303.75 $1,431.07 $1,565.91 $2,044.99 |
$1,664.46 $1,791.78 $1,926.62 $2,405.70 |
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Anthem Blue Cross and Blue ShieldLocal: 1-855-738-6652 | Toll Free: 1-855-738-6652 |
Toc - Plan #13 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Catastrophic
(HMO) Anthem Catastrophic Pathway X HMO 9450 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
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 |
$287.09 $325.85 $366.90 $512.74 $779.16 |
$506.71 $545.47 $586.52 $732.36 |
$726.33 $765.09 $806.14 $951.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$574.18 $651.70 $733.80 $1,025.48 $1,558.32 |
$793.80 $871.32 $953.42 $1,245.10 |
$1,013.42 $1,090.94 $1,173.04 $1,464.72 |
Toc - Plan #14 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway HMO 0% for HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
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 |
$406.92 $461.85 $520.04 $726.76 $1,104.38 |
$718.21 $773.14 $831.33 $1,038.05 |
$1,029.50 $1,084.43 $1,142.62 $1,349.34 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$813.84 $923.70 $1,040.08 $1,453.52 $2,208.76 |
$1,125.13 $1,234.99 $1,351.37 $1,764.81 |
$1,436.42 $1,546.28 $1,662.66 $2,076.10 |
Toc - Plan #15 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway HMO 6000($0 Virtual PCP+$0 Select Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
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 |
$387.29 $439.57 $494.96 $691.70 $1,051.11 |
$683.57 $735.85 $791.24 $987.98 |
$979.85 $1,032.13 $1,087.52 $1,284.26 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$774.58 $879.14 $989.92 $1,383.40 $2,102.22 |
$1,070.86 $1,175.42 $1,286.20 $1,679.68 |
$1,367.14 $1,471.70 $1,582.48 $1,975.96 |
Toc - Plan #16 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway HMO 3000($0 Virtual PCP+$0 Select Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
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 |
$501.31 $568.99 $640.67 $895.34 $1,360.56 |
$884.81 $952.49 $1,024.17 $1,278.84 |
$1,268.31 $1,335.99 $1,407.67 $1,662.34 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,002.62 $1,137.98 $1,281.34 $1,790.68 $2,721.12 |
$1,386.12 $1,521.48 $1,664.84 $2,174.18 |
$1,769.62 $1,904.98 $2,048.34 $2,557.68 |
Toc - Plan #17 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway HMO 5500($0 Virtual PCP+$0 Select Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
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 |
$476.58 $540.92 $609.07 $851.17 $1,293.44 |
$841.16 $905.50 $973.65 $1,215.75 |
$1,205.74 $1,270.08 $1,338.23 $1,580.33 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$953.16 $1,081.84 $1,218.14 $1,702.34 $2,586.88 |
$1,317.74 $1,446.42 $1,582.72 $2,066.92 |
$1,682.32 $1,811.00 $1,947.30 $2,431.50 |
Toc - Plan #18 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway HMO 8000($0 Virtual PCP+$0 Select Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
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 |
$374.76 $425.35 $478.94 $669.32 $1,017.10 |
$661.45 $712.04 $765.63 $956.01 |
$948.14 $998.73 $1,052.32 $1,242.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$749.52 $850.70 $957.88 $1,338.64 $2,034.20 |
$1,036.21 $1,137.39 $1,244.57 $1,625.33 |
$1,322.90 $1,424.08 $1,531.26 $1,912.02 |
Toc - Plan #19 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway HMO 4950($0 Virtual PCP+$0 Select Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
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 |
$480.22 $545.05 $613.72 $857.67 $1,303.32 |
$847.59 $912.42 $981.09 $1,225.04 |
$1,214.96 $1,279.79 $1,348.46 $1,592.41 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$960.44 $1,090.10 $1,227.44 $1,715.34 $2,606.64 |
$1,327.81 $1,457.47 $1,594.81 $2,082.71 |
$1,695.18 $1,824.84 $1,962.18 $2,450.08 |
Toc - Plan #20 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway HMO 6450($0 Virtual PCP+$0 Select Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
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 |
$470.28 $533.77 $601.02 $839.92 $1,276.34 |
$830.04 $893.53 $960.78 $1,199.68 |
$1,189.80 $1,253.29 $1,320.54 $1,559.44 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$940.56 $1,067.54 $1,202.04 $1,679.84 $2,552.68 |
$1,300.32 $1,427.30 $1,561.80 $2,039.60 |
$1,660.08 $1,787.06 $1,921.56 $2,399.36 |
Toc - Plan #21 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Gold
(HMO) Anthem Gold Pathway HMO 1350($0 Virtual PCP+$0 Select Drugs) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
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 |
$543.32 $616.67 $694.36 $970.37 $1,474.57 |
$958.96 $1,032.31 $1,110.00 $1,386.01 |
$1,374.60 $1,447.95 $1,525.64 $1,801.65 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,086.64 $1,233.34 $1,388.72 $1,940.74 $2,949.14 |
$1,502.28 $1,648.98 $1,804.36 $2,356.38 |
$1,917.92 $2,064.62 $2,220.00 $2,772.02 |
Toc - Plan #22 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway 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 |
$401.53 $455.74 $513.16 $717.13 $1,089.75 |
$708.70 $762.91 $820.33 $1,024.30 |
$1,015.87 $1,070.08 $1,127.50 $1,331.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$803.06 $911.48 $1,026.32 $1,434.26 $2,179.50 |
$1,110.23 $1,218.65 $1,333.49 $1,741.43 |
$1,417.40 $1,525.82 $1,640.66 $2,048.60 |
Toc - Plan #23 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway 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 |
$393.93 $447.11 $503.44 $703.56 $1,069.13 |
$695.29 $748.47 $804.80 $1,004.92 |
$996.65 $1,049.83 $1,106.16 $1,306.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$787.86 $894.22 $1,006.88 $1,407.12 $2,138.26 |
$1,089.22 $1,195.58 $1,308.24 $1,708.48 |
$1,390.58 $1,496.94 $1,609.60 $2,009.84 |
Toc - Plan #24 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X 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 |
$480.34 $545.19 $613.87 $857.89 $1,303.64 |
$847.80 $912.65 $981.33 $1,225.35 |
$1,215.26 $1,280.11 $1,348.79 $1,592.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$960.68 $1,090.38 $1,227.74 $1,715.78 $2,607.28 |
$1,328.14 $1,457.84 $1,595.20 $2,083.24 |
$1,695.60 $1,825.30 $1,962.66 $2,450.70 |
Toc - Plan #25 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Gold
(HMO) Anthem Gold Pathway X 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 |
$564.96 $641.23 $722.02 $1,009.02 $1,533.30 |
$997.15 $1,073.42 $1,154.21 $1,441.21 |
$1,429.34 $1,505.61 $1,586.40 $1,873.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,129.92 $1,282.46 $1,444.04 $2,018.04 $3,066.60 |
$1,562.11 $1,714.65 $1,876.23 $2,450.23 |
$1,994.30 $2,146.84 $2,308.42 $2,882.42 |
ADVERTISEMENT
Ambetter from Peach State Health PlanLocal: 1-877-687-1180 | Toll Free: 1-877-687-1180 | TTY: 1-877-941-9231 |
Toc - Plan #26 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 |
$369.05 $418.86 $471.63 $659.10 $1,001.56 |
$651.36 $701.17 $753.94 $941.41 |
$933.67 $983.48 $1,036.25 $1,223.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.10 $837.72 $943.26 $1,318.20 $2,003.12 |
$1,020.41 $1,120.03 $1,225.57 $1,600.51 |
$1,302.72 $1,402.34 $1,507.88 $1,882.82 |
Toc - Plan #27 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 |
$438.09 $497.22 $559.87 $782.41 $1,188.95 |
$773.22 $832.35 $895.00 $1,117.54 |
$1,108.35 $1,167.48 $1,230.13 $1,452.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$876.18 $994.44 $1,119.74 $1,564.82 $2,377.90 |
$1,211.31 $1,329.57 $1,454.87 $1,899.95 |
$1,546.44 $1,664.70 $1,790.00 $2,235.08 |
Toc - Plan #28 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 |
$461.65 $523.97 $589.98 $824.50 $1,252.90 |
$814.81 $877.13 $943.14 $1,177.66 |
$1,167.97 $1,230.29 $1,296.30 $1,530.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$923.30 $1,047.94 $1,179.96 $1,649.00 $2,505.80 |
$1,276.46 $1,401.10 $1,533.12 $2,002.16 |
$1,629.62 $1,754.26 $1,886.28 $2,355.32 |
Toc - Plan #29 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 |
$407.55 $462.55 $520.83 $727.86 $1,106.05 |
$719.31 $774.31 $832.59 $1,039.62 |
$1,031.07 $1,086.07 $1,144.35 $1,351.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$815.10 $925.10 $1,041.66 $1,455.72 $2,212.10 |
$1,126.86 $1,236.86 $1,353.42 $1,767.48 |
$1,438.62 $1,548.62 $1,665.18 $2,079.24 |
Toc - Plan #30 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 |
$399.30 $453.19 $510.29 $713.12 $1,083.66 |
$704.75 $758.64 $815.74 $1,018.57 |
$1,010.20 $1,064.09 $1,121.19 $1,324.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$798.60 $906.38 $1,020.58 $1,426.24 $2,167.32 |
$1,104.05 $1,211.83 $1,326.03 $1,731.69 |
$1,409.50 $1,517.28 $1,631.48 $2,037.14 |
Toc - Plan #31 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 |
$424.98 $482.34 $543.11 $758.99 $1,153.36 |
$750.08 $807.44 $868.21 $1,084.09 |
$1,075.18 $1,132.54 $1,193.31 $1,409.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$849.96 $964.68 $1,086.22 $1,517.98 $2,306.72 |
$1,175.06 $1,289.78 $1,411.32 $1,843.08 |
$1,500.16 $1,614.88 $1,736.42 $2,168.18 |
Toc - Plan #32 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 |
$431.32 $489.54 $551.22 $770.32 $1,170.58 |
$761.27 $819.49 $881.17 $1,100.27 |
$1,091.22 $1,149.44 $1,211.12 $1,430.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$862.64 $979.08 $1,102.44 $1,540.64 $2,341.16 |
$1,192.59 $1,309.03 $1,432.39 $1,870.59 |
$1,522.54 $1,638.98 $1,762.34 $2,200.54 |
Toc - Plan #33 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 |
$442.02 $501.69 $564.89 $789.44 $1,199.63 |
$780.16 $839.83 $903.03 $1,127.58 |
$1,118.30 $1,177.97 $1,241.17 $1,465.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$884.04 $1,003.38 $1,129.78 $1,578.88 $2,399.26 |
$1,222.18 $1,341.52 $1,467.92 $1,917.02 |
$1,560.32 $1,679.66 $1,806.06 $2,255.16 |
Toc - Plan #34 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 |
$435.76 $494.58 $556.89 $778.26 $1,182.63 |
$769.11 $827.93 $890.24 $1,111.61 |
$1,102.46 $1,161.28 $1,223.59 $1,444.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$871.52 $989.16 $1,113.78 $1,556.52 $2,365.26 |
$1,204.87 $1,322.51 $1,447.13 $1,889.87 |
$1,538.22 $1,655.86 $1,780.48 $2,223.22 |
Toc - Plan #35 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 |
$504.38 $572.46 $644.59 $900.81 $1,368.87 |
$890.23 $958.31 $1,030.44 $1,286.66 |
$1,276.08 $1,344.16 $1,416.29 $1,672.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,008.76 $1,144.92 $1,289.18 $1,801.62 $2,737.74 |
$1,394.61 $1,530.77 $1,675.03 $2,187.47 |
$1,780.46 $1,916.62 $2,060.88 $2,573.32 |
Toc - Plan #36 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 |
$392.57 $445.55 $501.69 $701.11 $1,065.40 |
$692.88 $745.86 $802.00 $1,001.42 |
$993.19 $1,046.17 $1,102.31 $1,301.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$785.14 $891.10 $1,003.38 $1,402.22 $2,130.80 |
$1,085.45 $1,191.41 $1,303.69 $1,702.53 |
$1,385.76 $1,491.72 $1,604.00 $2,002.84 |
Toc - Plan #37 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 |
$423.07 $480.17 $540.67 $755.59 $1,148.19 |
$746.71 $803.81 $864.31 $1,079.23 |
$1,070.35 $1,127.45 $1,187.95 $1,402.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$846.14 $960.34 $1,081.34 $1,511.18 $2,296.38 |
$1,169.78 $1,283.98 $1,404.98 $1,834.82 |
$1,493.42 $1,607.62 $1,728.62 $2,158.46 |
Toc - Plan #38 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 |
$443.84 $503.75 $567.22 $792.69 $1,204.56 |
$783.37 $843.28 $906.75 $1,132.22 |
$1,122.90 $1,182.81 $1,246.28 $1,471.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$887.68 $1,007.50 $1,134.44 $1,585.38 $2,409.12 |
$1,227.21 $1,347.03 $1,473.97 $1,924.91 |
$1,566.74 $1,686.56 $1,813.50 $2,264.44 |
Toc - Plan #39 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 |
$453.77 $515.01 $579.90 $810.41 $1,231.49 |
$800.89 $862.13 $927.02 $1,157.53 |
$1,148.01 $1,209.25 $1,274.14 $1,504.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$907.54 $1,030.02 $1,159.80 $1,620.82 $2,462.98 |
$1,254.66 $1,377.14 $1,506.92 $1,967.94 |
$1,601.78 $1,724.26 $1,854.04 $2,315.06 |
Toc - Plan #40 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 |
$382.25 $433.84 $488.50 $682.68 $1,037.40 |
$674.66 $726.25 $780.91 $975.09 |
$967.07 $1,018.66 $1,073.32 $1,267.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.50 $867.68 $977.00 $1,365.36 $2,074.80 |
$1,056.91 $1,160.09 $1,269.41 $1,657.77 |
$1,349.32 $1,452.50 $1,561.82 $1,950.18 |
Toc - Plan #41 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 |
$478.17 $542.72 $611.09 $854.00 $1,297.73 |
$843.96 $908.51 $976.88 $1,219.79 |
$1,209.75 $1,274.30 $1,342.67 $1,585.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$956.34 $1,085.44 $1,222.18 $1,708.00 $2,595.46 |
$1,322.13 $1,451.23 $1,587.97 $2,073.79 |
$1,687.92 $1,817.02 $1,953.76 $2,439.58 |
Toc - Plan #42 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 |
$422.13 $479.10 $539.47 $753.90 $1,145.63 |
$745.05 $802.02 $862.39 $1,076.82 |
$1,067.97 $1,124.94 $1,185.31 $1,399.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$844.26 $958.20 $1,078.94 $1,507.80 $2,291.26 |
$1,167.18 $1,281.12 $1,401.86 $1,830.72 |
$1,490.10 $1,604.04 $1,724.78 $2,153.64 |
Toc - Plan #43 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 |
$413.58 $469.40 $528.55 $738.64 $1,122.44 |
$729.96 $785.78 $844.93 $1,055.02 |
$1,046.34 $1,102.16 $1,161.31 $1,371.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$827.16 $938.80 $1,057.10 $1,477.28 $2,244.88 |
$1,143.54 $1,255.18 $1,373.48 $1,793.66 |
$1,459.92 $1,571.56 $1,689.86 $2,110.04 |
Toc - Plan #44 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 |
$446.75 $507.05 $570.94 $797.89 $1,212.46 |
$788.51 $848.81 $912.70 $1,139.65 |
$1,130.27 $1,190.57 $1,254.46 $1,481.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$893.50 $1,014.10 $1,141.88 $1,595.78 $2,424.92 |
$1,235.26 $1,355.86 $1,483.64 $1,937.54 |
$1,577.02 $1,697.62 $1,825.40 $2,279.30 |
Toc - Plan #45 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 |
$457.84 $519.64 $585.11 $817.69 $1,242.55 |
$808.08 $869.88 $935.35 $1,167.93 |
$1,158.32 $1,220.12 $1,285.59 $1,518.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$915.68 $1,039.28 $1,170.22 $1,635.38 $2,485.10 |
$1,265.92 $1,389.52 $1,520.46 $1,985.62 |
$1,616.16 $1,739.76 $1,870.70 $2,335.86 |
Toc - Plan #46 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 |
$440.18 $499.59 $562.54 $786.15 $1,194.62 |
$776.91 $836.32 $899.27 $1,122.88 |
$1,113.64 $1,173.05 $1,236.00 $1,459.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$880.36 $999.18 $1,125.08 $1,572.30 $2,389.24 |
$1,217.09 $1,335.91 $1,461.81 $1,909.03 |
$1,553.82 $1,672.64 $1,798.54 $2,245.76 |
Toc - Plan #47 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 |
$451.36 $512.28 $576.82 $806.10 $1,224.95 |
$796.64 $857.56 $922.10 $1,151.38 |
$1,141.92 $1,202.84 $1,267.38 $1,496.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$902.72 $1,024.56 $1,153.64 $1,612.20 $2,449.90 |
$1,248.00 $1,369.84 $1,498.92 $1,957.48 |
$1,593.28 $1,715.12 $1,844.20 $2,302.76 |
Toc - Plan #48 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 |
$522.43 $592.95 $667.65 $933.04 $1,417.85 |
$922.08 $992.60 $1,067.30 $1,332.69 |
$1,321.73 $1,392.25 $1,466.95 $1,732.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,044.86 $1,185.90 $1,335.30 $1,866.08 $2,835.70 |
$1,444.51 $1,585.55 $1,734.95 $2,265.73 |
$1,844.16 $1,985.20 $2,134.60 $2,665.38 |
Toc - Plan #49 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 |
$406.62 $461.50 $519.64 $726.20 $1,103.53 |
$717.67 $772.55 $830.69 $1,037.25 |
$1,028.72 $1,083.60 $1,141.74 $1,348.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$813.24 $923.00 $1,039.28 $1,452.40 $2,207.06 |
$1,124.29 $1,234.05 $1,350.33 $1,763.45 |
$1,435.34 $1,545.10 $1,661.38 $2,074.50 |
Toc - Plan #50 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 |
$438.21 $497.36 $560.02 $782.62 $1,189.27 |
$773.43 $832.58 $895.24 $1,117.84 |
$1,108.65 $1,167.80 $1,230.46 $1,453.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$876.42 $994.72 $1,120.04 $1,565.24 $2,378.54 |
$1,211.64 $1,329.94 $1,455.26 $1,900.46 |
$1,546.86 $1,665.16 $1,790.48 $2,235.68 |
Toc - Plan #51 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 |
$459.72 $521.78 $587.52 $821.05 $1,247.67 |
$811.40 $873.46 $939.20 $1,172.73 |
$1,163.08 $1,225.14 $1,290.88 $1,524.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$919.44 $1,043.56 $1,175.04 $1,642.10 $2,495.34 |
$1,271.12 $1,395.24 $1,526.72 $1,993.78 |
$1,622.80 $1,746.92 $1,878.40 $2,345.46 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
Toc - Plan #52 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 |
$377.11 $428.01 $481.94 $673.51 $1,023.46 |
$665.60 $716.50 $770.43 $962.00 |
$954.09 $1,004.99 $1,058.92 $1,250.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$754.22 $856.02 $963.88 $1,347.02 $2,046.92 |
$1,042.71 $1,144.51 $1,252.37 $1,635.51 |
$1,331.20 $1,433.00 $1,540.86 $1,924.00 |
Toc - Plan #53 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 |
$313.45 $355.77 $400.59 $559.82 $850.70 |
$553.24 $595.56 $640.38 $799.61 |
$793.03 $835.35 $880.17 $1,039.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$626.90 $711.54 $801.18 $1,119.64 $1,701.40 |
$866.69 $951.33 $1,040.97 $1,359.43 |
$1,106.48 $1,191.12 $1,280.76 $1,599.22 |
Toc - Plan #54 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 |
$419.64 $476.29 $536.30 $749.47 $1,138.89 |
$740.66 $797.31 $857.32 $1,070.49 |
$1,061.68 $1,118.33 $1,178.34 $1,391.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$839.28 $952.58 $1,072.60 $1,498.94 $2,277.78 |
$1,160.30 $1,273.60 $1,393.62 $1,819.96 |
$1,481.32 $1,594.62 $1,714.64 $2,140.98 |
Toc - Plan #55 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 |
$384.80 $436.75 $491.77 $687.25 $1,044.34 |
$679.17 $731.12 $786.14 $981.62 |
$973.54 $1,025.49 $1,080.51 $1,275.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$769.60 $873.50 $983.54 $1,374.50 $2,088.68 |
$1,063.97 $1,167.87 $1,277.91 $1,668.87 |
$1,358.34 $1,462.24 $1,572.28 $1,963.24 |
Toc - Plan #56 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 |
$377.15 $428.06 $481.99 $673.58 $1,023.57 |
$665.67 $716.58 $770.51 $962.10 |
$954.19 $1,005.10 $1,059.03 $1,250.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$754.30 $856.12 $963.98 $1,347.16 $2,047.14 |
$1,042.82 $1,144.64 $1,252.50 $1,635.68 |
$1,331.34 $1,433.16 $1,541.02 $1,924.20 |
Toc - Plan #57 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 |
$307.87 $349.43 $393.46 $549.85 $835.55 |
$543.39 $584.95 $628.98 $785.37 |
$778.91 $820.47 $864.50 $1,020.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$615.74 $698.86 $786.92 $1,099.70 $1,671.10 |
$851.26 $934.38 $1,022.44 $1,335.22 |
$1,086.78 $1,169.90 $1,257.96 $1,570.74 |
Toc - Plan #58 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 |
$344.03 $390.47 $439.67 $614.44 $933.69 |
$607.22 $653.66 $702.86 $877.63 |
$870.41 $916.85 $966.05 $1,140.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$688.06 $780.94 $879.34 $1,228.88 $1,867.38 |
$951.25 $1,044.13 $1,142.53 $1,492.07 |
$1,214.44 $1,307.32 $1,405.72 $1,755.26 |
Toc - Plan #59 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 |
$417.08 $473.39 $533.03 $744.90 $1,131.95 |
$736.15 $792.46 $852.10 $1,063.97 |
$1,055.22 $1,111.53 $1,171.17 $1,383.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$834.16 $946.78 $1,066.06 $1,489.80 $2,263.90 |
$1,153.23 $1,265.85 $1,385.13 $1,808.87 |
$1,472.30 $1,584.92 $1,704.20 $2,127.94 |
Toc - Plan #60 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 |
$422.58 $479.62 $540.05 $754.72 $1,146.86 |
$745.85 $802.89 $863.32 $1,077.99 |
$1,069.12 $1,126.16 $1,186.59 $1,401.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$845.16 $959.24 $1,080.10 $1,509.44 $2,293.72 |
$1,168.43 $1,282.51 $1,403.37 $1,832.71 |
$1,491.70 $1,605.78 $1,726.64 $2,155.98 |
Toc - Plan #61 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 |
$384.58 $436.49 $491.49 $686.85 $1,043.73 |
$678.78 $730.69 $785.69 $981.05 |
$972.98 $1,024.89 $1,079.89 $1,275.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$769.16 $872.98 $982.98 $1,373.70 $2,087.46 |
$1,063.36 $1,167.18 $1,277.18 $1,667.90 |
$1,357.56 $1,461.38 $1,571.38 $1,962.10 |
ADVERTISEMENT
Alliant Health PlansLocal: 1-866-403-2785 | Toll Free: 1-866-403-2785 | TTY: 1-866-403-2785 |
Toc - Plan #62 Alliant Health Plans | ||||||||||||||||||||
Gold
(PPO) SoloCare Gold PPO 2300 - 3 Free PCP Visits, $5 Generic Rx |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$454.57 $515.93 $580.93 $811.85 $1,233.68 |
$802.31 $863.67 $928.67 $1,159.59 |
$1,150.05 $1,211.41 $1,276.41 $1,507.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$909.14 $1,031.86 $1,161.86 $1,623.70 $2,467.36 |
$1,256.88 $1,379.60 $1,509.60 $1,971.44 |
$1,604.62 $1,727.34 $1,857.34 $2,319.18 |
Toc - Plan #63 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare Silver PPO 7000 - 3 Free PCP Visits, $5 Generic Rx |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$451.43 $512.36 $576.92 $806.24 $1,225.16 |
$796.77 $857.70 $922.26 $1,151.58 |
$1,142.11 $1,203.04 $1,267.60 $1,496.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$902.86 $1,024.72 $1,153.84 $1,612.48 $2,450.32 |
$1,248.20 $1,370.06 $1,499.18 $1,957.82 |
$1,593.54 $1,715.40 $1,844.52 $2,303.16 |
Toc - Plan #64 Alliant Health Plans | ||||||||||||||||||||
Gold
(PPO) SoloCare Gold PPO 1500 - 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$487.16 $552.92 $622.58 $870.06 $1,322.13 |
$859.83 $925.59 $995.25 $1,242.73 |
$1,232.50 $1,298.26 $1,367.92 $1,615.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$974.32 $1,105.84 $1,245.16 $1,740.12 $2,644.26 |
$1,346.99 $1,478.51 $1,617.83 $2,112.79 |
$1,719.66 $1,851.18 $1,990.50 $2,485.46 |
Toc - Plan #65 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare Silver PPO 6000/60 - 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$463.97 $526.59 $592.94 $828.63 $1,259.18 |
$818.90 $881.52 $947.87 $1,183.56 |
$1,173.83 $1,236.45 $1,302.80 $1,538.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$927.94 $1,053.18 $1,185.88 $1,657.26 $2,518.36 |
$1,282.87 $1,408.11 $1,540.81 $2,012.19 |
$1,637.80 $1,763.04 $1,895.74 $2,367.12 |
Toc - Plan #66 Alliant Health Plans | ||||||||||||||||||||
Gold
(PPO) SoloCare Gold PPO Chiro 2300 - 3 Free PCP Visits, $5 Generic Rx |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$459.59 $521.62 $587.34 $820.80 $1,247.29 |
$811.17 $873.20 $938.92 $1,172.38 |
$1,162.75 $1,224.78 $1,290.50 $1,523.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$919.18 $1,043.24 $1,174.68 $1,641.60 $2,494.58 |
$1,270.76 $1,394.82 $1,526.26 $1,993.18 |
$1,622.34 $1,746.40 $1,877.84 $2,344.76 |
Toc - Plan #67 Alliant Health Plans | ||||||||||||||||||||
Gold
(PPO) SoloCare Gold PPO Chiro 1500 - 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$492.19 $558.62 $629.00 $879.03 $1,335.77 |
$868.71 $935.14 $1,005.52 $1,255.55 |
$1,245.23 $1,311.66 $1,382.04 $1,632.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$984.38 $1,117.24 $1,258.00 $1,758.06 $2,671.54 |
$1,360.90 $1,493.76 $1,634.52 $2,134.58 |
$1,737.42 $1,870.28 $2,011.04 $2,511.10 |
Toc - Plan #68 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare Silver PPO Chiro 7000 - 3 Free PCP Visits, $5 Generic Rx |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$454.57 $515.93 $580.93 $811.85 $1,233.68 |
$802.31 $863.67 $928.67 $1,159.59 |
$1,150.05 $1,211.41 $1,276.41 $1,507.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$909.14 $1,031.86 $1,161.86 $1,623.70 $2,467.36 |
$1,256.88 $1,379.60 $1,509.60 $1,971.44 |
$1,604.62 $1,727.34 $1,857.34 $2,319.18 |
Toc - Plan #69 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare Silver PPO Chiro 6000/60 - 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$467.73 $530.86 $597.74 $835.34 $1,269.39 |
$825.53 $888.66 $955.54 $1,193.14 |
$1,183.33 $1,246.46 $1,313.34 $1,550.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$935.46 $1,061.72 $1,195.48 $1,670.68 $2,538.78 |
$1,293.26 $1,419.52 $1,553.28 $2,028.48 |
$1,651.06 $1,777.32 $1,911.08 $2,386.28 |
Toc - Plan #70 Alliant Health Plans | ||||||||||||||||||||
Platinum
(PPO) SoloCare PPO Standard Platinum |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$626.98 $711.62 $801.27 $1,119.78 $1,701.61 |
$1,106.62 $1,191.26 $1,280.91 $1,599.42 |
$1,586.26 $1,670.90 $1,760.55 $2,079.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,253.96 $1,423.24 $1,602.54 $2,239.56 $3,403.22 |
$1,733.60 $1,902.88 $2,082.18 $2,719.20 |
$2,213.24 $2,382.52 $2,561.82 $3,198.84 |
Toc - Plan #71 Alliant Health Plans | ||||||||||||||||||||
Gold
(PPO) SoloCare PPO Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$463.35 $525.89 $592.14 $827.52 $1,257.49 |
$817.80 $880.34 $946.59 $1,181.97 |
$1,172.25 $1,234.79 $1,301.04 $1,536.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$926.70 $1,051.78 $1,184.28 $1,655.04 $2,514.98 |
$1,281.15 $1,406.23 $1,538.73 $2,009.49 |
$1,635.60 $1,760.68 $1,893.18 $2,363.94 |
Toc - Plan #72 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare PPO Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.24 $486.04 $547.27 $764.81 $1,162.20 |
$755.83 $813.63 $874.86 $1,092.40 |
$1,083.42 $1,141.22 $1,202.45 $1,419.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$856.48 $972.08 $1,094.54 $1,529.62 $2,324.40 |
$1,184.07 $1,299.67 $1,422.13 $1,857.21 |
$1,511.66 $1,627.26 $1,749.72 $2,184.80 |
Toc - Plan #73 Alliant Health Plans | ||||||||||||||||||||
Platinum
(PPO) SoloCare Platinum PPO - $0 PCP, $0 Generic Rx |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$603.16 $684.57 $770.82 $1,077.22 $1,636.94 |
$1,064.57 $1,145.98 $1,232.23 $1,538.63 |
$1,525.98 $1,607.39 $1,693.64 $2,000.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,206.32 $1,369.14 $1,541.64 $2,154.44 $3,273.88 |
$1,667.73 $1,830.55 $2,003.05 $2,615.85 |
$2,129.14 $2,291.96 $2,464.46 $3,077.26 |
Toc - Plan #74 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(PPO) SoloCare Exp Bronze PPO 9450 - $0 Generic Rx |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.52 $409.18 $460.73 $643.87 $978.43 |
$636.31 $684.97 $736.52 $919.66 |
$912.10 $960.76 $1,012.31 $1,195.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721.04 $818.36 $921.46 $1,287.74 $1,956.86 |
$996.83 $1,094.15 $1,197.25 $1,563.53 |
$1,272.62 $1,369.94 $1,473.04 $1,839.32 |
Toc - Plan #75 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(PPO) SoloCare Bronze PPO HDHP 7050 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359.27 $407.76 $459.13 $641.64 $975.03 |
$634.10 $682.59 $733.96 $916.47 |
$908.93 $957.42 $1,008.79 $1,191.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$718.54 $815.52 $918.26 $1,283.28 $1,950.06 |
$993.37 $1,090.35 $1,193.09 $1,558.11 |
$1,268.20 $1,365.18 $1,467.92 $1,832.94 |
Toc - Plan #76 Alliant Health Plans | ||||||||||||||||||||
Catastrophic
(PPO) SoloCare Catastrophic PPO |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$269.61 $306.00 $344.55 $481.51 $731.70 |
$475.86 $512.25 $550.80 $687.76 |
$682.11 $718.50 $757.05 $894.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$539.22 $612.00 $689.10 $963.02 $1,463.40 |
$745.47 $818.25 $895.35 $1,169.27 |
$951.72 $1,024.50 $1,101.60 $1,375.52 |
Toc - Plan #77 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(PPO) SoloCare Exp Bronze PPO Chiro 9450 - $0 Generic Rx |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.28 $413.45 $465.54 $650.59 $988.64 |
$642.95 $692.12 $744.21 $929.26 |
$921.62 $970.79 $1,022.88 $1,207.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$728.56 $826.90 $931.08 $1,301.18 $1,977.28 |
$1,007.23 $1,105.57 $1,209.75 $1,579.85 |
$1,285.90 $1,384.24 $1,488.42 $1,858.52 |
Toc - Plan #78 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(PPO) SoloCare Bronze PPO Chiro HDHP 7050 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.40 $411.31 $463.13 $647.22 $983.52 |
$639.63 $688.54 $740.36 $924.45 |
$916.86 $965.77 $1,017.59 $1,201.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$724.80 $822.62 $926.26 $1,294.44 $1,967.04 |
$1,002.03 $1,099.85 $1,203.49 $1,571.67 |
$1,279.26 $1,377.08 $1,480.72 $1,848.90 |
Toc - Plan #79 Alliant Health Plans | ||||||||||||||||||||
Catastrophic
(PPO) SoloCare Catastrophic PPO Chiro |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$272.12 $308.84 $347.76 $485.99 $738.50 |
$480.28 $517.00 $555.92 $694.15 |
$688.44 $725.16 $764.08 $902.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$544.24 $617.68 $695.52 $971.98 $1,477.00 |
$752.40 $825.84 $903.68 $1,180.14 |
$960.56 $1,034.00 $1,111.84 $1,388.30 |
Toc - Plan #80 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(PPO) SoloCare PPO Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.36 $352.24 $396.62 $554.28 $842.28 |
$547.78 $589.66 $634.04 $791.70 |
$785.20 $827.08 $871.46 $1,029.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$620.72 $704.48 $793.24 $1,108.56 $1,684.56 |
$858.14 $941.90 $1,030.66 $1,345.98 |
$1,095.56 $1,179.32 $1,268.08 $1,583.40 |
Toc - Plan #81 Alliant Health Plans | ||||||||||||||||||||
Platinum
(PPO) SoloCare PPO Standard Platinum Chiro |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$633.25 $718.73 $809.28 $1,130.97 $1,718.62 |
$1,117.68 $1,203.16 $1,293.71 $1,615.40 |
$1,602.11 $1,687.59 $1,778.14 $2,099.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,266.50 $1,437.46 $1,618.56 $2,261.94 $3,437.24 |
$1,750.93 $1,921.89 $2,102.99 $2,746.37 |
$2,235.36 $2,406.32 $2,587.42 $3,230.80 |
Toc - Plan #82 Alliant Health Plans | ||||||||||||||||||||
Gold
(PPO) SoloCare PPO Standard Gold Chiro |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$468.36 $531.58 $598.55 $836.47 $1,271.10 |
$826.65 $889.87 $956.84 $1,194.76 |
$1,184.94 $1,248.16 $1,315.13 $1,553.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$936.72 $1,063.16 $1,197.10 $1,672.94 $2,542.20 |
$1,295.01 $1,421.45 $1,555.39 $2,031.23 |
$1,653.30 $1,779.74 $1,913.68 $2,389.52 |
Toc - Plan #83 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare PPO Standard Silver Chiro |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$431.36 $489.59 $551.27 $770.40 $1,170.69 |
$761.35 $819.58 $881.26 $1,100.39 |
$1,091.34 $1,149.57 $1,211.25 $1,430.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$862.72 $979.18 $1,102.54 $1,540.80 $2,341.38 |
$1,192.71 $1,309.17 $1,432.53 $1,870.79 |
$1,522.70 $1,639.16 $1,762.52 $2,200.78 |
Toc - Plan #84 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(PPO) SoloCare PPO Standard Expanded Bronze Chiro |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.50 $355.81 $400.64 $559.89 $850.80 |
$553.32 $595.63 $640.46 $799.71 |
$793.14 $835.45 $880.28 $1,039.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$627.00 $711.62 $801.28 $1,119.78 $1,701.60 |
$866.82 $951.44 $1,041.10 $1,359.60 |
$1,106.64 $1,191.26 $1,280.92 $1,599.42 |
Toc - Plan #85 Alliant Health Plans | ||||||||||||||||||||
Platinum
(PPO) SoloCare Platinum PPO Chiro - $0 PCP, $0 Generic Rx |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$609.42 $691.68 $778.83 $1,088.41 $1,653.95 |
$1,075.62 $1,157.88 $1,245.03 $1,554.61 |
$1,541.82 $1,624.08 $1,711.23 $2,020.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,218.84 $1,383.36 $1,557.66 $2,176.82 $3,307.90 |
$1,685.04 $1,849.56 $2,023.86 $2,643.02 |
$2,151.24 $2,315.76 $2,490.06 $3,109.22 |
Toc - Plan #86 Alliant Health Plans | ||||||||||||||||||||
Gold
(HMO) SoloCare Gold No Referral HMO 2300 - 3 Free PCP Visits, $5 Generic Rx |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$452.69 $513.79 $578.52 $808.48 $1,228.56 |
$798.99 $860.09 $924.82 $1,154.78 |
$1,145.29 $1,206.39 $1,271.12 $1,501.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$905.38 $1,027.58 $1,157.04 $1,616.96 $2,457.12 |
$1,251.68 $1,373.88 $1,503.34 $1,963.26 |
$1,597.98 $1,720.18 $1,849.64 $2,309.56 |
Toc - Plan #87 Alliant Health Plans | ||||||||||||||||||||
Gold
(HMO) SoloCare Gold No Referral HMO 1500 - 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$486.54 $552.21 $621.79 $868.95 $1,320.45 |
$858.74 $924.41 $993.99 $1,241.15 |
$1,230.94 $1,296.61 $1,366.19 $1,613.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$973.08 $1,104.42 $1,243.58 $1,737.90 $2,640.90 |
$1,345.28 $1,476.62 $1,615.78 $2,110.10 |
$1,717.48 $1,848.82 $1,987.98 $2,482.30 |
Toc - Plan #88 Alliant Health Plans | ||||||||||||||||||||
Silver
(HMO) SoloCare Silver No Referral HMO 7000 - 3 Free PCP Visits, $5 Generic Rx |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$445.78 $505.95 $569.70 $796.15 $1,209.83 |
$786.80 $846.97 $910.72 $1,137.17 |
$1,127.82 $1,187.99 $1,251.74 $1,478.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$891.56 $1,011.90 $1,139.40 $1,592.30 $2,419.66 |
$1,232.58 $1,352.92 $1,480.42 $1,933.32 |
$1,573.60 $1,693.94 $1,821.44 $2,274.34 |
Toc - Plan #89 Alliant Health Plans | ||||||||||||||||||||
Silver
(HMO) SoloCare Silver No Referral HMO 6000/60 - 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$457.70 $519.48 $584.93 $817.43 $1,242.17 |
$807.83 $869.61 $935.06 $1,167.56 |
$1,157.96 $1,219.74 $1,285.19 $1,517.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$915.40 $1,038.96 $1,169.86 $1,634.86 $2,484.34 |
$1,265.53 $1,389.09 $1,519.99 $1,984.99 |
$1,615.66 $1,739.22 $1,870.12 $2,335.12 |
Toc - Plan #90 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) SoloCare Bronze No Referral HMO HDHP 7050 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.88 $402.77 $453.52 $633.79 $963.10 |
$626.35 $674.24 $724.99 $905.26 |
$897.82 $945.71 $996.46 $1,176.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$709.76 $805.54 $907.04 $1,267.58 $1,926.20 |
$981.23 $1,077.01 $1,178.51 $1,539.05 |
$1,252.70 $1,348.48 $1,449.98 $1,810.52 |
Toc - Plan #91 Alliant Health Plans | ||||||||||||||||||||
Catastrophic
(HMO) SoloCare Catastrophic No Referral HMO |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$265.22 $301.01 $338.94 $473.66 $719.78 |
$468.10 $503.89 $541.82 $676.54 |
$670.98 $706.77 $744.70 $879.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$530.44 $602.02 $677.88 $947.32 $1,439.56 |
$733.32 $804.90 $880.76 $1,150.20 |
$936.20 $1,007.78 $1,083.64 $1,353.08 |
Toc - Plan #92 Alliant Health Plans | ||||||||||||||||||||
Gold
(HMO) SoloCare No Referral HMO Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$461.46 $523.75 $589.73 $824.15 $1,252.38 |
$814.47 $876.76 $942.74 $1,177.16 |
$1,167.48 $1,229.77 $1,295.75 $1,530.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$922.92 $1,047.50 $1,179.46 $1,648.30 $2,504.76 |
$1,275.93 $1,400.51 $1,532.47 $2,001.31 |
$1,628.94 $1,753.52 $1,885.48 $2,354.32 |
Toc - Plan #93 Alliant Health Plans | ||||||||||||||||||||
Silver
(HMO) SoloCare No Referral HMO Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$421.97 $478.92 $539.26 $753.62 $1,145.19 |
$744.77 $801.72 $862.06 $1,076.42 |
$1,067.57 $1,124.52 $1,184.86 $1,399.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$843.94 $957.84 $1,078.52 $1,507.24 $2,290.38 |
$1,166.74 $1,280.64 $1,401.32 $1,830.04 |
$1,489.54 $1,603.44 $1,724.12 $2,152.84 |
Toc - Plan #94 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) SoloCare No Referral HMO Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.34 $346.55 $390.22 $545.32 $828.67 |
$538.92 $580.13 $623.80 $778.90 |
$772.50 $813.71 $857.38 $1,012.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$610.68 $693.10 $780.44 $1,090.64 $1,657.34 |
$844.26 $926.68 $1,014.02 $1,324.22 |
$1,077.84 $1,160.26 $1,247.60 $1,557.80 |
Toc - Plan #95 Alliant Health Plans | ||||||||||||||||||||
Platinum
(HMO) SoloCare Platinum No Referral HMO - $0 PCP, $0 Generic Rx |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$601.28 $682.44 $768.42 $1,073.87 $1,631.85 |
$1,061.25 $1,142.41 $1,228.39 $1,533.84 |
$1,521.22 $1,602.38 $1,688.36 $1,993.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,202.56 $1,364.88 $1,536.84 $2,147.74 $3,263.70 |
$1,662.53 $1,824.85 $1,996.81 $2,607.71 |
$2,122.50 $2,284.82 $2,456.78 $3,067.68 |
Toc - Plan #96 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) SoloCare Exp Bronze No Referral HMO 9450 - $0 Generic Rx |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.76 $404.91 $455.93 $637.16 $968.22 |
$629.67 $677.82 $728.84 $910.07 |
$902.58 $950.73 $1,001.75 $1,182.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$713.52 $809.82 $911.86 $1,274.32 $1,936.44 |
$986.43 $1,082.73 $1,184.77 $1,547.23 |
$1,259.34 $1,355.64 $1,457.68 $1,820.14 |
Toc - Plan #97 Alliant Health Plans | ||||||||||||||||||||
Platinum
(HMO) SoloCare Platinum No Referral HMO Chiro - $0 PCP, $0 Generic Rx |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$606.92 $688.84 $775.63 $1,083.93 $1,647.14 |
$1,071.20 $1,153.12 $1,239.91 $1,548.21 |
$1,535.48 $1,617.40 $1,704.19 $2,012.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,213.84 $1,377.68 $1,551.26 $2,167.86 $3,294.28 |
$1,678.12 $1,841.96 $2,015.54 $2,632.14 |
$2,142.40 $2,306.24 $2,479.82 $3,096.42 |
Toc - Plan #98 Alliant Health Plans | ||||||||||||||||||||
Gold
(HMO) SoloCare Gold No Referral HMO Chiro 2300 - 3 Free PCP Visits, $5 Generic Rx |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$457.08 $518.77 $584.13 $816.32 $1,240.48 |
$806.74 $868.43 $933.79 $1,165.98 |
$1,156.40 $1,218.09 $1,283.45 $1,515.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$914.16 $1,037.54 $1,168.26 $1,632.64 $2,480.96 |
$1,263.82 $1,387.20 $1,517.92 $1,982.30 |
$1,613.48 $1,736.86 $1,867.58 $2,331.96 |
Toc - Plan #99 Alliant Health Plans | ||||||||||||||||||||
Gold
(HMO) SoloCare Gold No Referral HMO Chiro 1500 - 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$490.94 $557.20 $627.40 $876.79 $1,332.37 |
$866.50 $932.76 $1,002.96 $1,252.35 |
$1,242.06 $1,308.32 $1,378.52 $1,627.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$981.88 $1,114.40 $1,254.80 $1,753.58 $2,664.74 |
$1,357.44 $1,489.96 $1,630.36 $2,129.14 |
$1,733.00 $1,865.52 $2,005.92 $2,504.70 |
Toc - Plan #100 Alliant Health Plans | ||||||||||||||||||||
Silver
(HMO) SoloCare Silver No Referral HMO Chiro 7000 - 3 Free PCP Visits, $5 Generic Rx |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$448.92 $509.52 $573.71 $801.76 $1,218.35 |
$792.34 $852.94 $917.13 $1,145.18 |
$1,135.76 $1,196.36 $1,260.55 $1,488.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$897.84 $1,019.04 $1,147.42 $1,603.52 $2,436.70 |
$1,241.26 $1,362.46 $1,490.84 $1,946.94 |
$1,584.68 $1,705.88 $1,834.26 $2,290.36 |
Toc - Plan #101 Alliant Health Plans | ||||||||||||||||||||
Silver
(HMO) SoloCare Silver No Referral HMO Chiro 6000/60 - 3 Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$461.46 $523.75 $589.73 $824.15 $1,252.38 |
$814.47 $876.76 $942.74 $1,177.16 |
$1,167.48 $1,229.77 $1,295.75 $1,530.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$922.92 $1,047.50 $1,179.46 $1,648.30 $2,504.76 |
$1,275.93 $1,400.51 $1,532.47 $2,001.31 |
$1,628.94 $1,753.52 $1,885.48 $2,354.32 |
Toc - Plan #102 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) SoloCare Exp Bronze No Referral HMO Chiro 9450 - $0 Generic Rx |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.52 $409.18 $460.73 $643.87 $978.43 |
$636.31 $684.97 $736.52 $919.66 |
$912.10 $960.76 $1,012.31 $1,195.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721.04 $818.36 $921.46 $1,287.74 $1,956.86 |
$996.83 $1,094.15 $1,197.25 $1,563.53 |
$1,272.62 $1,369.94 $1,473.04 $1,839.32 |
Toc - Plan #103 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) SoloCare Bronze No Referral HMO Chiro HDHP 7050 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.64 $407.04 $458.32 $640.51 $973.31 |
$632.99 $681.39 $732.67 $914.86 |
$907.34 $955.74 $1,007.02 $1,189.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$717.28 $814.08 $916.64 $1,281.02 $1,946.62 |
$991.63 $1,088.43 $1,190.99 $1,555.37 |
$1,265.98 $1,362.78 $1,465.34 $1,829.72 |
Toc - Plan #104 Alliant Health Plans | ||||||||||||||||||||
Catastrophic
(HMO) SoloCare Catastrophic No Referral HMO Chiro |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$267.73 $303.86 $342.14 $478.14 $726.58 |
$472.53 $508.66 $546.94 $682.94 |
$677.33 $713.46 $751.74 $887.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$535.46 $607.72 $684.28 $956.28 $1,453.16 |
$740.26 $812.52 $889.08 $1,161.08 |
$945.06 $1,017.32 $1,093.88 $1,365.88 |
Toc - Plan #105 Alliant Health Plans | ||||||||||||||||||||
Platinum
(HMO) SoloCare No Referral HMO Standard Platinum |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$621.97 $705.92 $794.86 $1,110.82 $1,688.00 |
$1,097.77 $1,181.72 $1,270.66 $1,586.62 |
$1,573.57 $1,657.52 $1,746.46 $2,062.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,243.94 $1,411.84 $1,589.72 $2,221.64 $3,376.00 |
$1,719.74 $1,887.64 $2,065.52 $2,697.44 |
$2,195.54 $2,363.44 $2,541.32 $3,173.24 |
Toc - Plan #106 Alliant Health Plans | ||||||||||||||||||||
Platinum
(HMO) SoloCare No Referral HMO Standard Platinum Chiro |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$627.62 $712.33 $802.08 $1,120.91 $1,703.33 |
$1,107.74 $1,192.45 $1,282.20 $1,601.03 |
$1,587.86 $1,672.57 $1,762.32 $2,081.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,255.24 $1,424.66 $1,604.16 $2,241.82 $3,406.66 |
$1,735.36 $1,904.78 $2,084.28 $2,721.94 |
$2,215.48 $2,384.90 $2,564.40 $3,202.06 |
Toc - Plan #107 Alliant Health Plans | ||||||||||||||||||||
Gold
(HMO) SoloCare No Referral HMO Standard Gold Chiro |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$466.47 $529.44 $596.14 $833.10 $1,265.98 |
$823.31 $886.28 $952.98 $1,189.94 |
$1,180.15 $1,243.12 $1,309.82 $1,546.78 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$932.94 $1,058.88 $1,192.28 $1,666.20 $2,531.96 |
$1,289.78 $1,415.72 $1,549.12 $2,023.04 |
$1,646.62 $1,772.56 $1,905.96 $2,379.88 |
Toc - Plan #108 Alliant Health Plans | ||||||||||||||||||||
Silver
(HMO) SoloCare No Referral HMO Standard Silver Chiro |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$425.73 $483.19 $544.07 $760.33 $1,155.40 |
$751.40 $808.86 $869.74 $1,086.00 |
$1,077.07 $1,134.53 $1,195.41 $1,411.67 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$851.46 $966.38 $1,088.14 $1,520.66 $2,310.80 |
$1,177.13 $1,292.05 $1,413.81 $1,846.33 |
$1,502.80 $1,617.72 $1,739.48 $2,172.00 |
Toc - Plan #109 Alliant Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) SoloCare No Referral HMO Standard Expanded Bronze Chiro |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-403-2785
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$308.48 $350.12 $394.23 $550.93 $837.20 |
$544.46 $586.10 $630.21 $786.91 |
$780.44 $822.08 $866.19 $1,022.89 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$616.96 $700.24 $788.46 $1,101.86 $1,674.40 |
$852.94 $936.22 $1,024.44 $1,337.84 |
$1,088.92 $1,172.20 $1,260.42 $1,573.82 |
‡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 Greene County here.
Greene County is in “Rating Area 2” of Georgia.
Currently, there are 109 plans offered in Rating Area 2.