Osceola County, Florida Obamacare 2024 Rates
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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 Osceola County, FL.
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, 185 Plans and 2024 Rates for Osceola County, Florida
Below, you’ll find a summary of the 185 plans for Osceola County, Florida 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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Florida Blue (BlueCross BlueShield FL)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #1 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueSelect Bronze 24L01-01 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$448.83 $509.42 $573.60 $801.61 $1,218.12 |
$792.18 $852.77 $916.95 $1,144.96 |
$1,135.53 $1,196.12 $1,260.30 $1,488.31 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$897.66 $1,018.84 $1,147.20 $1,603.22 $2,436.24 |
$1,241.01 $1,362.19 $1,490.55 $1,946.57 |
$1,584.36 $1,705.54 $1,833.90 $2,289.92 |
Toc - Plan #2 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1456 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$608.98 $691.19 $778.28 $1,087.64 $1,652.77 |
$1,074.85 $1,157.06 $1,244.15 $1,553.51 |
$1,540.72 $1,622.93 $1,710.02 $2,019.38 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,217.96 $1,382.38 $1,556.56 $2,175.28 $3,305.54 |
$1,683.83 $1,848.25 $2,022.43 $2,641.15 |
$2,149.70 $2,314.12 $2,488.30 $3,107.02 |
Toc - Plan #3 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1451 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$799.37 $907.28 $1,021.59 $1,427.67 $2,169.49 |
$1,410.89 $1,518.80 $1,633.11 $2,039.19 |
$2,022.41 $2,130.32 $2,244.63 $2,650.71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,598.74 $1,814.56 $2,043.18 $2,855.34 $4,338.98 |
$2,210.26 $2,426.08 $2,654.70 $3,466.86 |
$2,821.78 $3,037.60 $3,266.22 $4,078.38 |
Toc - Plan #4 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1449 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$479.67 $544.43 $613.02 $856.69 $1,301.82 |
$846.62 $911.38 $979.97 $1,223.64 |
$1,213.57 $1,278.33 $1,346.92 $1,590.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$959.34 $1,088.86 $1,226.04 $1,713.38 $2,603.64 |
$1,326.29 $1,455.81 $1,592.99 $2,080.33 |
$1,693.24 $1,822.76 $1,959.94 $2,447.28 |
Toc - Plan #5 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1457 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$830.59 $942.72 $1,061.49 $1,483.43 $2,254.22 |
$1,465.99 $1,578.12 $1,696.89 $2,118.83 |
$2,101.39 $2,213.52 $2,332.29 $2,754.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,661.18 $1,885.44 $2,122.98 $2,966.86 $4,508.44 |
$2,296.58 $2,520.84 $2,758.38 $3,602.26 |
$2,931.98 $3,156.24 $3,393.78 $4,237.66 |
Toc - Plan #6 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1443 ($0 Virtual Visits / $0 Labs / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$570.03 $646.98 $728.50 $1,018.07 $1,547.06 |
$1,006.10 $1,083.05 $1,164.57 $1,454.14 |
$1,442.17 $1,519.12 $1,600.64 $1,890.21 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,140.06 $1,293.96 $1,457.00 $2,036.14 $3,094.12 |
$1,576.13 $1,730.03 $1,893.07 $2,472.21 |
$2,012.20 $2,166.10 $2,329.14 $2,908.28 |
Toc - Plan #7 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1535 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$686.90 $779.63 $877.86 $1,226.80 $1,864.25 |
$1,212.38 $1,305.11 $1,403.34 $1,752.28 |
$1,737.86 $1,830.59 $1,928.82 $2,277.76 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,373.80 $1,559.26 $1,755.72 $2,453.60 $3,728.50 |
$1,899.28 $2,084.74 $2,281.20 $2,979.08 |
$2,424.76 $2,610.22 $2,806.68 $3,504.56 |
Toc - Plan #8 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze (HSA) 1735 (Rewards $$$ / $4 Condition Care Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$467.09 $530.15 $596.94 $834.22 $1,267.68 |
$824.41 $887.47 $954.26 $1,191.54 |
$1,181.73 $1,244.79 $1,311.58 $1,548.86 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$934.18 $1,060.30 $1,193.88 $1,668.44 $2,535.36 |
$1,291.50 $1,417.62 $1,551.20 $2,025.76 |
$1,648.82 $1,774.94 $1,908.52 $2,383.08 |
Toc - Plan #9 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1835 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$667.02 $757.07 $852.45 $1,191.30 $1,810.29 |
$1,177.29 $1,267.34 $1,362.72 $1,701.57 |
$1,687.56 $1,777.61 $1,872.99 $2,211.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,334.04 $1,514.14 $1,704.90 $2,382.60 $3,620.58 |
$1,844.31 $2,024.41 $2,215.17 $2,892.87 |
$2,354.58 $2,534.68 $2,725.44 $3,403.14 |
Toc - Plan #10 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 2139 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$502.34 $570.16 $641.99 $897.18 $1,363.35 |
$886.63 $954.45 $1,026.28 $1,281.47 |
$1,270.92 $1,338.74 $1,410.57 $1,665.76 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,004.68 $1,140.32 $1,283.98 $1,794.36 $2,726.70 |
$1,388.97 $1,524.61 $1,668.27 $2,178.65 |
$1,773.26 $1,908.90 $2,052.56 $2,562.94 |
Toc - Plan #11 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 2342S (Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$470.88 $534.45 $601.78 $840.99 $1,277.97 |
$831.10 $894.67 $962.00 $1,201.21 |
$1,191.32 $1,254.89 $1,322.22 $1,561.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$941.76 $1,068.90 $1,203.56 $1,681.98 $2,555.94 |
$1,301.98 $1,429.12 $1,563.78 $2,042.20 |
$1,662.20 $1,789.34 $1,924.00 $2,402.42 |
Toc - Plan #12 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 2343S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$592.14 $672.08 $756.75 $1,057.56 $1,607.07 |
$1,045.13 $1,125.07 $1,209.74 $1,510.55 |
$1,498.12 $1,578.06 $1,662.73 $1,963.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,184.28 $1,344.16 $1,513.50 $2,115.12 $3,214.14 |
$1,637.27 $1,797.15 $1,966.49 $2,568.11 |
$2,090.26 $2,250.14 $2,419.48 $3,021.10 |
Toc - Plan #13 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 2344S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$650.29 $738.08 $831.07 $1,161.42 $1,764.89 |
$1,147.76 $1,235.55 $1,328.54 $1,658.89 |
$1,645.23 $1,733.02 $1,826.01 $2,156.36 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,300.58 $1,476.16 $1,662.14 $2,322.84 $3,529.78 |
$1,798.05 $1,973.63 $2,159.61 $2,820.31 |
$2,295.52 $2,471.10 $2,657.08 $3,317.78 |
Toc - Plan #14 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$826.00 $937.51 $1,055.63 $1,475.24 $2,241.76 |
$1,457.89 $1,569.40 $1,687.52 $2,107.13 |
$2,089.78 $2,201.29 $2,319.41 $2,739.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,652.00 $1,875.02 $2,111.26 $2,950.48 $4,483.52 |
$2,283.89 $2,506.91 $2,743.15 $3,582.37 |
$2,915.78 $3,138.80 $3,375.04 $4,214.26 |
Toc - Plan #15 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(PPO) BlueOptions Silver 24J01-03 ($0 Virtual Visits / $0 Labs / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$894.48 $1,015.23 $1,143.15 $1,597.54 $2,427.62 |
$1,578.76 $1,699.51 $1,827.43 $2,281.82 |
$2,263.04 $2,383.79 $2,511.71 $2,966.10 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,788.96 $2,030.46 $2,286.30 $3,195.08 $4,855.24 |
$2,473.24 $2,714.74 $2,970.58 $3,879.36 |
$3,157.52 $3,399.02 $3,654.86 $4,563.64 |
Toc - Plan #16 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(PPO) BlueOptions Bronze 24J01-04 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$639.32 $725.63 $817.05 $1,141.83 $1,735.11 |
$1,128.40 $1,214.71 $1,306.13 $1,630.91 |
$1,617.48 $1,703.79 $1,795.21 $2,119.99 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,278.64 $1,451.26 $1,634.10 $2,283.66 $3,470.22 |
$1,767.72 $1,940.34 $2,123.18 $2,772.74 |
$2,256.80 $2,429.42 $2,612.26 $3,261.82 |
Toc - Plan #17 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(PPO) BlueOptions Platinum 24J01-05 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$1,206.94 $1,369.88 $1,542.47 $2,155.59 $3,275.64 |
$2,130.25 $2,293.19 $2,465.78 $3,078.90 |
$3,053.56 $3,216.50 $3,389.09 $4,002.21 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$2,413.88 $2,739.76 $3,084.94 $4,311.18 $6,551.28 |
$3,337.19 $3,663.07 $4,008.25 $5,234.49 |
$4,260.50 $4,586.38 $4,931.56 $6,157.80 |
Toc - Plan #18 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(PPO) BlueOptions Bronze 24J01-06 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$598.14 $678.89 $764.42 $1,068.28 $1,623.35 |
$1,055.72 $1,136.47 $1,222.00 $1,525.86 |
$1,513.30 $1,594.05 $1,679.58 $1,983.44 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,196.28 $1,357.78 $1,528.84 $2,136.56 $3,246.70 |
$1,653.86 $1,815.36 $1,986.42 $2,594.14 |
$2,111.44 $2,272.94 $2,444.00 $3,051.72 |
Toc - Plan #19 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(PPO) BlueOptions Silver 24J01-07 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$956.84 $1,086.01 $1,222.84 $1,708.92 $2,596.86 |
$1,688.82 $1,817.99 $1,954.82 $2,440.90 |
$2,420.80 $2,549.97 $2,686.80 $3,172.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,913.68 $2,172.02 $2,445.68 $3,417.84 $5,193.72 |
$2,645.66 $2,904.00 $3,177.66 $4,149.82 |
$3,377.64 $3,635.98 $3,909.64 $4,881.80 |
Toc - Plan #20 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(PPO) BlueOptions Platinum 24J01-08 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$1,255.35 $1,424.82 $1,604.34 $2,242.06 $3,407.02 |
$2,215.69 $2,385.16 $2,564.68 $3,202.40 |
$3,176.03 $3,345.50 $3,525.02 $4,162.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$2,510.70 $2,849.64 $3,208.68 $4,484.12 $6,814.04 |
$3,471.04 $3,809.98 $4,169.02 $5,444.46 |
$4,431.38 $4,770.32 $5,129.36 $6,404.80 |
Toc - Plan #21 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(PPO) BlueOptions Gold 24J01-09 ($0 Virtual Visits / $20 PCP Visits / $15 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$1,030.03 $1,169.08 $1,316.38 $1,839.63 $2,795.50 |
$1,818.00 $1,957.05 $2,104.35 $2,627.60 |
$2,605.97 $2,745.02 $2,892.32 $3,415.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$2,060.06 $2,338.16 $2,632.76 $3,679.26 $5,591.00 |
$2,848.03 $3,126.13 $3,420.73 $4,467.23 |
$3,636.00 $3,914.10 $4,208.70 $5,255.20 |
Toc - Plan #22 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(PPO) BlueOptions Bronze (HSA) 24J01-10 (Rewards $$$ / $4 Condition Care Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$621.88 $705.83 $794.76 $1,110.68 $1,687.78 |
$1,097.62 $1,181.57 $1,270.50 $1,586.42 |
$1,573.36 $1,657.31 $1,746.24 $2,062.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,243.76 $1,411.66 $1,589.52 $2,221.36 $3,375.56 |
$1,719.50 $1,887.40 $2,065.26 $2,697.10 |
$2,195.24 $2,363.14 $2,541.00 $3,172.84 |
Toc - Plan #23 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(PPO) BlueOptions Gold 24J01-12 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$999.59 $1,134.53 $1,277.48 $1,785.27 $2,712.89 |
$1,764.28 $1,899.22 $2,042.17 $2,549.96 |
$2,528.97 $2,663.91 $2,806.86 $3,314.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,999.18 $2,269.06 $2,554.96 $3,570.54 $5,425.78 |
$2,763.87 $3,033.75 $3,319.65 $4,335.23 |
$3,528.56 $3,798.44 $4,084.34 $5,099.92 |
Toc - Plan #24 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(PPO) BlueOptions Bronze 24J01-17 ($0 Virtual Visits / $50 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$669.41 $759.78 $855.51 $1,195.57 $1,816.78 |
$1,181.51 $1,271.88 $1,367.61 $1,707.67 |
$1,693.61 $1,783.98 $1,879.71 $2,219.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,338.82 $1,519.56 $1,711.02 $2,391.14 $3,633.56 |
$1,850.92 $2,031.66 $2,223.12 $2,903.24 |
$2,363.02 $2,543.76 $2,735.22 $3,415.34 |
Toc - Plan #25 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(PPO) BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$626.67 $711.27 $800.88 $1,119.23 $1,700.78 |
$1,106.07 $1,190.67 $1,280.28 $1,598.63 |
$1,585.47 $1,670.07 $1,759.68 $2,078.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,253.34 $1,422.54 $1,601.76 $2,238.46 $3,401.56 |
$1,732.74 $1,901.94 $2,081.16 $2,717.86 |
$2,212.14 $2,381.34 $2,560.56 $3,197.26 |
Toc - Plan #26 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(PPO) BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$929.62 $1,055.12 $1,188.05 $1,660.30 $2,522.99 |
$1,640.78 $1,766.28 $1,899.21 $2,371.46 |
$2,351.94 $2,477.44 $2,610.37 $3,082.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,859.24 $2,110.24 $2,376.10 $3,320.60 $5,045.98 |
$2,570.40 $2,821.40 $3,087.26 $4,031.76 |
$3,281.56 $3,532.56 $3,798.42 $4,742.92 |
Toc - Plan #27 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(PPO) BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$974.90 $1,106.51 $1,245.92 $1,741.17 $2,645.88 |
$1,720.70 $1,852.31 $1,991.72 $2,486.97 |
$2,466.50 $2,598.11 $2,737.52 $3,232.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,949.80 $2,213.02 $2,491.84 $3,482.34 $5,291.76 |
$2,695.60 $2,958.82 $3,237.64 $4,228.14 |
$3,441.40 $3,704.62 $3,983.44 $4,973.94 |
Toc - Plan #28 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(PPO) BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$1,247.50 $1,415.91 $1,594.31 $2,228.04 $3,385.72 |
$2,201.84 $2,370.25 $2,548.65 $3,182.38 |
$3,156.18 $3,324.59 $3,502.99 $4,136.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$2,495.00 $2,831.82 $3,188.62 $4,456.08 $6,771.44 |
$3,449.34 $3,786.16 $4,142.96 $5,410.42 |
$4,403.68 $4,740.50 $5,097.30 $6,364.76 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
Toc - Plan #29 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.60 $475.11 $534.97 $747.62 $1,136.07 |
$738.83 $795.34 $855.20 $1,067.85 |
$1,059.06 $1,115.57 $1,175.43 $1,388.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$837.20 $950.22 $1,069.94 $1,495.24 $2,272.14 |
$1,157.43 $1,270.45 $1,390.17 $1,815.47 |
$1,477.66 $1,590.68 $1,710.40 $2,135.70 |
Toc - Plan #30 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.27 $379.40 $427.20 $597.00 $907.20 |
$589.99 $635.12 $682.92 $852.72 |
$845.71 $890.84 $938.64 $1,108.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$668.54 $758.80 $854.40 $1,194.00 $1,814.40 |
$924.26 $1,014.52 $1,110.12 $1,449.72 |
$1,179.98 $1,270.24 $1,365.84 $1,705.44 |
Toc - Plan #31 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 5: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.33 $474.80 $534.62 $747.13 $1,135.33 |
$738.35 $794.82 $854.64 $1,067.15 |
$1,058.37 $1,114.84 $1,174.66 $1,387.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$836.66 $949.60 $1,069.24 $1,494.26 $2,270.66 |
$1,156.68 $1,269.62 $1,389.26 $1,814.28 |
$1,476.70 $1,589.64 $1,709.28 $2,134.30 |
Toc - Plan #32 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$447.40 $507.80 $571.78 $799.06 $1,214.24 |
$789.66 $850.06 $914.04 $1,141.32 |
$1,131.92 $1,192.32 $1,256.30 $1,483.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$894.80 $1,015.60 $1,143.56 $1,598.12 $2,428.48 |
$1,237.06 $1,357.86 $1,485.82 $1,940.38 |
$1,579.32 $1,700.12 $1,828.08 $2,282.64 |
Toc - Plan #33 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 6: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$427.15 $484.81 $545.89 $762.88 $1,159.27 |
$753.92 $811.58 $872.66 $1,089.65 |
$1,080.69 $1,138.35 $1,199.43 $1,416.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$854.30 $969.62 $1,091.78 $1,525.76 $2,318.54 |
$1,181.07 $1,296.39 $1,418.55 $1,852.53 |
$1,507.84 $1,623.16 $1,745.32 $2,179.30 |
Toc - Plan #34 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.12 $417.82 $470.46 $657.46 $999.07 |
$649.73 $699.43 $752.07 $939.07 |
$931.34 $981.04 $1,033.68 $1,220.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736.24 $835.64 $940.92 $1,314.92 $1,998.14 |
$1,017.85 $1,117.25 $1,222.53 $1,596.53 |
$1,299.46 $1,398.86 $1,504.14 $1,878.14 |
Toc - Plan #35 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold 3: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$445.61 $505.76 $569.48 $795.85 $1,209.37 |
$786.50 $846.65 $910.37 $1,136.74 |
$1,127.39 $1,187.54 $1,251.26 $1,477.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$891.22 $1,011.52 $1,138.96 $1,591.70 $2,418.74 |
$1,232.11 $1,352.41 $1,479.85 $1,932.59 |
$1,573.00 $1,693.30 $1,820.74 $2,273.48 |
Toc - Plan #36 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$451.54 $512.50 $577.07 $806.45 $1,225.48 |
$796.97 $857.93 $922.50 $1,151.88 |
$1,142.40 $1,203.36 $1,267.93 $1,497.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$903.08 $1,025.00 $1,154.14 $1,612.90 $2,450.96 |
$1,248.51 $1,370.43 $1,499.57 $1,958.33 |
$1,593.94 $1,715.86 $1,845.00 $2,303.76 |
Toc - Plan #37 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 7: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$427.35 $485.04 $546.15 $763.23 $1,159.81 |
$754.27 $811.96 $873.07 $1,090.15 |
$1,081.19 $1,138.88 $1,199.99 $1,417.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$854.70 $970.08 $1,092.30 $1,526.46 $2,319.62 |
$1,181.62 $1,297.00 $1,419.22 $1,853.38 |
$1,508.54 $1,623.92 $1,746.14 $2,180.30 |
ADVERTISEMENT
AvMedLocal: 1-800-477-8768 | Toll Free: |
Toc - Plan #38 AvMed | ||||||||||||||||||||
Platinum
(HMO) AvMed Entrust Platinum 25 (2024) |
||||||||||||||||||||
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 |
$785.43 $891.47 $1,003.78 $1,402.78 $2,131.66 |
$1,386.29 $1,492.33 $1,604.64 $2,003.64 |
$1,987.15 $2,093.19 $2,205.50 $2,604.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,570.86 $1,782.94 $2,007.56 $2,805.56 $4,263.32 |
$2,171.72 $2,383.80 $2,608.42 $3,406.42 |
$2,772.58 $2,984.66 $3,209.28 $4,007.28 |
Toc - Plan #39 AvMed | ||||||||||||||||||||
Gold
(HMO) AvMed Entrust Gold 125 (2024) |
||||||||||||||||||||
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 |
$531.14 $602.84 $678.79 $948.61 $1,441.51 |
$937.46 $1,009.16 $1,085.11 $1,354.93 |
$1,343.78 $1,415.48 $1,491.43 $1,761.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,062.28 $1,205.68 $1,357.58 $1,897.22 $2,883.02 |
$1,468.60 $1,612.00 $1,763.90 $2,303.54 |
$1,874.92 $2,018.32 $2,170.22 $2,709.86 |
Toc - Plan #40 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 300 (2024) |
||||||||||||||||||||
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 |
$510.24 $579.12 $652.09 $911.29 $1,384.79 |
$900.57 $969.45 $1,042.42 $1,301.62 |
$1,290.90 $1,359.78 $1,432.75 $1,691.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,020.48 $1,158.24 $1,304.18 $1,822.58 $2,769.58 |
$1,410.81 $1,548.57 $1,694.51 $2,212.91 |
$1,801.14 $1,938.90 $2,084.84 $2,603.24 |
Toc - Plan #41 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 350 (2024) |
||||||||||||||||||||
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 |
$492.64 $559.14 $629.59 $879.85 $1,337.02 |
$869.51 $936.01 $1,006.46 $1,256.72 |
$1,246.38 $1,312.88 $1,383.33 $1,633.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$985.28 $1,118.28 $1,259.18 $1,759.70 $2,674.04 |
$1,362.15 $1,495.15 $1,636.05 $2,136.57 |
$1,739.02 $1,872.02 $2,012.92 $2,513.44 |
Toc - Plan #42 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 500 (2024) |
||||||||||||||||||||
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 |
$487.52 $553.34 $623.05 $870.71 $1,323.13 |
$860.47 $926.29 $996.00 $1,243.66 |
$1,233.42 $1,299.24 $1,368.95 $1,616.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$975.04 $1,106.68 $1,246.10 $1,741.42 $2,646.26 |
$1,347.99 $1,479.63 $1,619.05 $2,114.37 |
$1,720.94 $1,852.58 $1,992.00 $2,487.32 |
Toc - Plan #43 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 550 (2024) |
||||||||||||||||||||
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 |
$482.97 $548.18 $617.24 $862.59 $1,310.79 |
$852.45 $917.66 $986.72 $1,232.07 |
$1,221.93 $1,287.14 $1,356.20 $1,601.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$965.94 $1,096.36 $1,234.48 $1,725.18 $2,621.58 |
$1,335.42 $1,465.84 $1,603.96 $2,094.66 |
$1,704.90 $1,835.32 $1,973.44 $2,464.14 |
Toc - Plan #44 AvMed | ||||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Bronze 600 (2024) |
||||||||||||||||||||
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 |
$403.48 $457.95 $515.65 $720.61 $1,095.04 |
$712.14 $766.61 $824.31 $1,029.27 |
$1,020.80 $1,075.27 $1,132.97 $1,337.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$806.96 $915.90 $1,031.30 $1,441.22 $2,190.08 |
$1,115.62 $1,224.56 $1,339.96 $1,749.88 |
$1,424.28 $1,533.22 $1,648.62 $2,058.54 |
Toc - Plan #45 AvMed | ||||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Bronze 650 (2024) |
||||||||||||||||||||
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 |
$379.75 $431.02 $485.32 $678.23 $1,030.64 |
$670.26 $721.53 $775.83 $968.74 |
$960.77 $1,012.04 $1,066.34 $1,259.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$759.50 $862.04 $970.64 $1,356.46 $2,061.28 |
$1,050.01 $1,152.55 $1,261.15 $1,646.97 |
$1,340.52 $1,443.06 $1,551.66 $1,937.48 |
Toc - Plan #46 AvMed | ||||||||||||||||||||
Platinum
(HMO) AvMed Entrust Platinum Standard (2024) |
||||||||||||||||||||
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 |
$797.03 $904.63 $1,018.61 $1,423.50 $2,163.14 |
$1,406.76 $1,514.36 $1,628.34 $2,033.23 |
$2,016.49 $2,124.09 $2,238.07 $2,642.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,594.06 $1,809.26 $2,037.22 $2,847.00 $4,326.28 |
$2,203.79 $2,418.99 $2,646.95 $3,456.73 |
$2,813.52 $3,028.72 $3,256.68 $4,066.46 |
Toc - Plan #47 AvMed | ||||||||||||||||||||
Gold
(HMO) AvMed Entrust Gold Standard (2024) |
||||||||||||||||||||
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 |
$554.70 $629.59 $708.91 $990.70 $1,505.46 |
$979.05 $1,053.94 $1,133.26 $1,415.05 |
$1,403.40 $1,478.29 $1,557.61 $1,839.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,109.40 $1,259.18 $1,417.82 $1,981.40 $3,010.92 |
$1,533.75 $1,683.53 $1,842.17 $2,405.75 |
$1,958.10 $2,107.88 $2,266.52 $2,830.10 |
Toc - Plan #48 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver Standard (2024) |
||||||||||||||||||||
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 |
$472.86 $536.70 $604.32 $844.53 $1,283.35 |
$834.60 $898.44 $966.06 $1,206.27 |
$1,196.34 $1,260.18 $1,327.80 $1,568.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$945.72 $1,073.40 $1,208.64 $1,689.06 $2,566.70 |
$1,307.46 $1,435.14 $1,570.38 $2,050.80 |
$1,669.20 $1,796.88 $1,932.12 $2,412.54 |
Toc - Plan #49 AvMed | ||||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Expanded Bronze Standard (2024) |
||||||||||||||||||||
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 |
$387.64 $439.97 $495.40 $692.32 $1,052.05 |
$684.18 $736.51 $791.94 $988.86 |
$980.72 $1,033.05 $1,088.48 $1,285.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$775.28 $879.94 $990.80 $1,384.64 $2,104.10 |
$1,071.82 $1,176.48 $1,287.34 $1,681.18 |
$1,368.36 $1,473.02 $1,583.88 $1,977.72 |
Toc - Plan #50 AvMed | ||||||||||||||||||||
Platinum
(HMO) AvMed Entrust Platinum 25 Dental+Vision (2024) |
||||||||||||||||||||
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 |
$790.54 $897.26 $1,010.31 $1,411.90 $2,145.52 |
$1,395.30 $1,502.02 $1,615.07 $2,016.66 |
$2,000.06 $2,106.78 $2,219.83 $2,621.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,581.08 $1,794.52 $2,020.62 $2,823.80 $4,291.04 |
$2,185.84 $2,399.28 $2,625.38 $3,428.56 |
$2,790.60 $3,004.04 $3,230.14 $4,033.32 |
Toc - Plan #51 AvMed | ||||||||||||||||||||
Gold
(HMO) AvMed Entrust Gold 125 Dental+Vision (2024) |
||||||||||||||||||||
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 |
$536.23 $608.62 $685.31 $957.71 $1,455.34 |
$946.45 $1,018.84 $1,095.53 $1,367.93 |
$1,356.67 $1,429.06 $1,505.75 $1,778.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,072.46 $1,217.24 $1,370.62 $1,915.42 $2,910.68 |
$1,482.68 $1,627.46 $1,780.84 $2,325.64 |
$1,892.90 $2,037.68 $2,191.06 $2,735.86 |
Toc - Plan #52 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 300 Dental+Vision (2024) |
||||||||||||||||||||
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 |
$515.34 $584.91 $658.60 $920.39 $1,398.63 |
$909.57 $979.14 $1,052.83 $1,314.62 |
$1,303.80 $1,373.37 $1,447.06 $1,708.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,030.68 $1,169.82 $1,317.20 $1,840.78 $2,797.26 |
$1,424.91 $1,564.05 $1,711.43 $2,235.01 |
$1,819.14 $1,958.28 $2,105.66 $2,629.24 |
Toc - Plan #53 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 350 Dental+Vision (2024) |
||||||||||||||||||||
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 |
$497.73 $564.93 $636.10 $888.95 $1,350.85 |
$878.50 $945.70 $1,016.87 $1,269.72 |
$1,259.27 $1,326.47 $1,397.64 $1,650.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$995.46 $1,129.86 $1,272.20 $1,777.90 $2,701.70 |
$1,376.23 $1,510.63 $1,652.97 $2,158.67 |
$1,757.00 $1,891.40 $2,033.74 $2,539.44 |
Toc - Plan #54 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 500 Dental+Vision (2024) |
||||||||||||||||||||
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 |
$492.62 $559.12 $629.57 $879.81 $1,336.96 |
$869.47 $935.97 $1,006.42 $1,256.66 |
$1,246.32 $1,312.82 $1,383.27 $1,633.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$985.24 $1,118.24 $1,259.14 $1,759.62 $2,673.92 |
$1,362.09 $1,495.09 $1,635.99 $2,136.47 |
$1,738.94 $1,871.94 $2,012.84 $2,513.32 |
Toc - Plan #55 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 550 Dental+Vision (2024) |
||||||||||||||||||||
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 |
$488.07 $553.96 $623.76 $871.70 $1,324.63 |
$861.44 $927.33 $997.13 $1,245.07 |
$1,234.81 $1,300.70 $1,370.50 $1,618.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$976.14 $1,107.92 $1,247.52 $1,743.40 $2,649.26 |
$1,349.51 $1,481.29 $1,620.89 $2,116.77 |
$1,722.88 $1,854.66 $1,994.26 $2,490.14 |
Toc - Plan #56 AvMed | ||||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Bronze 625 Dental+Vision (2024) |
||||||||||||||||||||
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 |
$484.54 $549.96 $619.25 $865.40 $1,315.05 |
$855.22 $920.64 $989.93 $1,236.08 |
$1,225.90 $1,291.32 $1,360.61 $1,606.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$969.08 $1,099.92 $1,238.50 $1,730.80 $2,630.10 |
$1,339.76 $1,470.60 $1,609.18 $2,101.48 |
$1,710.44 $1,841.28 $1,979.86 $2,472.16 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #57 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375.62 $426.31 $480.03 $670.83 $1,019.40 |
$662.96 $713.65 $767.37 $958.17 |
$950.30 $1,000.99 $1,054.71 $1,245.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$751.24 $852.62 $960.06 $1,341.66 $2,038.80 |
$1,038.58 $1,139.96 $1,247.40 $1,629.00 |
$1,325.92 $1,427.30 $1,534.74 $1,916.34 |
Toc - Plan #58 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.28 $352.16 $396.52 $554.14 $842.07 |
$547.64 $589.52 $633.88 $791.50 |
$785.00 $826.88 $871.24 $1,028.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$620.56 $704.32 $793.04 $1,108.28 $1,684.14 |
$857.92 $941.68 $1,030.40 $1,345.64 |
$1,095.28 $1,179.04 $1,267.76 $1,583.00 |
Toc - Plan #59 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Everyday Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.62 $444.48 $500.48 $699.41 $1,062.83 |
$691.20 $744.06 $800.06 $998.99 |
$990.78 $1,043.64 $1,099.64 $1,298.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783.24 $888.96 $1,000.96 $1,398.82 $2,125.66 |
$1,082.82 $1,188.54 $1,300.54 $1,698.40 |
$1,382.40 $1,488.12 $1,600.12 $1,997.98 |
Toc - Plan #60 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.06 $347.37 $391.13 $546.61 $830.62 |
$540.19 $581.50 $625.26 $780.74 |
$774.32 $815.63 $859.39 $1,014.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$612.12 $694.74 $782.26 $1,093.22 $1,661.24 |
$846.25 $928.87 $1,016.39 $1,327.35 |
$1,080.38 $1,163.00 $1,250.52 $1,561.48 |
Toc - Plan #61 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351.41 $398.83 $449.08 $627.59 $953.69 |
$620.23 $667.65 $717.90 $896.41 |
$889.05 $936.47 $986.72 $1,165.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$702.82 $797.66 $898.16 $1,255.18 $1,907.38 |
$971.64 $1,066.48 $1,166.98 $1,524.00 |
$1,240.46 $1,335.30 $1,435.80 $1,792.82 |
Toc - Plan #62 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.39 $432.87 $487.41 $681.15 $1,035.08 |
$673.15 $724.63 $779.17 $972.91 |
$964.91 $1,016.39 $1,070.93 $1,264.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$762.78 $865.74 $974.82 $1,362.30 $2,070.16 |
$1,054.54 $1,157.50 $1,266.58 $1,654.06 |
$1,346.30 $1,449.26 $1,558.34 $1,945.82 |
Toc - Plan #63 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.20 $440.59 $496.10 $693.30 $1,053.54 |
$685.16 $737.55 $793.06 $990.26 |
$982.12 $1,034.51 $1,090.02 $1,287.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$776.40 $881.18 $992.20 $1,386.60 $2,107.08 |
$1,073.36 $1,178.14 $1,289.16 $1,683.56 |
$1,370.32 $1,475.10 $1,586.12 $1,980.52 |
Toc - Plan #64 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359.04 $407.50 $458.85 $641.24 $974.42 |
$633.70 $682.16 $733.51 $915.90 |
$908.36 $956.82 $1,008.17 $1,190.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$718.08 $815.00 $917.70 $1,282.48 $1,948.84 |
$992.74 $1,089.66 $1,192.36 $1,557.14 |
$1,267.40 $1,364.32 $1,467.02 $1,831.80 |
Toc - Plan #65 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413.02 $468.76 $527.82 $737.63 $1,120.90 |
$728.97 $784.71 $843.77 $1,053.58 |
$1,044.92 $1,100.66 $1,159.72 $1,369.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$826.04 $937.52 $1,055.64 $1,475.26 $2,241.80 |
$1,141.99 $1,253.47 $1,371.59 $1,791.21 |
$1,457.94 $1,569.42 $1,687.54 $2,107.16 |
Toc - Plan #66 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$300.13 $340.64 $383.55 $536.02 $814.53 |
$529.72 $570.23 $613.14 $765.61 |
$759.31 $799.82 $842.73 $995.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$600.26 $681.28 $767.10 $1,072.04 $1,629.06 |
$829.85 $910.87 $996.69 $1,301.63 |
$1,059.44 $1,140.46 $1,226.28 $1,531.22 |
Toc - Plan #67 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$380.10 $431.40 $485.76 $678.84 $1,031.57 |
$670.87 $722.17 $776.53 $969.61 |
$961.64 $1,012.94 $1,067.30 $1,260.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$760.20 $862.80 $971.52 $1,357.68 $2,063.14 |
$1,050.97 $1,153.57 $1,262.29 $1,648.45 |
$1,341.74 $1,444.34 $1,553.06 $1,939.22 |
Toc - Plan #68 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.88 $405.05 $456.08 $637.37 $968.54 |
$629.88 $678.05 $729.08 $910.37 |
$902.88 $951.05 $1,002.08 $1,183.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$713.76 $810.10 $912.16 $1,274.74 $1,937.08 |
$986.76 $1,083.10 $1,185.16 $1,547.74 |
$1,259.76 $1,356.10 $1,458.16 $1,820.74 |
Toc - Plan #69 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Everyday Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$405.10 $459.77 $517.70 $723.48 $1,099.41 |
$714.99 $769.66 $827.59 $1,033.37 |
$1,024.88 $1,079.55 $1,137.48 $1,343.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$810.20 $919.54 $1,035.40 $1,446.96 $2,198.82 |
$1,120.09 $1,229.43 $1,345.29 $1,756.85 |
$1,429.98 $1,539.32 $1,655.18 $2,066.74 |
Toc - Plan #70 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$320.96 $364.28 $410.17 $573.21 $871.05 |
$566.48 $609.80 $655.69 $818.73 |
$812.00 $855.32 $901.21 $1,064.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$641.92 $728.56 $820.34 $1,146.42 $1,742.10 |
$887.44 $974.08 $1,065.86 $1,391.94 |
$1,132.96 $1,219.60 $1,311.38 $1,637.46 |
Toc - Plan #71 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.54 $440.99 $496.55 $693.92 $1,054.48 |
$685.77 $738.22 $793.78 $991.15 |
$983.00 $1,035.45 $1,091.01 $1,288.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$777.08 $881.98 $993.10 $1,387.84 $2,108.96 |
$1,074.31 $1,179.21 $1,290.33 $1,685.07 |
$1,371.54 $1,476.44 $1,587.56 $1,982.30 |
Toc - Plan #72 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.52 $447.77 $504.18 $704.60 $1,070.70 |
$696.32 $749.57 $805.98 $1,006.40 |
$998.12 $1,051.37 $1,107.78 $1,308.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$789.04 $895.54 $1,008.36 $1,409.20 $2,141.40 |
$1,090.84 $1,197.34 $1,310.16 $1,711.00 |
$1,392.64 $1,499.14 $1,611.96 $2,012.80 |
Toc - Plan #73 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$427.23 $484.90 $545.99 $763.02 $1,159.48 |
$754.06 $811.73 $872.82 $1,089.85 |
$1,080.89 $1,138.56 $1,199.65 $1,416.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$854.46 $969.80 $1,091.98 $1,526.04 $2,318.96 |
$1,181.29 $1,296.63 $1,418.81 $1,852.87 |
$1,508.12 $1,623.46 $1,745.64 $2,179.70 |
Toc - Plan #74 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Standard Expanded Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.46 $352.36 $396.75 $554.46 $842.56 |
$547.95 $589.85 $634.24 $791.95 |
$785.44 $827.34 $871.73 $1,029.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$620.92 $704.72 $793.50 $1,108.92 $1,685.12 |
$858.41 $942.21 $1,030.99 $1,346.41 |
$1,095.90 $1,179.70 $1,268.48 $1,583.90 |
Toc - Plan #75 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Standard Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$393.18 $446.25 $502.48 $702.21 $1,067.07 |
$693.96 $747.03 $803.26 $1,002.99 |
$994.74 $1,047.81 $1,104.04 $1,303.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$786.36 $892.50 $1,004.96 $1,404.42 $2,134.14 |
$1,087.14 $1,193.28 $1,305.74 $1,705.20 |
$1,387.92 $1,494.06 $1,606.52 $2,005.98 |
Toc - Plan #76 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Standard Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.16 $418.99 $471.77 $659.30 $1,001.87 |
$651.56 $701.39 $754.17 $941.70 |
$933.96 $983.79 $1,036.57 $1,224.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.32 $837.98 $943.54 $1,318.60 $2,003.74 |
$1,020.72 $1,120.38 $1,225.94 $1,601.00 |
$1,303.12 $1,402.78 $1,508.34 $1,883.40 |
Toc - Plan #77 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316.59 $359.32 $404.59 $565.42 $859.21 |
$558.78 $601.51 $646.78 $807.61 |
$800.97 $843.70 $888.97 $1,049.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$633.18 $718.64 $809.18 $1,130.84 $1,718.42 |
$875.37 $960.83 $1,051.37 $1,373.03 |
$1,117.56 $1,203.02 $1,293.56 $1,615.22 |
Toc - Plan #78 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.50 $412.56 $464.54 $649.19 $986.51 |
$641.57 $690.63 $742.61 $927.26 |
$919.64 $968.70 $1,020.68 $1,205.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$727.00 $825.12 $929.08 $1,298.38 $1,973.02 |
$1,005.07 $1,103.19 $1,207.15 $1,576.45 |
$1,283.14 $1,381.26 $1,485.22 $1,854.52 |
Toc - Plan #79 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.56 $455.76 $513.18 $717.16 $1,089.80 |
$708.74 $762.94 $820.36 $1,024.34 |
$1,015.92 $1,070.12 $1,127.54 $1,331.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$803.12 $911.52 $1,026.36 $1,434.32 $2,179.60 |
$1,110.30 $1,218.70 $1,333.54 $1,741.50 |
$1,417.48 $1,525.88 $1,640.72 $2,048.68 |
Toc - Plan #80 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371.40 $421.53 $474.64 $663.31 $1,007.96 |
$655.51 $705.64 $758.75 $947.42 |
$939.62 $989.75 $1,042.86 $1,231.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$742.80 $843.06 $949.28 $1,326.62 $2,015.92 |
$1,026.91 $1,127.17 $1,233.39 $1,610.73 |
$1,311.02 $1,411.28 $1,517.50 $1,894.84 |
ADVERTISEMENT
Florida Blue HMO (a BlueCross BlueShield FL company)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #81 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1601 ($0 Virtual Visits / 3 PCP Visits for $0 then $45 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.37 $419.23 $472.05 $659.69 $1,002.47 |
$651.94 $701.80 $754.62 $942.26 |
$934.51 $984.37 $1,037.19 $1,224.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.74 $838.46 $944.10 $1,319.38 $2,004.94 |
$1,021.31 $1,121.03 $1,226.67 $1,601.95 |
$1,303.88 $1,403.60 $1,509.24 $1,884.52 |
Toc - Plan #82 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 1605 ($0 Virtual Visits / $0 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$500.59 $568.17 $639.75 $894.05 $1,358.60 |
$883.54 $951.12 $1,022.70 $1,277.00 |
$1,266.49 $1,334.07 $1,405.65 $1,659.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,001.18 $1,136.34 $1,279.50 $1,788.10 $2,717.20 |
$1,384.13 $1,519.29 $1,662.45 $2,171.05 |
$1,767.08 $1,902.24 $2,045.40 $2,554.00 |
Toc - Plan #83 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2017 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.16 $485.96 $547.19 $764.69 $1,162.03 |
$755.70 $813.50 $874.73 $1,092.23 |
$1,083.24 $1,141.04 $1,202.27 $1,419.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$856.32 $971.92 $1,094.38 $1,529.38 $2,324.06 |
$1,183.86 $1,299.46 $1,421.92 $1,856.92 |
$1,511.40 $1,627.00 $1,749.46 $2,184.46 |
Toc - Plan #84 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2129 ($0 Virtual Visits / $35 PCP Visit / $75 Specialist Visits / $30 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.77 $441.25 $496.85 $694.34 $1,055.12 |
$686.18 $738.66 $794.26 $991.75 |
$983.59 $1,036.07 $1,091.67 $1,289.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$777.54 $882.50 $993.70 $1,388.68 $2,110.24 |
$1,074.95 $1,179.91 $1,291.11 $1,686.09 |
$1,372.36 $1,477.32 $1,588.52 $1,983.50 |
Toc - Plan #85 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237 ($0 Virtual Visits / $60 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406.12 $460.95 $519.02 $725.33 $1,102.21 |
$716.80 $771.63 $829.70 $1,036.01 |
$1,027.48 $1,082.31 $1,140.38 $1,346.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$812.24 $921.90 $1,038.04 $1,450.66 $2,204.42 |
$1,122.92 $1,232.58 $1,348.72 $1,761.34 |
$1,433.60 $1,543.26 $1,659.40 $2,072.02 |
Toc - Plan #86 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2219 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.63 $410.45 $462.16 $645.87 $981.46 |
$638.28 $687.10 $738.81 $922.52 |
$914.93 $963.75 $1,015.46 $1,199.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$723.26 $820.90 $924.32 $1,291.74 $1,962.92 |
$999.91 $1,097.55 $1,200.97 $1,568.39 |
$1,276.56 $1,374.20 $1,477.62 $1,845.04 |
Toc - Plan #87 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2312S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$350.18 $397.45 $447.53 $625.42 $950.39 |
$618.07 $665.34 $715.42 $893.31 |
$885.96 $933.23 $983.31 $1,161.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$700.36 $794.90 $895.06 $1,250.84 $1,900.78 |
$968.25 $1,062.79 $1,162.95 $1,518.73 |
$1,236.14 $1,330.68 $1,430.84 $1,786.62 |
Toc - Plan #88 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2329 ($0 Virtual Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$379.70 $430.96 $485.26 $678.14 $1,030.51 |
$670.17 $721.43 $775.73 $968.61 |
$960.64 $1,011.90 $1,066.20 $1,259.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$759.40 $861.92 $970.52 $1,356.28 $2,061.02 |
$1,049.87 $1,152.39 $1,260.99 $1,646.75 |
$1,340.34 $1,442.86 $1,551.46 $1,937.22 |
Toc - Plan #89 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Connected Care Silver 2332 ($0 Virtual Visits / $0 Primary Care Visits with Select Providers / 24x7 Provider Access / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.14 $455.29 $512.66 $716.44 $1,088.69 |
$708.01 $762.16 $819.53 $1,023.31 |
$1,014.88 $1,069.03 $1,126.40 $1,330.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$802.28 $910.58 $1,025.32 $1,432.88 $2,177.38 |
$1,109.15 $1,217.45 $1,332.19 $1,739.75 |
$1,416.02 $1,524.32 $1,639.06 $2,046.62 |
Toc - Plan #90 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2313S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.57 $486.43 $547.71 $765.43 $1,163.14 |
$756.43 $814.29 $875.57 $1,093.29 |
$1,084.29 $1,142.15 $1,203.43 $1,421.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$857.14 $972.86 $1,095.42 $1,530.86 $2,326.28 |
$1,185.00 $1,300.72 $1,423.28 $1,858.72 |
$1,512.86 $1,628.58 $1,751.14 $2,186.58 |
Toc - Plan #91 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 2314S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$493.57 $560.20 $630.78 $881.52 $1,339.55 |
$871.15 $937.78 $1,008.36 $1,259.10 |
$1,248.73 $1,315.36 $1,385.94 $1,636.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$987.14 $1,120.40 $1,261.56 $1,763.04 $2,679.10 |
$1,364.72 $1,497.98 $1,639.14 $2,140.62 |
$1,742.30 $1,875.56 $2,016.72 $2,518.20 |
Toc - Plan #92 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Connected Care Silver 24M03-70 ($0 Virtual Visits / $0 Primary Care Visits with Select Providers / 24x7 Provider Access / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.21 $445.16 $501.24 $700.49 $1,064.46 |
$692.25 $745.20 $801.28 $1,000.53 |
$992.29 $1,045.24 $1,101.32 $1,300.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$784.42 $890.32 $1,002.48 $1,400.98 $2,128.92 |
$1,084.46 $1,190.36 $1,302.52 $1,701.02 |
$1,384.50 $1,490.40 $1,602.56 $2,001.06 |
Toc - Plan #93 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 24M05-74 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$518.82 $588.86 $663.05 $926.61 $1,408.08 |
$915.72 $985.76 $1,059.95 $1,323.51 |
$1,312.62 $1,382.66 $1,456.85 $1,720.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,037.64 $1,177.72 $1,326.10 $1,853.22 $2,816.16 |
$1,434.54 $1,574.62 $1,723.00 $2,250.12 |
$1,831.44 $1,971.52 $2,119.90 $2,647.02 |
Toc - Plan #94 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) myBlue Platinum 24M05-75 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$636.23 $722.12 $813.10 $1,136.31 $1,726.73 |
$1,122.95 $1,208.84 $1,299.82 $1,623.03 |
$1,609.67 $1,695.56 $1,786.54 $2,109.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,272.46 $1,444.24 $1,626.20 $2,272.62 $3,453.46 |
$1,759.18 $1,930.96 $2,112.92 $2,759.34 |
$2,245.90 $2,417.68 $2,599.64 $3,246.06 |
Toc - Plan #95 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) myBlue Platinum 24M05-00S ($0 Deductible / $10 PCP Visits / Multilingual Available / Rewards $$$ ) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$633.59 $719.12 $809.73 $1,131.59 $1,719.56 |
$1,118.29 $1,203.82 $1,294.43 $1,616.29 |
$1,602.99 $1,688.52 $1,779.13 $2,100.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,267.18 $1,438.24 $1,619.46 $2,263.18 $3,439.12 |
$1,751.88 $1,922.94 $2,104.16 $2,747.88 |
$2,236.58 $2,407.64 $2,588.86 $3,232.58 |
Toc - Plan #96 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237D ($0 Virtual Visits / $60 PCP Visits / Adult Dental / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414.24 $470.16 $529.40 $739.83 $1,124.25 |
$731.13 $787.05 $846.29 $1,056.72 |
$1,048.02 $1,103.94 $1,163.18 $1,373.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$828.48 $940.32 $1,058.80 $1,479.66 $2,248.50 |
$1,145.37 $1,257.21 $1,375.69 $1,796.55 |
$1,462.26 $1,574.10 $1,692.58 $2,113.44 |
Toc - Plan #97 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Connected Care Silver 2332D ($0 Virtual Visits / $0 Primary Care Visits with Select Providers / Adult Dental / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$409.28 $464.53 $523.06 $730.97 $1,110.79 |
$722.38 $777.63 $836.16 $1,044.07 |
$1,035.48 $1,090.73 $1,149.26 $1,357.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$818.56 $929.06 $1,046.12 $1,461.94 $2,221.58 |
$1,131.66 $1,242.16 $1,359.22 $1,775.04 |
$1,444.76 $1,555.26 $1,672.32 $2,088.14 |
Toc - Plan #98 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Connected Care Silver 24M03-70D ($0 Virtual Visits / $0 Primary Care Visits with Select Providers / Adult Dental / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.38 $454.43 $511.69 $715.08 $1,086.63 |
$706.67 $760.72 $817.98 $1,021.37 |
$1,012.96 $1,067.01 $1,124.27 $1,327.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$800.76 $908.86 $1,023.38 $1,430.16 $2,173.26 |
$1,107.05 $1,215.15 $1,329.67 $1,736.45 |
$1,413.34 $1,521.44 $1,635.96 $2,042.74 |
Toc - Plan #99 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(POS) BlueCare Platinum 24K02-15 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$925.99 $1,051.00 $1,183.42 $1,653.82 $2,513.14 |
$1,634.37 $1,759.38 $1,891.80 $2,362.20 |
$2,342.75 $2,467.76 $2,600.18 $3,070.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,851.98 $2,102.00 $2,366.84 $3,307.64 $5,026.28 |
$2,560.36 $2,810.38 $3,075.22 $4,016.02 |
$3,268.74 $3,518.76 $3,783.60 $4,724.40 |
Toc - Plan #100 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(POS) BlueCare Bronze 24K02-17 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$543.62 $617.01 $694.75 $970.91 $1,475.38 |
$959.49 $1,032.88 $1,110.62 $1,386.78 |
$1,375.36 $1,448.75 $1,526.49 $1,802.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,087.24 $1,234.02 $1,389.50 $1,941.82 $2,950.76 |
$1,503.11 $1,649.89 $1,805.37 $2,357.69 |
$1,918.98 $2,065.76 $2,221.24 $2,773.56 |
Toc - Plan #101 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Bronze
(POS) BlueCare Bronze 24K02-18 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$495.33 $562.20 $633.03 $884.66 $1,344.33 |
$874.26 $941.13 $1,011.96 $1,263.59 |
$1,253.19 $1,320.06 $1,390.89 $1,642.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$990.66 $1,124.40 $1,266.06 $1,769.32 $2,688.66 |
$1,369.59 $1,503.33 $1,644.99 $2,148.25 |
$1,748.52 $1,882.26 $2,023.92 $2,527.18 |
Toc - Plan #102 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(POS) BlueCare Gold 24K02-20 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$801.06 $909.20 $1,023.75 $1,430.69 $2,174.08 |
$1,413.87 $1,522.01 $1,636.56 $2,043.50 |
$2,026.68 $2,134.82 $2,249.37 $2,656.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,602.12 $1,818.40 $2,047.50 $2,861.38 $4,348.16 |
$2,214.93 $2,431.21 $2,660.31 $3,474.19 |
$2,827.74 $3,044.02 $3,273.12 $4,087.00 |
Toc - Plan #103 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(POS) BlueCare Silver 24K02-21 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$635.90 $721.75 $812.68 $1,135.72 $1,725.83 |
$1,122.36 $1,208.21 $1,299.14 $1,622.18 |
$1,608.82 $1,694.67 $1,785.60 $2,108.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,271.80 $1,443.50 $1,625.36 $2,271.44 $3,451.66 |
$1,758.26 $1,929.96 $2,111.82 $2,757.90 |
$2,244.72 $2,416.42 $2,598.28 $3,244.36 |
Toc - Plan #104 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(POS) BlueCare Bronze 24K02-23 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$580.03 $658.33 $741.28 $1,035.93 $1,574.20 |
$1,023.75 $1,102.05 $1,185.00 $1,479.65 |
$1,467.47 $1,545.77 $1,628.72 $1,923.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,160.06 $1,316.66 $1,482.56 $2,071.86 $3,148.40 |
$1,603.78 $1,760.38 $1,926.28 $2,515.58 |
$2,047.50 $2,204.10 $2,370.00 $2,959.30 |
Toc - Plan #105 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(POS) BlueCare Bronze 24K02-26S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$529.62 $601.12 $676.85 $945.90 $1,437.39 |
$934.78 $1,006.28 $1,082.01 $1,351.06 |
$1,339.94 $1,411.44 $1,487.17 $1,756.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,059.24 $1,202.24 $1,353.70 $1,891.80 $2,874.78 |
$1,464.40 $1,607.40 $1,758.86 $2,296.96 |
$1,869.56 $2,012.56 $2,164.02 $2,702.12 |
Toc - Plan #106 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(POS) BlueCare Silver 24K02-27S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$673.44 $764.35 $860.66 $1,202.76 $1,827.72 |
$1,188.62 $1,279.53 $1,375.84 $1,717.94 |
$1,703.80 $1,794.71 $1,891.02 $2,233.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,346.88 $1,528.70 $1,721.32 $2,405.52 $3,655.44 |
$1,862.06 $2,043.88 $2,236.50 $2,920.70 |
$2,377.24 $2,559.06 $2,751.68 $3,435.88 |
Toc - Plan #107 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(POS) BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available/ Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$744.79 $845.34 $951.84 $1,330.19 $2,021.36 |
$1,314.55 $1,415.10 $1,521.60 $1,899.95 |
$1,884.31 $1,984.86 $2,091.36 $2,469.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,489.58 $1,690.68 $1,903.68 $2,660.38 $4,042.72 |
$2,059.34 $2,260.44 $2,473.44 $3,230.14 |
$2,629.10 $2,830.20 $3,043.20 $3,799.90 |
Toc - Plan #108 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(POS) BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$923.06 $1,047.67 $1,179.67 $1,648.59 $2,505.18 |
$1,629.20 $1,753.81 $1,885.81 $2,354.73 |
$2,335.34 $2,459.95 $2,591.95 $3,060.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,846.12 $2,095.34 $2,359.34 $3,297.18 $5,010.36 |
$2,552.26 $2,801.48 $3,065.48 $4,003.32 |
$3,258.40 $3,507.62 $3,771.62 $4,709.46 |
ADVERTISEMENT
Health First Commercial Plans, Inc.Local: 1-855-443-4735 | Toll Free: 1-855-443-4735 | TTY: 1-800-955-8771 |
Toc - Plan #109 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Gym Access 1664 (Primary Care & Specialist Copays, Open Access, Fitness Center Included) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$416.81 $473.08 $532.69 $744.43 $1,131.23 |
$735.67 $791.94 $851.55 $1,063.29 |
$1,054.53 $1,110.80 $1,170.41 $1,382.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$833.62 $946.16 $1,065.38 $1,488.86 $2,262.46 |
$1,152.48 $1,265.02 $1,384.24 $1,807.72 |
$1,471.34 $1,583.88 $1,703.10 $2,126.58 |
Toc - Plan #110 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Gym Access 1688 (Open Access, Fitness Center Included) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$410.53 $465.95 $524.65 $733.20 $1,114.17 |
$724.58 $780.00 $838.70 $1,047.25 |
$1,038.63 $1,094.05 $1,152.75 $1,361.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$821.06 $931.90 $1,049.30 $1,466.40 $2,228.34 |
$1,135.11 $1,245.95 $1,363.35 $1,780.45 |
$1,449.16 $1,560.00 $1,677.40 $2,094.50 |
Toc - Plan #111 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Gym Access 1736 (Primary Care & Urgent Care Copay, 0% Coinsurance, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$434.26 $492.88 $554.98 $775.58 $1,178.57 |
$766.47 $825.09 $887.19 $1,107.79 |
$1,098.68 $1,157.30 $1,219.40 $1,440.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$868.52 $985.76 $1,109.96 $1,551.16 $2,357.14 |
$1,200.73 $1,317.97 $1,442.17 $1,883.37 |
$1,532.94 $1,650.18 $1,774.38 $2,215.58 |
Toc - Plan #112 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Gym Access 1742 (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$442.23 $501.93 $565.17 $789.82 $1,200.20 |
$780.53 $840.23 $903.47 $1,128.12 |
$1,118.83 $1,178.53 $1,241.77 $1,466.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$884.46 $1,003.86 $1,130.34 $1,579.64 $2,400.40 |
$1,222.76 $1,342.16 $1,468.64 $1,917.94 |
$1,561.06 $1,680.46 $1,806.94 $2,256.24 |
Toc - Plan #113 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Catastrophic
(HMO) Catastrophic Gym Access 1746 (Primary Care Copay Visits 1-3, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$194.40 $220.64 $248.44 $347.20 $527.60 |
$343.12 $369.36 $397.16 $495.92 |
$491.84 $518.08 $545.88 $644.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$388.80 $441.28 $496.88 $694.40 $1,055.20 |
$537.52 $590.00 $645.60 $843.12 |
$686.24 $738.72 $794.32 $991.84 |
Toc - Plan #114 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 1750 (Unlimited Primary Care, Specialist & Urgent Care Copay Visits, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340.28 $386.21 $434.87 $607.73 $923.51 |
$600.59 $646.52 $695.18 $868.04 |
$860.90 $906.83 $955.49 $1,128.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$680.56 $772.42 $869.74 $1,215.46 $1,847.02 |
$940.87 $1,032.73 $1,130.05 $1,475.77 |
$1,201.18 $1,293.04 $1,390.36 $1,736.08 |
Toc - Plan #115 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold 1770 (Low Primary Care, Specialist & Urgent Care Copay, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$420.67 $477.46 $537.62 $751.32 $1,141.70 |
$742.48 $799.27 $859.43 $1,073.13 |
$1,064.29 $1,121.08 $1,181.24 $1,394.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$841.34 $954.92 $1,075.24 $1,502.64 $2,283.40 |
$1,163.15 $1,276.73 $1,397.05 $1,824.45 |
$1,484.96 $1,598.54 $1,718.86 $2,146.26 |
Toc - Plan #116 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze HSA 1794 (HSA Qualified, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348.97 $396.08 $445.99 $623.26 $947.11 |
$615.93 $663.04 $712.95 $890.22 |
$882.89 $930.00 $979.91 $1,157.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$697.94 $792.16 $891.98 $1,246.52 $1,894.22 |
$964.90 $1,059.12 $1,158.94 $1,513.48 |
$1,231.86 $1,326.08 $1,425.90 $1,780.44 |
Toc - Plan #117 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver 1806 ($2,100 Deductible, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.28 $454.32 $511.56 $714.90 $1,086.36 |
$706.50 $760.54 $817.78 $1,021.12 |
$1,012.72 $1,066.76 $1,124.00 $1,327.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$800.56 $908.64 $1,023.12 $1,429.80 $2,172.72 |
$1,106.78 $1,214.86 $1,329.34 $1,736.02 |
$1,413.00 $1,521.08 $1,635.56 $2,042.24 |
Toc - Plan #118 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 1826 ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375.60 $426.31 $480.02 $670.82 $1,019.38 |
$662.93 $713.64 $767.35 $958.15 |
$950.26 $1,000.97 $1,054.68 $1,245.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$751.20 $852.62 $960.04 $1,341.64 $2,038.76 |
$1,038.53 $1,139.95 $1,247.37 $1,628.97 |
$1,325.86 $1,427.28 $1,534.70 $1,916.30 |
Toc - Plan #119 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Standard 1828 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339.88 $385.77 $434.37 $607.03 $922.44 |
$599.89 $645.78 $694.38 $867.04 |
$859.90 $905.79 $954.39 $1,127.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$679.76 $771.54 $868.74 $1,214.06 $1,844.88 |
$939.77 $1,031.55 $1,128.75 $1,474.07 |
$1,199.78 $1,291.56 $1,388.76 $1,734.08 |
Toc - Plan #120 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Standard 1829 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.90 $452.75 $509.79 $712.43 $1,082.61 |
$704.06 $757.91 $814.95 $1,017.59 |
$1,009.22 $1,063.07 $1,120.11 $1,322.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$797.80 $905.50 $1,019.58 $1,424.86 $2,165.22 |
$1,102.96 $1,210.66 $1,324.74 $1,730.02 |
$1,408.12 $1,515.82 $1,629.90 $2,035.18 |
Toc - Plan #121 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Standard 1833 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.45 $474.94 $534.77 $747.34 $1,135.66 |
$738.56 $795.05 $854.88 $1,067.45 |
$1,058.67 $1,115.16 $1,174.99 $1,387.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$836.90 $949.88 $1,069.54 $1,494.68 $2,271.32 |
$1,157.01 $1,269.99 $1,389.65 $1,814.79 |
$1,477.12 $1,590.10 $1,709.76 $2,134.90 |
Toc - Plan #122 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Savings 1820 (Primary Care Copay Visits 1-5, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.36 $360.20 $405.59 $566.81 $861.32 |
$560.14 $602.98 $648.37 $809.59 |
$802.92 $845.76 $891.15 $1,052.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$634.72 $720.40 $811.18 $1,133.62 $1,722.64 |
$877.50 $963.18 $1,053.96 $1,376.40 |
$1,120.28 $1,205.96 $1,296.74 $1,619.18 |
Toc - Plan #123 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Savings 1821 (Primary Care Copay, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.44 $440.88 $496.43 $693.75 $1,054.23 |
$685.60 $738.04 $793.59 $990.91 |
$982.76 $1,035.20 $1,090.75 $1,288.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$776.88 $881.76 $992.86 $1,387.50 $2,108.46 |
$1,074.04 $1,178.92 $1,290.02 $1,684.66 |
$1,371.20 $1,476.08 $1,587.18 $1,981.82 |
Toc - Plan #124 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Savings 1825 ($25 Primary Care Copay, $50 Specialist Copay, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.91 $444.82 $500.86 $699.95 $1,063.64 |
$691.72 $744.63 $800.67 $999.76 |
$991.53 $1,044.44 $1,100.48 $1,299.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783.82 $889.64 $1,001.72 $1,399.90 $2,127.28 |
$1,083.63 $1,189.45 $1,301.53 $1,699.71 |
$1,383.44 $1,489.26 $1,601.34 $1,999.52 |
ADVERTISEMENT
Oscar Insurance Company of FloridaLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #125 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite + PCP Saver Plus |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$365.45 $414.78 $467.03 $652.68 $991.81 |
$645.01 $694.34 $746.59 $932.24 |
$924.57 $973.90 $1,026.15 $1,211.80 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$730.90 $829.56 $934.06 $1,305.36 $1,983.62 |
$1,010.46 $1,109.12 $1,213.62 $1,584.92 |
$1,290.02 $1,388.68 $1,493.18 $1,864.48 |
Toc - Plan #126 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$402.73 $457.08 $514.67 $719.25 $1,092.97 |
$710.81 $765.16 $822.75 $1,027.33 |
$1,018.89 $1,073.24 $1,130.83 $1,335.41 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$805.46 $914.16 $1,029.34 $1,438.50 $2,185.94 |
$1,113.54 $1,222.24 $1,337.42 $1,746.58 |
$1,421.62 $1,530.32 $1,645.50 $2,054.66 |
Toc - Plan #127 Oscar Insurance Company of Florida | ||||||||||||||||||||
Catastrophic
(EPO) Secure |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$243.51 $276.37 $311.19 $434.89 $660.85 |
$429.79 $462.65 $497.47 $621.17 |
$616.07 $648.93 $683.75 $807.45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$487.02 $552.74 $622.38 $869.78 $1,321.70 |
$673.30 $739.02 $808.66 $1,056.06 |
$859.58 $925.30 $994.94 $1,242.34 |
Toc - Plan #128 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite + Specialist Saver Plus |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.66 $417.29 $469.86 $656.63 $997.81 |
$648.92 $698.55 $751.12 $937.89 |
$930.18 $979.81 $1,032.38 $1,219.15 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$735.32 $834.58 $939.72 $1,313.26 $1,995.62 |
$1,016.58 $1,115.84 $1,220.98 $1,594.52 |
$1,297.84 $1,397.10 $1,502.24 $1,875.78 |
Toc - Plan #129 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$427.45 $485.15 $546.27 $763.41 $1,160.07 |
$754.44 $812.14 $873.26 $1,090.40 |
$1,081.43 $1,139.13 $1,200.25 $1,417.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$854.90 $970.30 $1,092.54 $1,526.82 $2,320.14 |
$1,181.89 $1,297.29 $1,419.53 $1,853.81 |
$1,508.88 $1,624.28 $1,746.52 $2,180.80 |
Toc - Plan #130 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$401.69 $455.91 $513.35 $717.40 $1,090.16 |
$708.98 $763.20 $820.64 $1,024.69 |
$1,016.27 $1,070.49 $1,127.93 $1,331.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$803.38 $911.82 $1,026.70 $1,434.80 $2,180.32 |
$1,110.67 $1,219.11 $1,333.99 $1,742.09 |
$1,417.96 $1,526.40 $1,641.28 $2,049.38 |
Toc - Plan #131 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$409.94 $465.27 $523.89 $732.14 $1,112.55 |
$723.54 $778.87 $837.49 $1,045.74 |
$1,037.14 $1,092.47 $1,151.09 $1,359.34 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$819.88 $930.54 $1,047.78 $1,464.28 $2,225.10 |
$1,133.48 $1,244.14 $1,361.38 $1,777.88 |
$1,447.08 $1,557.74 $1,674.98 $2,091.48 |
Toc - Plan #132 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic 4700 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$330.81 $375.46 $422.77 $590.82 $897.80 |
$583.88 $628.53 $675.84 $843.89 |
$836.95 $881.60 $928.91 $1,096.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$661.62 $750.92 $845.54 $1,181.64 $1,795.60 |
$914.69 $1,003.99 $1,098.61 $1,434.71 |
$1,167.76 $1,257.06 $1,351.68 $1,687.78 |
Toc - Plan #133 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple PCP Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$398.76 $452.58 $509.61 $712.17 $1,082.21 |
$703.81 $757.63 $814.66 $1,017.22 |
$1,008.86 $1,062.68 $1,119.71 $1,322.27 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$797.52 $905.16 $1,019.22 $1,424.34 $2,164.42 |
$1,102.57 $1,210.21 $1,324.27 $1,729.39 |
$1,407.62 $1,515.26 $1,629.32 $2,034.44 |
Toc - Plan #134 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite Saver Plus |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$466.72 $529.71 $596.45 $833.54 $1,266.64 |
$823.75 $886.74 $953.48 $1,190.57 |
$1,180.78 $1,243.77 $1,310.51 $1,547.60 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$933.44 $1,059.42 $1,192.90 $1,667.08 $2,533.28 |
$1,290.47 $1,416.45 $1,549.93 $2,024.11 |
$1,647.50 $1,773.48 $1,906.96 $2,381.14 |
Toc - Plan #135 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$443.17 $502.98 $566.35 $791.48 $1,202.73 |
$782.18 $841.99 $905.36 $1,130.49 |
$1,121.19 $1,181.00 $1,244.37 $1,469.50 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$886.34 $1,005.96 $1,132.70 $1,582.96 $2,405.46 |
$1,225.35 $1,344.97 $1,471.71 $1,921.97 |
$1,564.36 $1,683.98 $1,810.72 $2,260.98 |
Toc - Plan #136 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.91 $407.36 $458.68 $641.00 $974.07 |
$633.47 $681.92 $733.24 $915.56 |
$908.03 $956.48 $1,007.80 $1,190.12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$717.82 $814.72 $917.36 $1,282.00 $1,948.14 |
$992.38 $1,089.28 $1,191.92 $1,556.56 |
$1,266.94 $1,363.84 $1,466.48 $1,831.12 |
Toc - Plan #137 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327.88 $372.14 $419.02 $585.58 $889.85 |
$578.70 $622.96 $669.84 $836.40 |
$829.52 $873.78 $920.66 $1,087.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$655.76 $744.28 $838.04 $1,171.16 $1,779.70 |
$906.58 $995.10 $1,088.86 $1,421.98 |
$1,157.40 $1,245.92 $1,339.68 $1,672.80 |
Toc - Plan #138 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.58 $453.52 $510.66 $713.64 $1,084.45 |
$705.25 $759.19 $816.33 $1,019.31 |
$1,010.92 $1,064.86 $1,122.00 $1,324.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$799.16 $907.04 $1,021.32 $1,427.28 $2,168.90 |
$1,104.83 $1,212.71 $1,326.99 $1,732.95 |
$1,410.50 $1,518.38 $1,632.66 $2,038.62 |
Toc - Plan #139 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$413.15 $468.92 $528.00 $737.88 $1,121.27 |
$729.21 $784.98 $844.06 $1,053.94 |
$1,045.27 $1,101.04 $1,160.12 $1,370.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$826.30 $937.84 $1,056.00 $1,475.76 $2,242.54 |
$1,142.36 $1,253.90 $1,372.06 $1,791.82 |
$1,458.42 $1,569.96 $1,688.12 $2,107.88 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #140 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Connect Bronze 8500 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.90 $409.62 $461.23 $644.57 $979.48 |
$636.99 $685.71 $737.32 $920.66 |
$913.08 $961.80 $1,013.41 $1,196.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721.80 $819.24 $922.46 $1,289.14 $1,958.96 |
$997.89 $1,095.33 $1,198.55 $1,565.23 |
$1,273.98 $1,371.42 $1,474.64 $1,841.32 |
Toc - Plan #141 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Connect Silver 4000 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$486.51 $552.19 $621.77 $868.91 $1,320.40 |
$858.69 $924.37 $993.95 $1,241.09 |
$1,230.87 $1,296.55 $1,366.13 $1,613.27 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$973.02 $1,104.38 $1,243.54 $1,737.82 $2,640.80 |
$1,345.20 $1,476.56 $1,615.72 $2,110.00 |
$1,717.38 $1,848.74 $1,987.90 $2,482.18 |
Toc - Plan #142 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Connect Silver 5000 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$482.64 $547.79 $616.81 $861.99 $1,309.87 |
$851.86 $917.01 $986.03 $1,231.21 |
$1,221.08 $1,286.23 $1,355.25 $1,600.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$965.28 $1,095.58 $1,233.62 $1,723.98 $2,619.74 |
$1,334.50 $1,464.80 $1,602.84 $2,093.20 |
$1,703.72 $1,834.02 $1,972.06 $2,462.42 |
Toc - Plan #143 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Connect Silver 9100 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$492.20 $558.65 $629.03 $879.07 $1,335.83 |
$868.73 $935.18 $1,005.56 $1,255.60 |
$1,245.26 $1,311.71 $1,382.09 $1,632.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$984.40 $1,117.30 $1,258.06 $1,758.14 $2,671.66 |
$1,360.93 $1,493.83 $1,634.59 $2,134.67 |
$1,737.46 $1,870.36 $2,011.12 $2,511.20 |
Toc - Plan #144 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Connect Gold 2500 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$501.18 $568.84 $640.51 $895.11 $1,360.20 |
$884.58 $952.24 $1,023.91 $1,278.51 |
$1,267.98 $1,335.64 $1,407.31 $1,661.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,002.36 $1,137.68 $1,281.02 $1,790.22 $2,720.40 |
$1,385.76 $1,521.08 $1,664.42 $2,173.62 |
$1,769.16 $1,904.48 $2,047.82 $2,557.02 |
Toc - Plan #145 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.95 $409.68 $461.30 $644.66 $979.63 |
$637.08 $685.81 $737.43 $920.79 |
$913.21 $961.94 $1,013.56 $1,196.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721.90 $819.36 $922.60 $1,289.32 $1,959.26 |
$998.03 $1,095.49 $1,198.73 $1,565.45 |
$1,274.16 $1,371.62 $1,474.86 $1,841.58 |
Toc - Plan #146 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Connect Silver 3000 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$481.57 $546.58 $615.45 $860.09 $1,306.99 |
$849.97 $914.98 $983.85 $1,228.49 |
$1,218.37 $1,283.38 $1,352.25 $1,596.89 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$963.14 $1,093.16 $1,230.90 $1,720.18 $2,613.98 |
$1,331.54 $1,461.56 $1,599.30 $2,088.58 |
$1,699.94 $1,829.96 $1,967.70 $2,456.98 |
Toc - Plan #147 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Connect Gold 500 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$522.33 $592.84 $667.54 $932.88 $1,417.60 |
$921.91 $992.42 $1,067.12 $1,332.46 |
$1,321.49 $1,392.00 $1,466.70 $1,732.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,044.66 $1,185.68 $1,335.08 $1,865.76 $2,835.20 |
$1,444.24 $1,585.26 $1,734.66 $2,265.34 |
$1,843.82 $1,984.84 $2,134.24 $2,664.92 |
Toc - Plan #148 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Connect Gold CMS Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$506.71 $575.11 $647.57 $904.98 $1,375.20 |
$894.34 $962.74 $1,035.20 $1,292.61 |
$1,281.97 $1,350.37 $1,422.83 $1,680.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,013.42 $1,150.22 $1,295.14 $1,809.96 $2,750.40 |
$1,401.05 $1,537.85 $1,682.77 $2,197.59 |
$1,788.68 $1,925.48 $2,070.40 $2,585.22 |
Toc - Plan #149 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Connect Silver CMS Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$485.61 $551.17 $620.61 $867.30 $1,317.95 |
$857.10 $922.66 $992.10 $1,238.79 |
$1,228.59 $1,294.15 $1,363.59 $1,610.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$971.22 $1,102.34 $1,241.22 $1,734.60 $2,635.90 |
$1,342.71 $1,473.83 $1,612.71 $2,106.09 |
$1,714.20 $1,845.32 $1,984.20 $2,477.58 |
Toc - Plan #150 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Connect Bronze CMS Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.71 $411.67 $463.54 $647.79 $984.39 |
$640.18 $689.14 $741.01 $925.26 |
$917.65 $966.61 $1,018.48 $1,202.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725.42 $823.34 $927.08 $1,295.58 $1,968.78 |
$1,002.89 $1,100.81 $1,204.55 $1,573.05 |
$1,280.36 $1,378.28 $1,482.02 $1,850.52 |
Toc - Plan #151 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Connect Bronze 0 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.82 $450.39 $507.14 $708.72 $1,076.97 |
$700.39 $753.96 $810.71 $1,012.29 |
$1,003.96 $1,057.53 $1,114.28 $1,315.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$793.64 $900.78 $1,014.28 $1,417.44 $2,153.94 |
$1,097.21 $1,204.35 $1,317.85 $1,721.01 |
$1,400.78 $1,507.92 $1,621.42 $2,024.58 |
Toc - Plan #152 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Connect Bronze 5500 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.59 $416.08 $468.50 $654.72 $994.91 |
$647.03 $696.52 $748.94 $935.16 |
$927.47 $976.96 $1,029.38 $1,215.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$733.18 $832.16 $937.00 $1,309.44 $1,989.82 |
$1,013.62 $1,112.60 $1,217.44 $1,589.88 |
$1,294.06 $1,393.04 $1,497.88 $1,870.32 |
ADVERTISEMENT
Molina HealthcareLocal: 1-888-560-5716 | Toll Free: 1-888-560-5716 | TTY: 1-800-955-8771 |
Toc - Plan #153 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Gold 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$462.52 $524.96 $591.09 $826.05 $1,255.27 |
$816.34 $878.78 $944.91 $1,179.87 |
$1,170.16 $1,232.60 $1,298.73 $1,533.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$925.04 $1,049.92 $1,182.18 $1,652.10 $2,510.54 |
$1,278.86 $1,403.74 $1,536.00 $2,005.92 |
$1,632.68 $1,757.56 $1,889.82 $2,359.74 |
Toc - Plan #154 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Silver 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$393.33 $446.43 $502.67 $702.49 $1,067.50 |
$694.23 $747.33 $803.57 $1,003.39 |
$995.13 $1,048.23 $1,104.47 $1,304.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$786.66 $892.86 $1,005.34 $1,404.98 $2,135.00 |
$1,087.56 $1,193.76 $1,306.24 $1,705.88 |
$1,388.46 $1,494.66 $1,607.14 $2,006.78 |
Toc - Plan #155 Molina Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 4 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.36 $413.55 $465.65 $650.75 $988.87 |
$643.10 $692.29 $744.39 $929.49 |
$921.84 $971.03 $1,023.13 $1,208.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$728.72 $827.10 $931.30 $1,301.50 $1,977.74 |
$1,007.46 $1,105.84 $1,210.04 $1,580.24 |
$1,286.20 $1,384.58 $1,488.78 $1,858.98 |
Toc - Plan #156 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Gold 8 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$472.96 $536.81 $604.44 $844.71 $1,283.62 |
$834.78 $898.63 $966.26 $1,206.53 |
$1,196.60 $1,260.45 $1,328.08 $1,568.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$945.92 $1,073.62 $1,208.88 $1,689.42 $2,567.24 |
$1,307.74 $1,435.44 $1,570.70 $2,051.24 |
$1,669.56 $1,797.26 $1,932.52 $2,413.06 |
Toc - Plan #157 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Silver 8 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.57 $454.65 $511.93 $715.42 $1,087.16 |
$707.01 $761.09 $818.37 $1,021.86 |
$1,013.45 $1,067.53 $1,124.81 $1,328.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$801.14 $909.30 $1,023.86 $1,430.84 $2,174.32 |
$1,107.58 $1,215.74 $1,330.30 $1,737.28 |
$1,414.02 $1,522.18 $1,636.74 $2,043.72 |
Toc - Plan #158 Molina Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 8 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.27 $355.56 $400.36 $559.50 $850.22 |
$552.92 $595.21 $640.01 $799.15 |
$792.57 $834.86 $879.66 $1,038.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$626.54 $711.12 $800.72 $1,119.00 $1,700.44 |
$866.19 $950.77 $1,040.37 $1,358.65 |
$1,105.84 $1,190.42 $1,280.02 $1,598.30 |
Toc - Plan #159 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Silver 12 with First 4 Primary Care Visits Free |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.76 $444.65 $500.67 $699.68 $1,063.23 |
$691.45 $744.34 $800.36 $999.37 |
$991.14 $1,044.03 $1,100.05 $1,299.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783.52 $889.30 $1,001.34 $1,399.36 $2,126.46 |
$1,083.21 $1,188.99 $1,301.03 $1,699.05 |
$1,382.90 $1,488.68 $1,600.72 $1,998.74 |
Toc - Plan #160 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Gold 1 with Adult Vision Services |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$465.57 $528.42 $595.00 $831.51 $1,263.56 |
$821.73 $884.58 $951.16 $1,187.67 |
$1,177.89 $1,240.74 $1,307.32 $1,543.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$931.14 $1,056.84 $1,190.00 $1,663.02 $2,527.12 |
$1,287.30 $1,413.00 $1,546.16 $2,019.18 |
$1,643.46 $1,769.16 $1,902.32 $2,375.34 |
Toc - Plan #161 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Silver 1 with Adult Vision Services |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.27 $449.76 $506.43 $707.73 $1,075.47 |
$699.41 $752.90 $809.57 $1,010.87 |
$1,002.55 $1,056.04 $1,112.71 $1,314.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792.54 $899.52 $1,012.86 $1,415.46 $2,150.94 |
$1,095.68 $1,202.66 $1,316.00 $1,718.60 |
$1,398.82 $1,505.80 $1,619.14 $2,021.74 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-888-200-0405 | Toll Free: 1-888-200-0405 | TTY: 1-888-200-0405 |
Toc - Plan #162 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First (Unlimited $0 App-based Care, $3 Tier 2 Rx) (Disponible en espanol) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$427.46 $485.17 $546.30 $763.45 $1,160.14 |
$754.47 $812.18 $873.31 $1,090.46 |
$1,081.48 $1,139.19 $1,200.32 $1,417.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$854.92 $970.34 $1,092.60 $1,526.90 $2,320.28 |
$1,181.93 $1,297.35 $1,419.61 $1,853.91 |
$1,508.94 $1,624.36 $1,746.62 $2,180.92 |
Toc - Plan #163 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342.58 $388.83 $437.82 $611.85 $929.77 |
$604.66 $650.91 $699.90 $873.93 |
$866.74 $912.99 $961.98 $1,136.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$685.16 $777.66 $875.64 $1,223.70 $1,859.54 |
$947.24 $1,039.74 $1,137.72 $1,485.78 |
$1,209.32 $1,301.82 $1,399.80 $1,747.86 |
Toc - Plan #164 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Virtual First (Unlimited $0 App-based Care, $3 Tier 2 Rx) (Disponible en espanol) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$343.11 $389.43 $438.49 $612.79 $931.20 |
$605.59 $651.91 $700.97 $875.27 |
$868.07 $914.39 $963.45 $1,137.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$686.22 $778.86 $876.98 $1,225.58 $1,862.40 |
$948.70 $1,041.34 $1,139.46 $1,488.06 |
$1,211.18 $1,303.82 $1,401.94 $1,750.54 |
Toc - Plan #165 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: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$491.31 $557.64 $627.90 $877.49 $1,333.43 |
$867.17 $933.50 $1,003.76 $1,253.35 |
$1,243.03 $1,309.36 $1,379.62 $1,629.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$982.62 $1,115.28 $1,255.80 $1,754.98 $2,666.86 |
$1,358.48 $1,491.14 $1,631.66 $2,130.84 |
$1,734.34 $1,867.00 $2,007.52 $2,506.70 |
Toc - Plan #166 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$482.96 $548.16 $617.22 $862.56 $1,310.75 |
$852.42 $917.62 $986.68 $1,232.02 |
$1,221.88 $1,287.08 $1,356.14 $1,601.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$965.92 $1,096.32 $1,234.44 $1,725.12 $2,621.50 |
$1,335.38 $1,465.78 $1,603.90 $2,094.58 |
$1,704.84 $1,835.24 $1,973.36 $2,464.04 |
Toc - Plan #167 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$444.66 $504.69 $568.27 $794.16 $1,206.80 |
$784.82 $844.85 $908.43 $1,134.32 |
$1,124.98 $1,185.01 $1,248.59 $1,474.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$889.32 $1,009.38 $1,136.54 $1,588.32 $2,413.60 |
$1,229.48 $1,349.54 $1,476.70 $1,928.48 |
$1,569.64 $1,689.70 $1,816.86 $2,268.64 |
Toc - Plan #168 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422.72 $479.79 $540.24 $754.98 $1,147.26 |
$746.10 $803.17 $863.62 $1,078.36 |
$1,069.48 $1,126.55 $1,187.00 $1,401.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$845.44 $959.58 $1,080.48 $1,509.96 $2,294.52 |
$1,168.82 $1,282.96 $1,403.86 $1,833.34 |
$1,492.20 $1,606.34 $1,727.24 $2,156.72 |
Toc - Plan #169 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337.56 $383.13 $431.40 $602.88 $916.14 |
$595.79 $641.36 $689.63 $861.11 |
$854.02 $899.59 $947.86 $1,119.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$675.12 $766.26 $862.80 $1,205.76 $1,832.28 |
$933.35 $1,024.49 $1,121.03 $1,463.99 |
$1,191.58 $1,282.72 $1,379.26 $1,722.22 |
Toc - Plan #170 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$343.61 $390.00 $439.13 $613.69 $932.56 |
$606.47 $652.86 $701.99 $876.55 |
$869.33 $915.72 $964.85 $1,139.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$687.22 $780.00 $878.26 $1,227.38 $1,865.12 |
$950.08 $1,042.86 $1,141.12 $1,490.24 |
$1,212.94 $1,305.72 $1,403.98 $1,753.10 |
Toc - Plan #171 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Copay Focus $0 Indiv Med Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.32 $408.97 $460.49 $643.54 $977.92 |
$635.97 $684.62 $736.14 $919.19 |
$911.62 $960.27 $1,011.79 $1,194.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$720.64 $817.94 $920.98 $1,287.08 $1,955.84 |
$996.29 $1,093.59 $1,196.63 $1,562.73 |
$1,271.94 $1,369.24 $1,472.28 $1,838.38 |
Toc - Plan #172 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$426.52 $484.10 $545.10 $761.77 $1,157.58 |
$752.81 $810.39 $871.39 $1,088.06 |
$1,079.10 $1,136.68 $1,197.68 $1,414.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$853.04 $968.20 $1,090.20 $1,523.54 $2,315.16 |
$1,179.33 $1,294.49 $1,416.49 $1,849.83 |
$1,505.62 $1,620.78 $1,742.78 $2,176.12 |
Toc - Plan #173 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: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$431.34 $489.57 $551.25 $770.37 $1,170.65 |
$761.31 $819.54 $881.22 $1,100.34 |
$1,091.28 $1,149.51 $1,211.19 $1,430.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$862.68 $979.14 $1,102.50 $1,540.74 $2,341.30 |
$1,192.65 $1,309.11 $1,432.47 $1,870.71 |
$1,522.62 $1,639.08 $1,762.44 $2,200.68 |
Toc - Plan #174 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$480.26 $545.09 $613.77 $857.74 $1,303.42 |
$847.66 $912.49 $981.17 $1,225.14 |
$1,215.06 $1,279.89 $1,348.57 $1,592.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$960.52 $1,090.18 $1,227.54 $1,715.48 $2,606.84 |
$1,327.92 $1,457.58 $1,594.94 $2,082.88 |
$1,695.32 $1,824.98 $1,962.34 $2,450.28 |
Toc - Plan #175 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: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$481.55 $546.56 $615.42 $860.05 $1,306.93 |
$849.94 $914.95 $983.81 $1,228.44 |
$1,218.33 $1,283.34 $1,352.20 $1,596.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$963.10 $1,093.12 $1,230.84 $1,720.10 $2,613.86 |
$1,331.49 $1,461.51 $1,599.23 $2,088.49 |
$1,699.88 $1,829.90 $1,967.62 $2,456.88 |
Toc - Plan #176 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$509.14 $577.87 $650.68 $909.32 $1,381.81 |
$898.63 $967.36 $1,040.17 $1,298.81 |
$1,288.12 $1,356.85 $1,429.66 $1,688.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,018.28 $1,155.74 $1,301.36 $1,818.64 $2,763.62 |
$1,407.77 $1,545.23 $1,690.85 $2,208.13 |
$1,797.26 $1,934.72 $2,080.34 $2,597.62 |
Toc - Plan #177 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, $0 Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$450.29 $511.08 $575.47 $804.22 $1,222.09 |
$794.76 $855.55 $919.94 $1,148.69 |
$1,139.23 $1,200.02 $1,264.41 $1,493.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$900.58 $1,022.16 $1,150.94 $1,608.44 $2,444.18 |
$1,245.05 $1,366.63 $1,495.41 $1,952.91 |
$1,589.52 $1,711.10 $1,839.88 $2,297.38 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #178 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite VALUE Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.98 $405.17 $456.21 $637.56 $968.83 |
$630.07 $678.26 $729.30 $910.65 |
$903.16 $951.35 $1,002.39 $1,183.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$713.96 $810.34 $912.42 $1,275.12 $1,937.66 |
$987.05 $1,083.43 $1,185.51 $1,548.21 |
$1,260.14 $1,356.52 $1,458.60 $1,821.30 |
Toc - Plan #179 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Complete VALUE Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$402.00 $456.26 $513.74 $717.95 $1,090.99 |
$709.52 $763.78 $821.26 $1,025.47 |
$1,017.04 $1,071.30 $1,128.78 $1,332.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$804.00 $912.52 $1,027.48 $1,435.90 $2,181.98 |
$1,111.52 $1,220.04 $1,335.00 $1,743.42 |
$1,419.04 $1,527.56 $1,642.52 $2,050.94 |
Toc - Plan #180 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Clear VALUE Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.48 $439.77 $495.18 $692.01 $1,051.58 |
$683.89 $736.18 $791.59 $988.42 |
$980.30 $1,032.59 $1,088.00 $1,284.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$774.96 $879.54 $990.36 $1,384.02 $2,103.16 |
$1,071.37 $1,175.95 $1,286.77 $1,680.43 |
$1,367.78 $1,472.36 $1,583.18 $1,976.84 |
Toc - Plan #181 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Focused VALUE Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.36 $447.59 $503.99 $704.32 $1,070.28 |
$696.04 $749.27 $805.67 $1,006.00 |
$997.72 $1,050.95 $1,107.35 $1,307.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$788.72 $895.18 $1,007.98 $1,408.64 $2,140.56 |
$1,090.40 $1,196.86 $1,309.66 $1,710.32 |
$1,392.08 $1,498.54 $1,611.34 $2,012.00 |
Toc - Plan #182 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(HMO) Complete VALUE Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.57 $433.07 $487.63 $681.46 $1,035.54 |
$673.46 $724.96 $779.52 $973.35 |
$965.35 $1,016.85 $1,071.41 $1,265.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$763.14 $866.14 $975.26 $1,362.92 $2,071.08 |
$1,055.03 $1,158.03 $1,267.15 $1,654.81 |
$1,346.92 $1,449.92 $1,559.04 $1,946.70 |
Toc - Plan #183 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze VALUE |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$304.89 $346.03 $389.63 $544.51 $827.43 |
$538.12 $579.26 $622.86 $777.74 |
$771.35 $812.49 $856.09 $1,010.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$609.78 $692.06 $779.26 $1,089.02 $1,654.86 |
$843.01 $925.29 $1,012.49 $1,322.25 |
$1,076.24 $1,158.52 $1,245.72 $1,555.48 |
Toc - Plan #184 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Standard Silver VALUE |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.14 $438.26 $493.48 $689.64 $1,047.97 |
$681.53 $733.65 $788.87 $985.03 |
$976.92 $1,029.04 $1,084.26 $1,280.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$772.28 $876.52 $986.96 $1,379.28 $2,095.94 |
$1,067.67 $1,171.91 $1,282.35 $1,674.67 |
$1,363.06 $1,467.30 $1,577.74 $1,970.06 |
Toc - Plan #185 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(HMO) Standard Gold VALUE |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.54 $411.47 $463.32 $647.48 $983.91 |
$639.88 $688.81 $740.66 $924.82 |
$917.22 $966.15 $1,018.00 $1,202.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725.08 $822.94 $926.64 $1,294.96 $1,967.82 |
$1,002.42 $1,100.28 $1,203.98 $1,572.30 |
$1,279.76 $1,377.62 $1,481.32 $1,849.64 |
‡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 Osceola County here.
Osceola County is in “Rating Area 49” of Florida.
Currently, there are 185 plans offered in Rating Area 49.