Obamacare 2024 Rates for Pinellas County, Florida
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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 Clearwater, 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, 144 Plans and 2024 Rates for Pinellas County, Florida
Below, you’ll find a summary of the 144 plans for Pinellas 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 $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$381.99 $433.56 $488.18 $682.23 $1,036.72 |
$674.21 $725.78 $780.40 $974.45 |
$966.43 $1,018.00 $1,072.62 $1,266.67 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$763.98 $867.12 $976.36 $1,364.46 $2,073.44 |
$1,056.20 $1,159.34 $1,268.58 $1,656.68 |
$1,348.42 $1,451.56 $1,560.80 $1,948.90 |
Toc - Plan #2 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1456 ($0 Virtual Visits / Rewards $$$) |
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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 |
$518.29 $588.26 $662.37 $925.67 $1,406.64 |
$914.78 $984.75 $1,058.86 $1,322.16 |
$1,311.27 $1,381.24 $1,455.35 $1,718.65 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,036.58 $1,176.52 $1,324.74 $1,851.34 $2,813.28 |
$1,433.07 $1,573.01 $1,721.23 $2,247.83 |
$1,829.56 $1,969.50 $2,117.72 $2,644.32 |
Toc - Plan #3 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1451 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$680.32 $772.16 $869.45 $1,215.05 $1,846.39 |
$1,200.76 $1,292.60 $1,389.89 $1,735.49 |
$1,721.20 $1,813.04 $1,910.33 $2,255.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,360.64 $1,544.32 $1,738.90 $2,430.10 $3,692.78 |
$1,881.08 $2,064.76 $2,259.34 $2,950.54 |
$2,401.52 $2,585.20 $2,779.78 $3,470.98 |
Toc - Plan #4 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1449 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) |
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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 |
$408.24 $463.35 $521.73 $729.12 $1,107.96 |
$720.54 $775.65 $834.03 $1,041.42 |
$1,032.84 $1,087.95 $1,146.33 $1,353.72 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$816.48 $926.70 $1,043.46 $1,458.24 $2,215.92 |
$1,128.78 $1,239.00 $1,355.76 $1,770.54 |
$1,441.08 $1,551.30 $1,668.06 $2,082.84 |
Toc - Plan #5 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1457 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$706.89 $802.32 $903.41 $1,262.51 $1,918.50 |
$1,247.66 $1,343.09 $1,444.18 $1,803.28 |
$1,788.43 $1,883.86 $1,984.95 $2,344.05 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,413.78 $1,604.64 $1,806.82 $2,525.02 $3,837.00 |
$1,954.55 $2,145.41 $2,347.59 $3,065.79 |
$2,495.32 $2,686.18 $2,888.36 $3,606.56 |
Toc - Plan #6 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1443 ($0 Virtual Visits / $0 Labs / Rewards $$$) |
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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 |
$485.14 $550.63 $620.01 $866.46 $1,316.67 |
$856.27 $921.76 $991.14 $1,237.59 |
$1,227.40 $1,292.89 $1,362.27 $1,608.72 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$970.28 $1,101.26 $1,240.02 $1,732.92 $2,633.34 |
$1,341.41 $1,472.39 $1,611.15 $2,104.05 |
$1,712.54 $1,843.52 $1,982.28 $2,475.18 |
Toc - Plan #7 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1535 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$584.60 $663.52 $747.12 $1,044.10 $1,586.60 |
$1,031.82 $1,110.74 $1,194.34 $1,491.32 |
$1,479.04 $1,557.96 $1,641.56 $1,938.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,169.20 $1,327.04 $1,494.24 $2,088.20 $3,173.20 |
$1,616.42 $1,774.26 $1,941.46 $2,535.42 |
$2,063.64 $2,221.48 $2,388.68 $2,982.64 |
Toc - Plan #8 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze (HSA) 1735 (Rewards $$$ / $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 |
$397.53 $451.20 $508.04 $709.99 $1,078.90 |
$701.64 $755.31 $812.15 $1,014.10 |
$1,005.75 $1,059.42 $1,116.26 $1,318.21 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795.06 $902.40 $1,016.08 $1,419.98 $2,157.80 |
$1,099.17 $1,206.51 $1,320.19 $1,724.09 |
$1,403.28 $1,510.62 $1,624.30 $2,028.20 |
Toc - Plan #9 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1835 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$567.68 $644.32 $725.50 $1,013.88 $1,540.68 |
$1,001.96 $1,078.60 $1,159.78 $1,448.16 |
$1,436.24 $1,512.88 $1,594.06 $1,882.44 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,135.36 $1,288.64 $1,451.00 $2,027.76 $3,081.36 |
$1,569.64 $1,722.92 $1,885.28 $2,462.04 |
$2,003.92 $2,157.20 $2,319.56 $2,896.32 |
Toc - Plan #10 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 2139 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) |
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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 |
$427.53 $485.25 $546.38 $763.57 $1,160.32 |
$754.59 $812.31 $873.44 $1,090.63 |
$1,081.65 $1,139.37 $1,200.50 $1,417.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$855.06 $970.50 $1,092.76 $1,527.14 $2,320.64 |
$1,182.12 $1,297.56 $1,419.82 $1,854.20 |
$1,509.18 $1,624.62 $1,746.88 $2,181.26 |
Toc - Plan #11 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 2342S (Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$400.75 $454.85 $512.16 $715.74 $1,087.64 |
$707.32 $761.42 $818.73 $1,022.31 |
$1,013.89 $1,067.99 $1,125.30 $1,328.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$801.50 $909.70 $1,024.32 $1,431.48 $2,175.28 |
$1,108.07 $1,216.27 $1,330.89 $1,738.05 |
$1,414.64 $1,522.84 $1,637.46 $2,044.62 |
Toc - Plan #12 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 2343S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
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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 |
$503.96 $571.99 $644.06 $900.07 $1,367.75 |
$889.49 $957.52 $1,029.59 $1,285.60 |
$1,275.02 $1,343.05 $1,415.12 $1,671.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,007.92 $1,143.98 $1,288.12 $1,800.14 $2,735.50 |
$1,393.45 $1,529.51 $1,673.65 $2,185.67 |
$1,778.98 $1,915.04 $2,059.18 $2,571.20 |
Toc - Plan #13 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 2344S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$553.45 $628.17 $707.31 $988.46 $1,502.06 |
$976.84 $1,051.56 $1,130.70 $1,411.85 |
$1,400.23 $1,474.95 $1,554.09 $1,835.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,106.90 $1,256.34 $1,414.62 $1,976.92 $3,004.12 |
$1,530.29 $1,679.73 $1,838.01 $2,400.31 |
$1,953.68 $2,103.12 $2,261.40 $2,823.70 |
Toc - Plan #14 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
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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 |
$702.99 $797.89 $898.42 $1,255.54 $1,907.91 |
$1,240.78 $1,335.68 $1,436.21 $1,793.33 |
$1,778.57 $1,873.47 $1,974.00 $2,331.12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,405.98 $1,595.78 $1,796.84 $2,511.08 $3,815.82 |
$1,943.77 $2,133.57 $2,334.63 $3,048.87 |
$2,481.56 $2,671.36 $2,872.42 $3,586.66 |
Toc - Plan #15 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(PPO) BlueOptions Silver 24J01-03 ($0 Virtual Visits / $0 Labs / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$761.26 $864.03 $972.89 $1,359.61 $2,066.06 |
$1,343.62 $1,446.39 $1,555.25 $1,941.97 |
$1,925.98 $2,028.75 $2,137.61 $2,524.33 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,522.52 $1,728.06 $1,945.78 $2,719.22 $4,132.12 |
$2,104.88 $2,310.42 $2,528.14 $3,301.58 |
$2,687.24 $2,892.78 $3,110.50 $3,883.94 |
Toc - Plan #16 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(PPO) BlueOptions Bronze 24J01-04 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) |
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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 |
$544.11 $617.56 $695.37 $971.78 $1,476.71 |
$960.35 $1,033.80 $1,111.61 $1,388.02 |
$1,376.59 $1,450.04 $1,527.85 $1,804.26 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,088.22 $1,235.12 $1,390.74 $1,943.56 $2,953.42 |
$1,504.46 $1,651.36 $1,806.98 $2,359.80 |
$1,920.70 $2,067.60 $2,223.22 $2,776.04 |
Toc - Plan #17 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(PPO) BlueOptions Platinum 24J01-05 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$1,027.19 $1,165.86 $1,312.75 $1,834.56 $2,787.79 |
$1,812.99 $1,951.66 $2,098.55 $2,620.36 |
$2,598.79 $2,737.46 $2,884.35 $3,406.16 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$2,054.38 $2,331.72 $2,625.50 $3,669.12 $5,575.58 |
$2,840.18 $3,117.52 $3,411.30 $4,454.92 |
$3,625.98 $3,903.32 $4,197.10 $5,240.72 |
Toc - Plan #18 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(PPO) BlueOptions Bronze 24J01-06 ($0 Virtual Visits / Rewards $$$) |
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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 |
|||||||||||||||||
21 30 40 50 60 |
$509.06 $577.78 $650.58 $909.18 $1,381.59 |
$898.49 $967.21 $1,040.01 $1,298.61 |
$1,287.92 $1,356.64 $1,429.44 $1,688.04 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,018.12 $1,155.56 $1,301.16 $1,818.36 $2,763.18 |
$1,407.55 $1,544.99 $1,690.59 $2,207.79 |
$1,796.98 $1,934.42 $2,080.02 $2,597.22 |
Toc - Plan #19 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(PPO) BlueOptions Silver 24J01-07 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$814.34 $924.28 $1,040.73 $1,454.41 $2,210.12 |
$1,437.31 $1,547.25 $1,663.70 $2,077.38 |
$2,060.28 $2,170.22 $2,286.67 $2,700.35 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,628.68 $1,848.56 $2,081.46 $2,908.82 $4,420.24 |
$2,251.65 $2,471.53 $2,704.43 $3,531.79 |
$2,874.62 $3,094.50 $3,327.40 $4,154.76 |
Toc - Plan #20 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(PPO) BlueOptions Platinum 24J01-08 ($0 Virtual Visits / Rewards $$$) |
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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 |
|||||||||||||||||
21 30 40 50 60 |
$1,068.39 $1,212.62 $1,365.40 $1,908.14 $2,899.61 |
$1,885.71 $2,029.94 $2,182.72 $2,725.46 |
$2,703.03 $2,847.26 $3,000.04 $3,542.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$2,136.78 $2,425.24 $2,730.80 $3,816.28 $5,799.22 |
$2,954.10 $3,242.56 $3,548.12 $4,633.60 |
$3,771.42 $4,059.88 $4,365.44 $5,450.92 |
Toc - Plan #21 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(PPO) BlueOptions Gold 24J01-09 ($0 Virtual Visits / $20 PCP Visits / $15 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$876.63 $994.98 $1,120.33 $1,565.66 $2,379.17 |
$1,547.25 $1,665.60 $1,790.95 $2,236.28 |
$2,217.87 $2,336.22 $2,461.57 $2,906.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,753.26 $1,989.96 $2,240.66 $3,131.32 $4,758.34 |
$2,423.88 $2,660.58 $2,911.28 $3,801.94 |
$3,094.50 $3,331.20 $3,581.90 $4,472.56 |
Toc - Plan #22 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(PPO) BlueOptions Bronze (HSA) 24J01-10 (Rewards $$$ / $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 |
$529.26 $600.71 $676.39 $945.26 $1,436.41 |
$934.14 $1,005.59 $1,081.27 $1,350.14 |
$1,339.02 $1,410.47 $1,486.15 $1,755.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,058.52 $1,201.42 $1,352.78 $1,890.52 $2,872.82 |
$1,463.40 $1,606.30 $1,757.66 $2,295.40 |
$1,868.28 $2,011.18 $2,162.54 $2,700.28 |
Toc - Plan #23 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(PPO) BlueOptions Gold 24J01-12 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$850.72 $965.57 $1,087.22 $1,519.39 $2,308.85 |
$1,501.52 $1,616.37 $1,738.02 $2,170.19 |
$2,152.32 $2,267.17 $2,388.82 $2,820.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,701.44 $1,931.14 $2,174.44 $3,038.78 $4,617.70 |
$2,352.24 $2,581.94 $2,825.24 $3,689.58 |
$3,003.04 $3,232.74 $3,476.04 $4,340.38 |
Toc - Plan #24 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(PPO) BlueOptions Bronze 24J01-17 ($0 Virtual Visits / $50 PCP Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$569.72 $646.63 $728.10 $1,017.52 $1,546.22 |
$1,005.56 $1,082.47 $1,163.94 $1,453.36 |
$1,441.40 $1,518.31 $1,599.78 $1,889.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,139.44 $1,293.26 $1,456.20 $2,035.04 $3,092.44 |
$1,575.28 $1,729.10 $1,892.04 $2,470.88 |
$2,011.12 $2,164.94 $2,327.88 $2,906.72 |
Toc - Plan #25 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(PPO) BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$533.34 $605.34 $681.61 $952.55 $1,447.48 |
$941.35 $1,013.35 $1,089.62 $1,360.56 |
$1,349.36 $1,421.36 $1,497.63 $1,768.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,066.68 $1,210.68 $1,363.22 $1,905.10 $2,894.96 |
$1,474.69 $1,618.69 $1,771.23 $2,313.11 |
$1,882.70 $2,026.70 $2,179.24 $2,721.12 |
Toc - Plan #26 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(PPO) BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
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 |
$791.18 $897.99 $1,011.13 $1,413.05 $2,147.26 |
$1,396.43 $1,503.24 $1,616.38 $2,018.30 |
$2,001.68 $2,108.49 $2,221.63 $2,623.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,582.36 $1,795.98 $2,022.26 $2,826.10 $4,294.52 |
$2,187.61 $2,401.23 $2,627.51 $3,431.35 |
$2,792.86 $3,006.48 $3,232.76 $4,036.60 |
Toc - Plan #27 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(PPO) BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$829.71 $941.72 $1,060.37 $1,481.86 $2,251.83 |
$1,464.44 $1,576.45 $1,695.10 $2,116.59 |
$2,099.17 $2,211.18 $2,329.83 $2,751.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,659.42 $1,883.44 $2,120.74 $2,963.72 $4,503.66 |
$2,294.15 $2,518.17 $2,755.47 $3,598.45 |
$2,928.88 $3,152.90 $3,390.20 $4,233.18 |
Toc - Plan #28 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(PPO) BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
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 |
$1,061.71 $1,205.04 $1,356.87 $1,896.21 $2,881.48 |
$1,873.92 $2,017.25 $2,169.08 $2,708.42 |
$2,686.13 $2,829.46 $2,981.29 $3,520.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$2,123.42 $2,410.08 $2,713.74 $3,792.42 $5,762.96 |
$2,935.63 $3,222.29 $3,525.95 $4,604.63 |
$3,747.84 $4,034.50 $4,338.16 $5,416.84 |
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 |
$383.70 $435.50 $490.37 $685.29 $1,041.36 |
$677.23 $729.03 $783.90 $978.82 |
$970.76 $1,022.56 $1,077.43 $1,272.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.40 $871.00 $980.74 $1,370.58 $2,082.72 |
$1,060.93 $1,164.53 $1,274.27 $1,664.11 |
$1,354.46 $1,458.06 $1,567.80 $1,957.64 |
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 |
$306.40 $347.77 $391.58 $547.23 $831.57 |
$540.80 $582.17 $625.98 $781.63 |
$775.20 $816.57 $860.38 $1,016.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$612.80 $695.54 $783.16 $1,094.46 $1,663.14 |
$847.20 $929.94 $1,017.56 $1,328.86 |
$1,081.60 $1,164.34 $1,251.96 $1,563.26 |
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 |
$383.45 $435.22 $490.05 $684.84 $1,040.68 |
$676.79 $728.56 $783.39 $978.18 |
$970.13 $1,021.90 $1,076.73 $1,271.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$766.90 $870.44 $980.10 $1,369.68 $2,081.36 |
$1,060.24 $1,163.78 $1,273.44 $1,663.02 |
$1,353.58 $1,457.12 $1,566.78 $1,956.36 |
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 |
$410.10 $465.47 $524.11 $732.44 $1,113.01 |
$723.83 $779.20 $837.84 $1,046.17 |
$1,037.56 $1,092.93 $1,151.57 $1,359.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$820.20 $930.94 $1,048.22 $1,464.88 $2,226.02 |
$1,133.93 $1,244.67 $1,361.95 $1,778.61 |
$1,447.66 $1,558.40 $1,675.68 $2,092.34 |
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 |
$391.54 $444.39 $500.38 $699.28 $1,062.62 |
$691.07 $743.92 $799.91 $998.81 |
$990.60 $1,043.45 $1,099.44 $1,298.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783.08 $888.78 $1,000.76 $1,398.56 $2,125.24 |
$1,082.61 $1,188.31 $1,300.29 $1,698.09 |
$1,382.14 $1,487.84 $1,599.82 $1,997.62 |
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 |
$337.43 $382.98 $431.24 $602.65 $915.78 |
$595.57 $641.12 $689.38 $860.79 |
$853.71 $899.26 $947.52 $1,118.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$674.86 $765.96 $862.48 $1,205.30 $1,831.56 |
$933.00 $1,024.10 $1,120.62 $1,463.44 |
$1,191.14 $1,282.24 $1,378.76 $1,721.58 |
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 |
$408.46 $463.60 $522.00 $729.50 $1,108.54 |
$720.93 $776.07 $834.47 $1,041.97 |
$1,033.40 $1,088.54 $1,146.94 $1,354.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$816.92 $927.20 $1,044.00 $1,459.00 $2,217.08 |
$1,129.39 $1,239.67 $1,356.47 $1,771.47 |
$1,441.86 $1,552.14 $1,668.94 $2,083.94 |
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 |
$413.90 $469.77 $528.96 $739.22 $1,123.31 |
$730.53 $786.40 $845.59 $1,055.85 |
$1,047.16 $1,103.03 $1,162.22 $1,372.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$827.80 $939.54 $1,057.92 $1,478.44 $2,246.62 |
$1,144.43 $1,256.17 $1,374.55 $1,795.07 |
$1,461.06 $1,572.80 $1,691.18 $2,111.70 |
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 |
$391.72 $444.60 $500.61 $699.60 $1,063.11 |
$691.38 $744.26 $800.27 $999.26 |
$991.04 $1,043.92 $1,099.93 $1,298.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783.44 $889.20 $1,001.22 $1,399.20 $2,126.22 |
$1,083.10 $1,188.86 $1,300.88 $1,698.86 |
$1,382.76 $1,488.52 $1,600.54 $1,998.52 |
ADVERTISEMENT
AvMedLocal: 1-800-477-8768 | Toll Free: |
Toc - Plan #38 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 |
$495.81 $562.74 $633.64 $885.51 $1,345.62 |
$875.10 $942.03 $1,012.93 $1,264.80 |
$1,254.39 $1,321.32 $1,392.22 $1,644.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$991.62 $1,125.48 $1,267.28 $1,771.02 $2,691.24 |
$1,370.91 $1,504.77 $1,646.57 $2,150.31 |
$1,750.20 $1,884.06 $2,025.86 $2,529.60 |
Toc - Plan #39 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 |
$476.30 $540.60 $608.71 $850.68 $1,292.68 |
$840.67 $904.97 $973.08 $1,215.05 |
$1,205.04 $1,269.34 $1,337.45 $1,579.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$952.60 $1,081.20 $1,217.42 $1,701.36 $2,585.36 |
$1,316.97 $1,445.57 $1,581.79 $2,065.73 |
$1,681.34 $1,809.94 $1,946.16 $2,430.10 |
Toc - Plan #40 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 |
$459.87 $521.95 $587.71 $821.33 $1,248.09 |
$811.67 $873.75 $939.51 $1,173.13 |
$1,163.47 $1,225.55 $1,291.31 $1,524.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$919.74 $1,043.90 $1,175.42 $1,642.66 $2,496.18 |
$1,271.54 $1,395.70 $1,527.22 $1,994.46 |
$1,623.34 $1,747.50 $1,879.02 $2,346.26 |
Toc - Plan #41 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 |
$455.09 $516.53 $581.61 $812.80 $1,235.12 |
$803.24 $864.68 $929.76 $1,160.95 |
$1,151.39 $1,212.83 $1,277.91 $1,509.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$910.18 $1,033.06 $1,163.22 $1,625.60 $2,470.24 |
$1,258.33 $1,381.21 $1,511.37 $1,973.75 |
$1,606.48 $1,729.36 $1,859.52 $2,321.90 |
Toc - Plan #42 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 |
$450.85 $511.71 $576.19 $805.22 $1,223.60 |
$795.75 $856.61 $921.09 $1,150.12 |
$1,140.65 $1,201.51 $1,265.99 $1,495.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$901.70 $1,023.42 $1,152.38 $1,610.44 $2,447.20 |
$1,246.60 $1,368.32 $1,497.28 $1,955.34 |
$1,591.50 $1,713.22 $1,842.18 $2,300.24 |
Toc - Plan #43 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 |
$376.64 $427.49 $481.35 $672.68 $1,022.21 |
$664.77 $715.62 $769.48 $960.81 |
$952.90 $1,003.75 $1,057.61 $1,248.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.28 $854.98 $962.70 $1,345.36 $2,044.42 |
$1,041.41 $1,143.11 $1,250.83 $1,633.49 |
$1,329.54 $1,431.24 $1,538.96 $1,921.62 |
Toc - Plan #44 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 |
$354.49 $402.35 $453.04 $633.12 $962.09 |
$625.68 $673.54 $724.23 $904.31 |
$896.87 $944.73 $995.42 $1,175.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$708.98 $804.70 $906.08 $1,266.24 $1,924.18 |
$980.17 $1,075.89 $1,177.27 $1,537.43 |
$1,251.36 $1,347.08 $1,448.46 $1,808.62 |
Toc - Plan #45 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 |
$517.81 $587.71 $661.76 $924.80 $1,405.33 |
$913.93 $983.83 $1,057.88 $1,320.92 |
$1,310.05 $1,379.95 $1,454.00 $1,717.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,035.62 $1,175.42 $1,323.52 $1,849.60 $2,810.66 |
$1,431.74 $1,571.54 $1,719.64 $2,245.72 |
$1,827.86 $1,967.66 $2,115.76 $2,641.84 |
Toc - Plan #46 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 |
$441.41 $501.00 $564.12 $788.36 $1,197.99 |
$779.09 $838.68 $901.80 $1,126.04 |
$1,116.77 $1,176.36 $1,239.48 $1,463.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$882.82 $1,002.00 $1,128.24 $1,576.72 $2,395.98 |
$1,220.50 $1,339.68 $1,465.92 $1,914.40 |
$1,558.18 $1,677.36 $1,803.60 $2,252.08 |
Toc - Plan #47 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 |
$361.86 $410.71 $462.45 $646.27 $982.08 |
$638.68 $687.53 $739.27 $923.09 |
$915.50 $964.35 $1,016.09 $1,199.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$723.72 $821.42 $924.90 $1,292.54 $1,964.16 |
$1,000.54 $1,098.24 $1,201.72 $1,569.36 |
$1,277.36 $1,375.06 $1,478.54 $1,846.18 |
Toc - Plan #48 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 |
$500.57 $568.14 $639.72 $894.01 $1,358.53 |
$883.50 $951.07 $1,022.65 $1,276.94 |
$1,266.43 $1,334.00 $1,405.58 $1,659.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,001.14 $1,136.28 $1,279.44 $1,788.02 $2,717.06 |
$1,384.07 $1,519.21 $1,662.37 $2,170.95 |
$1,767.00 $1,902.14 $2,045.30 $2,553.88 |
Toc - Plan #49 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 |
$481.06 $546.00 $614.79 $859.17 $1,305.60 |
$849.07 $914.01 $982.80 $1,227.18 |
$1,217.08 $1,282.02 $1,350.81 $1,595.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$962.12 $1,092.00 $1,229.58 $1,718.34 $2,611.20 |
$1,330.13 $1,460.01 $1,597.59 $2,086.35 |
$1,698.14 $1,828.02 $1,965.60 $2,454.36 |
Toc - Plan #50 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 |
$464.63 $527.35 $593.79 $829.82 $1,261.00 |
$820.07 $882.79 $949.23 $1,185.26 |
$1,175.51 $1,238.23 $1,304.67 $1,540.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$929.26 $1,054.70 $1,187.58 $1,659.64 $2,522.00 |
$1,284.70 $1,410.14 $1,543.02 $2,015.08 |
$1,640.14 $1,765.58 $1,898.46 $2,370.52 |
Toc - Plan #51 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 |
$459.85 $521.93 $587.69 $821.29 $1,248.03 |
$811.64 $873.72 $939.48 $1,173.08 |
$1,163.43 $1,225.51 $1,291.27 $1,524.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$919.70 $1,043.86 $1,175.38 $1,642.58 $2,496.06 |
$1,271.49 $1,395.65 $1,527.17 $1,994.37 |
$1,623.28 $1,747.44 $1,878.96 $2,346.16 |
Toc - Plan #52 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 |
$455.61 $517.11 $582.27 $813.71 $1,236.52 |
$804.15 $865.65 $930.81 $1,162.25 |
$1,152.69 $1,214.19 $1,279.35 $1,510.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$911.22 $1,034.22 $1,164.54 $1,627.42 $2,473.04 |
$1,259.76 $1,382.76 $1,513.08 $1,975.96 |
$1,608.30 $1,731.30 $1,861.62 $2,324.50 |
Toc - Plan #53 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 |
$452.31 $513.38 $578.06 $807.83 $1,227.58 |
$798.33 $859.40 $924.08 $1,153.85 |
$1,144.35 $1,205.42 $1,270.10 $1,499.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$904.62 $1,026.76 $1,156.12 $1,615.66 $2,455.16 |
$1,250.64 $1,372.78 $1,502.14 $1,961.68 |
$1,596.66 $1,718.80 $1,848.16 $2,307.70 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #54 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 |
$361.37 $410.14 $461.81 $645.38 $980.72 |
$637.81 $686.58 $738.25 $921.82 |
$914.25 $963.02 $1,014.69 $1,198.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$722.74 $820.28 $923.62 $1,290.76 $1,961.44 |
$999.18 $1,096.72 $1,200.06 $1,567.20 |
$1,275.62 $1,373.16 $1,476.50 $1,843.64 |
Toc - Plan #55 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 |
$298.51 $338.79 $381.48 $533.12 $810.12 |
$526.86 $567.14 $609.83 $761.47 |
$755.21 $795.49 $838.18 $989.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$597.02 $677.58 $762.96 $1,066.24 $1,620.24 |
$825.37 $905.93 $991.31 $1,294.59 |
$1,053.72 $1,134.28 $1,219.66 $1,522.94 |
Toc - Plan #56 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 |
$376.76 $427.61 $481.49 $672.88 $1,022.50 |
$664.97 $715.82 $769.70 $961.09 |
$953.18 $1,004.03 $1,057.91 $1,249.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.52 $855.22 $962.98 $1,345.76 $2,045.00 |
$1,041.73 $1,143.43 $1,251.19 $1,633.97 |
$1,329.94 $1,431.64 $1,539.40 $1,922.18 |
Toc - Plan #57 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 |
$294.45 $334.19 $376.29 $525.87 $799.11 |
$519.70 $559.44 $601.54 $751.12 |
$744.95 $784.69 $826.79 $976.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$588.90 $668.38 $752.58 $1,051.74 $1,598.22 |
$814.15 $893.63 $977.83 $1,276.99 |
$1,039.40 $1,118.88 $1,203.08 $1,502.24 |
Toc - Plan #58 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 |
$338.07 $383.70 $432.04 $603.78 $917.50 |
$596.69 $642.32 $690.66 $862.40 |
$855.31 $900.94 $949.28 $1,121.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$676.14 $767.40 $864.08 $1,207.56 $1,835.00 |
$934.76 $1,026.02 $1,122.70 $1,466.18 |
$1,193.38 $1,284.64 $1,381.32 $1,724.80 |
Toc - Plan #59 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 |
$366.92 $416.45 $468.92 $655.31 $995.81 |
$647.61 $697.14 $749.61 $936.00 |
$928.30 $977.83 $1,030.30 $1,216.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$733.84 $832.90 $937.84 $1,310.62 $1,991.62 |
$1,014.53 $1,113.59 $1,218.53 $1,591.31 |
$1,295.22 $1,394.28 $1,499.22 $1,872.00 |
Toc - Plan #60 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 |
$373.47 $423.88 $477.28 $667.00 $1,013.57 |
$659.17 $709.58 $762.98 $952.70 |
$944.87 $995.28 $1,048.68 $1,238.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$746.94 $847.76 $954.56 $1,334.00 $2,027.14 |
$1,032.64 $1,133.46 $1,240.26 $1,619.70 |
$1,318.34 $1,419.16 $1,525.96 $1,905.40 |
Toc - Plan #61 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 |
$345.42 $392.04 $441.44 $616.91 $937.45 |
$609.66 $656.28 $705.68 $881.15 |
$873.90 $920.52 $969.92 $1,145.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$690.84 $784.08 $882.88 $1,233.82 $1,874.90 |
$955.08 $1,048.32 $1,147.12 $1,498.06 |
$1,219.32 $1,312.56 $1,411.36 $1,762.30 |
Toc - Plan #62 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 |
$397.35 $450.98 $507.80 $709.65 $1,078.38 |
$701.31 $754.94 $811.76 $1,013.61 |
$1,005.27 $1,058.90 $1,115.72 $1,317.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$794.70 $901.96 $1,015.60 $1,419.30 $2,156.76 |
$1,098.66 $1,205.92 $1,319.56 $1,723.26 |
$1,402.62 $1,509.88 $1,623.52 $2,027.22 |
Toc - Plan #63 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 |
$288.74 $327.71 $369.00 $515.68 $783.62 |
$509.62 $548.59 $589.88 $736.56 |
$730.50 $769.47 $810.76 $957.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$577.48 $655.42 $738.00 $1,031.36 $1,567.24 |
$798.36 $876.30 $958.88 $1,252.24 |
$1,019.24 $1,097.18 $1,179.76 $1,473.12 |
Toc - Plan #64 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 |
$365.68 $415.04 $467.33 $653.09 $992.43 |
$645.42 $694.78 $747.07 $932.83 |
$925.16 $974.52 $1,026.81 $1,212.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731.36 $830.08 $934.66 $1,306.18 $1,984.86 |
$1,011.10 $1,109.82 $1,214.40 $1,585.92 |
$1,290.84 $1,389.56 $1,494.14 $1,865.66 |
Toc - Plan #65 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 |
$343.34 $389.68 $438.77 $613.19 $931.79 |
$605.99 $652.33 $701.42 $875.84 |
$868.64 $914.98 $964.07 $1,138.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$686.68 $779.36 $877.54 $1,226.38 $1,863.58 |
$949.33 $1,042.01 $1,140.19 $1,489.03 |
$1,211.98 $1,304.66 $1,402.84 $1,751.68 |
Toc - Plan #66 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 |
$389.73 $442.33 $498.06 $696.04 $1,057.69 |
$687.86 $740.46 $796.19 $994.17 |
$985.99 $1,038.59 $1,094.32 $1,292.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$779.46 $884.66 $996.12 $1,392.08 $2,115.38 |
$1,077.59 $1,182.79 $1,294.25 $1,690.21 |
$1,375.72 $1,480.92 $1,592.38 $1,988.34 |
Toc - Plan #67 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 |
$308.78 $350.46 $394.61 $551.46 $838.00 |
$544.99 $586.67 $630.82 $787.67 |
$781.20 $822.88 $867.03 $1,023.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$617.56 $700.92 $789.22 $1,102.92 $1,676.00 |
$853.77 $937.13 $1,025.43 $1,339.13 |
$1,089.98 $1,173.34 $1,261.64 $1,575.34 |
Toc - Plan #68 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 |
$373.80 $424.26 $477.71 $667.59 $1,014.48 |
$659.75 $710.21 $763.66 $953.54 |
$945.70 $996.16 $1,049.61 $1,239.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.60 $848.52 $955.42 $1,335.18 $2,028.96 |
$1,033.55 $1,134.47 $1,241.37 $1,621.13 |
$1,319.50 $1,420.42 $1,527.32 $1,907.08 |
Toc - Plan #69 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 |
$379.55 $430.78 $485.06 $677.86 $1,030.08 |
$669.90 $721.13 $775.41 $968.21 |
$960.25 $1,011.48 $1,065.76 $1,258.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$759.10 $861.56 $970.12 $1,355.72 $2,060.16 |
$1,049.45 $1,151.91 $1,260.47 $1,646.07 |
$1,339.80 $1,442.26 $1,550.82 $1,936.42 |
Toc - Plan #70 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 |
$411.02 $466.50 $525.28 $734.07 $1,115.49 |
$725.45 $780.93 $839.71 $1,048.50 |
$1,039.88 $1,095.36 $1,154.14 $1,362.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$822.04 $933.00 $1,050.56 $1,468.14 $2,230.98 |
$1,136.47 $1,247.43 $1,364.99 $1,782.57 |
$1,450.90 $1,561.86 $1,679.42 $2,097.00 |
Toc - Plan #71 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 |
$298.68 $338.99 $381.70 $533.43 $810.59 |
$527.16 $567.47 $610.18 $761.91 |
$755.64 $795.95 $838.66 $990.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$597.36 $677.98 $763.40 $1,066.86 $1,621.18 |
$825.84 $906.46 $991.88 $1,295.34 |
$1,054.32 $1,134.94 $1,220.36 $1,523.82 |
Toc - Plan #72 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 |
$378.27 $429.32 $483.41 $675.57 $1,026.59 |
$667.64 $718.69 $772.78 $964.94 |
$957.01 $1,008.06 $1,062.15 $1,254.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$756.54 $858.64 $966.82 $1,351.14 $2,053.18 |
$1,045.91 $1,148.01 $1,256.19 $1,640.51 |
$1,335.28 $1,437.38 $1,545.56 $1,929.88 |
Toc - Plan #73 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 |
$355.16 $403.09 $453.88 $634.29 $963.86 |
$626.85 $674.78 $725.57 $905.98 |
$898.54 $946.47 $997.26 $1,177.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$710.32 $806.18 $907.76 $1,268.58 $1,927.72 |
$982.01 $1,077.87 $1,179.45 $1,540.27 |
$1,253.70 $1,349.56 $1,451.14 $1,811.96 |
Toc - Plan #74 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 |
$304.58 $345.69 $389.24 $543.97 $826.61 |
$537.58 $578.69 $622.24 $776.97 |
$770.58 $811.69 $855.24 $1,009.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$609.16 $691.38 $778.48 $1,087.94 $1,653.22 |
$842.16 $924.38 $1,011.48 $1,320.94 |
$1,075.16 $1,157.38 $1,244.48 $1,553.94 |
Toc - Plan #75 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 |
$349.71 $396.91 $446.91 $624.56 $949.08 |
$617.23 $664.43 $714.43 $892.08 |
$884.75 $931.95 $981.95 $1,159.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$699.42 $793.82 $893.82 $1,249.12 $1,898.16 |
$966.94 $1,061.34 $1,161.34 $1,516.64 |
$1,234.46 $1,328.86 $1,428.86 $1,784.16 |
Toc - Plan #76 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 |
$386.32 $438.47 $493.71 $689.96 $1,048.46 |
$681.85 $734.00 $789.24 $985.49 |
$977.38 $1,029.53 $1,084.77 $1,281.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$772.64 $876.94 $987.42 $1,379.92 $2,096.92 |
$1,068.17 $1,172.47 $1,282.95 $1,675.45 |
$1,363.70 $1,468.00 $1,578.48 $1,970.98 |
Toc - Plan #77 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 |
$357.31 $405.54 $456.63 $638.14 $969.72 |
$630.65 $678.88 $729.97 $911.48 |
$903.99 $952.22 $1,003.31 $1,184.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.62 $811.08 $913.26 $1,276.28 $1,939.44 |
$987.96 $1,084.42 $1,186.60 $1,549.62 |
$1,261.30 $1,357.76 $1,459.94 $1,822.96 |
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 #78 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 $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.04 $405.24 $456.30 $637.67 $969.01 |
$630.18 $678.38 $729.44 $910.81 |
$903.32 $951.52 $1,002.58 $1,183.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.08 $810.48 $912.60 $1,275.34 $1,938.02 |
$987.22 $1,083.62 $1,185.74 $1,548.48 |
$1,260.36 $1,356.76 $1,458.88 $1,821.62 |
Toc - Plan #79 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 1605 ($0 Virtual Visits / $0 Labs / Rewards $$$) |
||||||||||||||||||||
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 |
$483.87 $549.19 $618.39 $864.19 $1,313.22 |
$854.03 $919.35 $988.55 $1,234.35 |
$1,224.19 $1,289.51 $1,358.71 $1,604.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$967.74 $1,098.38 $1,236.78 $1,728.38 $2,626.44 |
$1,337.90 $1,468.54 $1,606.94 $2,098.54 |
$1,708.06 $1,838.70 $1,977.10 $2,468.70 |
Toc - Plan #80 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2017 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413.86 $469.73 $528.91 $739.15 $1,123.22 |
$730.46 $786.33 $845.51 $1,055.75 |
$1,047.06 $1,102.93 $1,162.11 $1,372.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$827.72 $939.46 $1,057.82 $1,478.30 $2,246.44 |
$1,144.32 $1,256.06 $1,374.42 $1,794.90 |
$1,460.92 $1,572.66 $1,691.02 $2,111.50 |
Toc - Plan #81 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2129 ($0 Virtual Visits / $35 PCP Visit / $75 Specialist Visits / $30 Generic Meds / Rewards $$$) |
||||||||||||||||||||
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 |
$375.78 $426.51 $480.25 $671.14 $1,019.87 |
$663.25 $713.98 $767.72 $958.61 |
$950.72 $1,001.45 $1,055.19 $1,246.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$751.56 $853.02 $960.50 $1,342.28 $2,039.74 |
$1,039.03 $1,140.49 $1,247.97 $1,629.75 |
$1,326.50 $1,427.96 $1,535.44 $1,917.22 |
Toc - Plan #82 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237 ($0 Virtual Visits / $60 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.56 $445.56 $501.69 $701.11 $1,065.41 |
$692.87 $745.87 $802.00 $1,001.42 |
$993.18 $1,046.18 $1,102.31 $1,301.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$785.12 $891.12 $1,003.38 $1,402.22 $2,130.82 |
$1,085.43 $1,191.43 $1,303.69 $1,702.53 |
$1,385.74 $1,491.74 $1,604.00 $2,002.84 |
Toc - Plan #83 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2219 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$349.56 $396.75 $446.74 $624.31 $948.71 |
$616.97 $664.16 $714.15 $891.72 |
$884.38 $931.57 $981.56 $1,159.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$699.12 $793.50 $893.48 $1,248.62 $1,897.42 |
$966.53 $1,060.91 $1,160.89 $1,516.03 |
$1,233.94 $1,328.32 $1,428.30 $1,783.44 |
Toc - Plan #84 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2312S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.49 $384.19 $432.59 $604.54 $918.66 |
$597.43 $643.13 $691.53 $863.48 |
$856.37 $902.07 $950.47 $1,122.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$676.98 $768.38 $865.18 $1,209.08 $1,837.32 |
$935.92 $1,027.32 $1,124.12 $1,468.02 |
$1,194.86 $1,286.26 $1,383.06 $1,726.96 |
Toc - Plan #85 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2329 ($0 Virtual Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
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 |
$367.02 $416.57 $469.05 $655.50 $996.09 |
$647.79 $697.34 $749.82 $936.27 |
$928.56 $978.11 $1,030.59 $1,217.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734.04 $833.14 $938.10 $1,311.00 $1,992.18 |
$1,014.81 $1,113.91 $1,218.87 $1,591.77 |
$1,295.58 $1,394.68 $1,499.64 $1,872.54 |
Toc - Plan #86 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 24M06-50 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.45 $474.94 $534.78 $747.35 $1,135.67 |
$738.56 $795.05 $854.89 $1,067.46 |
$1,058.67 $1,115.16 $1,175.00 $1,387.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$836.90 $949.88 $1,069.56 $1,494.70 $2,271.34 |
$1,157.01 $1,269.99 $1,389.67 $1,814.81 |
$1,477.12 $1,590.10 $1,709.78 $2,134.92 |
Toc - Plan #87 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2313S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
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 |
$414.26 $470.19 $529.42 $739.87 $1,124.30 |
$731.17 $787.10 $846.33 $1,056.78 |
$1,048.08 $1,104.01 $1,163.24 $1,373.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$828.52 $940.38 $1,058.84 $1,479.74 $2,248.60 |
$1,145.43 $1,257.29 $1,375.75 $1,796.65 |
$1,462.34 $1,574.20 $1,692.66 $2,113.56 |
Toc - Plan #88 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 2314S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$477.09 $541.50 $609.72 $852.08 $1,294.82 |
$842.06 $906.47 $974.69 $1,217.05 |
$1,207.03 $1,271.44 $1,339.66 $1,582.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$954.18 $1,083.00 $1,219.44 $1,704.16 $2,589.64 |
$1,319.15 $1,447.97 $1,584.41 $2,069.13 |
$1,684.12 $1,812.94 $1,949.38 $2,434.10 |
Toc - Plan #89 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 24M05-74 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$501.49 $569.19 $640.90 $895.66 $1,361.04 |
$885.13 $952.83 $1,024.54 $1,279.30 |
$1,268.77 $1,336.47 $1,408.18 $1,662.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,002.98 $1,138.38 $1,281.80 $1,791.32 $2,722.08 |
$1,386.62 $1,522.02 $1,665.44 $2,174.96 |
$1,770.26 $1,905.66 $2,049.08 $2,558.60 |
Toc - Plan #90 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) myBlue Platinum 24M05-75 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$614.99 $698.01 $785.96 $1,098.37 $1,669.08 |
$1,085.46 $1,168.48 $1,256.43 $1,568.84 |
$1,555.93 $1,638.95 $1,726.90 $2,039.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,229.98 $1,396.02 $1,571.92 $2,196.74 $3,338.16 |
$1,700.45 $1,866.49 $2,042.39 $2,667.21 |
$2,170.92 $2,336.96 $2,512.86 $3,137.68 |
Toc - Plan #91 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 24M06-76 ($0 Virtual Visits / $10 Labs / Rewards $$$) |
||||||||||||||||||||
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 |
$384.66 $436.59 $491.60 $687.00 $1,043.97 |
$678.92 $730.85 $785.86 $981.26 |
$973.18 $1,025.11 $1,080.12 $1,275.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$769.32 $873.18 $983.20 $1,374.00 $2,087.94 |
$1,063.58 $1,167.44 $1,277.46 $1,668.26 |
$1,357.84 $1,461.70 $1,571.72 $1,962.52 |
Toc - Plan #92 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) myBlue Platinum 24M05-00S ($0 Deductible / $10 PCP Visits / Multilingual Available / Rewards $$$ ) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$612.43 $695.11 $782.69 $1,093.80 $1,662.14 |
$1,080.94 $1,163.62 $1,251.20 $1,562.31 |
$1,549.45 $1,632.13 $1,719.71 $2,030.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,224.86 $1,390.22 $1,565.38 $2,187.60 $3,324.28 |
$1,693.37 $1,858.73 $2,033.89 $2,656.11 |
$2,161.88 $2,327.24 $2,502.40 $3,124.62 |
Toc - Plan #93 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237D ($0 Virtual Visits / $60 PCP Visits / Adult Dental / Rewards $$$) |
||||||||||||||||||||
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 |
$400.41 $454.47 $511.72 $715.13 $1,086.71 |
$706.72 $760.78 $818.03 $1,021.44 |
$1,013.03 $1,067.09 $1,124.34 $1,327.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$800.82 $908.94 $1,023.44 $1,430.26 $2,173.42 |
$1,107.13 $1,215.25 $1,329.75 $1,736.57 |
$1,413.44 $1,521.56 $1,636.06 $2,042.88 |
Toc - Plan #94 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 24M06-76D ($0 Virtual Visits / Adult Dental / $10 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.55 $445.54 $501.68 $701.09 $1,065.38 |
$692.85 $745.84 $801.98 $1,001.39 |
$993.15 $1,046.14 $1,102.28 $1,301.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$785.10 $891.08 $1,003.36 $1,402.18 $2,130.76 |
$1,085.40 $1,191.38 $1,303.66 $1,702.48 |
$1,385.70 $1,491.68 $1,603.96 $2,002.78 |
Toc - Plan #95 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(POS) BlueCare Platinum 24K02-15 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$895.07 $1,015.90 $1,143.90 $1,598.60 $2,429.22 |
$1,579.80 $1,700.63 $1,828.63 $2,283.33 |
$2,264.53 $2,385.36 $2,513.36 $2,968.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,790.14 $2,031.80 $2,287.80 $3,197.20 $4,858.44 |
$2,474.87 $2,716.53 $2,972.53 $3,881.93 |
$3,159.60 $3,401.26 $3,657.26 $4,566.66 |
Toc - Plan #96 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 $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$525.47 $596.41 $671.55 $938.49 $1,426.13 |
$927.45 $998.39 $1,073.53 $1,340.47 |
$1,329.43 $1,400.37 $1,475.51 $1,742.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,050.94 $1,192.82 $1,343.10 $1,876.98 $2,852.26 |
$1,452.92 $1,594.80 $1,745.08 $2,278.96 |
$1,854.90 $1,996.78 $2,147.06 $2,680.94 |
Toc - Plan #97 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Bronze
(POS) BlueCare Bronze 24K02-18 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$478.79 $543.43 $611.89 $855.12 $1,299.44 |
$845.06 $909.70 $978.16 $1,221.39 |
$1,211.33 $1,275.97 $1,344.43 $1,587.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$957.58 $1,086.86 $1,223.78 $1,710.24 $2,598.88 |
$1,323.85 $1,453.13 $1,590.05 $2,076.51 |
$1,690.12 $1,819.40 $1,956.32 $2,442.78 |
Toc - Plan #98 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(POS) BlueCare Gold 24K02-20 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$774.31 $878.84 $989.57 $1,382.92 $2,101.48 |
$1,366.66 $1,471.19 $1,581.92 $1,975.27 |
$1,959.01 $2,063.54 $2,174.27 $2,567.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,548.62 $1,757.68 $1,979.14 $2,765.84 $4,202.96 |
$2,140.97 $2,350.03 $2,571.49 $3,358.19 |
$2,733.32 $2,942.38 $3,163.84 $3,950.54 |
Toc - Plan #99 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(POS) BlueCare Silver 24K02-21 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$614.67 $697.65 $785.55 $1,097.80 $1,668.21 |
$1,084.89 $1,167.87 $1,255.77 $1,568.02 |
$1,555.11 $1,638.09 $1,725.99 $2,038.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,229.34 $1,395.30 $1,571.10 $2,195.60 $3,336.42 |
$1,699.56 $1,865.52 $2,041.32 $2,665.82 |
$2,169.78 $2,335.74 $2,511.54 $3,136.04 |
Toc - Plan #100 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 $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$560.66 $636.35 $716.52 $1,001.34 $1,521.63 |
$989.56 $1,065.25 $1,145.42 $1,430.24 |
$1,418.46 $1,494.15 $1,574.32 $1,859.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,121.32 $1,272.70 $1,433.04 $2,002.68 $3,043.26 |
$1,550.22 $1,701.60 $1,861.94 $2,431.58 |
$1,979.12 $2,130.50 $2,290.84 $2,860.48 |
Toc - Plan #101 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(POS) BlueCare Bronze 24K02-26S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
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 |
$511.93 $581.04 $654.25 $914.31 $1,389.38 |
$903.56 $972.67 $1,045.88 $1,305.94 |
$1,295.19 $1,364.30 $1,437.51 $1,697.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,023.86 $1,162.08 $1,308.50 $1,828.62 $2,778.76 |
$1,415.49 $1,553.71 $1,700.13 $2,220.25 |
$1,807.12 $1,945.34 $2,091.76 $2,611.88 |
Toc - Plan #102 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(POS) BlueCare Silver 24K02-27S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$650.95 $738.83 $831.91 $1,162.60 $1,766.68 |
$1,148.93 $1,236.81 $1,329.89 $1,660.58 |
$1,646.91 $1,734.79 $1,827.87 $2,158.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,301.90 $1,477.66 $1,663.82 $2,325.20 $3,533.36 |
$1,799.88 $1,975.64 $2,161.80 $2,823.18 |
$2,297.86 $2,473.62 $2,659.78 $3,321.16 |
Toc - Plan #103 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(POS) BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available/ Rewards $$$) |
||||||||||||||||||||
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 |
$719.92 $817.11 $920.06 $1,285.78 $1,953.86 |
$1,270.66 $1,367.85 $1,470.80 $1,836.52 |
$1,821.40 $1,918.59 $2,021.54 $2,387.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,439.84 $1,634.22 $1,840.12 $2,571.56 $3,907.72 |
$1,990.58 $2,184.96 $2,390.86 $3,122.30 |
$2,541.32 $2,735.70 $2,941.60 $3,673.04 |
Toc - Plan #104 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 |
$892.24 $1,012.69 $1,140.28 $1,593.54 $2,421.54 |
$1,574.80 $1,695.25 $1,822.84 $2,276.10 |
$2,257.36 $2,377.81 $2,505.40 $2,958.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,784.48 $2,025.38 $2,280.56 $3,187.08 $4,843.08 |
$2,467.04 $2,707.94 $2,963.12 $3,869.64 |
$3,149.60 $3,390.50 $3,645.68 $4,552.20 |
ADVERTISEMENT
Oscar Insurance Company of FloridaLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #105 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite + PCP Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.47 $400.04 $450.44 $629.49 $956.57 |
$622.10 $669.67 $720.07 $899.12 |
$891.73 $939.30 $989.70 $1,168.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.94 $800.08 $900.88 $1,258.98 $1,913.14 |
$974.57 $1,069.71 $1,170.51 $1,528.61 |
$1,244.20 $1,339.34 $1,440.14 $1,798.24 |
Toc - Plan #106 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.42 $440.84 $496.38 $693.70 $1,054.14 |
$685.55 $737.97 $793.51 $990.83 |
$982.68 $1,035.10 $1,090.64 $1,287.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$776.84 $881.68 $992.76 $1,387.40 $2,108.28 |
$1,073.97 $1,178.81 $1,289.89 $1,684.53 |
$1,371.10 $1,475.94 $1,587.02 $1,981.66 |
Toc - Plan #107 Oscar Insurance Company of Florida | ||||||||||||||||||||
Catastrophic
(EPO) Secure |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$234.86 $266.55 $300.13 $419.44 $637.37 |
$414.52 $446.21 $479.79 $599.10 |
$594.18 $625.87 $659.45 $778.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$469.72 $533.10 $600.26 $838.88 $1,274.74 |
$649.38 $712.76 $779.92 $1,018.54 |
$829.04 $892.42 $959.58 $1,198.20 |
Toc - Plan #108 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite + Specialist Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.60 $402.46 $453.17 $633.30 $962.36 |
$625.86 $673.72 $724.43 $904.56 |
$897.12 $944.98 $995.69 $1,175.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$709.20 $804.92 $906.34 $1,266.60 $1,924.72 |
$980.46 $1,076.18 $1,177.60 $1,537.86 |
$1,251.72 $1,347.44 $1,448.86 $1,809.12 |
Toc - Plan #109 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412.26 $467.91 $526.86 $736.28 $1,118.85 |
$727.63 $783.28 $842.23 $1,051.65 |
$1,043.00 $1,098.65 $1,157.60 $1,367.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$824.52 $935.82 $1,053.72 $1,472.56 $2,237.70 |
$1,139.89 $1,251.19 $1,369.09 $1,787.93 |
$1,455.26 $1,566.56 $1,684.46 $2,103.30 |
Toc - Plan #110 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.42 $439.71 $495.11 $691.91 $1,051.42 |
$683.79 $736.08 $791.48 $988.28 |
$980.16 $1,032.45 $1,087.85 $1,284.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$774.84 $879.42 $990.22 $1,383.82 $2,102.84 |
$1,071.21 $1,175.79 $1,286.59 $1,680.19 |
$1,367.58 $1,472.16 $1,582.96 $1,976.56 |
Toc - Plan #111 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.37 $448.74 $505.28 $706.12 $1,073.02 |
$697.82 $751.19 $807.73 $1,008.57 |
$1,000.27 $1,053.64 $1,110.18 $1,311.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790.74 $897.48 $1,010.56 $1,412.24 $2,146.04 |
$1,093.19 $1,199.93 $1,313.01 $1,714.69 |
$1,395.64 $1,502.38 $1,615.46 $2,017.14 |
Toc - Plan #112 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic 4700 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$319.06 $362.12 $407.75 $569.82 $865.90 |
$563.13 $606.19 $651.82 $813.89 |
$807.20 $850.26 $895.89 $1,057.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$638.12 $724.24 $815.50 $1,139.64 $1,731.80 |
$882.19 $968.31 $1,059.57 $1,383.71 |
$1,126.26 $1,212.38 $1,303.64 $1,627.78 |
Toc - Plan #113 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.59 $436.50 $491.50 $686.87 $1,043.76 |
$678.80 $730.71 $785.71 $981.08 |
$973.01 $1,024.92 $1,079.92 $1,275.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$769.18 $873.00 $983.00 $1,373.74 $2,087.52 |
$1,063.39 $1,167.21 $1,277.21 $1,667.95 |
$1,357.60 $1,461.42 $1,571.42 $1,962.16 |
Toc - Plan #114 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$450.13 $510.89 $575.26 $803.92 $1,221.64 |
$794.47 $855.23 $919.60 $1,148.26 |
$1,138.81 $1,199.57 $1,263.94 $1,492.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$900.26 $1,021.78 $1,150.52 $1,607.84 $2,443.28 |
$1,244.60 $1,366.12 $1,494.86 $1,952.18 |
$1,588.94 $1,710.46 $1,839.20 $2,296.52 |
Toc - Plan #115 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$427.42 $485.11 $546.23 $763.35 $1,159.99 |
$754.39 $812.08 $873.20 $1,090.32 |
$1,081.36 $1,139.05 $1,200.17 $1,417.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$854.84 $970.22 $1,092.46 $1,526.70 $2,319.98 |
$1,181.81 $1,297.19 $1,419.43 $1,853.67 |
$1,508.78 $1,624.16 $1,746.40 $2,180.64 |
Toc - Plan #116 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]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$346.16 $392.88 $442.38 $618.23 $939.45 |
$610.97 $657.69 $707.19 $883.04 |
$875.78 $922.50 $972.00 $1,147.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$692.32 $785.76 $884.76 $1,236.46 $1,878.90 |
$957.13 $1,050.57 $1,149.57 $1,501.27 |
$1,221.94 $1,315.38 $1,414.38 $1,766.08 |
Toc - Plan #117 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316.23 $358.91 $404.13 $564.78 $858.23 |
$558.14 $600.82 $646.04 $806.69 |
$800.05 $842.73 $887.95 $1,048.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$632.46 $717.82 $808.26 $1,129.56 $1,716.46 |
$874.37 $959.73 $1,050.17 $1,371.47 |
$1,116.28 $1,201.64 $1,292.08 $1,613.38 |
Toc - Plan #118 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.39 $437.40 $492.51 $688.28 $1,045.91 |
$680.20 $732.21 $787.32 $983.09 |
$975.01 $1,027.02 $1,082.13 $1,277.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$770.78 $874.80 $985.02 $1,376.56 $2,091.82 |
$1,065.59 $1,169.61 $1,279.83 $1,671.37 |
$1,360.40 $1,464.42 $1,574.64 $1,966.18 |
Toc - Plan #119 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.47 $452.26 $509.24 $711.66 $1,081.43 |
$703.29 $757.08 $814.06 $1,016.48 |
$1,008.11 $1,061.90 $1,118.88 $1,321.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$796.94 $904.52 $1,018.48 $1,423.32 $2,162.86 |
$1,101.76 $1,209.34 $1,323.30 $1,728.14 |
$1,406.58 $1,514.16 $1,628.12 $2,032.96 |
ADVERTISEMENT
Molina HealthcareLocal: 1-888-560-5716 | Toll Free: 1-888-560-5716 | TTY: 1-800-955-8771 |
Toc - Plan #120 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 |
$614.83 $697.83 $785.75 $1,098.08 $1,668.64 |
$1,085.17 $1,168.17 $1,256.09 $1,568.42 |
$1,555.51 $1,638.51 $1,726.43 $2,038.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,229.66 $1,395.66 $1,571.50 $2,196.16 $3,337.28 |
$1,700.00 $1,866.00 $2,041.84 $2,666.50 |
$2,170.34 $2,336.34 $2,512.18 $3,136.84 |
Toc - Plan #121 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 |
$522.86 $593.44 $668.21 $933.82 $1,419.03 |
$922.84 $993.42 $1,068.19 $1,333.80 |
$1,322.82 $1,393.40 $1,468.17 $1,733.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,045.72 $1,186.88 $1,336.42 $1,867.64 $2,838.06 |
$1,445.70 $1,586.86 $1,736.40 $2,267.62 |
$1,845.68 $1,986.84 $2,136.38 $2,667.60 |
Toc - Plan #122 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 |
$484.35 $549.73 $618.99 $865.04 $1,314.52 |
$854.88 $920.26 $989.52 $1,235.57 |
$1,225.41 $1,290.79 $1,360.05 $1,606.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$968.70 $1,099.46 $1,237.98 $1,730.08 $2,629.04 |
$1,339.23 $1,469.99 $1,608.51 $2,100.61 |
$1,709.76 $1,840.52 $1,979.04 $2,471.14 |
Toc - Plan #123 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 |
$628.71 $713.59 $803.49 $1,122.88 $1,706.32 |
$1,109.67 $1,194.55 $1,284.45 $1,603.84 |
$1,590.63 $1,675.51 $1,765.41 $2,084.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,257.42 $1,427.18 $1,606.98 $2,245.76 $3,412.64 |
$1,738.38 $1,908.14 $2,087.94 $2,726.72 |
$2,219.34 $2,389.10 $2,568.90 $3,207.68 |
Toc - Plan #124 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 |
$532.48 $604.37 $680.52 $951.02 $1,445.16 |
$939.83 $1,011.72 $1,087.87 $1,358.37 |
$1,347.18 $1,419.07 $1,495.22 $1,765.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,064.96 $1,208.74 $1,361.04 $1,902.04 $2,890.32 |
$1,472.31 $1,616.09 $1,768.39 $2,309.39 |
$1,879.66 $2,023.44 $2,175.74 $2,716.74 |
Toc - Plan #125 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 |
$416.43 $472.65 $532.20 $743.75 $1,130.20 |
$735.00 $791.22 $850.77 $1,062.32 |
$1,053.57 $1,109.79 $1,169.34 $1,380.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$832.86 $945.30 $1,064.40 $1,487.50 $2,260.40 |
$1,151.43 $1,263.87 $1,382.97 $1,806.07 |
$1,470.00 $1,582.44 $1,701.54 $2,124.64 |
Toc - Plan #126 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 |
$520.77 $591.07 $665.54 $930.09 $1,413.36 |
$919.16 $989.46 $1,063.93 $1,328.48 |
$1,317.55 $1,387.85 $1,462.32 $1,726.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,041.54 $1,182.14 $1,331.08 $1,860.18 $2,826.72 |
$1,439.93 $1,580.53 $1,729.47 $2,258.57 |
$1,838.32 $1,978.92 $2,127.86 $2,656.96 |
Toc - Plan #127 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Gold 1 with Adult Vision Services |
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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 |
$618.89 $702.44 $790.94 $1,105.33 $1,679.66 |
$1,092.34 $1,175.89 $1,264.39 $1,578.78 |
$1,565.79 $1,649.34 $1,737.84 $2,052.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,237.78 $1,404.88 $1,581.88 $2,210.66 $3,359.32 |
$1,711.23 $1,878.33 $2,055.33 $2,684.11 |
$2,184.68 $2,351.78 $2,528.78 $3,157.56 |
Toc - Plan #128 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 |
$526.76 $597.87 $673.20 $940.80 $1,429.63 |
$929.73 $1,000.84 $1,076.17 $1,343.77 |
$1,332.70 $1,403.81 $1,479.14 $1,746.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,053.52 $1,195.74 $1,346.40 $1,881.60 $2,859.26 |
$1,456.49 $1,598.71 $1,749.37 $2,284.57 |
$1,859.46 $2,001.68 $2,152.34 $2,687.54 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-888-200-0405 | Toll Free: 1-888-200-0405 | TTY: 1-888-200-0405 |
Toc - Plan #129 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 |
$422.61 $479.66 $540.09 $754.77 $1,146.95 |
$745.90 $802.95 $863.38 $1,078.06 |
$1,069.19 $1,126.24 $1,186.67 $1,401.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$845.22 $959.32 $1,080.18 $1,509.54 $2,293.90 |
$1,168.51 $1,282.61 $1,403.47 $1,832.83 |
$1,491.80 $1,605.90 $1,726.76 $2,156.12 |
Toc - Plan #130 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 |
$338.69 $384.41 $432.85 $604.90 $919.20 |
$597.79 $643.51 $691.95 $864.00 |
$856.89 $902.61 $951.05 $1,123.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$677.38 $768.82 $865.70 $1,209.80 $1,838.40 |
$936.48 $1,027.92 $1,124.80 $1,468.90 |
$1,195.58 $1,287.02 $1,383.90 $1,728.00 |
Toc - Plan #131 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 |
$339.21 $385.00 $433.51 $605.83 $920.61 |
$598.71 $644.50 $693.01 $865.33 |
$858.21 $904.00 $952.51 $1,124.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$678.42 $770.00 $867.02 $1,211.66 $1,841.22 |
$937.92 $1,029.50 $1,126.52 $1,471.16 |
$1,197.42 $1,289.00 $1,386.02 $1,730.66 |
Toc - Plan #132 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 |
$485.73 $551.31 $620.76 $867.52 $1,318.27 |
$857.31 $922.89 $992.34 $1,239.10 |
$1,228.89 $1,294.47 $1,363.92 $1,610.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$971.46 $1,102.62 $1,241.52 $1,735.04 $2,636.54 |
$1,343.04 $1,474.20 $1,613.10 $2,106.62 |
$1,714.62 $1,845.78 $1,984.68 $2,478.20 |
Toc - Plan #133 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 |
$477.47 $541.93 $610.21 $852.76 $1,295.85 |
$842.73 $907.19 $975.47 $1,218.02 |
$1,207.99 $1,272.45 $1,340.73 $1,583.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$954.94 $1,083.86 $1,220.42 $1,705.52 $2,591.70 |
$1,320.20 $1,449.12 $1,585.68 $2,070.78 |
$1,685.46 $1,814.38 $1,950.94 $2,436.04 |
Toc - Plan #134 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 |
$439.60 $498.95 $561.82 $785.13 $1,193.09 |
$775.90 $835.25 $898.12 $1,121.43 |
$1,112.20 $1,171.55 $1,234.42 $1,457.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$879.20 $997.90 $1,123.64 $1,570.26 $2,386.18 |
$1,215.50 $1,334.20 $1,459.94 $1,906.56 |
$1,551.80 $1,670.50 $1,796.24 $2,242.86 |
Toc - Plan #135 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 |
$417.92 $474.33 $534.10 $746.40 $1,134.22 |
$737.63 $794.04 $853.81 $1,066.11 |
$1,057.34 $1,113.75 $1,173.52 $1,385.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$835.84 $948.66 $1,068.20 $1,492.80 $2,268.44 |
$1,155.55 $1,268.37 $1,387.91 $1,812.51 |
$1,475.26 $1,588.08 $1,707.62 $2,132.22 |
Toc - Plan #136 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 |
$333.72 $378.78 $426.50 $596.03 $905.73 |
$589.02 $634.08 $681.80 $851.33 |
$844.32 $889.38 $937.10 $1,106.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$667.44 $757.56 $853.00 $1,192.06 $1,811.46 |
$922.74 $1,012.86 $1,108.30 $1,447.36 |
$1,178.04 $1,268.16 $1,363.60 $1,702.66 |
Toc - Plan #137 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 |
$339.71 $385.57 $434.14 $606.72 $921.96 |
$599.59 $645.45 $694.02 $866.60 |
$859.47 $905.33 $953.90 $1,126.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$679.42 $771.14 $868.28 $1,213.44 $1,843.92 |
$939.30 $1,031.02 $1,128.16 $1,473.32 |
$1,199.18 $1,290.90 $1,388.04 $1,733.20 |
Toc - Plan #138 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 |
$356.23 $404.32 $455.26 $636.23 $966.81 |
$628.75 $676.84 $727.78 $908.75 |
$901.27 $949.36 $1,000.30 $1,181.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$712.46 $808.64 $910.52 $1,272.46 $1,933.62 |
$984.98 $1,081.16 $1,183.04 $1,544.98 |
$1,257.50 $1,353.68 $1,455.56 $1,817.50 |
Toc - Plan #139 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 |
$421.68 $478.60 $538.90 $753.11 $1,144.43 |
$744.26 $801.18 $861.48 $1,075.69 |
$1,066.84 $1,123.76 $1,184.06 $1,398.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$843.36 $957.20 $1,077.80 $1,506.22 $2,288.86 |
$1,165.94 $1,279.78 $1,400.38 $1,828.80 |
$1,488.52 $1,602.36 $1,722.96 $2,151.38 |
Toc - Plan #140 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 |
$426.44 $484.00 $544.98 $761.61 $1,157.35 |
$752.66 $810.22 $871.20 $1,087.83 |
$1,078.88 $1,136.44 $1,197.42 $1,414.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$852.88 $968.00 $1,089.96 $1,523.22 $2,314.70 |
$1,179.10 $1,294.22 $1,416.18 $1,849.44 |
$1,505.32 $1,620.44 $1,742.40 $2,175.66 |
Toc - Plan #141 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 |
$474.80 $538.90 $606.79 $847.99 $1,288.60 |
$838.02 $902.12 $970.01 $1,211.21 |
$1,201.24 $1,265.34 $1,333.23 $1,574.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$949.60 $1,077.80 $1,213.58 $1,695.98 $2,577.20 |
$1,312.82 $1,441.02 $1,576.80 $2,059.20 |
$1,676.04 $1,804.24 $1,940.02 $2,422.42 |
Toc - Plan #142 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 |
$476.08 $540.35 $608.43 $850.28 $1,292.08 |
$840.28 $904.55 $972.63 $1,214.48 |
$1,204.48 $1,268.75 $1,336.83 $1,578.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$952.16 $1,080.70 $1,216.86 $1,700.56 $2,584.16 |
$1,316.36 $1,444.90 $1,581.06 $2,064.76 |
$1,680.56 $1,809.10 $1,945.26 $2,428.96 |
Toc - Plan #143 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 |
$503.35 $571.31 $643.29 $898.99 $1,366.10 |
$888.42 $956.38 $1,028.36 $1,284.06 |
$1,273.49 $1,341.45 $1,413.43 $1,669.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,006.70 $1,142.62 $1,286.58 $1,797.98 $2,732.20 |
$1,391.77 $1,527.69 $1,671.65 $2,183.05 |
$1,776.84 $1,912.76 $2,056.72 $2,568.12 |
Toc - Plan #144 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 |
$445.18 $505.27 $568.93 $795.08 $1,208.21 |
$785.74 $845.83 $909.49 $1,135.64 |
$1,126.30 $1,186.39 $1,250.05 $1,476.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$890.36 $1,010.54 $1,137.86 $1,590.16 $2,416.42 |
$1,230.92 $1,351.10 $1,478.42 $1,930.72 |
$1,571.48 $1,691.66 $1,818.98 $2,271.28 |
‡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 Pinellas County here.
Pinellas County is in “Rating Area 52” of Florida.
Currently, there are 144 plans offered in Rating Area 52.