The health insurance rates listed below are for calendar year 2016.
2016 Rates and Providers
(click here for 2014)
(click here for 2015)
This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Lakeland, FL.
Obamacare Providers, Plans and 2016 Rates for Polk County
Polk County is in “Rating Area 53” of Florida.
Currently, there are 5 providers offering 99 plans to Rating Area 53. †
Below, you’ll find a summary of plans and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must complete an application at HealthCare.gov or contact the provider directly.
The table below shows premiums for the following scenarios for:
- Individual
- Couple
- Couple with 1 2 or 3 children
- Individual with 1 2 or 3 children
- A child alone
Each scenario is covered for age
- Age 21, 30, 40, 50
- Age 60 (Individual and Couple only)
For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:
- a summary of plan benefits and costs,
- a plan brochure, and
- a "Provider Directory" -- where you can find out which doctors and hospitals in the Lakeland, FL area accept this insurance coverage as within the plan's "network".
ADVERTISEMENT
|
||||||||||
Blue Cross and Blue Shield of FloridaLocal: 1-855-805-8175 | Toll Free: 1-855-805-8175 |
||||||||||
Plan: (EPO) BlueOptions Everyday Health 1423Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$359.44 $407.96 $459.36 $641.96 $975.52 |
$718.88 $815.92 $918.72 $1283.92 $1951.04 |
$947.12 $1044.16 $1146.96 $1512.16 |
$1175.36 $1272.40 $1375.20 $1740.40 |
$1403.60 $1500.64 $1603.44 $1968.64 |
$587.68 $636.20 $687.60 $870.20 |
$815.92 $864.44 $915.84 $1098.44 |
$1044.16 $1092.68 $1144.08 $1326.68 |
$228.24 |
Plan: (EPO) BlueOptions Essential 1419Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$304.70 $345.83 $389.41 $544.19 $826.96 |
$609.40 $691.66 $778.82 $1088.38 $1653.92 |
$802.88 $885.14 $972.30 $1281.86 |
$996.36 $1078.62 $1165.78 $1475.34 |
$1189.84 $1272.10 $1359.26 $1668.82 |
$498.18 $539.31 $582.89 $737.67 |
$691.66 $732.79 $776.37 $931.15 |
$885.14 $926.27 $969.85 $1124.63 |
$193.48 |
Plan: (EPO) BlueOptions Everyday Health 1431Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$395.30 $448.67 $505.19 $706.01 $1072.84 |
$790.60 $897.34 $1010.38 $1412.02 $2145.68 |
$1041.62 $1148.36 $1261.40 $1663.04 |
$1292.64 $1399.38 $1512.42 $1914.06 |
$1543.66 $1650.40 $1763.44 $2165.08 |
$646.32 $699.69 $756.21 $957.03 |
$897.34 $950.71 $1007.23 $1208.05 |
$1148.36 $1201.73 $1258.25 $1459.07 |
$251.02 |
Plan: (EPO) BlueOptions Everyday Health 1418Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$800
: Family:
$1,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$528.25 $599.56 $675.10 $943.45 $1433.67 |
$1056.50 $1199.12 $1350.20 $1886.90 $2867.34 |
$1391.94 $1534.56 $1685.64 $2222.34 |
$1727.38 $1870.00 $2021.08 $2557.78 |
$2062.82 $2205.44 $2356.52 $2893.22 |
$863.69 $935.00 $1010.54 $1278.89 |
$1199.13 $1270.44 $1345.98 $1614.33 |
$1534.57 $1605.88 $1681.42 $1949.77 |
$335.44 |
Plan: (EPO) BlueOptions Everyday Health Premier 1418VSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$800
: Family:
$1,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$569.77 $646.69 $728.17 $1017.61 $1546.36 |
$1139.54 $1293.38 $1456.34 $2035.22 $3092.72 |
$1501.34 $1655.18 $1818.14 $2397.02 |
$1863.14 $2016.98 $2179.94 $2758.82 |
$2224.94 $2378.78 $2541.74 $3120.62 |
$931.57 $1008.49 $1089.97 $1379.41 |
$1293.37 $1370.29 $1451.77 $1741.21 |
$1655.17 $1732.09 $1813.57 $2103.01 |
$361.80 |
Plan: (EPO) BlueOptions Everyday Health 1416Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$6,700
: Family:
$13,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$337.91 $383.53 $431.85 $603.51 $917.09 |
$675.82 $767.06 $863.70 $1207.02 $1834.18 |
$890.39 $981.63 $1078.27 $1421.59 |
$1104.96 $1196.20 $1292.84 $1636.16 |
$1319.53 $1410.77 $1507.41 $1850.73 |
$552.48 $598.10 $646.42 $818.08 |
$767.05 $812.67 $860.99 $1032.65 |
$981.62 $1027.24 $1075.56 $1247.22 |
$214.57 |
Plan: (EPO) BlueOptions All Copay 1424Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$548.94 $623.05 $701.55 $980.41 $1489.82 |
$1097.88 $1246.10 $1403.10 $1960.82 $2979.64 |
$1446.46 $1594.68 $1751.68 $2309.40 |
$1795.04 $1943.26 $2100.26 $2657.98 |
$2143.62 $2291.84 $2448.84 $3006.56 |
$897.52 $971.63 $1050.13 $1328.99 |
$1246.10 $1320.21 $1398.71 $1677.57 |
$1594.68 $1668.79 $1747.29 $2026.15 |
$348.58 |
Plan: (EPO) BlueOptions Everyday Health 1410Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$6,100
: Family:
$12,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$334.54 $379.70 $427.54 $597.49 $907.94 |
$669.08 $759.40 $855.08 $1194.98 $1815.88 |
$881.51 $971.83 $1067.51 $1407.41 |
$1093.94 $1184.26 $1279.94 $1619.84 |
$1306.37 $1396.69 $1492.37 $1832.27 |
$546.97 $592.13 $639.97 $809.92 |
$759.40 $804.56 $852.40 $1022.35 |
$971.83 $1016.99 $1064.83 $1234.78 |
$212.43 |
Plan: (EPO) BlueOptions All Copay 1505Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$468.31 $531.53 $598.50 $836.40 $1270.99 |
$936.62 $1063.06 $1197.00 $1672.80 $2541.98 |
$1234.00 $1360.44 $1494.38 $1970.18 |
$1531.38 $1657.82 $1791.76 $2267.56 |
$1828.76 $1955.20 $2089.14 $2564.94 |
$765.69 $828.91 $895.88 $1133.78 |
$1063.07 $1126.29 $1193.26 $1431.16 |
$1360.45 $1423.67 $1490.64 $1728.54 |
$297.38 |
Plan: (EPO) BlueSelect Everyday Health 1456Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$265.90 $301.80 $339.82 $474.90 $721.65 |
$531.80 $603.60 $679.64 $949.80 $1443.30 |
$700.65 $772.45 $848.49 $1118.65 |
$869.50 $941.30 $1017.34 $1287.50 |
$1038.35 $1110.15 $1186.19 $1456.35 |
$434.75 $470.65 $508.67 $643.75 |
$603.60 $639.50 $677.52 $812.60 |
$772.45 $808.35 $846.37 $981.45 |
$168.85 |
Plan: (EPO) BlueSelect Essential 1452Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$224.28 $254.56 $286.63 $400.56 $608.70 |
$448.56 $509.12 $573.26 $801.12 $1217.40 |
$590.98 $651.54 $715.68 $943.54 |
$733.40 $793.96 $858.10 $1085.96 |
$875.82 $936.38 $1000.52 $1228.38 |
$366.70 $396.98 $429.05 $542.98 |
$509.12 $539.40 $571.47 $685.40 |
$651.54 $681.82 $713.89 $827.82 |
$142.42 |
Plan: (EPO) BlueSelect Everyday Health 1464Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$293.11 $332.68 $374.59 $523.49 $795.50 |
$586.22 $665.36 $749.18 $1046.98 $1591.00 |
$772.34 $851.48 $935.30 $1233.10 |
$958.46 $1037.60 $1121.42 $1419.22 |
$1144.58 $1223.72 $1307.54 $1605.34 |
$479.23 $518.80 $560.71 $709.61 |
$665.35 $704.92 $746.83 $895.73 |
$851.47 $891.04 $932.95 $1081.85 |
$186.12 |
Plan: (EPO) BlueSelect Everyday Health 1451Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$800
: Family:
$1,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$393.93 $447.11 $503.44 $703.56 $1069.13 |
$787.86 $894.22 $1006.88 $1407.12 $2138.26 |
$1038.01 $1144.37 $1257.03 $1657.27 |
$1288.16 $1394.52 $1507.18 $1907.42 |
$1538.31 $1644.67 $1757.33 $2157.57 |
$644.08 $697.26 $753.59 $953.71 |
$894.23 $947.41 $1003.74 $1203.86 |
$1144.38 $1197.56 $1253.89 $1454.01 |
$250.15 |
Plan: (EPO) BlueSelect Everyday Health Premier 1451VSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$800
: Family:
$1,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$424.90 $482.26 $543.02 $758.87 $1153.18 |
$849.80 $964.52 $1086.04 $1517.74 $2306.36 |
$1119.61 $1234.33 $1355.85 $1787.55 |
$1389.42 $1504.14 $1625.66 $2057.36 |
$1659.23 $1773.95 $1895.47 $2327.17 |
$694.71 $752.07 $812.83 $1028.68 |
$964.52 $1021.88 $1082.64 $1298.49 |
$1234.33 $1291.69 $1352.45 $1568.30 |
$269.81 |
Plan: (EPO) BlueSelect Everyday Health 1449Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$6,700
: Family:
$13,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$248.72 $282.30 $317.86 $444.21 $675.03 |
$497.44 $564.60 $635.72 $888.42 $1350.06 |
$655.38 $722.54 $793.66 $1046.36 |
$813.32 $880.48 $951.60 $1204.30 |
$971.26 $1038.42 $1109.54 $1362.24 |
$406.66 $440.24 $475.80 $602.15 |
$564.60 $598.18 $633.74 $760.09 |
$722.54 $756.12 $791.68 $918.03 |
$157.94 |
Plan: (EPO) BlueSelect All Copay 1457Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$411.72 $467.30 $526.18 $735.33 $1117.41 |
$823.44 $934.60 $1052.36 $1470.66 $2234.82 |
$1084.88 $1196.04 $1313.80 $1732.10 |
$1346.32 $1457.48 $1575.24 $1993.54 |
$1607.76 $1718.92 $1836.68 $2254.98 |
$673.16 $728.74 $787.62 $996.77 |
$934.60 $990.18 $1049.06 $1258.21 |
$1196.04 $1251.62 $1310.50 $1519.65 |
$261.44 |
Plan: (EPO) BlueSelect Everyday Health 1443Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$6,100
: Family:
$12,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$247.48 $280.89 $316.28 $442.00 $671.66 |
$494.96 $561.78 $632.56 $884.00 $1343.32 |
$652.11 $718.93 $789.71 $1041.15 |
$809.26 $876.08 $946.86 $1198.30 |
$966.41 $1033.23 $1104.01 $1355.45 |
$404.63 $438.04 $473.43 $599.15 |
$561.78 $595.19 $630.58 $756.30 |
$718.93 $752.34 $787.73 $913.45 |
$157.15 |
Plan: (EPO) BlueSelect All Copay 1535Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$352.98 $400.63 $451.11 $630.42 $957.99 |
$705.96 $801.26 $902.22 $1260.84 $1915.98 |
$930.10 $1025.40 $1126.36 $1484.98 |
$1154.24 $1249.54 $1350.50 $1709.12 |
$1378.38 $1473.68 $1574.64 $1933.26 |
$577.12 $624.77 $675.25 $854.56 |
$801.26 $848.91 $899.39 $1078.70 |
$1025.40 $1073.05 $1123.53 $1302.84 |
$224.14 |
ADVERTISEMENT
|
||||||||||
Celtic Insurance CompanyLocal: 1-877-687-1169 | Toll Free: 1-800-955-8770 |
||||||||||
Plan: (EPO) Ambetter Secure Care 1 (2016) with 3 PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-955-8770 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$295.77 $335.68 $377.98 $528.22 $802.69 |
$591.54 $671.36 $755.96 $1056.44 $1605.38 |
$779.35 $859.17 $943.77 $1244.25 |
$967.16 $1046.98 $1131.58 $1432.06 |
$1154.97 $1234.79 $1319.39 $1619.87 |
$483.58 $523.49 $565.79 $716.03 |
$671.39 $711.30 $753.60 $903.84 |
$859.20 $899.11 $941.41 $1091.65 |
$187.81 |
Plan: (EPO) Ambetter Balanced Care 1 (2016)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-955-8770 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$231.54 $262.79 $295.90 $413.52 $628.38 |
$463.08 $525.58 $591.80 $827.04 $1256.76 |
$610.10 $672.60 $738.82 $974.06 |
$757.12 $819.62 $885.84 $1121.08 |
$904.14 $966.64 $1032.86 $1268.10 |
$378.56 $409.81 $442.92 $560.54 |
$525.58 $556.83 $589.94 $707.56 |
$672.60 $703.85 $736.96 $854.58 |
$147.02 |
Plan: (EPO) Ambetter Balanced Care 2 (2016)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-955-8770 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$6,500
: Family:
$13,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$228.57 $259.42 $292.10 $408.21 $620.31 |
$457.14 $518.84 $584.20 $816.42 $1240.62 |
$602.28 $663.98 $729.34 $961.56 |
$747.42 $809.12 $874.48 $1106.70 |
$892.56 $954.26 $1019.62 $1251.84 |
$373.71 $404.56 $437.24 $553.35 |
$518.85 $549.70 $582.38 $698.49 |
$663.99 $694.84 $727.52 $843.63 |
$145.14 |
Plan: (EPO) Ambetter Balanced Care 10 (2016)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-955-8770 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$237.94 $270.05 $304.08 $424.95 $645.75 |
$475.88 $540.10 $608.16 $849.90 $1291.50 |
$626.97 $691.19 $759.25 $1000.99 |
$778.06 $842.28 $910.34 $1152.08 |
$929.15 $993.37 $1061.43 $1303.17 |
$389.03 $421.14 $455.17 $576.04 |
$540.12 $572.23 $606.26 $727.13 |
$691.21 $723.32 $757.35 $878.22 |
$151.09 |
Plan: (EPO) Ambetter Essential Care 1 (2016)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-955-8770 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$6,800
: Family:
$13,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$204.11 $231.66 $260.85 $364.53 $553.94 |
$408.22 $463.32 $521.70 $729.06 $1107.88 |
$537.83 $592.93 $651.31 $858.67 |
$667.44 $722.54 $780.92 $988.28 |
$797.05 $852.15 $910.53 $1117.89 |
$333.72 $361.27 $390.46 $494.14 |
$463.33 $490.88 $520.07 $623.75 |
$592.94 $620.49 $649.68 $753.36 |
$129.61 |
Plan: (EPO) Ambetter Essential Care 5 (2016) with 3 PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-955-8770 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$6,800
: Family:
$13,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$210.51 $238.92 $269.02 $375.96 $571.31 |
$421.02 $477.84 $538.04 $751.92 $1142.62 |
$554.69 $611.51 $671.71 $885.59 |
$688.36 $745.18 $805.38 $1019.26 |
$822.03 $878.85 $939.05 $1152.93 |
$344.18 $372.59 $402.69 $509.63 |
$477.85 $506.26 $536.36 $643.30 |
$611.52 $639.93 $670.03 $776.97 |
$133.67 |
Plan: (EPO) Ambetter Balanced Care 1 (2016) + VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-955-8770 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$236.25 $268.14 $301.92 $421.93 $641.17 |
$472.50 $536.28 $603.84 $843.86 $1282.34 |
$622.52 $686.30 $753.86 $993.88 |
$772.54 $836.32 $903.88 $1143.90 |
$922.56 $986.34 $1053.90 $1293.92 |
$386.27 $418.16 $451.94 $571.95 |
$536.29 $568.18 $601.96 $721.97 |
$686.31 $718.20 $751.98 $871.99 |
$150.02 |
Plan: (EPO) Ambetter Balanced Care 2 (2016)+ VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-955-8770 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$6,500
: Family:
$13,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$233.22 $264.70 $298.05 $416.52 $632.94 |
$466.44 $529.40 $596.10 $833.04 $1265.88 |
$614.53 $677.49 $744.19 $981.13 |
$762.62 $825.58 $892.28 $1129.22 |
$910.71 $973.67 $1040.37 $1277.31 |
$381.31 $412.79 $446.14 $564.61 |
$529.40 $560.88 $594.23 $712.70 |
$677.49 $708.97 $742.32 $860.79 |
$148.09 |
Plan: (EPO) Ambetter Balanced Care 10 (2016) + VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-955-8770 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$242.78 $275.55 $310.27 $433.60 $658.89 |
$485.56 $551.10 $620.54 $867.20 $1317.78 |
$639.72 $705.26 $774.70 $1021.36 |
$793.88 $859.42 $928.86 $1175.52 |
$948.04 $1013.58 $1083.02 $1329.68 |
$396.94 $429.71 $464.43 $587.76 |
$551.10 $583.87 $618.59 $741.92 |
$705.26 $738.03 $772.75 $896.08 |
$154.16 |
Plan: (EPO) Ambetter Essential Care 1 (2016) + VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-955-8770 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$6,800
: Family:
$13,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$208.27 $236.37 $266.16 $371.95 $565.22 |
$416.54 $472.74 $532.32 $743.90 $1130.44 |
$548.78 $604.98 $664.56 $876.14 |
$681.02 $737.22 $796.80 $1008.38 |
$813.26 $869.46 $929.04 $1140.62 |
$340.51 $368.61 $398.40 $504.19 |
$472.75 $500.85 $530.64 $636.43 |
$604.99 $633.09 $662.88 $768.67 |
$132.24 |
Plan: (EPO) Ambetter Essential Care 5 (2016) with 3 Free PCPS + VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-955-8770 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$6,800
: Family:
$13,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$214.80 $243.79 $274.50 $383.61 $582.94 |
$429.60 $487.58 $549.00 $767.22 $1165.88 |
$565.99 $623.97 $685.39 $903.61 |
$702.38 $760.36 $821.78 $1040.00 |
$838.77 $896.75 $958.17 $1176.39 |
$351.19 $380.18 $410.89 $520.00 |
$487.58 $516.57 $547.28 $656.39 |
$623.97 $652.96 $683.67 $792.78 |
$136.39 |
Plan: (EPO) Ambetter Balanced Care 1 (2016) + Vision + Adult DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-955-8770 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$243.87 $276.79 $311.66 $435.54 $661.85 |
$487.74 $553.58 $623.32 $871.08 $1323.70 |
$642.59 $708.43 $778.17 $1025.93 |
$797.44 $863.28 $933.02 $1180.78 |
$952.29 $1018.13 $1087.87 $1335.63 |
$398.72 $431.64 $466.51 $590.39 |
$553.57 $586.49 $621.36 $745.24 |
$708.42 $741.34 $776.21 $900.09 |
$154.85 |
Plan: (EPO) Ambetter Balanced Care 2 (2016) + Vision + Adult DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-955-8770 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$6,500
: Family:
$13,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$240.74 $273.23 $307.66 $429.95 $653.35 |
$481.48 $546.46 $615.32 $859.90 $1306.70 |
$634.35 $699.33 $768.19 $1012.77 |
$787.22 $852.20 $921.06 $1165.64 |
$940.09 $1005.07 $1073.93 $1318.51 |
$393.61 $426.10 $460.53 $582.82 |
$546.48 $578.97 $613.40 $735.69 |
$699.35 $731.84 $766.27 $888.56 |
$152.87 |
Plan: (EPO) Ambetter Balanced Care 10 (2016) + Vision +Adult dentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-955-8770 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$250.61 $284.44 $320.27 $447.58 $680.14 |
$501.22 $568.88 $640.54 $895.16 $1360.28 |
$660.35 $728.01 $799.67 $1054.29 |
$819.48 $887.14 $958.80 $1213.42 |
$978.61 $1046.27 $1117.93 $1372.55 |
$409.74 $443.57 $479.40 $606.71 |
$568.87 $602.70 $638.53 $765.84 |
$728.00 $761.83 $797.66 $924.97 |
$159.13 |
Plan: (EPO) Ambetter Essential Care 1 (2016) + Vision +Adult DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-955-8770 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$6,800
: Family:
$13,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$214.99 $244.00 $274.74 $383.95 $583.45 |
$429.98 $488.00 $549.48 $767.90 $1166.90 |
$566.49 $624.51 $685.99 $904.41 |
$703.00 $761.02 $822.50 $1040.92 |
$839.51 $897.53 $959.01 $1177.43 |
$351.50 $380.51 $411.25 $520.46 |
$488.01 $517.02 $547.76 $656.97 |
$624.52 $653.53 $684.27 $793.48 |
$136.51 |
Plan: (EPO) Ambetter Essential Care 5 (2016) With 3 Free PCP Visits + Vision + Adult DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-955-8770 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$6,800
: Family:
$13,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$221.73 $251.65 $283.35 $395.99 $601.74 |
$443.46 $503.30 $566.70 $791.98 $1203.48 |
$584.25 $644.09 $707.49 $932.77 |
$725.04 $784.88 $848.28 $1073.56 |
$865.83 $925.67 $989.07 $1214.35 |
$362.52 $392.44 $424.14 $536.78 |
$503.31 $533.23 $564.93 $677.57 |
$644.10 $674.02 $705.72 $818.36 |
$140.79 |
ADVERTISEMENT
|
||||||||||
Health Options, Inc.Local: 1-855-805-8175 | Toll Free: 1-855-805-8175 |
||||||||||
Plan: (HMO) BlueCare Everyday Health 1490Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$336.69 $382.14 $430.29 $601.33 $913.78 |
$673.38 $764.28 $860.58 $1202.66 $1827.56 |
$887.18 $978.08 $1074.38 $1416.46 |
$1100.98 $1191.88 $1288.18 $1630.26 |
$1314.78 $1405.68 $1501.98 $1844.06 |
$550.49 $595.94 $644.09 $815.13 |
$764.29 $809.74 $857.89 $1028.93 |
$978.09 $1023.54 $1071.69 $1242.73 |
$213.80 |
Plan: (HMO) BlueCare Essential 1486Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$286.87 $325.60 $366.62 $512.35 $778.57 |
$573.74 $651.20 $733.24 $1024.70 $1557.14 |
$755.90 $833.36 $915.40 $1206.86 |
$938.06 $1015.52 $1097.56 $1389.02 |
$1120.22 $1197.68 $1279.72 $1571.18 |
$469.03 $507.76 $548.78 $694.51 |
$651.19 $689.92 $730.94 $876.67 |
$833.35 $872.08 $913.10 $1058.83 |
$182.16 |
Plan: (HMO) BlueCare Everyday Health 1498Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$380.45 $431.81 $486.22 $679.48 $1032.54 |
$760.90 $863.62 $972.44 $1358.96 $2065.08 |
$1002.49 $1105.21 $1214.03 $1600.55 |
$1244.08 $1346.80 $1455.62 $1842.14 |
$1485.67 $1588.39 $1697.21 $2083.73 |
$622.04 $673.40 $727.81 $921.07 |
$863.63 $914.99 $969.40 $1162.66 |
$1105.22 $1156.58 $1210.99 $1404.25 |
$241.59 |
Plan: (HMO) BlueCare Everyday Health 1485Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$800
: Family:
$1,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$493.57 $560.20 $630.78 $881.52 $1339.55 |
$987.14 $1120.40 $1261.56 $1763.04 $2679.10 |
$1300.56 $1433.82 $1574.98 $2076.46 |
$1613.98 $1747.24 $1888.40 $2389.88 |
$1927.40 $2060.66 $2201.82 $2703.30 |
$806.99 $873.62 $944.20 $1194.94 |
$1120.41 $1187.04 $1257.62 $1508.36 |
$1433.83 $1500.46 $1571.04 $1821.78 |
$313.42 |
Plan: (HMO) BlueCare Everyday Health 1483Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$6,700
: Family:
$13,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$327.47 $371.68 $418.51 $584.86 $888.75 |
$654.94 $743.36 $837.02 $1169.72 $1777.50 |
$862.88 $951.30 $1044.96 $1377.66 |
$1070.82 $1159.24 $1252.90 $1585.60 |
$1278.76 $1367.18 $1460.84 $1793.54 |
$535.41 $579.62 $626.45 $792.80 |
$743.35 $787.56 $834.39 $1000.74 |
$951.29 $995.50 $1042.33 $1208.68 |
$207.94 |
Plan: (HMO) BlueCare All Copay 1491Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$513.86 $583.23 $656.71 $917.75 $1394.62 |
$1027.72 $1166.46 $1313.42 $1835.50 $2789.24 |
$1354.02 $1492.76 $1639.72 $2161.80 |
$1680.32 $1819.06 $1966.02 $2488.10 |
$2006.62 $2145.36 $2292.32 $2814.40 |
$840.16 $909.53 $983.01 $1244.05 |
$1166.46 $1235.83 $1309.31 $1570.35 |
$1492.76 $1562.13 $1635.61 $1896.65 |
$326.30 |
Plan: (HMO) BlueCare Everyday Health 1477Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$6,100
: Family:
$12,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$322.81 $366.39 $412.55 $576.54 $876.11 |
$645.62 $732.78 $825.10 $1153.08 $1752.22 |
$850.60 $937.76 $1030.08 $1358.06 |
$1055.58 $1142.74 $1235.06 $1563.04 |
$1260.56 $1347.72 $1440.04 $1768.02 |
$527.79 $571.37 $617.53 $781.52 |
$732.77 $776.35 $822.51 $986.50 |
$937.75 $981.33 $1027.49 $1191.48 |
$204.98 |
Plan: (HMO) BlueCare All Copay 1565Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$448.13 $508.63 $572.71 $800.36 $1216.22 |
$896.26 $1017.26 $1145.42 $1600.72 $2432.44 |
$1180.82 $1301.82 $1429.98 $1885.28 |
$1465.38 $1586.38 $1714.54 $2169.84 |
$1749.94 $1870.94 $1999.10 $2454.40 |
$732.69 $793.19 $857.27 $1084.92 |
$1017.25 $1077.75 $1141.83 $1369.48 |
$1301.81 $1362.31 $1426.39 $1654.04 |
$284.56 |
ADVERTISEMENT
|
||||||||||
Humana Medical Plan, Inc.Local: 1-877-720-4854 | Toll Free: 1-877-720-4854 TTY: 1-800-325-2028 |
||||||||||
Plan: (HMO) Humana Basic 6850/HMO PremierSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$176.58 $200.42 $225.67 $315.37 $479.24 |
$353.16 $400.84 $451.34 $630.74 $958.48 |
$465.29 $512.97 $563.47 $742.87 |
$577.42 $625.10 $675.60 $855.00 |
$689.55 $737.23 $787.73 $967.13 |
$288.71 $312.55 $337.80 $427.50 |
$400.84 $424.68 $449.93 $539.63 |
$512.97 $536.81 $562.06 $651.76 |
$112.13 |
Plan: (HMO) Humana Bronze 6450/HMO PremierSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)
Deductible: Individual:
$6,450
: Family:
$12,900 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$237.10 $269.11 $303.01 $423.46 $643.49 |
$474.20 $538.22 $606.02 $846.92 $1286.98 |
$624.76 $688.78 $756.58 $997.48 |
$775.32 $839.34 $907.14 $1148.04 |
$925.88 $989.90 $1057.70 $1298.60 |
$387.66 $419.67 $453.57 $574.02 |
$538.22 $570.23 $604.13 $724.58 |
$688.78 $720.79 $754.69 $875.14 |
$150.56 |
Plan: (HMO) Humana Bronze 4850/HMO PremierSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)
Deductible: Individual:
$4,850
: Family:
$9,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$258.21 $293.07 $329.99 $461.16 $700.78 |
$516.42 $586.14 $659.98 $922.32 $1401.56 |
$680.38 $750.10 $823.94 $1086.28 |
$844.34 $914.06 $987.90 $1250.24 |
$1008.30 $1078.02 $1151.86 $1414.20 |
$422.17 $457.03 $493.95 $625.12 |
$586.13 $620.99 $657.91 $789.08 |
$750.09 $784.95 $821.87 $953.04 |
$163.96 |
Plan: (HMO) Humana Silver 3800/HMO PremierSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)
Deductible: Individual:
$3,800
: Family:
$7,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$279.61 $317.36 $357.34 $499.38 $758.86 |
$559.22 $634.72 $714.68 $998.76 $1517.72 |
$736.77 $812.27 $892.23 $1176.31 |
$914.32 $989.82 $1069.78 $1353.86 |
$1091.87 $1167.37 $1247.33 $1531.41 |
$457.16 $494.91 $534.89 $676.93 |
$634.71 $672.46 $712.44 $854.48 |
$812.26 $850.01 $889.99 $1032.03 |
$177.55 |
Plan: (HMO) Humana Gold 2250/HMO PremierSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)
Deductible: Individual:
$2,250
: Family:
$4,500 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$331.56 $376.32 $423.73 $592.17 $899.85 |
$663.12 $752.64 $847.46 $1184.34 $1799.70 |
$873.66 $963.18 $1058.00 $1394.88 |
$1084.20 $1173.72 $1268.54 $1605.42 |
$1294.74 $1384.26 $1479.08 $1815.96 |
$542.10 $586.86 $634.27 $802.71 |
$752.64 $797.40 $844.81 $1013.25 |
$963.18 $1007.94 $1055.35 $1223.79 |
$210.54 |
Plan: (HMO) Humana Platinum 500/HMO PremierSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Medical Plan, Inc.)
Deductible: Individual:
$500
: Family:
$1,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$395.10 $448.44 $504.94 $705.65 $1072.30 |
$790.20 $896.88 $1009.88 $1411.30 $2144.60 |
$1041.09 $1147.77 $1260.77 $1662.19 |
$1291.98 $1398.66 $1511.66 $1913.08 |
$1542.87 $1649.55 $1762.55 $2163.97 |
$645.99 $699.33 $755.83 $956.54 |
$896.88 $950.22 $1006.72 $1207.43 |
$1147.77 $1201.11 $1257.61 $1458.32 |
$250.89 |
ADVERTISEMENT
|
||||||||||
UnitedHealthcare of Florida, Inc.Local: 1-877-887-0441 | Toll Free: 1-877-887-0441 |
||||||||||
Plan: (HMO) Gold Compass 1500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$330.36 $374.94 $422.18 $590.00 $896.56 |
$660.72 $749.88 $844.36 $1180.00 $1793.12 |
$870.49 $959.65 $1054.13 $1389.77 |
$1080.26 $1169.42 $1263.90 $1599.54 |
$1290.03 $1379.19 $1473.67 $1809.31 |
$540.13 $584.71 $631.95 $799.77 |
$749.90 $794.48 $841.72 $1009.54 |
$959.67 $1004.25 $1051.49 $1219.31 |
$209.77 |
Plan: (HMO) Gold Compass HSA 1600Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$1,600
: Family:
$3,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$303.56 $344.53 $387.94 $542.14 $823.83 |
$607.12 $689.06 $775.88 $1084.28 $1647.66 |
$799.87 $881.81 $968.63 $1277.03 |
$992.62 $1074.56 $1161.38 $1469.78 |
$1185.37 $1267.31 $1354.13 $1662.53 |
$496.31 $537.28 $580.69 $734.89 |
$689.06 $730.03 $773.44 $927.64 |
$881.81 $922.78 $966.19 $1120.39 |
$192.75 |
Plan: (HMO) Silver Compass 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$277.96 $315.48 $355.23 $496.43 $754.37 |
$555.92 $630.96 $710.46 $992.86 $1508.74 |
$732.42 $807.46 $886.96 $1169.36 |
$908.92 $983.96 $1063.46 $1345.86 |
$1085.42 $1160.46 $1239.96 $1522.36 |
$454.46 $491.98 $531.73 $672.93 |
$630.96 $668.48 $708.23 $849.43 |
$807.46 $844.98 $884.73 $1025.93 |
$176.50 |
Plan: (HMO) Silver Compass HSA 3600Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$3,600
: Family:
$7,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$279.96 $317.75 $357.78 $500.00 $759.79 |
$559.92 $635.50 $715.56 $1000.00 $1519.58 |
$737.69 $813.27 $893.33 $1177.77 |
$915.46 $991.04 $1071.10 $1355.54 |
$1093.23 $1168.81 $1248.87 $1533.31 |
$457.73 $495.52 $535.55 $677.77 |
$635.50 $673.29 $713.32 $855.54 |
$813.27 $851.06 $891.09 $1033.31 |
$177.77 |
Plan: (HMO) Bronze Compass 4200Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$4,200
: Family:
$8,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$237.17 $269.18 $303.09 $423.57 $643.65 |
$474.34 $538.36 $606.18 $847.14 $1287.30 |
$624.94 $688.96 $756.78 $997.74 |
$775.54 $839.56 $907.38 $1148.34 |
$926.14 $990.16 $1057.98 $1298.94 |
$387.77 $419.78 $453.69 $574.17 |
$538.37 $570.38 $604.29 $724.77 |
$688.97 $720.98 $754.89 $875.37 |
$150.60 |
Plan: (HMO) Bronze Compass 6400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$6,400
: Family:
$12,800 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$243.57 $276.44 $311.27 $435.00 $661.02 |
$487.14 $552.88 $622.54 $870.00 $1322.04 |
$641.80 $707.54 $777.20 $1024.66 |
$796.46 $862.20 $931.86 $1179.32 |
$951.12 $1016.86 $1086.52 $1333.98 |
$398.23 $431.10 $465.93 $589.66 |
$552.89 $585.76 $620.59 $744.32 |
$707.55 $740.42 $775.25 $898.98 |
$154.66 |
Plan: (HMO) Catastrophic Compass 6850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$195.98 $222.42 $250.45 $350.00 $531.86 |
$391.96 $444.84 $500.90 $700.00 $1063.72 |
$516.40 $569.28 $625.34 $824.44 |
$640.84 $693.72 $749.78 $948.88 |
$765.28 $818.16 $874.22 $1073.32 |
$320.42 $346.86 $374.89 $474.44 |
$444.86 $471.30 $499.33 $598.88 |
$569.30 $595.74 $623.77 $723.32 |
$124.44 |
†Source: Our summary of lowest costs and numbers of providers is based on a government report released September 25, 2013. For more detailed information about specific plans and providers, see HealthCare.gov.
‡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 Polk County here.