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 Winnebago County, Illinois.
Obamacare Providers, Plans and 2016 Rates for Winnebago County
Winnebago County is in “Rating Area 5” of Illinois.
Currently, there are 5 providers offering 53 plans to Rating Area 5. †
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 Rockford, IL area accept this insurance coverage as within the plan's "network".
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Health Alliance Medical Plans, Inc.Local: 1-866-247-3296 | Toll Free: 1-866-247-3296 TTY: 1-800-526-0844 |
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Plan: (POS) POS HSA 2100a Elite Network GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$2,100
: Family:
$4,200 Monthly Premiums: |
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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 |
$337.79 $383.39 $431.70 $603.29 $916.76 |
$675.58 $766.78 $863.40 $1206.58 $1833.52 |
$890.08 $981.28 $1077.90 $1421.08 |
$1104.58 $1195.78 $1292.40 $1635.58 |
$1319.08 $1410.28 $1506.90 $1850.08 |
$552.29 $597.89 $646.20 $817.79 |
$766.79 $812.39 $860.70 $1032.29 |
$981.29 $1026.89 $1075.20 $1246.79 |
$214.50 |
Plan: (HMO) HMO 4000b Elite Network SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
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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 |
$273.89 $310.87 $350.03 $489.17 $743.34 |
$547.78 $621.74 $700.06 $978.34 $1486.68 |
$721.70 $795.66 $873.98 $1152.26 |
$895.62 $969.58 $1047.90 $1326.18 |
$1069.54 $1143.50 $1221.82 $1500.10 |
$447.81 $484.79 $523.95 $663.09 |
$621.73 $658.71 $697.87 $837.01 |
$795.65 $832.63 $871.79 $1010.93 |
$173.92 |
Plan: (HMO) HMO 5000c Elite Network SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
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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 |
$251.44 $285.38 $321.34 $449.07 $682.41 |
$502.88 $570.76 $642.68 $898.14 $1364.82 |
$662.54 $730.42 $802.34 $1057.80 |
$822.20 $890.08 $962.00 $1217.46 |
$981.86 $1049.74 $1121.66 $1377.12 |
$411.10 $445.04 $481.00 $608.73 |
$570.76 $604.70 $640.66 $768.39 |
$730.42 $764.36 $800.32 $928.05 |
$159.66 |
Plan: (HMO) HMO 1500a Elite Network GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
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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 |
$319.16 $362.25 $407.89 $570.02 $866.20 |
$638.32 $724.50 $815.78 $1140.04 $1732.40 |
$840.99 $927.17 $1018.45 $1342.71 |
$1043.66 $1129.84 $1221.12 $1545.38 |
$1246.33 $1332.51 $1423.79 $1748.05 |
$521.83 $564.92 $610.56 $772.69 |
$724.50 $767.59 $813.23 $975.36 |
$927.17 $970.26 $1015.90 $1178.03 |
$202.67 |
Plan: (HMO) HMO 6850 Elite Network CatastrophicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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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 |
$188.82 $214.31 $241.31 $337.23 $512.46 |
$377.64 $428.62 $482.62 $674.46 $1024.92 |
$497.54 $548.52 $602.52 $794.36 |
$617.44 $668.42 $722.42 $914.26 |
$737.34 $788.32 $842.32 $1034.16 |
$308.72 $334.21 $361.21 $457.13 |
$428.62 $454.11 $481.11 $577.03 |
$548.52 $574.01 $601.01 $696.93 |
$119.90 |
Plan: (HMO) HMO 1500b Elite Network GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
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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 |
$304.49 $345.60 $389.14 $543.82 $826.39 |
$608.98 $691.20 $778.28 $1087.64 $1652.78 |
$802.33 $884.55 $971.63 $1280.99 |
$995.68 $1077.90 $1164.98 $1474.34 |
$1189.03 $1271.25 $1358.33 $1667.69 |
$497.84 $538.95 $582.49 $737.17 |
$691.19 $732.30 $775.84 $930.52 |
$884.54 $925.65 $969.19 $1123.87 |
$193.35 |
Plan: (HMO) HMO 4500 Elite Network SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
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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 |
$255.57 $290.07 $326.62 $456.45 $693.62 |
$511.14 $580.14 $653.24 $912.90 $1387.24 |
$673.43 $742.43 $815.53 $1075.19 |
$835.72 $904.72 $977.82 $1237.48 |
$998.01 $1067.01 $1140.11 $1399.77 |
$417.86 $452.36 $488.91 $618.74 |
$580.15 $614.65 $651.20 $781.03 |
$742.44 $776.94 $813.49 $943.32 |
$162.29 |
Plan: (HMO) HMO 3500 Elite Network BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
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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 |
$217.62 $247.00 $278.12 $388.67 $590.62 |
$435.24 $494.00 $556.24 $777.34 $1181.24 |
$573.43 $632.19 $694.43 $915.53 |
$711.62 $770.38 $832.62 $1053.72 |
$849.81 $908.57 $970.81 $1191.91 |
$355.81 $385.19 $416.31 $526.86 |
$494.00 $523.38 $554.50 $665.05 |
$632.19 $661.57 $692.69 $803.24 |
$138.19 |
Plan: (HMO) HMO 4000d Elite Network BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
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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 |
$204.16 $231.72 $260.92 $364.63 $554.09 |
$408.32 $463.44 $521.84 $729.26 $1108.18 |
$537.96 $593.08 $651.48 $858.90 |
$667.60 $722.72 $781.12 $988.54 |
$797.24 $852.36 $910.76 $1118.18 |
$333.80 $361.36 $390.56 $494.27 |
$463.44 $491.00 $520.20 $623.91 |
$593.08 $620.64 $649.84 $753.55 |
$129.64 |
Plan: (POS) POS 6000b Elite Network SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
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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 |
$262.09 $297.47 $334.95 $468.09 $711.31 |
$524.18 $594.94 $669.90 $936.18 $1422.62 |
$690.61 $761.37 $836.33 $1102.61 |
$857.04 $927.80 $1002.76 $1269.04 |
$1023.47 $1094.23 $1169.19 $1435.47 |
$428.52 $463.90 $501.38 $634.52 |
$594.95 $630.33 $667.81 $800.95 |
$761.38 $796.76 $834.24 $967.38 |
$166.43 |
Plan: (POS) POS 2000 Elite Network GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
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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 |
$333.83 $378.90 $426.63 $596.22 $906.01 |
$667.66 $757.80 $853.26 $1192.44 $1812.02 |
$879.64 $969.78 $1065.24 $1404.42 |
$1091.62 $1181.76 $1277.22 $1616.40 |
$1303.60 $1393.74 $1489.20 $1828.38 |
$545.81 $590.88 $638.61 $808.20 |
$757.79 $802.86 $850.59 $1020.18 |
$969.77 $1014.84 $1062.57 $1232.16 |
$211.98 |
Plan: (POS) POS 3750c Elite Network BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$3,750
: Family:
$7,500 Monthly Premiums: |
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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 |
$224.13 $254.39 $286.44 $400.30 $608.29 |
$448.26 $508.78 $572.88 $800.60 $1216.58 |
$590.58 $651.10 $715.20 $942.92 |
$732.90 $793.42 $857.52 $1085.24 |
$875.22 $935.74 $999.84 $1227.56 |
$366.45 $396.71 $428.76 $542.62 |
$508.77 $539.03 $571.08 $684.94 |
$651.09 $681.35 $713.40 $827.26 |
$142.32 |
Plan: (POS) POS 5000a Elite Network BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$5,000
: Family:
$12,700 Monthly Premiums: |
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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 |
$217.18 $246.50 $277.56 $387.88 $589.43 |
$434.36 $493.00 $555.12 $775.76 $1178.86 |
$572.27 $630.91 $693.03 $913.67 |
$710.18 $768.82 $830.94 $1051.58 |
$848.09 $906.73 $968.85 $1189.49 |
$355.09 $384.41 $415.47 $525.79 |
$493.00 $522.32 $553.38 $663.70 |
$630.91 $660.23 $691.29 $801.61 |
$137.91 |
Plan: (PPO) PPO 4500b Elite Network SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
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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 |
$286.05 $324.67 $365.57 $510.89 $776.34 |
$572.10 $649.34 $731.14 $1021.78 $1552.68 |
$753.74 $830.98 $912.78 $1203.42 |
$935.38 $1012.62 $1094.42 $1385.06 |
$1117.02 $1194.26 $1276.06 $1566.70 |
$467.69 $506.31 $547.21 $692.53 |
$649.33 $687.95 $728.85 $874.17 |
$830.97 $869.59 $910.49 $1055.81 |
$181.64 |
Plan: (PPO) PPO 3250a Elite Network GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$3,250
: Family:
$6,500 Monthly Premiums: |
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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 |
$321.22 $364.58 $410.52 $573.70 $871.79 |
$642.44 $729.16 $821.04 $1147.40 $1743.58 |
$846.41 $933.13 $1025.01 $1351.37 |
$1050.38 $1137.10 $1228.98 $1555.34 |
$1254.35 $1341.07 $1432.95 $1759.31 |
$525.19 $568.55 $614.49 $777.67 |
$729.16 $772.52 $818.46 $981.64 |
$933.13 $976.49 $1022.43 $1185.61 |
$203.97 |
Plan: (PPO) PPO 4500 Elite Network BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-247-3296 - Provider Directory for This Plan: (Health Alliance Medical Plans, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
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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 |
$223.64 $253.83 $285.81 $399.42 $606.96 |
$447.28 $507.66 $571.62 $798.84 $1213.92 |
$589.29 $649.67 $713.63 $940.85 |
$731.30 $791.68 $855.64 $1082.86 |
$873.31 $933.69 $997.65 $1224.87 |
$365.65 $395.84 $427.82 $541.43 |
$507.66 $537.85 $569.83 $683.44 |
$649.67 $679.86 $711.84 $825.45 |
$142.01 |
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Blue Cross Blue Shield of IllinoisLocal: 1-800-538-8833 | Toll Free: 1-800-538-8833 TTY: 1-800-526-0844 |
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Plan: (HMO) Blue Precision Gold HMO? 101Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)
Deductible: Individual:
$1,750
: Family:
$5,250 Monthly Premiums: |
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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 |
$281.86 $319.91 $360.21 $503.40 $764.96 |
$563.72 $639.82 $720.42 $1006.80 $1529.92 |
$742.70 $818.80 $899.40 $1185.78 |
$921.68 $997.78 $1078.38 $1364.76 |
$1100.66 $1176.76 $1257.36 $1543.74 |
$460.84 $498.89 $539.19 $682.38 |
$639.82 $677.87 $718.17 $861.36 |
$818.80 $856.85 $897.15 $1040.34 |
$178.98 |
Plan: (HMO) Blue Precision Silver HMO? 102Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)
Deductible: Individual:
$2,000
: Family:
$6,000 Monthly Premiums: |
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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 |
$247.45 $280.86 $316.24 $441.95 $671.59 |
$494.90 $561.72 $632.48 $883.90 $1343.18 |
$652.03 $718.85 $789.61 $1041.03 |
$809.16 $875.98 $946.74 $1198.16 |
$966.29 $1033.11 $1103.87 $1355.29 |
$404.58 $437.99 $473.37 $599.08 |
$561.71 $595.12 $630.50 $756.21 |
$718.84 $752.25 $787.63 $913.34 |
$157.13 |
Plan: (HMO) Blue Precision Bronze HMO? 103Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)
Deductible: Individual:
$6,000
: Family:
$13,700 Monthly Premiums: |
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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 |
$213.31 $242.10 $272.61 $380.97 $578.92 |
$426.62 $484.20 $545.22 $761.94 $1157.84 |
$562.07 $619.65 $680.67 $897.39 |
$697.52 $755.10 $816.12 $1032.84 |
$832.97 $890.55 $951.57 $1168.29 |
$348.76 $377.55 $408.06 $516.42 |
$484.21 $513.00 $543.51 $651.87 |
$619.66 $648.45 $678.96 $787.32 |
$135.45 |
Plan: (PPO) Blue Cross Blue Shield Premier? 101, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)
Deductible: Individual:
$1,750
: Family:
$5,250 Monthly Premiums: |
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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 |
$359.19 $407.68 $459.05 $641.52 $974.85 |
$718.38 $815.36 $918.10 $1283.04 $1949.70 |
$946.47 $1043.45 $1146.19 $1511.13 |
$1174.56 $1271.54 $1374.28 $1739.22 |
$1402.65 $1499.63 $1602.37 $1967.31 |
$587.28 $635.77 $687.14 $869.61 |
$815.37 $863.86 $915.23 $1097.70 |
$1043.46 $1091.95 $1143.32 $1325.79 |
$228.09 |
Plan: (PPO) Blue Cross Blue Shield Solution? 102, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)
Deductible: Individual:
$3,750
: Family:
$11,250 Monthly Premiums: |
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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 |
$287.59 $326.42 $367.54 $513.64 $780.52 |
$575.18 $652.84 $735.08 $1027.28 $1561.04 |
$757.80 $835.46 $917.70 $1209.90 |
$940.42 $1018.08 $1100.32 $1392.52 |
$1123.04 $1200.70 $1282.94 $1575.14 |
$470.21 $509.04 $550.16 $696.26 |
$652.83 $691.66 $732.78 $878.88 |
$835.45 $874.28 $915.40 $1061.50 |
$182.62 |
Plan: (PPO) Blue Cross Blue Shield Basic? 103, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)
Deductible: Individual:
$6,250
: Family:
$13,700 Monthly Premiums: |
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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 |
$221.65 $251.57 $283.27 $395.87 $601.56 |
$443.30 $503.14 $566.54 $791.74 $1203.12 |
$584.05 $643.89 $707.29 $932.49 |
$724.80 $784.64 $848.04 $1073.24 |
$865.55 $925.39 $988.79 $1213.99 |
$362.40 $392.32 $424.02 $536.62 |
$503.15 $533.07 $564.77 $677.37 |
$643.90 $673.82 $705.52 $818.12 |
$140.75 |
Plan: (PPO) Blue Choice Preferred Security PPO? 100Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)
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 |
$212.53 $241.22 $271.61 $379.58 $576.81 |
$425.06 $482.44 $543.22 $759.16 $1153.62 |
$560.02 $617.40 $678.18 $894.12 |
$694.98 $752.36 $813.14 $1029.08 |
$829.94 $887.32 $948.10 $1164.04 |
$347.49 $376.18 $406.57 $514.54 |
$482.45 $511.14 $541.53 $649.50 |
$617.41 $646.10 $676.49 $784.46 |
$134.96 |
Plan: (PPO) Blue Choice Preferred Gold PPO? 101Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)
Deductible: Individual:
$500
: Family:
$1,500 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 |
$368.03 $417.72 $470.35 $657.31 $998.84 |
$736.06 $835.44 $940.70 $1314.62 $1997.68 |
$969.76 $1069.14 $1174.40 $1548.32 |
$1203.46 $1302.84 $1408.10 $1782.02 |
$1437.16 $1536.54 $1641.80 $2015.72 |
$601.73 $651.42 $704.05 $891.01 |
$835.43 $885.12 $937.75 $1124.71 |
$1069.13 $1118.82 $1171.45 $1358.41 |
$233.70 |
Plan: (PPO) Blue Choice Preferred Silver PPO? 102Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)
Deductible: Individual:
$2,000
: Family:
$6,000 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 |
$313.35 $355.65 $400.46 $559.64 $850.43 |
$626.70 $711.30 $800.92 $1119.28 $1700.86 |
$825.68 $910.28 $999.90 $1318.26 |
$1024.66 $1109.26 $1198.88 $1517.24 |
$1223.64 $1308.24 $1397.86 $1716.22 |
$512.33 $554.63 $599.44 $758.62 |
$711.31 $753.61 $798.42 $957.60 |
$910.29 $952.59 $997.40 $1156.58 |
$198.98 |
Plan: (PPO) Blue Choice Preferred Silver PPO? 103 - Three $0 PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)
Deductible: Individual:
$3,250
: Family:
$9,750 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 |
$295.33 $335.20 $377.43 $527.46 $801.52 |
$590.66 $670.40 $754.86 $1054.92 $1603.04 |
$778.19 $857.93 $942.39 $1242.45 |
$965.72 $1045.46 $1129.92 $1429.98 |
$1153.25 $1232.99 $1317.45 $1617.51 |
$482.86 $522.73 $564.96 $714.99 |
$670.39 $710.26 $752.49 $902.52 |
$857.92 $897.79 $940.02 $1090.05 |
$187.53 |
Plan: (PPO) Blue Choice Preferred Silver PPO? 104Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)
Deductible: Individual:
$3,500
: Family:
$10,500 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 |
Silver | 21 30 40 50 60 |
$302.01 $342.78 $385.97 $539.39 $819.65 |
$604.02 $685.56 $771.94 $1078.78 $1639.30 |
$795.79 $877.33 $963.71 $1270.55 |
$987.56 $1069.10 $1155.48 $1462.32 |
$1179.33 $1260.87 $1347.25 $1654.09 |
$493.78 $534.55 $577.74 $731.16 |
$685.55 $726.32 $769.51 $922.93 |
$877.32 $918.09 $961.28 $1114.70 |
$191.77 |
Plan: (PPO) Blue Choice Preferred Bronze PPO? 105Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)
Deductible: Individual:
$4,500
: Family:
$13,100 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 |
$234.95 $266.67 $300.26 $419.62 $637.65 |
$469.90 $533.34 $600.52 $839.24 $1275.30 |
$619.09 $682.53 $749.71 $988.43 |
$768.28 $831.72 $898.90 $1137.62 |
$917.47 $980.91 $1048.09 $1286.81 |
$384.14 $415.86 $449.45 $568.81 |
$533.33 $565.05 $598.64 $718.00 |
$682.52 $714.24 $747.83 $867.19 |
$149.19 |
Plan: (PPO) Blue Choice Preferred Bronze PPO? 106Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)
Deductible: Individual:
$6,000
: Family:
$13,100 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 |
$233.72 $265.27 $298.70 $417.43 $634.32 |
$467.44 $530.54 $597.40 $834.86 $1268.64 |
$615.85 $678.95 $745.81 $983.27 |
$764.26 $827.36 $894.22 $1131.68 |
$912.67 $975.77 $1042.63 $1280.09 |
$382.13 $413.68 $447.11 $565.84 |
$530.54 $562.09 $595.52 $714.25 |
$678.95 $710.50 $743.93 $862.66 |
$148.41 |
Plan: (PPO) Blue Choice Preferred Bronze PPO? 107 - One $0 PCP VisitSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-538-8833 - Provider Directory for This Plan: (Blue Cross Blue Shield of Illinois)
Deductible: Individual:
$6,800
: 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 |
$225.70 $256.17 $288.44 $403.10 $612.55 |
$451.40 $512.34 $576.88 $806.20 $1225.10 |
$594.72 $655.66 $720.20 $949.52 |
$738.04 $798.98 $863.52 $1092.84 |
$881.36 $942.30 $1006.84 $1236.16 |
$369.02 $399.49 $431.76 $546.42 |
$512.34 $542.81 $575.08 $689.74 |
$655.66 $686.13 $718.40 $833.06 |
$143.32 |
ADVERTISEMENT
|
||||||||||
Humana Health Plan, Inc.Local: 1-877-720-4854 | Toll Free: 1-877-720-4854 TTY: 1-800-325-2028 |
||||||||||
Plan: (HMO) Humana Basic 6850/Illinois HMOxSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Health 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 |
$162.26 $184.17 $207.37 $289.80 $440.37 |
$324.52 $368.34 $414.74 $579.60 $880.74 |
$427.56 $471.38 $517.78 $682.64 |
$530.60 $574.42 $620.82 $785.68 |
$633.64 $677.46 $723.86 $888.72 |
$265.30 $287.21 $310.41 $392.84 |
$368.34 $390.25 $413.45 $495.88 |
$471.38 $493.29 $516.49 $598.92 |
$103.04 |
Plan: (HMO) Humana Bronze 6450/Illinois HMOxSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Health 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 |
$217.93 $247.35 $278.51 $389.22 $591.46 |
$435.86 $494.70 $557.02 $778.44 $1182.92 |
$574.25 $633.09 $695.41 $916.83 |
$712.64 $771.48 $833.80 $1055.22 |
$851.03 $909.87 $972.19 $1193.61 |
$356.32 $385.74 $416.90 $527.61 |
$494.71 $524.13 $555.29 $666.00 |
$633.10 $662.52 $693.68 $804.39 |
$138.39 |
Plan: (HMO) Humana Bronze 4850/Illinois HMOxSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Health 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 |
$237.35 $269.39 $303.33 $423.91 $644.17 |
$474.70 $538.78 $606.66 $847.82 $1288.34 |
$625.42 $689.50 $757.38 $998.54 |
$776.14 $840.22 $908.10 $1149.26 |
$926.86 $990.94 $1058.82 $1299.98 |
$388.07 $420.11 $454.05 $574.63 |
$538.79 $570.83 $604.77 $725.35 |
$689.51 $721.55 $755.49 $876.07 |
$150.72 |
Plan: (HMO) Humana Silver 3800/Illinois HMOxSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Health 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 |
$264.72 $300.46 $338.31 $472.79 $718.45 |
$529.44 $600.92 $676.62 $945.58 $1436.90 |
$697.54 $769.02 $844.72 $1113.68 |
$865.64 $937.12 $1012.82 $1281.78 |
$1033.74 $1105.22 $1180.92 $1449.88 |
$432.82 $468.56 $506.41 $640.89 |
$600.92 $636.66 $674.51 $808.99 |
$769.02 $804.76 $842.61 $977.09 |
$168.10 |
Plan: (HMO) Humana Gold 2250/Illinois HMOxSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Health 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 |
$312.90 $355.14 $399.89 $558.84 $849.21 |
$625.80 $710.28 $799.78 $1117.68 $1698.42 |
$824.49 $908.97 $998.47 $1316.37 |
$1023.18 $1107.66 $1197.16 $1515.06 |
$1221.87 $1306.35 $1395.85 $1713.75 |
$511.59 $553.83 $598.58 $757.53 |
$710.28 $752.52 $797.27 $956.22 |
$908.97 $951.21 $995.96 $1154.91 |
$198.69 |
ADVERTISEMENT
|
||||||||||
Land of Lincoln Mutual Health Insurance CompanyLocal: 1-844-674-3844 | Toll Free: 1-844-674-3844 TTY: 1-888-858-9130 |
||||||||||
Plan: (PPO) Land of Lincoln Health Traditional Gold PPOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-674-3844 - Provider Directory for This Plan: (Land of Lincoln Mutual Health Insurance Company)
Deductible: Individual:
$1,350
: Family:
$2,700 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 |
Gold | 21 30 40 50 60 |
$378.03 $429.06 $483.12 $675.16 $1025.97 |
$756.06 $858.12 $966.24 $1350.32 $2051.94 |
$996.10 $1098.16 $1206.28 $1590.36 |
$1236.14 $1338.20 $1446.32 $1830.40 |
$1476.18 $1578.24 $1686.36 $2070.44 |
$618.07 $669.10 $723.16 $915.20 |
$858.11 $909.14 $963.20 $1155.24 |
$1098.15 $1149.18 $1203.24 $1395.28 |
$240.04 |
Plan: (PPO) Land of Lincoln Health Traditional Silver PPOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-674-3844 - Provider Directory for This Plan: (Land of Lincoln Mutual Health Insurance Company)
Deductible: Individual:
$1,900
: Family:
$3,800 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 |
Silver | 21 30 40 50 60 |
$316.99 $359.78 $405.11 $566.14 $860.31 |
$633.98 $719.56 $810.22 $1132.28 $1720.62 |
$835.26 $920.84 $1011.50 $1333.56 |
$1036.54 $1122.12 $1212.78 $1534.84 |
$1237.82 $1323.40 $1414.06 $1736.12 |
$518.27 $561.06 $606.39 $767.42 |
$719.55 $762.34 $807.67 $968.70 |
$920.83 $963.62 $1008.95 $1169.98 |
$201.28 |
Plan: (PPO) Land of Lincoln Health Traditional Bronze PPOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-674-3844 - Provider Directory for This Plan: (Land of Lincoln Mutual Health 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 |
Bronze | 21 30 40 50 60 |
$255.92 $290.46 $327.06 $457.07 $694.56 |
$511.84 $580.92 $654.12 $914.14 $1389.12 |
$674.34 $743.42 $816.62 $1076.64 |
$836.84 $905.92 $979.12 $1239.14 |
$999.34 $1068.42 $1141.62 $1401.64 |
$418.42 $452.96 $489.56 $619.57 |
$580.92 $615.46 $652.06 $782.07 |
$743.42 $777.96 $814.56 $944.57 |
$162.50 |
ADVERTISEMENT
|
||||||||||
Coventry Health Care of Illinois, Inc.Local: 1-217-366-1226 | Toll Free: 1-855-449-2889 TTY: 1-217-366-5551 |
||||||||||
Plan: (PPO) Coventry Gold $15 CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Coventry Health Care of Illinois, Inc.)
Deductible: Individual:
$1,400
: Family:
$2,800 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 |
Gold | 21 30 40 50 60 |
$411.23 $466.74 $525.55 $734.45 $1116.07 |
$822.46 $933.48 $1051.10 $1468.90 $2232.14 |
$1083.59 $1194.61 $1312.23 $1730.03 |
$1344.72 $1455.74 $1573.36 $1991.16 |
$1605.85 $1716.87 $1834.49 $2252.29 |
$672.36 $727.87 $786.68 $995.58 |
$933.49 $989.00 $1047.81 $1256.71 |
$1194.62 $1250.13 $1308.94 $1517.84 |
$261.13 |
Plan: (PPO) Coventry Silver $15 CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Coventry Health Care of Illinois, Inc.)
Deductible: Individual:
$3,500
: Family:
$7,000 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 |
$328.91 $373.31 $420.34 $587.43 $892.65 |
$657.82 $746.62 $840.68 $1174.86 $1785.30 |
$866.68 $955.48 $1049.54 $1383.72 |
$1075.54 $1164.34 $1258.40 $1592.58 |
$1284.40 $1373.20 $1467.26 $1801.44 |
$537.77 $582.17 $629.20 $796.29 |
$746.63 $791.03 $838.06 $1005.15 |
$955.49 $999.89 $1046.92 $1214.01 |
$208.86 |
Plan: (PPO) Coventry Bronze $20 CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Coventry Health Care of Illinois, 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 |
$260.70 $295.89 $333.17 $465.60 $707.53 |
$521.40 $591.78 $666.34 $931.20 $1415.06 |
$686.94 $757.32 $831.88 $1096.74 |
$852.48 $922.86 $997.42 $1262.28 |
$1018.02 $1088.40 $1162.96 $1427.82 |
$426.24 $461.43 $498.71 $631.14 |
$591.78 $626.97 $664.25 $796.68 |
$757.32 $792.51 $829.79 $962.22 |
$165.54 |
Plan: (PPO) Coventry Bronze Deductible Only HSA EligibleSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Coventry Health Care of Illinois, 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 |
$266.98 $303.02 $341.20 $476.82 $724.58 |
$533.96 $606.04 $682.40 $953.64 $1449.16 |
$703.49 $775.57 $851.93 $1123.17 |
$873.02 $945.10 $1021.46 $1292.70 |
$1042.55 $1114.63 $1190.99 $1462.23 |
$436.51 $472.55 $510.73 $646.35 |
$606.04 $642.08 $680.26 $815.88 |
$775.57 $811.61 $849.79 $985.41 |
$169.53 |
Plan: (PPO) Coventry Silver $10 Copay Carelink SwedishAmericanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Coventry Health Care of Illinois, Inc.)
Deductible: Individual:
$3,500
: Family:
$7,000 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 |
$246.54 $279.83 $315.08 $440.33 $669.12 |
$493.08 $559.66 $630.16 $880.66 $1338.24 |
$649.64 $716.22 $786.72 $1037.22 |
$806.20 $872.78 $943.28 $1193.78 |
$962.76 $1029.34 $1099.84 $1350.34 |
$403.10 $436.39 $471.64 $596.89 |
$559.66 $592.95 $628.20 $753.45 |
$716.22 $749.51 $784.76 $910.01 |
$156.56 |
Plan: (PPO) Coventry Bronze $15 Copay Carelink SwedishAmericanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Coventry Health Care of Illinois, 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 |
$195.38 $221.75 $249.69 $348.94 $530.25 |
$390.76 $443.50 $499.38 $697.88 $1060.50 |
$514.82 $567.56 $623.44 $821.94 |
$638.88 $691.62 $747.50 $946.00 |
$762.94 $815.68 $871.56 $1070.06 |
$319.44 $345.81 $373.75 $473.00 |
$443.50 $469.87 $497.81 $597.06 |
$567.56 $593.93 $621.87 $721.12 |
$124.06 |
Plan: (PPO) Coventry Bronze Deductible Only HSA Eligible Carelink SwedishAmericanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-449-2889 - Provider Directory for This Plan: (Coventry Health Care of Illinois, 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 |
$200.11 $227.12 $255.74 $357.39 $543.09 |
$400.22 $454.24 $511.48 $714.78 $1086.18 |
$527.29 $581.31 $638.55 $841.85 |
$654.36 $708.38 $765.62 $968.92 |
$781.43 $835.45 $892.69 $1095.99 |
$327.18 $354.19 $382.81 $484.46 |
$454.25 $481.26 $509.88 $611.53 |
$581.32 $608.33 $636.95 $738.60 |
$127.07 |
†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 Winnebago County here.