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 Saint Joseph County, Michigan.
Obamacare Providers, Plans and 2016 Rates for Saint Joseph County
Saint Joseph County is in “Rating Area 9” of Michigan.
Currently, there are 6 providers offering 41 plans to Rating Area 9. †
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 Centreville, MI area accept this insurance coverage as within the plan's "network".
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Blue Cross Blue Shield of Michigan Mutual Insurance CompanyLocal: 1-888-288-2738 | Toll Free: 1-888-288-2738 TTY: 1-800-481-8704 |
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Plan: (PPO) Blue Cross® Premier ValueSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
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 |
$186.01 $211.12 $237.72 $332.21 $504.83 |
$372.02 $422.24 $475.44 $664.42 $1009.66 |
$490.14 $540.36 $593.56 $782.54 |
$608.26 $658.48 $711.68 $900.66 |
$726.38 $776.60 $829.80 $1018.78 |
$304.13 $329.24 $355.84 $450.33 |
$422.25 $447.36 $473.96 $568.45 |
$540.37 $565.48 $592.08 $686.57 |
$118.12 |
Plan: (PPO) Blue Cross® Premier BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Deductible: Individual:
$6,350
: 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 |
$238.93 $271.19 $305.35 $426.73 $648.46 |
$477.86 $542.38 $610.70 $853.46 $1296.92 |
$629.58 $694.10 $762.42 $1005.18 |
$781.30 $845.82 $914.14 $1156.90 |
$933.02 $997.54 $1065.86 $1308.62 |
$390.65 $422.91 $457.07 $578.45 |
$542.37 $574.63 $608.79 $730.17 |
$694.09 $726.35 $760.51 $881.89 |
$151.72 |
Plan: (PPO) Blue Cross® Premier SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Deductible: Individual:
$1,400
: Family:
$2,800 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 |
$320.46 $363.72 $409.55 $572.34 $869.73 |
$640.92 $727.44 $819.10 $1144.68 $1739.46 |
$844.41 $930.93 $1022.59 $1348.17 |
$1047.90 $1134.42 $1226.08 $1551.66 |
$1251.39 $1337.91 $1429.57 $1755.15 |
$523.95 $567.21 $613.04 $775.83 |
$727.44 $770.70 $816.53 $979.32 |
$930.93 $974.19 $1020.02 $1182.81 |
$203.49 |
Plan: (PPO) Blue Cross® Premier GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Deductible: Individual:
$150
: Family:
$300 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 |
$386.90 $439.13 $494.46 $691.00 $1050.05 |
$773.80 $878.26 $988.92 $1382.00 $2100.10 |
$1019.48 $1123.94 $1234.60 $1627.68 |
$1265.16 $1369.62 $1480.28 $1873.36 |
$1510.84 $1615.30 $1725.96 $2119.04 |
$632.58 $684.81 $740.14 $936.68 |
$878.26 $930.49 $985.82 $1182.36 |
$1123.94 $1176.17 $1231.50 $1428.04 |
$245.68 |
Plan: (PPO) Blue Cross® Premier Bronze SaverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
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 |
Bronze | 21 30 40 50 60 |
$227.56 $258.28 $290.82 $406.42 $617.60 |
$455.12 $516.56 $581.64 $812.84 $1235.20 |
$599.62 $661.06 $726.14 $957.34 |
$744.12 $805.56 $870.64 $1101.84 |
$888.62 $950.06 $1015.14 $1246.34 |
$372.06 $402.78 $435.32 $550.92 |
$516.56 $547.28 $579.82 $695.42 |
$661.06 $691.78 $724.32 $839.92 |
$144.50 |
Plan: (PPO) Blue Cross® Premier Silver SaverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
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 |
Silver | 21 30 40 50 60 |
$296.25 $336.24 $378.61 $529.10 $804.02 |
$592.50 $672.48 $757.22 $1058.20 $1608.04 |
$780.62 $860.60 $945.34 $1246.32 |
$968.74 $1048.72 $1133.46 $1434.44 |
$1156.86 $1236.84 $1321.58 $1622.56 |
$484.37 $524.36 $566.73 $717.22 |
$672.49 $712.48 $754.85 $905.34 |
$860.61 $900.60 $942.97 $1093.46 |
$188.12 |
Plan: (PPO) Blue Cross® Silver with Dental and Vision, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Deductible: Individual:
$1,400
: Family:
$2,800 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 |
$337.09 $382.60 $430.80 $602.04 $914.86 |
$674.18 $765.20 $861.60 $1204.08 $1829.72 |
$888.23 $979.25 $1075.65 $1418.13 |
$1102.28 $1193.30 $1289.70 $1632.18 |
$1316.33 $1407.35 $1503.75 $1846.23 |
$551.14 $596.65 $644.85 $816.09 |
$765.19 $810.70 $858.90 $1030.14 |
$979.24 $1024.75 $1072.95 $1244.19 |
$214.05 |
Plan: (PPO) Blue Cross® Gold with Dental and Vision, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Deductible: Individual:
$150
: Family:
$300 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 |
$403.97 $458.51 $516.27 $721.49 $1096.37 |
$807.94 $917.02 $1032.54 $1442.98 $2192.74 |
$1064.46 $1173.54 $1289.06 $1699.50 |
$1320.98 $1430.06 $1545.58 $1956.02 |
$1577.50 $1686.58 $1802.10 $2212.54 |
$660.49 $715.03 $772.79 $978.01 |
$917.01 $971.55 $1029.31 $1234.53 |
$1173.53 $1228.07 $1285.83 $1491.05 |
$256.52 |
Plan: (PPO) Blue Cross® Premier Bronze with Primary Care VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Deductible: Individual:
$6,750
: Family:
$13,500 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 |
$246.13 $279.36 $314.55 $439.59 $668.00 |
$492.26 $558.72 $629.10 $879.18 $1336.00 |
$648.55 $715.01 $785.39 $1035.47 |
$804.84 $871.30 $941.68 $1191.76 |
$961.13 $1027.59 $1097.97 $1348.05 |
$402.42 $435.65 $470.84 $595.88 |
$558.71 $591.94 $627.13 $752.17 |
$715.00 $748.23 $783.42 $908.46 |
$156.29 |
Plan: (PPO) Blue Cross® Premier Silver ExtraSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Deductible: Individual:
$2,300
: Family:
$4,600 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 |
$330.19 $374.77 $421.98 $589.72 $896.14 |
$660.38 $749.54 $843.96 $1179.44 $1792.28 |
$870.05 $959.21 $1053.63 $1389.11 |
$1079.72 $1168.88 $1263.30 $1598.78 |
$1289.39 $1378.55 $1472.97 $1808.45 |
$539.86 $584.44 $631.65 $799.39 |
$749.53 $794.11 $841.32 $1009.06 |
$959.20 $1003.78 $1050.99 $1218.73 |
$209.67 |
Plan: (PPO) Blue Cross® Premier Gold ExtraSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Deductible: Individual:
$750
: Family:
$1,500 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 |
$409.86 $465.19 $523.80 $732.01 $1112.36 |
$819.72 $930.38 $1047.60 $1464.02 $2224.72 |
$1079.98 $1190.64 $1307.86 $1724.28 |
$1340.24 $1450.90 $1568.12 $1984.54 |
$1600.50 $1711.16 $1828.38 $2244.80 |
$670.12 $725.45 $784.06 $992.27 |
$930.38 $985.71 $1044.32 $1252.53 |
$1190.64 $1245.97 $1304.58 $1512.79 |
$260.26 |
Plan: (PPO) Blue Cross® Premier Platinum with Dental and VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Deductible: Individual:
$0
: Family:
$0 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 |
Platinum | 21 30 40 50 60 |
$496.51 $563.54 $634.54 $886.77 $1347.53 |
$993.02 $1127.08 $1269.08 $1773.54 $2695.06 |
$1308.30 $1442.36 $1584.36 $2088.82 |
$1623.58 $1757.64 $1899.64 $2404.10 |
$1938.86 $2072.92 $2214.92 $2719.38 |
$811.79 $878.82 $949.82 $1202.05 |
$1127.07 $1194.10 $1265.10 $1517.33 |
$1442.35 $1509.38 $1580.38 $1832.61 |
$315.28 |
Plan: (PPO) Blue Cross® Silver Extra with Dental and Vision, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Deductible: Individual:
$2,300
: Family:
$4,600 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 |
$348.83 $395.92 $445.80 $623.01 $946.72 |
$697.66 $791.84 $891.60 $1246.02 $1893.44 |
$919.17 $1013.35 $1113.11 $1467.53 |
$1140.68 $1234.86 $1334.62 $1689.04 |
$1362.19 $1456.37 $1556.13 $1910.55 |
$570.34 $617.43 $667.31 $844.52 |
$791.85 $838.94 $888.82 $1066.03 |
$1013.36 $1060.45 $1110.33 $1287.54 |
$221.51 |
Plan: (PPO) Blue Cross® Gold Extra with Dental and Vision, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-288-2738 - Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Deductible: Individual:
$750
: Family:
$1,500 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 |
$429.02 $486.94 $548.29 $766.23 $1164.36 |
$858.04 $973.88 $1096.58 $1532.46 $2328.72 |
$1130.47 $1246.31 $1369.01 $1804.89 |
$1402.90 $1518.74 $1641.44 $2077.32 |
$1675.33 $1791.17 $1913.87 $2349.75 |
$701.45 $759.37 $820.72 $1038.66 |
$973.88 $1031.80 $1093.15 $1311.09 |
$1246.31 $1304.23 $1365.58 $1583.52 |
$272.43 |
ADVERTISEMENT
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Priority Health Insurance Company (PHIC)Local: 1-855-682-5217 | Toll Free: 1-855-682-5217 |
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Plan: (PPO) MyPriority PPO RxPlus Silver 1900Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health Insurance Company (PHIC))
Deductible: Individual:
$1,900
: Family:
$3,800 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 |
$275.38 $312.56 $351.94 $491.83 $747.38 |
$550.76 $625.12 $703.88 $983.66 $1494.76 |
$725.63 $799.99 $878.75 $1158.53 |
$900.50 $974.86 $1053.62 $1333.40 |
$1075.37 $1149.73 $1228.49 $1508.27 |
$450.25 $487.43 $526.81 $666.70 |
$625.12 $662.30 $701.68 $841.57 |
$799.99 $837.17 $876.55 $1016.44 |
++ |
Plan: (PPO) MyPriority PPO RxPlus Silver 1800Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health Insurance Company (PHIC))
Deductible: Individual:
$1,800
: Family:
$3,600 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 |
$270.10 $306.56 $345.19 $482.40 $733.05 |
$540.20 $613.12 $690.38 $964.80 $1466.10 |
$711.71 $784.63 $861.89 $1136.31 |
$883.22 $956.14 $1033.40 $1307.82 |
$1054.73 $1127.65 $1204.91 $1479.33 |
$441.61 $478.07 $516.70 $653.91 |
$613.12 $649.58 $688.21 $825.42 |
$784.63 $821.09 $859.72 $996.93 |
$171.51 |
Plan: (PPO) MyPriority PPO HSA Silver 1500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health Insurance Company (PHIC))
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 |
Silver | 21 30 40 50 60 |
$270.00 $306.45 $345.06 $482.22 $732.78 |
$540.00 $612.90 $690.12 $964.44 $1465.56 |
$711.45 $784.35 $861.57 $1135.89 |
$882.90 $955.80 $1033.02 $1307.34 |
$1054.35 $1127.25 $1204.47 $1478.79 |
$441.45 $477.90 $516.51 $653.67 |
$612.90 $649.35 $687.96 $825.12 |
$784.35 $820.80 $859.41 $996.57 |
$171.45 |
Plan: (PPO) MyPriority PPO RxPlus Gold 200Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health Insurance Company (PHIC))
Deductible: Individual:
$200
: Family:
$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 |
Gold | 21 30 40 50 60 |
$348.98 $396.09 $446.00 $623.28 $947.13 |
$697.96 $792.18 $892.00 $1246.56 $1894.26 |
$919.56 $1013.78 $1113.60 $1468.16 |
$1141.16 $1235.38 $1335.20 $1689.76 |
$1362.76 $1456.98 $1556.80 $1911.36 |
$570.58 $617.69 $667.60 $844.88 |
$792.18 $839.29 $889.20 $1066.48 |
$1013.78 $1060.89 $1110.80 $1288.08 |
$221.60 |
Plan: (PPO) MyPriority PPO RxPlus Bronze 3975Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health Insurance Company (PHIC))
Deductible: Individual:
$3,975
: Family:
$7,950 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 |
$230.57 $261.70 $294.67 $411.80 $625.77 |
$461.14 $523.40 $589.34 $823.60 $1251.54 |
$607.55 $669.81 $735.75 $970.01 |
$753.96 $816.22 $882.16 $1116.42 |
$900.37 $962.63 $1028.57 $1262.83 |
$376.98 $408.11 $441.08 $558.21 |
$523.39 $554.52 $587.49 $704.62 |
$669.80 $700.93 $733.90 $851.03 |
$146.41 |
Plan: (PPO) MyPriority PPO RxPlus Silver 1400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health Insurance Company (PHIC))
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 |
Silver | 21 30 40 50 60 |
$280.66 $318.55 $358.68 $501.26 $761.71 |
$561.32 $637.10 $717.36 $1002.52 $1523.42 |
$739.54 $815.32 $895.58 $1180.74 |
$917.76 $993.54 $1073.80 $1358.96 |
$1095.98 $1171.76 $1252.02 $1537.18 |
$458.88 $496.77 $536.90 $679.48 |
$637.10 $674.99 $715.12 $857.70 |
$815.32 $853.21 $893.34 $1035.92 |
$178.22 |
Plan: (PPO) MyPriority PPO HSA Bronze 6550Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health Insurance Company (PHIC))
Deductible: Individual:
$6,550
: 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 |
$205.67 $233.44 $262.85 $367.33 $558.19 |
$411.34 $466.88 $525.70 $734.66 $1116.38 |
$541.94 $597.48 $656.30 $865.26 |
$672.54 $728.08 $786.90 $995.86 |
$803.14 $858.68 $917.50 $1126.46 |
$336.27 $364.04 $393.45 $497.93 |
$466.87 $494.64 $524.05 $628.53 |
$597.47 $625.24 $654.65 $759.13 |
$130.60 |
Plan: (PPO) MyPriority PPO HSA Gold 1350Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health Insurance Company (PHIC))
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 |
$323.42 $367.08 $413.33 $577.63 $877.76 |
$646.84 $734.16 $826.66 $1155.26 $1755.52 |
$852.21 $939.53 $1032.03 $1360.63 |
$1057.58 $1144.90 $1237.40 $1566.00 |
$1262.95 $1350.27 $1442.77 $1771.37 |
$528.79 $572.45 $618.70 $783.00 |
$734.16 $777.82 $824.07 $988.37 |
$939.53 $983.19 $1029.44 $1193.74 |
$205.37 |
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Priority HealthLocal: 1-855-682-5217 | Toll Free: 1-855-682-5217 |
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Plan: (HMO) MyPriority HMO RxPlus Silver 1900Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
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 |
$250.34 $284.14 $319.93 $447.11 $679.42 |
$500.68 $568.28 $639.86 $894.22 $1358.84 |
$659.65 $727.25 $798.83 $1053.19 |
$818.62 $886.22 $957.80 $1212.16 |
$977.59 $1045.19 $1116.77 $1371.13 |
$409.31 $443.11 $478.90 $606.08 |
$568.28 $602.08 $637.87 $765.05 |
$727.25 $761.05 $796.84 $924.02 |
++ |
Plan: (HMO) MyPriority HMO RxPlus Silver 1800Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
Deductible: Individual:
$1,800
: Family:
$3,600 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 |
$243.90 $276.83 $311.70 $435.61 $661.94 |
$487.80 $553.66 $623.40 $871.22 $1323.88 |
$642.68 $708.54 $778.28 $1026.10 |
$797.56 $863.42 $933.16 $1180.98 |
$952.44 $1018.30 $1088.04 $1335.86 |
$398.78 $431.71 $466.58 $590.49 |
$553.66 $586.59 $621.46 $745.37 |
$708.54 $741.47 $776.34 $900.25 |
$154.88 |
Plan: (HMO) MyPriority HMO HSA Silver 1500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
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 |
Silver | 21 30 40 50 60 |
$245.57 $278.72 $313.84 $438.59 $666.48 |
$491.14 $557.44 $627.68 $877.18 $1332.96 |
$647.08 $713.38 $783.62 $1033.12 |
$803.02 $869.32 $939.56 $1189.06 |
$958.96 $1025.26 $1095.50 $1345.00 |
$401.51 $434.66 $469.78 $594.53 |
$557.45 $590.60 $625.72 $750.47 |
$713.39 $746.54 $781.66 $906.41 |
$155.94 |
Plan: (HMO) MyPriority HMO Silver 1400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
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 |
Silver | 21 30 40 50 60 |
$251.62 $285.59 $321.57 $449.39 $682.90 |
$503.24 $571.18 $643.14 $898.78 $1365.80 |
$663.02 $730.96 $802.92 $1058.56 |
$822.80 $890.74 $962.70 $1218.34 |
$982.58 $1050.52 $1122.48 $1378.12 |
$411.40 $445.37 $481.35 $609.17 |
$571.18 $605.15 $641.13 $768.95 |
$730.96 $764.93 $800.91 $928.73 |
$159.78 |
Plan: (HMO) MyPriority HMO RxPlus Gold 200Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
Deductible: Individual:
$200
: Family:
$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 |
Gold | 21 30 40 50 60 |
$329.75 $374.27 $421.42 $588.93 $894.94 |
$659.50 $748.54 $842.84 $1177.86 $1789.88 |
$868.89 $957.93 $1052.23 $1387.25 |
$1078.28 $1167.32 $1261.62 $1596.64 |
$1287.67 $1376.71 $1471.01 $1806.03 |
$539.14 $583.66 $630.81 $798.32 |
$748.53 $793.05 $840.20 $1007.71 |
$957.92 $1002.44 $1049.59 $1217.10 |
$209.39 |
Plan: (HMO) MyPriority HMO RxPlus Bronze 3975Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
Deductible: Individual:
$3,975
: Family:
$7,950 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 |
$210.79 $239.25 $269.39 $376.47 $572.08 |
$421.58 $478.50 $538.78 $752.94 $1144.16 |
$555.43 $612.35 $672.63 $886.79 |
$689.28 $746.20 $806.48 $1020.64 |
$823.13 $880.05 $940.33 $1154.49 |
$344.64 $373.10 $403.24 $510.32 |
$478.49 $506.95 $537.09 $644.17 |
$612.34 $640.80 $670.94 $778.02 |
$133.85 |
Plan: (HMO) MyPriority HMO RxPlus Silver 1400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
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 |
Silver | 21 30 40 50 60 |
$252.66 $286.77 $322.90 $451.25 $685.72 |
$505.32 $573.54 $645.80 $902.50 $1371.44 |
$665.76 $733.98 $806.24 $1062.94 |
$826.20 $894.42 $966.68 $1223.38 |
$986.64 $1054.86 $1127.12 $1383.82 |
$413.10 $447.21 $483.34 $611.69 |
$573.54 $607.65 $643.78 $772.13 |
$733.98 $768.09 $804.22 $932.57 |
$160.44 |
Plan: (HMO) MyPriority HMO HSA Bronze 6550Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
Deductible: Individual:
$6,550
: 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 |
$187.08 $212.34 $239.09 $334.12 $507.74 |
$374.16 $424.68 $478.18 $668.24 $1015.48 |
$492.96 $543.48 $596.98 $787.04 |
$611.76 $662.28 $715.78 $905.84 |
$730.56 $781.08 $834.58 $1024.64 |
$305.88 $331.14 $357.89 $452.92 |
$424.68 $449.94 $476.69 $571.72 |
$543.48 $568.74 $595.49 $690.52 |
$118.80 |
Plan: (HMO) MyPriority HMO HSA Gold 1350Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
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 |
$307.15 $348.62 $392.54 $548.57 $833.61 |
$614.30 $697.24 $785.08 $1097.14 $1667.22 |
$809.34 $892.28 $980.12 $1292.18 |
$1004.38 $1087.32 $1175.16 $1487.22 |
$1199.42 $1282.36 $1370.20 $1682.26 |
$502.19 $543.66 $587.58 $743.61 |
$697.23 $738.70 $782.62 $938.65 |
$892.27 $933.74 $977.66 $1133.69 |
$195.04 |
Plan: (HMO) MyPriority HMO Bronze 6450Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
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 |
$192.67 $218.68 $246.23 $344.11 $522.91 |
$385.34 $437.36 $492.46 $688.22 $1045.82 |
$507.69 $559.71 $614.81 $810.57 |
$630.04 $682.06 $737.16 $932.92 |
$752.39 $804.41 $859.51 $1055.27 |
$315.02 $341.03 $368.58 $466.46 |
$437.37 $463.38 $490.93 $588.81 |
$559.72 $585.73 $613.28 $711.16 |
$122.35 |
Plan: (HMO) MyPriority HMO Holistic Bronze 5200Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
Deductible: Individual:
$5,200
: Family:
$10,400 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 |
$201.46 $228.66 $257.47 $359.81 $546.76 |
$402.92 $457.32 $514.94 $719.62 $1093.52 |
$530.85 $585.25 $642.87 $847.55 |
$658.78 $713.18 $770.80 $975.48 |
$786.71 $841.11 $898.73 $1103.41 |
$329.39 $356.59 $385.40 $487.74 |
$457.32 $484.52 $513.33 $615.67 |
$585.25 $612.45 $641.26 $743.60 |
$127.93 |
Plan: (HMO) MyPriority HMO Holistic Silver 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
Deductible: Individual:
$2,000
: Family:
$4,000 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 |
$243.61 $276.50 $311.33 $435.09 $661.16 |
$487.22 $553.00 $622.66 $870.18 $1322.32 |
$641.91 $707.69 $777.35 $1024.87 |
$796.60 $862.38 $932.04 $1179.56 |
$951.29 $1017.07 $1086.73 $1334.25 |
$398.30 $431.19 $466.02 $589.78 |
$552.99 $585.88 $620.71 $744.47 |
$707.68 $740.57 $775.40 $899.16 |
$154.69 |
Plan: (POS) MyPriority POS RxPlus Silver 1800Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
Deductible: Individual:
$1,800
: Family:
$3,600 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 |
$256.98 $291.67 $328.42 $458.97 $697.44 |
$513.96 $583.34 $656.84 $917.94 $1394.88 |
$677.14 $746.52 $820.02 $1081.12 |
$840.32 $909.70 $983.20 $1244.30 |
$1003.50 $1072.88 $1146.38 $1407.48 |
$420.16 $454.85 $491.60 $622.15 |
$583.34 $618.03 $654.78 $785.33 |
$746.52 $781.21 $817.96 $948.51 |
$163.18 |
Plan: (POS) MyPriority POS HSA Silver 1500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
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 |
Silver | 21 30 40 50 60 |
$258.61 $293.52 $330.50 $461.88 $701.87 |
$517.22 $587.04 $661.00 $923.76 $1403.74 |
$681.44 $751.26 $825.22 $1087.98 |
$845.66 $915.48 $989.44 $1252.20 |
$1009.88 $1079.70 $1153.66 $1416.42 |
$422.83 $457.74 $494.72 $626.10 |
$587.05 $621.96 $658.94 $790.32 |
$751.27 $786.18 $823.16 $954.54 |
$164.22 |
Plan: (POS) MyPriority POS Silver 1400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
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 |
Silver | 21 30 40 50 60 |
$265.50 $301.34 $339.31 $474.18 $720.57 |
$531.00 $602.68 $678.62 $948.36 $1441.14 |
$699.59 $771.27 $847.21 $1116.95 |
$868.18 $939.86 $1015.80 $1285.54 |
$1036.77 $1108.45 $1184.39 $1454.13 |
$434.09 $469.93 $507.90 $642.77 |
$602.68 $638.52 $676.49 $811.36 |
$771.27 $807.11 $845.08 $979.95 |
$168.59 |
Plan: (POS) MyPriority POS RxPlus Gold 200Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
Deductible: Individual:
$200
: Family:
$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 |
Gold | 21 30 40 50 60 |
$349.77 $396.99 $447.01 $624.69 $949.28 |
$699.54 $793.98 $894.02 $1249.38 $1898.56 |
$921.64 $1016.08 $1116.12 $1471.48 |
$1143.74 $1238.18 $1338.22 $1693.58 |
$1365.84 $1460.28 $1560.32 $1915.68 |
$571.87 $619.09 $669.11 $846.79 |
$793.97 $841.19 $891.21 $1068.89 |
$1016.07 $1063.29 $1113.31 $1290.99 |
$222.10 |
Plan: (POS) MyPriority POS RxPlus Bronze 3975Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
Deductible: Individual:
$3,975
: Family:
$7,950 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 |
$221.16 $251.02 $282.64 $394.99 $600.23 |
$442.32 $502.04 $565.28 $789.98 $1200.46 |
$582.76 $642.48 $705.72 $930.42 |
$723.20 $782.92 $846.16 $1070.86 |
$863.64 $923.36 $986.60 $1211.30 |
$361.60 $391.46 $423.08 $535.43 |
$502.04 $531.90 $563.52 $675.87 |
$642.48 $672.34 $703.96 $816.31 |
$140.44 |
Plan: (POS) MyPriority POS RxPlus Silver 1400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
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 |
Silver | 21 30 40 50 60 |
$267.10 $303.16 $341.35 $477.04 $724.91 |
$534.20 $606.32 $682.70 $954.08 $1449.82 |
$703.81 $775.93 $852.31 $1123.69 |
$873.42 $945.54 $1021.92 $1293.30 |
$1043.03 $1115.15 $1191.53 $1462.91 |
$436.71 $472.77 $510.96 $646.65 |
$606.32 $642.38 $680.57 $816.26 |
$775.93 $811.99 $850.18 $985.87 |
$169.61 |
Plan: (POS) MyPriority POS HSA Bronze 6550Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
Deductible: Individual:
$6,550
: 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 |
$195.26 $221.62 $249.54 $348.73 $529.94 |
$390.52 $443.24 $499.08 $697.46 $1059.88 |
$514.51 $567.23 $623.07 $821.45 |
$638.50 $691.22 $747.06 $945.44 |
$762.49 $815.21 $871.05 $1069.43 |
$319.25 $345.61 $373.53 $472.72 |
$443.24 $469.60 $497.52 $596.71 |
$567.23 $593.59 $621.51 $720.70 |
$123.99 |
Plan: (POS) MyPriority POS HSA Gold 1350Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
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 |
$321.58 $364.99 $410.98 $574.34 $872.77 |
$643.16 $729.98 $821.96 $1148.68 $1745.54 |
$847.36 $934.18 $1026.16 $1352.88 |
$1051.56 $1138.38 $1230.36 $1557.08 |
$1255.76 $1342.58 $1434.56 $1761.28 |
$525.78 $569.19 $615.18 $778.54 |
$729.98 $773.39 $819.38 $982.74 |
$934.18 $977.59 $1023.58 $1186.94 |
$204.20 |
Plan: (POS) MyPriority POS Bronze 6450Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
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 |
$200.99 $228.12 $256.87 $358.97 $545.49 |
$401.98 $456.24 $513.74 $717.94 $1090.98 |
$529.61 $583.87 $641.37 $845.57 |
$657.24 $711.50 $769.00 $973.20 |
$784.87 $839.13 $896.63 $1100.83 |
$328.62 $355.75 $384.50 $486.60 |
$456.25 $483.38 $512.13 $614.23 |
$583.88 $611.01 $639.76 $741.86 |
$127.63 |
Plan: (POS) MyPriority POS Holistic Bronze 5200Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
Deductible: Individual:
$5,200
: Family:
$10,400 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 |
$210.41 $238.82 $268.90 $375.79 $571.05 |
$420.82 $477.64 $537.80 $751.58 $1142.10 |
$554.43 $611.25 $671.41 $885.19 |
$688.04 $744.86 $805.02 $1018.80 |
$821.65 $878.47 $938.63 $1152.41 |
$344.02 $372.43 $402.51 $509.40 |
$477.63 $506.04 $536.12 $643.01 |
$611.24 $639.65 $669.73 $776.62 |
$133.61 |
Plan: (POS) MyPriority POS Holistic Silver 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-682-5217 - Provider Directory for This Plan: (Priority Health)
Deductible: Individual:
$2,000
: Family:
$4,000 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 |
$255.78 $290.31 $326.89 $456.82 $694.19 |
$511.56 $580.62 $653.78 $913.64 $1388.38 |
$673.98 $743.04 $816.20 $1076.06 |
$836.40 $905.46 $978.62 $1238.48 |
$998.82 $1067.88 $1141.04 $1400.90 |
$418.20 $452.73 $489.31 $619.24 |
$580.62 $615.15 $651.73 $781.66 |
$743.04 $777.57 $814.15 $944.08 |
$162.42 |
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Blue Care Network of MichiganLocal: 1-800-662-6667 | Toll Free: 1-800-662-6667 TTY: 1-800-257-9980 |
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Plan: (HMO) Blue Cross® Preferred SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-662-6667 - Provider Directory for This Plan: (Blue Care Network of Michigan)
Deductible: Individual:
$1,650
: Family:
$3,300 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 |
$272.20 $308.95 $347.87 $486.15 $738.75 |
$544.40 $617.90 $695.74 $972.30 $1477.50 |
$717.25 $790.75 $868.59 $1145.15 |
$890.10 $963.60 $1041.44 $1318.00 |
$1062.95 $1136.45 $1214.29 $1490.85 |
$445.05 $481.80 $520.72 $659.00 |
$617.90 $654.65 $693.57 $831.85 |
$790.75 $827.50 $866.42 $1004.70 |
$172.85 |
Plan: (HMO) Blue Cross® Preferred GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-662-6667 - Provider Directory for This Plan: (Blue Care Network of Michigan)
Deductible: Individual:
$250
: Family:
$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 |
$352.73 $400.35 $450.79 $629.98 $957.31 |
$705.46 $800.70 $901.58 $1259.96 $1914.62 |
$929.44 $1024.68 $1125.56 $1483.94 |
$1153.42 $1248.66 $1349.54 $1707.92 |
$1377.40 $1472.64 $1573.52 $1931.90 |
$576.71 $624.33 $674.77 $853.96 |
$800.69 $848.31 $898.75 $1077.94 |
$1024.67 $1072.29 $1122.73 $1301.92 |
$223.98 |
Plan: (HMO) Blue Cross® Preferred BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-662-6667 - Provider Directory for This Plan: (Blue Care Network of Michigan)
Deductible: Individual:
$5,950
: Family:
$11,900 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 |
$210.05 $238.41 $268.44 $375.15 $570.08 |
$420.10 $476.82 $536.88 $750.30 $1140.16 |
$553.48 $610.20 $670.26 $883.68 |
$686.86 $743.58 $803.64 $1017.06 |
$820.24 $876.96 $937.02 $1150.44 |
$343.43 $371.79 $401.82 $508.53 |
$476.81 $505.17 $535.20 $641.91 |
$610.19 $638.55 $668.58 $775.29 |
$133.38 |
Plan: (HMO) Blue Cross® Preferred Silver ExtraSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-662-6667 - Provider Directory for This Plan: (Blue Care Network of Michigan)
Deductible: Individual:
$2,250
: Family:
$4,500 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 |
Silver | 21 30 40 50 60 |
$282.88 $321.07 $361.52 $505.22 $767.74 |
$565.76 $642.14 $723.04 $1010.44 $1535.48 |
$745.39 $821.77 $902.67 $1190.07 |
$925.02 $1001.40 $1082.30 $1369.70 |
$1104.65 $1181.03 $1261.93 $1549.33 |
$462.51 $500.70 $541.15 $684.85 |
$642.14 $680.33 $720.78 $864.48 |
$821.77 $859.96 $900.41 $1044.11 |
$179.63 |
Plan: (HMO) Blue Cross® Preferred Gold ExtraSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-662-6667 - Provider Directory for This Plan: (Blue Care Network of Michigan)
Deductible: Individual:
$775
: Family:
$1,550 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 |
$365.70 $415.07 $467.36 $653.14 $992.51 |
$731.40 $830.14 $934.72 $1306.28 $1985.02 |
$963.62 $1062.36 $1166.94 $1538.50 |
$1195.84 $1294.58 $1399.16 $1770.72 |
$1428.06 $1526.80 $1631.38 $2002.94 |
$597.92 $647.29 $699.58 $885.36 |
$830.14 $879.51 $931.80 $1117.58 |
$1062.36 $1111.73 $1164.02 $1349.80 |
$232.22 |
†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 Saint Joseph County here.