The health insurance rates listed below are for calendar year 2019.
2019 Rates and Providers
(click here for 2014)
(click here for 2015)
(click here for 2016)
(click here for 2017)
(click here for 2018)
This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Volusia County, Florida.
Obamacare Providers, Plans and 2019 Rates for Volusia County
Volusia County is in “Rating Area 17” of Florida.
Currently, there are 94 plans offered in Rating Area 17.
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 Ormond Beach, FL area accept this insurance coverage as within the plan's "network".
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Blue Cross and Blue Shield of FloridaLocal: 1-800-352-2583 | Toll Free: 1-800-352-2583 TTY: 1-800-955-8771 |
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Plan: (EPO) BlueOptions Silver 1423Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
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 |
Silver | 21 30 40 50 60 |
$571.64 $648.81 $730.56 $1,020.95 $1,551.43 |
$1,143.28 $1,297.62 $1,461.12 $2,041.90 $3,102.86 |
$1,580.58 $1,734.92 $1,898.42 $2,479.20 |
$2,017.88 $2,172.22 $2,335.72 $2,916.50 |
$2,455.18 $2,609.52 $2,773.02 $3,353.80 |
$1,008.94 $1,086.11 $1,167.86 $1,458.25 |
$1,446.24 $1,523.41 $1,605.16 $1,895.55 |
$1,883.54 $1,960.71 $2,042.46 $2,332.85 |
$521.91 |
Plan: (EPO) BlueOptions Bronze 1419Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$7,900
: Family:
$15,800 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 |
Bronze | 21 30 40 50 60 |
$361.99 $410.86 $462.62 $646.51 $982.44 |
$723.98 $821.72 $925.24 $1,293.02 $1,964.88 |
$1,000.90 $1,098.64 $1,202.16 $1,569.94 |
$1,277.82 $1,375.56 $1,479.08 $1,846.86 |
$1,554.74 $1,652.48 $1,756.00 $2,123.78 |
$638.91 $687.78 $739.54 $923.43 |
$915.83 $964.70 $1,016.46 $1,200.35 |
$1,192.75 $1,241.62 $1,293.38 $1,477.27 |
$330.50 |
Plan: (EPO) BlueOptions Silver 1431Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$5,650
: Family:
$11,300 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 |
$589.09 $668.62 $752.86 $1,052.11 $1,598.79 |
$1,178.18 $1,337.24 $1,505.72 $2,104.22 $3,197.58 |
$1,628.83 $1,787.89 $1,956.37 $2,554.87 |
$2,079.48 $2,238.54 $2,407.02 $3,005.52 |
$2,530.13 $2,689.19 $2,857.67 $3,456.17 |
$1,039.74 $1,119.27 $1,203.51 $1,502.76 |
$1,490.39 $1,569.92 $1,654.16 $1,953.41 |
$1,941.04 $2,020.57 $2,104.81 $2,404.06 |
$537.84 |
Plan: (EPO) BlueOptions Platinum 1418Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$1,000
: Family:
$2,000 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 |
Platinum | 21 30 40 50 60 |
$707.23 $802.71 $903.84 $1,263.11 $1,919.42 |
$1,414.46 $1,605.42 $1,807.68 $2,526.22 $3,838.84 |
$1,955.49 $2,146.45 $2,348.71 $3,067.25 |
$2,496.52 $2,687.48 $2,889.74 $3,608.28 |
$3,037.55 $3,228.51 $3,430.77 $4,149.31 |
$1,248.26 $1,343.74 $1,444.87 $1,804.14 |
$1,789.29 $1,884.77 $1,985.90 $2,345.17 |
$2,330.32 $2,425.80 $2,526.93 $2,886.20 |
$645.70 |
Plan: (EPO) BlueOptions Bronze 1416Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$6,200
: Family:
$12,400 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 |
Expanded Bronze | 21 30 40 50 60 |
$389.10 $441.63 $497.27 $694.93 $1,056.02 |
$778.20 $883.26 $994.54 $1,389.86 $2,112.04 |
$1,075.86 $1,180.92 $1,292.20 $1,687.52 |
$1,373.52 $1,478.58 $1,589.86 $1,985.18 |
$1,671.18 $1,776.24 $1,887.52 $2,282.84 |
$686.76 $739.29 $794.93 $992.59 |
$984.42 $1,036.95 $1,092.59 $1,290.25 |
$1,282.08 $1,334.61 $1,390.25 $1,587.91 |
$355.25 |
Plan: (EPO) BlueOptions Platinum 1424Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
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 |
$743.45 $843.82 $950.13 $1,327.80 $2,017.72 |
$1,486.90 $1,687.64 $1,900.26 $2,655.60 $4,035.44 |
$2,055.64 $2,256.38 $2,469.00 $3,224.34 |
$2,624.38 $2,825.12 $3,037.74 $3,793.08 |
$3,193.12 $3,393.86 $3,606.48 $4,361.82 |
$1,312.19 $1,412.56 $1,518.87 $1,896.54 |
$1,880.93 $1,981.30 $2,087.61 $2,465.28 |
$2,449.67 $2,550.04 $2,656.35 $3,034.02 |
$678.77 |
Plan: (EPO) BlueOptions Silver 1410Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
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 |
$528.84 $600.23 $675.86 $944.51 $1,435.27 |
$1,057.68 $1,200.46 $1,351.72 $1,889.02 $2,870.54 |
$1,462.24 $1,605.02 $1,756.28 $2,293.58 |
$1,866.80 $2,009.58 $2,160.84 $2,698.14 |
$2,271.36 $2,414.14 $2,565.40 $3,102.70 |
$933.40 $1,004.79 $1,080.42 $1,349.07 |
$1,337.96 $1,409.35 $1,484.98 $1,753.63 |
$1,742.52 $1,813.91 $1,889.54 $2,158.19 |
$482.83 |
Plan: (EPO) BlueOptions Gold 1505Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
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 |
Gold | 21 30 40 50 60 |
$574.45 $652.00 $734.15 $1,025.97 $1,559.06 |
$1,148.90 $1,304.00 $1,468.30 $2,051.94 $3,118.12 |
$1,588.35 $1,743.45 $1,907.75 $2,491.39 |
$2,027.80 $2,182.90 $2,347.20 $2,930.84 |
$2,467.25 $2,622.35 $2,786.65 $3,370.29 |
$1,013.90 $1,091.45 $1,173.60 $1,465.42 |
$1,453.35 $1,530.90 $1,613.05 $1,904.87 |
$1,892.80 $1,970.35 $2,052.50 $2,344.32 |
$524.47 |
Plan: (EPO) BlueOptions Bronze (HSA) 1705Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
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 |
Expanded Bronze | 21 30 40 50 60 |
$381.80 $433.34 $487.94 $681.89 $1,036.21 |
$763.60 $866.68 $975.88 $1,363.78 $2,072.42 |
$1,055.68 $1,158.76 $1,267.96 $1,655.86 |
$1,347.76 $1,450.84 $1,560.04 $1,947.94 |
$1,639.84 $1,742.92 $1,852.12 $2,240.02 |
$673.88 $725.42 $780.02 $973.97 |
$965.96 $1,017.50 $1,072.10 $1,266.05 |
$1,258.04 $1,309.58 $1,364.18 $1,558.13 |
$348.58 |
Plan: (EPO) BlueOptions Silver 1706SSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
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 |
$581.74 $660.27 $743.46 $1,038.99 $1,578.84 |
$1,163.48 $1,320.54 $1,486.92 $2,077.98 $3,157.68 |
$1,608.51 $1,765.57 $1,931.95 $2,523.01 |
$2,053.54 $2,210.60 $2,376.98 $2,968.04 |
$2,498.57 $2,655.63 $2,822.01 $3,413.07 |
$1,026.77 $1,105.30 $1,188.49 $1,484.02 |
$1,471.80 $1,550.33 $1,633.52 $1,929.05 |
$1,916.83 $1,995.36 $2,078.55 $2,374.08 |
$531.13 |
Plan: (EPO) BlueOptions Bronze 1707SSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Deductible: Individual:
$6,650
: Family:
$13,300 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 |
Expanded Bronze | 21 30 40 50 60 |
$383.15 $434.88 $489.67 $684.31 $1,039.87 |
$766.30 $869.76 $979.34 $1,368.62 $2,079.74 |
$1,059.41 $1,162.87 $1,272.45 $1,661.73 |
$1,352.52 $1,455.98 $1,565.56 $1,954.84 |
$1,645.63 $1,749.09 $1,858.67 $2,247.95 |
$676.26 $727.99 $782.78 $977.42 |
$969.37 $1,021.10 $1,075.89 $1,270.53 |
$1,262.48 $1,314.21 $1,369.00 $1,563.64 |
$349.82 |
Plan: (EPO) BlueOptions Gold 1805Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
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 |
$549.69 $623.90 $702.50 $981.75 $1,491.86 |
$1,099.38 $1,247.80 $1,405.00 $1,963.50 $2,983.72 |
$1,519.89 $1,668.31 $1,825.51 $2,384.01 |
$1,940.40 $2,088.82 $2,246.02 $2,804.52 |
$2,360.91 $2,509.33 $2,666.53 $3,225.03 |
$970.20 $1,044.41 $1,123.01 $1,402.26 |
$1,390.71 $1,464.92 $1,543.52 $1,822.77 |
$1,811.22 $1,885.43 $1,964.03 $2,243.28 |
$501.87 |
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Celtic Insurance CompanyLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 TTY: 1-800-955-8770 |
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Plan: (EPO) Ambetter Secure Care 3 (2019) with 3 Free PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$1,000
: Family:
$2,000 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 |
$398.65 $452.46 $509.46 $711.97 $1,081.91 |
$797.30 $904.92 $1,018.92 $1,423.94 $2,163.82 |
$1,102.26 $1,209.88 $1,323.88 $1,728.90 |
$1,407.22 $1,514.84 $1,628.84 $2,033.86 |
$1,712.18 $1,819.80 $1,933.80 $2,338.82 |
$703.61 $757.42 $814.42 $1,016.93 |
$1,008.57 $1,062.38 $1,119.38 $1,321.89 |
$1,313.53 $1,367.34 $1,424.34 $1,626.85 |
$363.96 |
Plan: (EPO) Ambetter Balanced Care 1 (2019)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$5,500
: Family:
$11,000 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 |
$403.69 $458.18 $515.91 $720.98 $1,095.60 |
$807.38 $916.36 $1,031.82 $1,441.96 $2,191.20 |
$1,116.20 $1,225.18 $1,340.64 $1,750.78 |
$1,425.02 $1,534.00 $1,649.46 $2,059.60 |
$1,733.84 $1,842.82 $1,958.28 $2,368.42 |
$712.51 $767.00 $824.73 $1,029.80 |
$1,021.33 $1,075.82 $1,133.55 $1,338.62 |
$1,330.15 $1,384.64 $1,442.37 $1,647.44 |
$368.56 |
Plan: (EPO) Ambetter Balanced Care 2 (2019)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$6,500
: Family:
$13,000 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 |
$399.43 $453.34 $510.46 $713.36 $1,084.02 |
$798.86 $906.68 $1,020.92 $1,426.72 $2,168.04 |
$1,104.41 $1,212.23 $1,326.47 $1,732.27 |
$1,409.96 $1,517.78 $1,632.02 $2,037.82 |
$1,715.51 $1,823.33 $1,937.57 $2,343.37 |
$704.98 $758.89 $816.01 $1,018.91 |
$1,010.53 $1,064.44 $1,121.56 $1,324.46 |
$1,316.08 $1,369.99 $1,427.11 $1,630.01 |
$364.67 |
Plan: (EPO) Ambetter Essential Care 1 (2019)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$7,900
: Family:
$15,800 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 |
Bronze | 21 30 40 50 60 |
$278.05 $315.58 $355.34 $496.58 $754.60 |
$556.10 $631.16 $710.68 $993.16 $1,509.20 |
$768.80 $843.86 $923.38 $1,205.86 |
$981.50 $1,056.56 $1,136.08 $1,418.56 |
$1,194.20 $1,269.26 $1,348.78 $1,631.26 |
$490.75 $528.28 $568.04 $709.28 |
$703.45 $740.98 $780.74 $921.98 |
$916.15 $953.68 $993.44 $1,134.68 |
$253.85 |
Plan: (EPO) Ambetter Balanced Care 3 (2019)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$3,000
: 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 |
$431.23 $489.43 $551.09 $770.15 $1,170.32 |
$862.46 $978.86 $1,102.18 $1,540.30 $2,340.64 |
$1,192.34 $1,308.74 $1,432.06 $1,870.18 |
$1,522.22 $1,638.62 $1,761.94 $2,200.06 |
$1,852.10 $1,968.50 $2,091.82 $2,529.94 |
$761.11 $819.31 $880.97 $1,100.03 |
$1,090.99 $1,149.19 $1,210.85 $1,429.91 |
$1,420.87 $1,479.07 $1,540.73 $1,759.79 |
$393.70 |
Plan: (EPO) Ambetter Balanced Care 4 (2019)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$7,050
: Family:
$14,100 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 |
$387.79 $440.13 $495.59 $692.58 $1,052.45 |
$775.58 $880.26 $991.18 $1,385.16 $2,104.90 |
$1,072.23 $1,176.91 $1,287.83 $1,681.81 |
$1,368.88 $1,473.56 $1,584.48 $1,978.46 |
$1,665.53 $1,770.21 $1,881.13 $2,275.11 |
$684.44 $736.78 $792.24 $989.23 |
$981.09 $1,033.43 $1,088.89 $1,285.88 |
$1,277.74 $1,330.08 $1,385.54 $1,582.53 |
$354.05 |
Plan: (EPO) Ambetter Balanced Care 11 (2019)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)
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 |
$368.02 $417.69 $470.31 $657.26 $998.77 |
$736.04 $835.38 $940.62 $1,314.52 $1,997.54 |
$1,017.57 $1,116.91 $1,222.15 $1,596.05 |
$1,299.10 $1,398.44 $1,503.68 $1,877.58 |
$1,580.63 $1,679.97 $1,785.21 $2,159.11 |
$649.55 $699.22 $751.84 $938.79 |
$931.08 $980.75 $1,033.37 $1,220.32 |
$1,212.61 $1,262.28 $1,314.90 $1,501.85 |
$335.99 |
Plan: (EPO) Ambetter Balanced Care 5 (2019)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$7,350
: Family:
$14,700 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 |
Silver | 21 30 40 50 60 |
$374.22 $424.73 $478.24 $668.34 $1,015.61 |
$748.44 $849.46 $956.48 $1,336.68 $2,031.22 |
$1,034.71 $1,135.73 $1,242.75 $1,622.95 |
$1,320.98 $1,422.00 $1,529.02 $1,909.22 |
$1,607.25 $1,708.27 $1,815.29 $2,195.49 |
$660.49 $711.00 $764.51 $954.61 |
$946.76 $997.27 $1,050.78 $1,240.88 |
$1,233.03 $1,283.54 $1,337.05 $1,527.15 |
$341.66 |
Plan: (EPO) Ambetter Balanced Care 1 (2019) + VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - 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 |
$407.35 $462.33 $520.58 $727.51 $1,105.52 |
$814.70 $924.66 $1,041.16 $1,455.02 $2,211.04 |
$1,126.32 $1,236.28 $1,352.78 $1,766.64 |
$1,437.94 $1,547.90 $1,664.40 $2,078.26 |
$1,749.56 $1,859.52 $1,976.02 $2,389.88 |
$718.97 $773.95 $832.20 $1,039.13 |
$1,030.59 $1,085.57 $1,143.82 $1,350.75 |
$1,342.21 $1,397.19 $1,455.44 $1,662.37 |
$371.90 |
Plan: (EPO) Ambetter Balanced Care 2 (2019) + VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - 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 |
$403.05 $457.45 $515.08 $719.82 $1,093.84 |
$806.10 $914.90 $1,030.16 $1,439.64 $2,187.68 |
$1,114.42 $1,223.22 $1,338.48 $1,747.96 |
$1,422.74 $1,531.54 $1,646.80 $2,056.28 |
$1,731.06 $1,839.86 $1,955.12 $2,364.60 |
$711.37 $765.77 $823.40 $1,028.14 |
$1,019.69 $1,074.09 $1,131.72 $1,336.46 |
$1,328.01 $1,382.41 $1,440.04 $1,644.78 |
$367.97 |
Plan: (EPO) Ambetter Balanced Care 3 (2019) + VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$3,000
: 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 |
$435.13 $493.87 $556.09 $777.13 $1,180.92 |
$870.26 $987.74 $1,112.18 $1,554.26 $2,361.84 |
$1,203.13 $1,320.61 $1,445.05 $1,887.13 |
$1,536.00 $1,653.48 $1,777.92 $2,220.00 |
$1,868.87 $1,986.35 $2,110.79 $2,552.87 |
$768.00 $826.74 $888.96 $1,110.00 |
$1,100.87 $1,159.61 $1,221.83 $1,442.87 |
$1,433.74 $1,492.48 $1,554.70 $1,775.74 |
$397.27 |
Plan: (EPO) Ambetter Balanced Care 1 (2019) + Vision + Adult DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - 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 |
$416.03 $472.19 $531.68 $743.02 $1,129.09 |
$832.06 $944.38 $1,063.36 $1,486.04 $2,258.18 |
$1,150.32 $1,262.64 $1,381.62 $1,804.30 |
$1,468.58 $1,580.90 $1,699.88 $2,122.56 |
$1,786.84 $1,899.16 $2,018.14 $2,440.82 |
$734.29 $790.45 $849.94 $1,061.28 |
$1,052.55 $1,108.71 $1,168.20 $1,379.54 |
$1,370.81 $1,426.97 $1,486.46 $1,697.80 |
$379.83 |
Plan: (EPO) Ambetter Balanced Care 2 (2019) + Vision + Adult DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - 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 |
$411.64 $467.20 $526.06 $735.17 $1,117.15 |
$823.28 $934.40 $1,052.12 $1,470.34 $2,234.30 |
$1,138.17 $1,249.29 $1,367.01 $1,785.23 |
$1,453.06 $1,564.18 $1,681.90 $2,100.12 |
$1,767.95 $1,879.07 $1,996.79 $2,415.01 |
$726.53 $782.09 $840.95 $1,050.06 |
$1,041.42 $1,096.98 $1,155.84 $1,364.95 |
$1,356.31 $1,411.87 $1,470.73 $1,679.84 |
$375.82 |
Plan: (EPO) Ambetter Balanced Care 3 (2019) + Vision + Adult DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company)
Deductible: Individual:
$3,000
: 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 |
$444.41 $504.39 $567.94 $793.69 $1,206.09 |
$888.82 $1,008.78 $1,135.88 $1,587.38 $2,412.18 |
$1,228.78 $1,348.74 $1,475.84 $1,927.34 |
$1,568.74 $1,688.70 $1,815.80 $2,267.30 |
$1,908.70 $2,028.66 $2,155.76 $2,607.26 |
$784.37 $844.35 $907.90 $1,133.65 |
$1,124.33 $1,184.31 $1,247.86 $1,473.61 |
$1,464.29 $1,524.27 $1,587.82 $1,813.57 |
$405.73 |
ADVERTISEMENT
|
||||||||||
Health Options, Inc.Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 TTY: 1-800-955-8771 |
||||||||||
Plan: (HMO) BlueCare Silver 1490Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$5,950
: Family:
$11,900 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 |
Silver | 21 30 40 50 60 |
$479.70 $544.46 $613.06 $856.74 $1,301.91 |
$959.40 $1,088.92 $1,226.12 $1,713.48 $2,603.82 |
$1,326.37 $1,455.89 $1,593.09 $2,080.45 |
$1,693.34 $1,822.86 $1,960.06 $2,447.42 |
$2,060.31 $2,189.83 $2,327.03 $2,814.39 |
$846.67 $911.43 $980.03 $1,223.71 |
$1,213.64 $1,278.40 $1,347.00 $1,590.68 |
$1,580.61 $1,645.37 $1,713.97 $1,957.65 |
$437.97 |
Plan: (HMO) BlueCare Bronze 1486Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$7,900
: Family:
$15,800 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 |
$311.70 $353.78 $398.35 $556.70 $845.95 |
$623.40 $707.56 $796.70 $1,113.40 $1,691.90 |
$861.85 $946.01 $1,035.15 $1,351.85 |
$1,100.30 $1,184.46 $1,273.60 $1,590.30 |
$1,338.75 $1,422.91 $1,512.05 $1,828.75 |
$550.15 $592.23 $636.80 $795.15 |
$788.60 $830.68 $875.25 $1,033.60 |
$1,027.05 $1,069.13 $1,113.70 $1,272.05 |
$284.58 |
Plan: (HMO) BlueCare Silver 1498Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$5,650
: Family:
$11,300 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 |
$480.26 $545.10 $613.77 $857.74 $1,303.43 |
$960.52 $1,090.20 $1,227.54 $1,715.48 $2,606.86 |
$1,327.92 $1,457.60 $1,594.94 $2,082.88 |
$1,695.32 $1,825.00 $1,962.34 $2,450.28 |
$2,062.72 $2,192.40 $2,329.74 $2,817.68 |
$847.66 $912.50 $981.17 $1,225.14 |
$1,215.06 $1,279.90 $1,348.57 $1,592.54 |
$1,582.46 $1,647.30 $1,715.97 $1,959.94 |
$438.48 |
Plan: (HMO) BlueCare Platinum 1485Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.)
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 |
Platinum | 21 30 40 50 60 |
$540.94 $613.97 $691.32 $966.12 $1,468.11 |
$1,081.88 $1,227.94 $1,382.64 $1,932.24 $2,936.22 |
$1,495.70 $1,641.76 $1,796.46 $2,346.06 |
$1,909.52 $2,055.58 $2,210.28 $2,759.88 |
$2,323.34 $2,469.40 $2,624.10 $3,173.70 |
$954.76 $1,027.79 $1,105.14 $1,379.94 |
$1,368.58 $1,441.61 $1,518.96 $1,793.76 |
$1,782.40 $1,855.43 $1,932.78 $2,207.58 |
$493.88 |
Plan: (HMO) BlueCare Bronze 1483Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$6,200
: Family:
$12,400 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 |
Expanded Bronze | 21 30 40 50 60 |
$343.74 $390.14 $439.30 $613.92 $932.91 |
$687.48 $780.28 $878.60 $1,227.84 $1,865.82 |
$950.44 $1,043.24 $1,141.56 $1,490.80 |
$1,213.40 $1,306.20 $1,404.52 $1,753.76 |
$1,476.36 $1,569.16 $1,667.48 $2,016.72 |
$606.70 $653.10 $702.26 $876.88 |
$869.66 $916.06 $965.22 $1,139.84 |
$1,132.62 $1,179.02 $1,228.18 $1,402.80 |
$313.83 |
Plan: (HMO) BlueCare Platinum 1491Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - 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 |
$576.59 $654.43 $736.88 $1,029.79 $1,564.87 |
$1,153.18 $1,308.86 $1,473.76 $2,059.58 $3,129.74 |
$1,594.27 $1,749.95 $1,914.85 $2,500.67 |
$2,035.36 $2,191.04 $2,355.94 $2,941.76 |
$2,476.45 $2,632.13 $2,797.03 $3,382.85 |
$1,017.68 $1,095.52 $1,177.97 $1,470.88 |
$1,458.77 $1,536.61 $1,619.06 $1,911.97 |
$1,899.86 $1,977.70 $2,060.15 $2,353.06 |
$526.43 |
Plan: (HMO) BlueCare Silver 1477Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 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 |
$419.42 $476.04 $536.02 $749.08 $1,138.31 |
$838.84 $952.08 $1,072.04 $1,498.16 $2,276.62 |
$1,159.70 $1,272.94 $1,392.90 $1,819.02 |
$1,480.56 $1,593.80 $1,713.76 $2,139.88 |
$1,801.42 $1,914.66 $2,034.62 $2,460.74 |
$740.28 $796.90 $856.88 $1,069.94 |
$1,061.14 $1,117.76 $1,177.74 $1,390.80 |
$1,382.00 $1,438.62 $1,498.60 $1,711.66 |
$382.93 |
Plan: (HMO) BlueCare Gold 1565Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - 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 |
$493.84 $560.51 $631.13 $882.00 $1,340.28 |
$987.68 $1,121.02 $1,262.26 $1,764.00 $2,680.56 |
$1,365.47 $1,498.81 $1,640.05 $2,141.79 |
$1,743.26 $1,876.60 $2,017.84 $2,519.58 |
$2,121.05 $2,254.39 $2,395.63 $2,897.37 |
$871.63 $938.30 $1,008.92 $1,259.79 |
$1,249.42 $1,316.09 $1,386.71 $1,637.58 |
$1,627.21 $1,693.88 $1,764.50 $2,015.37 |
$450.88 |
Plan: (HMO) BlueCare Bronze (HSA) 1765Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 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 |
Expanded Bronze | 21 30 40 50 60 |
$332.87 $377.81 $425.41 $594.51 $903.41 |
$665.74 $755.62 $850.82 $1,189.02 $1,806.82 |
$920.39 $1,010.27 $1,105.47 $1,443.67 |
$1,175.04 $1,264.92 $1,360.12 $1,698.32 |
$1,429.69 $1,519.57 $1,614.77 $1,952.97 |
$587.52 $632.46 $680.06 $849.16 |
$842.17 $887.11 $934.71 $1,103.81 |
$1,096.82 $1,141.76 $1,189.36 $1,358.46 |
$303.91 |
Plan: (HMO) BlueCare Silver 1766SSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, 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 |
$474.30 $538.33 $606.16 $847.10 $1,287.25 |
$948.60 $1,076.66 $1,212.32 $1,694.20 $2,574.50 |
$1,311.44 $1,439.50 $1,575.16 $2,057.04 |
$1,674.28 $1,802.34 $1,938.00 $2,419.88 |
$2,037.12 $2,165.18 $2,300.84 $2,782.72 |
$837.14 $901.17 $969.00 $1,209.94 |
$1,199.98 $1,264.01 $1,331.84 $1,572.78 |
$1,562.82 $1,626.85 $1,694.68 $1,935.62 |
$433.04 |
Plan: (HMO) BlueCare Bronze 1767SSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.)
Deductible: Individual:
$6,650
: Family:
$13,300 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 |
Expanded Bronze | 21 30 40 50 60 |
$336.21 $381.60 $429.68 $600.47 $912.47 |
$672.42 $763.20 $859.36 $1,200.94 $1,824.94 |
$929.62 $1,020.40 $1,116.56 $1,458.14 |
$1,186.82 $1,277.60 $1,373.76 $1,715.34 |
$1,444.02 $1,534.80 $1,630.96 $1,972.54 |
$593.41 $638.80 $686.88 $857.67 |
$850.61 $896.00 $944.08 $1,114.87 |
$1,107.81 $1,153.20 $1,201.28 $1,372.07 |
$306.96 |
Plan: (HMO) BlueCare Gold 1865Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.)
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 |
Gold | 21 30 40 50 60 |
$468.57 $531.83 $598.83 $836.87 $1,271.70 |
$937.14 $1,063.66 $1,197.66 $1,673.74 $2,543.40 |
$1,295.60 $1,422.12 $1,556.12 $2,032.20 |
$1,654.06 $1,780.58 $1,914.58 $2,390.66 |
$2,012.52 $2,139.04 $2,273.04 $2,749.12 |
$827.03 $890.29 $957.29 $1,195.33 |
$1,185.49 $1,248.75 $1,315.75 $1,553.79 |
$1,543.95 $1,607.21 $1,674.21 $1,912.25 |
$427.80 |
ADVERTISEMENT
|
||||||||||
Health First Commercial Plans, Inc.Local: 1-855-443-4735 | Toll Free: 1-855-443-4735 TTY: 1-800-955-8771 |
||||||||||
Plan: (HMO) Florida Hospital GYM ACCESS Bronze HMO 70 1657Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.)
Deductible: Individual:
$7,400
: Family:
$14,800 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 |
Expanded Bronze | 21 30 40 50 60 |
$317.62 $360.49 $405.91 $567.26 $862.01 |
$635.24 $720.98 $811.82 $1,134.52 $1,724.02 |
$878.22 $963.96 $1,054.80 $1,377.50 |
$1,121.20 $1,206.94 $1,297.78 $1,620.48 |
$1,364.18 $1,449.92 $1,540.76 $1,863.46 |
$560.60 $603.47 $648.89 $810.24 |
$803.58 $846.45 $891.87 $1,053.22 |
$1,046.56 $1,089.43 $1,134.85 $1,296.20 |
$289.98 |
Plan: (HMO) Florida Hospital GYM ACCESS Bronze HMO 100 HSA 1660Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, 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 |
$309.86 $351.69 $396.00 $553.41 $840.97 |
$619.72 $703.38 $792.00 $1,106.82 $1,681.94 |
$856.76 $940.42 $1,029.04 $1,343.86 |
$1,093.80 $1,177.46 $1,266.08 $1,580.90 |
$1,330.84 $1,414.50 $1,503.12 $1,817.94 |
$546.90 $588.73 $633.04 $790.45 |
$783.94 $825.77 $870.08 $1,027.49 |
$1,020.98 $1,062.81 $1,107.12 $1,264.53 |
$282.90 |
Plan: (HMO) Florida Hospital GYM ACCESS Bronze HMO 70 HSA 1663Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, 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 |
Bronze | 21 30 40 50 60 |
$309.29 $351.05 $395.27 $552.39 $839.42 |
$618.58 $702.10 $790.54 $1,104.78 $1,678.84 |
$855.19 $938.71 $1,027.15 $1,341.39 |
$1,091.80 $1,175.32 $1,263.76 $1,578.00 |
$1,328.41 $1,411.93 $1,500.37 $1,814.61 |
$545.90 $587.66 $631.88 $789.00 |
$782.51 $824.27 $868.49 $1,025.61 |
$1,019.12 $1,060.88 $1,105.10 $1,262.22 |
$282.38 |
Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 100 1668Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.)
Deductible: Individual:
$5,450
: Family:
$10,900 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 |
Silver | 21 30 40 50 60 |
$452.76 $513.88 $578.62 $808.62 $1,228.78 |
$905.52 $1,027.76 $1,157.24 $1,617.24 $2,457.56 |
$1,251.88 $1,374.12 $1,503.60 $1,963.60 |
$1,598.24 $1,720.48 $1,849.96 $2,309.96 |
$1,944.60 $2,066.84 $2,196.32 $2,656.32 |
$799.12 $860.24 $924.98 $1,154.98 |
$1,145.48 $1,206.60 $1,271.34 $1,501.34 |
$1,491.84 $1,552.96 $1,617.70 $1,847.70 |
$413.37 |
Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 100 1676Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, 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 |
Silver | 21 30 40 50 60 |
$465.47 $528.31 $594.87 $831.33 $1,263.28 |
$930.94 $1,056.62 $1,189.74 $1,662.66 $2,526.56 |
$1,287.02 $1,412.70 $1,545.82 $2,018.74 |
$1,643.10 $1,768.78 $1,901.90 $2,374.82 |
$1,999.18 $2,124.86 $2,257.98 $2,730.90 |
$821.55 $884.39 $950.95 $1,187.41 |
$1,177.63 $1,240.47 $1,307.03 $1,543.49 |
$1,533.71 $1,596.55 $1,663.11 $1,899.57 |
$424.97 |
Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 90 1684Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.)
Deductible: Individual:
$7,150
: Family:
$14,300 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 |
$475.54 $539.74 $607.74 $849.31 $1,290.61 |
$951.08 $1,079.48 $1,215.48 $1,698.62 $2,581.22 |
$1,314.87 $1,443.27 $1,579.27 $2,062.41 |
$1,678.66 $1,807.06 $1,943.06 $2,426.20 |
$2,042.45 $2,170.85 $2,306.85 $2,789.99 |
$839.33 $903.53 $971.53 $1,213.10 |
$1,203.12 $1,267.32 $1,335.32 $1,576.89 |
$1,566.91 $1,631.11 $1,699.11 $1,940.68 |
$434.17 |
Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 80 1696Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.)
Deductible: Individual:
$4,950
: Family:
$9,900 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 |
Silver | 21 30 40 50 60 |
$432.09 $490.42 $552.21 $771.71 $1,172.68 |
$864.18 $980.84 $1,104.42 $1,543.42 $2,345.36 |
$1,194.73 $1,311.39 $1,434.97 $1,873.97 |
$1,525.28 $1,641.94 $1,765.52 $2,204.52 |
$1,855.83 $1,972.49 $2,096.07 $2,535.07 |
$762.64 $820.97 $882.76 $1,102.26 |
$1,093.19 $1,151.52 $1,213.31 $1,432.81 |
$1,423.74 $1,482.07 $1,543.86 $1,763.36 |
$394.50 |
Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 70 1712Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, 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 |
$457.88 $519.69 $585.17 $817.77 $1,242.68 |
$915.76 $1,039.38 $1,170.34 $1,635.54 $2,485.36 |
$1,266.04 $1,389.66 $1,520.62 $1,985.82 |
$1,616.32 $1,739.94 $1,870.90 $2,336.10 |
$1,966.60 $2,090.22 $2,221.18 $2,686.38 |
$808.16 $869.97 $935.45 $1,168.05 |
$1,158.44 $1,220.25 $1,285.73 $1,518.33 |
$1,508.72 $1,570.53 $1,636.01 $1,868.61 |
$418.04 |
Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 70 1724Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.)
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 |
$458.50 $520.39 $585.96 $818.88 $1,244.36 |
$917.00 $1,040.78 $1,171.92 $1,637.76 $2,488.72 |
$1,267.75 $1,391.53 $1,522.67 $1,988.51 |
$1,618.50 $1,742.28 $1,873.42 $2,339.26 |
$1,969.25 $2,093.03 $2,224.17 $2,690.01 |
$809.25 $871.14 $936.71 $1,169.63 |
$1,160.00 $1,221.89 $1,287.46 $1,520.38 |
$1,510.75 $1,572.64 $1,638.21 $1,871.13 |
$418.61 |
Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 80 HSA 1732Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 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 |
$459.92 $522.01 $587.77 $821.41 $1,248.22 |
$919.84 $1,044.02 $1,175.54 $1,642.82 $2,496.44 |
$1,271.68 $1,395.86 $1,527.38 $1,994.66 |
$1,623.52 $1,747.70 $1,879.22 $2,346.50 |
$1,975.36 $2,099.54 $2,231.06 $2,698.34 |
$811.76 $873.85 $939.61 $1,173.25 |
$1,163.60 $1,225.69 $1,291.45 $1,525.09 |
$1,515.44 $1,577.53 $1,643.29 $1,876.93 |
$419.90 |
Plan: (HMO) Florida Hospital GYM ACCESS Gold HMO 100 1738Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 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 |
$403.80 $458.31 $516.05 $721.18 $1,095.90 |
$807.60 $916.62 $1,032.10 $1,442.36 $2,191.80 |
$1,116.50 $1,225.52 $1,341.00 $1,751.26 |
$1,425.40 $1,534.42 $1,649.90 $2,060.16 |
$1,734.30 $1,843.32 $1,958.80 $2,369.06 |
$712.70 $767.21 $824.95 $1,030.08 |
$1,021.60 $1,076.11 $1,133.85 $1,338.98 |
$1,330.50 $1,385.01 $1,442.75 $1,647.88 |
$368.67 |
Plan: (HMO) Florida Hospital GYM ACCESS Gold HMO 80 1741Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.)
Deductible: Individual:
$3,450
: Family:
$6,900 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 |
Gold | 21 30 40 50 60 |
$375.93 $426.68 $480.44 $671.41 $1,020.27 |
$751.86 $853.36 $960.88 $1,342.82 $2,040.54 |
$1,039.45 $1,140.95 $1,248.47 $1,630.41 |
$1,327.04 $1,428.54 $1,536.06 $1,918.00 |
$1,614.63 $1,716.13 $1,823.65 $2,205.59 |
$663.52 $714.27 $768.03 $959.00 |
$951.11 $1,001.86 $1,055.62 $1,246.59 |
$1,238.70 $1,289.45 $1,343.21 $1,534.18 |
$343.22 |
Plan: (HMO) Florida Hospital GYM ACCESS Gold HMO 70 1743Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, 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 |
$418.31 $474.78 $534.60 $747.10 $1,135.29 |
$836.62 $949.56 $1,069.20 $1,494.20 $2,270.58 |
$1,156.63 $1,269.57 $1,389.21 $1,814.21 |
$1,476.64 $1,589.58 $1,709.22 $2,134.22 |
$1,796.65 $1,909.59 $2,029.23 $2,454.23 |
$738.32 $794.79 $854.61 $1,067.11 |
$1,058.33 $1,114.80 $1,174.62 $1,387.12 |
$1,378.34 $1,434.81 $1,494.63 $1,707.13 |
$381.92 |
Plan: (HMO) Florida Hospital GYM ACCESS Gold HMO 90 HSA 1745Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, 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 |
$400.95 $455.07 $512.41 $716.09 $1,088.17 |
$801.90 $910.14 $1,024.82 $1,432.18 $2,176.34 |
$1,108.62 $1,216.86 $1,331.54 $1,738.90 |
$1,415.34 $1,523.58 $1,638.26 $2,045.62 |
$1,722.06 $1,830.30 $1,944.98 $2,352.34 |
$707.67 $761.79 $819.13 $1,022.81 |
$1,014.39 $1,068.51 $1,125.85 $1,329.53 |
$1,321.11 $1,375.23 $1,432.57 $1,636.25 |
$366.06 |
Plan: (HMO) Florida Hospital GYM ACCESS Catastrophic HMO 1748Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.)
Deductible: Individual:
$7,900
: Family:
$15,800 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 |
Catastrophic | 21 30 40 50 60 |
$184.86 $209.82 $236.26 $330.17 $501.72 |
$369.72 $419.64 $472.52 $660.34 $1,003.44 |
$511.14 $561.06 $613.94 $801.76 |
$652.56 $702.48 $755.36 $943.18 |
$793.98 $843.90 $896.78 $1,084.60 |
$326.28 $351.24 $377.68 $471.59 |
$467.70 $492.66 $519.10 $613.01 |
$609.12 $634.08 $660.52 $754.43 |
$168.78 |
Plan: (HMO) Florida Hospital GYM ACCESS Bronze HMO 50 1797Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.)
Deductible: Individual:
$6,900
: Family:
$13,800 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 |
$301.56 $342.27 $385.39 $538.58 $818.42 |
$603.12 $684.54 $770.78 $1,077.16 $1,636.84 |
$833.81 $915.23 $1,001.47 $1,307.85 |
$1,064.50 $1,145.92 $1,232.16 $1,538.54 |
$1,295.19 $1,376.61 $1,462.85 $1,769.23 |
$532.25 $572.96 $616.08 $769.27 |
$762.94 $803.65 $846.77 $999.96 |
$993.63 $1,034.34 $1,077.46 $1,230.65 |
$275.32 |
Plan: (HMO) Florida Hospital Bronze HMO 60 1752Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.)
Deductible: Individual:
$7,500
: Family:
$15,000 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 |
Expanded Bronze | 21 30 40 50 60 |
$315.08 $357.62 $402.67 $562.74 $855.13 |
$630.16 $715.24 $805.34 $1,125.48 $1,710.26 |
$871.20 $956.28 $1,046.38 $1,366.52 |
$1,112.24 $1,197.32 $1,287.42 $1,607.56 |
$1,353.28 $1,438.36 $1,528.46 $1,848.60 |
$556.12 $598.66 $643.71 $803.78 |
$797.16 $839.70 $884.75 $1,044.82 |
$1,038.20 $1,080.74 $1,125.79 $1,285.86 |
$287.67 |
Plan: (HMO) Florida Hospital Silver HMO 80 1762Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.)
Deductible: Individual:
$3,900
: Family:
$7,800 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 |
$452.87 $514.01 $578.77 $808.83 $1,229.10 |
$905.74 $1,028.02 $1,157.54 $1,617.66 $2,458.20 |
$1,252.19 $1,374.47 $1,503.99 $1,964.11 |
$1,598.64 $1,720.92 $1,850.44 $2,310.56 |
$1,945.09 $2,067.37 $2,196.89 $2,657.01 |
$799.32 $860.46 $925.22 $1,155.28 |
$1,145.77 $1,206.91 $1,271.67 $1,501.73 |
$1,492.22 $1,553.36 $1,618.12 $1,848.18 |
$413.47 |
Plan: (HMO) Florida Hospital Gold HMO 80 1772Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, 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 |
$392.02 $444.94 $501.00 $700.15 $1,063.95 |
$784.04 $889.88 $1,002.00 $1,400.30 $2,127.90 |
$1,083.94 $1,189.78 $1,301.90 $1,700.20 |
$1,383.84 $1,489.68 $1,601.80 $2,000.10 |
$1,683.74 $1,789.58 $1,901.70 $2,300.00 |
$691.92 $744.84 $800.90 $1,000.05 |
$991.82 $1,044.74 $1,100.80 $1,299.95 |
$1,291.72 $1,344.64 $1,400.70 $1,599.85 |
$357.92 |
Plan: (HMO) Florida Hospital Bronze HMO 100 1776Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.)
Deductible: Individual:
$7,900
: Family:
$15,800 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 |
$292.47 $331.95 $373.77 $522.34 $793.75 |
$584.94 $663.90 $747.54 $1,044.68 $1,587.50 |
$808.68 $887.64 $971.28 $1,268.42 |
$1,032.42 $1,111.38 $1,195.02 $1,492.16 |
$1,256.16 $1,335.12 $1,418.76 $1,715.90 |
$516.21 $555.69 $597.51 $746.08 |
$739.95 $779.43 $821.25 $969.82 |
$963.69 $1,003.17 $1,044.99 $1,193.56 |
$267.02 |
Plan: (HMO) Florida Hospital Silver HMO 80 1786Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.)
Deductible: Individual:
$2,900
: Family:
$5,800 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 |
$450.63 $511.47 $575.91 $804.83 $1,223.02 |
$901.26 $1,022.94 $1,151.82 $1,609.66 $2,446.04 |
$1,245.99 $1,367.67 $1,496.55 $1,954.39 |
$1,590.72 $1,712.40 $1,841.28 $2,299.12 |
$1,935.45 $2,057.13 $2,186.01 $2,643.85 |
$795.36 $856.20 $920.64 $1,149.56 |
$1,140.09 $1,200.93 $1,265.37 $1,494.29 |
$1,484.82 $1,545.66 $1,610.10 $1,839.02 |
$411.43 |
Plan: (HMO) Florida Hospital Bronze HMO 100 HSA 1795Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, 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 |
$306.52 $347.90 $391.73 $547.45 $831.90 |
$613.04 $695.80 $783.46 $1,094.90 $1,663.80 |
$847.53 $930.29 $1,017.95 $1,329.39 |
$1,082.02 $1,164.78 $1,252.44 $1,563.88 |
$1,316.51 $1,399.27 $1,486.93 $1,798.37 |
$541.01 $582.39 $626.22 $781.94 |
$775.50 $816.88 $860.71 $1,016.43 |
$1,009.99 $1,051.37 $1,095.20 $1,250.92 |
$279.85 |
Plan: (HMO) Florida Hospital Silver HMO 65 1810Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.)
Deductible: Individual:
$2,650
: Family:
$5,300 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 |
$430.16 $488.23 $549.74 $768.26 $1,167.45 |
$860.32 $976.46 $1,099.48 $1,536.52 $2,334.90 |
$1,189.39 $1,305.53 $1,428.55 $1,865.59 |
$1,518.46 $1,634.60 $1,757.62 $2,194.66 |
$1,847.53 $1,963.67 $2,086.69 $2,523.73 |
$759.23 $817.30 $878.81 $1,097.33 |
$1,088.30 $1,146.37 $1,207.88 $1,426.40 |
$1,417.37 $1,475.44 $1,536.95 $1,755.47 |
$392.74 |
ADVERTISEMENT
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Florida Health Care Plan, Inc.Local: 1-386-676-7110 | Toll Free: 1-800-232-0578 TTY: 1-800-955-8771 |
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Plan: (HMO) Gym Access IND Essential Plus Catastrophic HMO 36Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$7,900
: Family:
$15,800 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 |
Catastrophic | 21 30 40 50 60 |
$223.73 $253.93 $285.92 $399.57 $607.19 |
$447.46 $507.86 $571.84 $799.14 $1,214.38 |
$618.61 $679.01 $742.99 $970.29 |
$789.76 $850.16 $914.14 $1,141.44 |
$960.91 $1,021.31 $1,085.29 $1,312.59 |
$394.88 $425.08 $457.07 $570.72 |
$566.03 $596.23 $628.22 $741.87 |
$737.18 $767.38 $799.37 $913.02 |
$204.26 |
Plan: (POS) Gym Access IND Essential Plus Catastrophic POS 37Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$7,900
: Family:
$15,800 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 |
Catastrophic | 21 30 40 50 60 |
$246.09 $279.32 $314.51 $439.52 $667.90 |
$492.18 $558.64 $629.02 $879.04 $1,335.80 |
$680.44 $746.90 $817.28 $1,067.30 |
$868.70 $935.16 $1,005.54 $1,255.56 |
$1,056.96 $1,123.42 $1,193.80 $1,443.82 |
$434.35 $467.58 $502.77 $627.78 |
$622.61 $655.84 $691.03 $816.04 |
$810.87 $844.10 $879.29 $1,004.30 |
$224.68 |
Plan: (HMO) Gym Access IND Essential Plus Silver HMO 53Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 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 |
$381.29 $432.77 $487.29 $680.99 $1,034.83 |
$762.58 $865.54 $974.58 $1,361.98 $2,069.66 |
$1,054.27 $1,157.23 $1,266.27 $1,653.67 |
$1,345.96 $1,448.92 $1,557.96 $1,945.36 |
$1,637.65 $1,740.61 $1,849.65 $2,237.05 |
$672.98 $724.46 $778.98 $972.68 |
$964.67 $1,016.15 $1,070.67 $1,264.37 |
$1,256.36 $1,307.84 $1,362.36 $1,556.06 |
$348.12 |
Plan: (HMO) Gym Access IND Essential Plus Gold HMO 63Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, 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 |
$375.40 $426.08 $479.77 $670.47 $1,018.84 |
$750.80 $852.16 $959.54 $1,340.94 $2,037.68 |
$1,037.98 $1,139.34 $1,246.72 $1,628.12 |
$1,325.16 $1,426.52 $1,533.90 $1,915.30 |
$1,612.34 $1,713.70 $1,821.08 $2,202.48 |
$662.58 $713.26 $766.95 $957.65 |
$949.76 $1,000.44 $1,054.13 $1,244.83 |
$1,236.94 $1,287.62 $1,341.31 $1,532.01 |
$342.74 |
Plan: (HMO) Gym Access IND Essential Plus Platinum HMO 65Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, 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 |
$490.39 $556.59 $626.71 $875.83 $1,330.91 |
$980.78 $1,113.18 $1,253.42 $1,751.66 $2,661.82 |
$1,355.93 $1,488.33 $1,628.57 $2,126.81 |
$1,731.08 $1,863.48 $2,003.72 $2,501.96 |
$2,106.23 $2,238.63 $2,378.87 $2,877.11 |
$865.54 $931.74 $1,001.86 $1,250.98 |
$1,240.69 $1,306.89 $1,377.01 $1,626.13 |
$1,615.84 $1,682.04 $1,752.16 $2,001.28 |
$447.72 |
Plan: (POS) Gym Access IND Essential Plus Silver POS 54Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 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 |
$401.18 $455.34 $512.71 $716.51 $1,088.81 |
$802.36 $910.68 $1,025.42 $1,433.02 $2,177.62 |
$1,109.27 $1,217.59 $1,332.33 $1,739.93 |
$1,416.18 $1,524.50 $1,639.24 $2,046.84 |
$1,723.09 $1,831.41 $1,946.15 $2,353.75 |
$708.09 $762.25 $819.62 $1,023.42 |
$1,015.00 $1,069.16 $1,126.53 $1,330.33 |
$1,321.91 $1,376.07 $1,433.44 $1,637.24 |
$366.28 |
Plan: (HMO) Gym Access IND Platinum HMO 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, 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 |
$479.92 $544.71 $613.34 $857.13 $1,302.50 |
$959.84 $1,089.42 $1,226.68 $1,714.26 $2,605.00 |
$1,326.98 $1,456.56 $1,593.82 $2,081.40 |
$1,694.12 $1,823.70 $1,960.96 $2,448.54 |
$2,061.26 $2,190.84 $2,328.10 $2,815.68 |
$847.06 $911.85 $980.48 $1,224.27 |
$1,214.20 $1,278.99 $1,347.62 $1,591.41 |
$1,581.34 $1,646.13 $1,714.76 $1,958.55 |
$438.17 |
Plan: (POS) Gym Access IND Platinum POS 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, 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 |
$527.91 $599.17 $674.67 $942.84 $1,432.74 |
$1,055.82 $1,198.34 $1,349.34 $1,885.68 $2,865.48 |
$1,459.67 $1,602.19 $1,753.19 $2,289.53 |
$1,863.52 $2,006.04 $2,157.04 $2,693.38 |
$2,267.37 $2,409.89 $2,560.89 $3,097.23 |
$931.76 $1,003.02 $1,078.52 $1,346.69 |
$1,335.61 $1,406.87 $1,482.37 $1,750.54 |
$1,739.46 $1,810.72 $1,886.22 $2,154.39 |
$481.98 |
Plan: (HMO) Gym Access IND Gold HMO 5500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 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 |
$374.45 $425.00 $478.55 $668.77 $1,016.26 |
$748.90 $850.00 $957.10 $1,337.54 $2,032.52 |
$1,035.36 $1,136.46 $1,243.56 $1,624.00 |
$1,321.82 $1,422.92 $1,530.02 $1,910.46 |
$1,608.28 $1,709.38 $1,816.48 $2,196.92 |
$660.91 $711.46 $765.01 $955.23 |
$947.37 $997.92 $1,051.47 $1,241.69 |
$1,233.83 $1,284.38 $1,337.93 $1,528.15 |
$341.87 |
Plan: (POS) Gym Access IND Gold POS 5500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 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 |
$411.89 $467.50 $526.40 $735.64 $1,117.88 |
$823.78 $935.00 $1,052.80 $1,471.28 $2,235.76 |
$1,138.88 $1,250.10 $1,367.90 $1,786.38 |
$1,453.98 $1,565.20 $1,683.00 $2,101.48 |
$1,769.08 $1,880.30 $1,998.10 $2,416.58 |
$726.99 $782.60 $841.50 $1,050.74 |
$1,042.09 $1,097.70 $1,156.60 $1,365.84 |
$1,357.19 $1,412.80 $1,471.70 $1,680.94 |
$376.06 |
Plan: (HMO) Gym Access IND Gold HMO 4500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
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 |
Gold | 21 30 40 50 60 |
$375.84 $426.58 $480.32 $671.25 $1,020.02 |
$751.68 $853.16 $960.64 $1,342.50 $2,040.04 |
$1,039.20 $1,140.68 $1,248.16 $1,630.02 |
$1,326.72 $1,428.20 $1,535.68 $1,917.54 |
$1,614.24 $1,715.72 $1,823.20 $2,205.06 |
$663.36 $714.10 $767.84 $958.77 |
$950.88 $1,001.62 $1,055.36 $1,246.29 |
$1,238.40 $1,289.14 $1,342.88 $1,533.81 |
$343.14 |
Plan: (HMO) Gym Access IND Bronze HMO HSA 5000/6550Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, 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 |
Expanded Bronze | 21 30 40 50 60 |
$256.89 $291.57 $328.30 $458.80 $697.19 |
$513.78 $583.14 $656.60 $917.60 $1,394.38 |
$710.30 $779.66 $853.12 $1,114.12 |
$906.82 $976.18 $1,049.64 $1,310.64 |
$1,103.34 $1,172.70 $1,246.16 $1,507.16 |
$453.41 $488.09 $524.82 $655.32 |
$649.93 $684.61 $721.34 $851.84 |
$846.45 $881.13 $917.86 $1,048.36 |
$234.54 |
Plan: (HMO) Gym Access IND Bronze HMO HSA 6000/6000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 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 |
Expanded Bronze | 21 30 40 50 60 |
$261.37 $296.65 $334.03 $466.80 $709.35 |
$522.74 $593.30 $668.06 $933.60 $1,418.70 |
$722.69 $793.25 $868.01 $1,133.55 |
$922.64 $993.20 $1,067.96 $1,333.50 |
$1,122.59 $1,193.15 $1,267.91 $1,533.45 |
$461.32 $496.60 $533.98 $666.75 |
$661.27 $696.55 $733.93 $866.70 |
$861.22 $896.50 $933.88 $1,066.65 |
$238.63 |
Plan: (HMO) Gym Access IND Bronze HMO BC 3841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, 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 |
Expanded Bronze | 21 30 40 50 60 |
$274.12 $311.13 $350.32 $489.58 $743.96 |
$548.24 $622.26 $700.64 $979.16 $1,487.92 |
$757.94 $831.96 $910.34 $1,188.86 |
$967.64 $1,041.66 $1,120.04 $1,398.56 |
$1,177.34 $1,251.36 $1,329.74 $1,608.26 |
$483.82 $520.83 $560.02 $699.28 |
$693.52 $730.53 $769.72 $908.98 |
$903.22 $940.23 $979.42 $1,118.68 |
$250.27 |
Plan: (POS) Gym Access IND Bronze POS BC 3841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, 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 |
Expanded Bronze | 21 30 40 50 60 |
$301.53 $342.24 $385.36 $538.54 $818.37 |
$603.06 $684.48 $770.72 $1,077.08 $1,636.74 |
$833.73 $915.15 $1,001.39 $1,307.75 |
$1,064.40 $1,145.82 $1,232.06 $1,538.42 |
$1,295.07 $1,376.49 $1,462.73 $1,769.09 |
$532.20 $572.91 $616.03 $769.21 |
$762.87 $803.58 $846.70 $999.88 |
$993.54 $1,034.25 $1,077.37 $1,230.55 |
$275.30 |
Plan: (HMO) Gym Access IND Silver HMO BC 0941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,600
: Family:
$11,200 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 |
$367.03 $416.58 $469.07 $655.52 $996.12 |
$734.06 $833.16 $938.14 $1,311.04 $1,992.24 |
$1,014.84 $1,113.94 $1,218.92 $1,591.82 |
$1,295.62 $1,394.72 $1,499.70 $1,872.60 |
$1,576.40 $1,675.50 $1,780.48 $2,153.38 |
$647.81 $697.36 $749.85 $936.30 |
$928.59 $978.14 $1,030.63 $1,217.08 |
$1,209.37 $1,258.92 $1,311.41 $1,497.86 |
$335.10 |
Plan: (POS) Gym Access IND Silver POS BC 0941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$5,600
: Family:
$11,200 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 |
$403.74 $458.24 $515.98 $721.08 $1,095.74 |
$807.48 $916.48 $1,031.96 $1,442.16 $2,191.48 |
$1,116.34 $1,225.34 $1,340.82 $1,751.02 |
$1,425.20 $1,534.20 $1,649.68 $2,059.88 |
$1,734.06 $1,843.06 $1,958.54 $2,368.74 |
$712.60 $767.10 $824.84 $1,029.94 |
$1,021.46 $1,075.96 $1,133.70 $1,338.80 |
$1,330.32 $1,384.82 $1,442.56 $1,647.66 |
$368.61 |
Plan: (HMO) IND Silver HMO BC 7741Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 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 |
$354.03 $401.82 $452.45 $632.29 $960.83 |
$708.06 $803.64 $904.90 $1,264.58 $1,921.66 |
$978.89 $1,074.47 $1,175.73 $1,535.41 |
$1,249.72 $1,345.30 $1,446.56 $1,806.24 |
$1,520.55 $1,616.13 $1,717.39 $2,077.07 |
$624.86 $672.65 $723.28 $903.12 |
$895.69 $943.48 $994.11 $1,173.95 |
$1,166.52 $1,214.31 $1,264.94 $1,444.78 |
$323.23 |
Plan: (POS) Gym Access IND Silver POS BC 7741Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 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 |
$390.21 $442.89 $498.69 $696.91 $1,059.03 |
$780.42 $885.78 $997.38 $1,393.82 $2,118.06 |
$1,078.93 $1,184.29 $1,295.89 $1,692.33 |
$1,377.44 $1,482.80 $1,594.40 $1,990.84 |
$1,675.95 $1,781.31 $1,892.91 $2,289.35 |
$688.72 $741.40 $797.20 $995.42 |
$987.23 $1,039.91 $1,095.71 $1,293.93 |
$1,285.74 $1,338.42 $1,394.22 $1,592.44 |
$356.26 |
Plan: (HMO) Gym Access IND Gold HMO BC 5651Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, 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 |
$394.11 $447.31 $503.67 $703.87 $1,069.60 |
$788.22 $894.62 $1,007.34 $1,407.74 $2,139.20 |
$1,089.71 $1,196.11 $1,308.83 $1,709.23 |
$1,391.20 $1,497.60 $1,610.32 $2,010.72 |
$1,692.69 $1,799.09 $1,911.81 $2,312.21 |
$695.60 $748.80 $805.16 $1,005.36 |
$997.09 $1,050.29 $1,106.65 $1,306.85 |
$1,298.58 $1,351.78 $1,408.14 $1,608.34 |
$359.82 |
Plan: (POS) Gym Access IND Gold POS BC 5651Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, 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 |
$433.51 $492.04 $554.03 $774.26 $1,176.56 |
$867.02 $984.08 $1,108.06 $1,548.52 $2,353.12 |
$1,198.66 $1,315.72 $1,439.70 $1,880.16 |
$1,530.30 $1,647.36 $1,771.34 $2,211.80 |
$1,861.94 $1,979.00 $2,102.98 $2,543.44 |
$765.15 $823.68 $885.67 $1,105.90 |
$1,096.79 $1,155.32 $1,217.31 $1,437.54 |
$1,428.43 $1,486.96 $1,548.95 $1,769.18 |
$395.80 |
Plan: (HMO) Gym Access IND Platinum HMO BC 5841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, 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 |
$470.72 $534.27 $601.58 $840.71 $1,277.54 |
$941.44 $1,068.54 $1,203.16 $1,681.42 $2,555.08 |
$1,301.54 $1,428.64 $1,563.26 $2,041.52 |
$1,661.64 $1,788.74 $1,923.36 $2,401.62 |
$2,021.74 $2,148.84 $2,283.46 $2,761.72 |
$830.82 $894.37 $961.68 $1,200.81 |
$1,190.92 $1,254.47 $1,321.78 $1,560.91 |
$1,551.02 $1,614.57 $1,681.88 $1,921.01 |
$429.77 |
Plan: (POS) Gym Access IND Platinum POS BC 5841Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, 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 |
$517.80 $587.70 $661.74 $924.78 $1,405.30 |
$1,035.60 $1,175.40 $1,323.48 $1,849.56 $2,810.60 |
$1,431.71 $1,571.51 $1,719.59 $2,245.67 |
$1,827.82 $1,967.62 $2,115.70 $2,641.78 |
$2,223.93 $2,363.73 $2,511.81 $3,037.89 |
$913.91 $983.81 $1,057.85 $1,320.89 |
$1,310.02 $1,379.92 $1,453.96 $1,717.00 |
$1,706.13 $1,776.03 $1,850.07 $2,113.11 |
$472.75 |
Plan: (HMO) Gym Access IND Platinum HMO BC 1941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, 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 |
$490.22 $556.40 $626.50 $875.53 $1,330.45 |
$980.44 $1,112.80 $1,253.00 $1,751.06 $2,660.90 |
$1,355.46 $1,487.82 $1,628.02 $2,126.08 |
$1,730.48 $1,862.84 $2,003.04 $2,501.10 |
$2,105.50 $2,237.86 $2,378.06 $2,876.12 |
$865.24 $931.42 $1,001.52 $1,250.55 |
$1,240.26 $1,306.44 $1,376.54 $1,625.57 |
$1,615.28 $1,681.46 $1,751.56 $2,000.59 |
$447.57 |
Plan: (POS) Gym Access IND Platinum POS BC 1941Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, 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 |
$539.23 $612.03 $689.14 $963.07 $1,463.48 |
$1,078.46 $1,224.06 $1,378.28 $1,926.14 $2,926.96 |
$1,490.97 $1,636.57 $1,790.79 $2,338.65 |
$1,903.48 $2,049.08 $2,203.30 $2,751.16 |
$2,315.99 $2,461.59 $2,615.81 $3,163.67 |
$951.74 $1,024.54 $1,101.65 $1,375.58 |
$1,364.25 $1,437.05 $1,514.16 $1,788.09 |
$1,776.76 $1,849.56 $1,926.67 $2,200.60 |
$492.32 |
Plan: (HMO) Gym Access IND Platinum HMO 91Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$250
: Family:
$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 |
Platinum | 21 30 40 50 60 |
$488.37 $554.30 $624.13 $872.22 $1,325.43 |
$976.74 $1,108.60 $1,248.26 $1,744.44 $2,650.86 |
$1,350.34 $1,482.20 $1,621.86 $2,118.04 |
$1,723.94 $1,855.80 $1,995.46 $2,491.64 |
$2,097.54 $2,229.40 $2,369.06 $2,865.24 |
$861.97 $927.90 $997.73 $1,245.82 |
$1,235.57 $1,301.50 $1,371.33 $1,619.42 |
$1,609.17 $1,675.10 $1,744.93 $1,993.02 |
$445.88 |
Plan: (HMO) Gym Acccess IND Platinum HMO 92Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care 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 |
$487.23 $553.01 $622.68 $870.20 $1,322.35 |
$974.46 $1,106.02 $1,245.36 $1,740.40 $2,644.70 |
$1,347.19 $1,478.75 $1,618.09 $2,113.13 |
$1,719.92 $1,851.48 $1,990.82 $2,485.86 |
$2,092.65 $2,224.21 $2,363.55 $2,858.59 |
$859.96 $925.74 $995.41 $1,242.93 |
$1,232.69 $1,298.47 $1,368.14 $1,615.66 |
$1,605.42 $1,671.20 $1,740.87 $1,988.39 |
$444.84 |
Plan: (HMO) Gym Access IND Bronze Standardized HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$6,650
: Family:
$13,300 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 |
Expanded Bronze | 21 30 40 50 60 |
$260.87 $296.09 $333.39 $465.92 $708.01 |
$521.74 $592.18 $666.78 $931.84 $1,416.02 |
$721.31 $791.75 $866.35 $1,131.41 |
$920.88 $991.32 $1,065.92 $1,330.98 |
$1,120.45 $1,190.89 $1,265.49 $1,530.55 |
$460.44 $495.66 $532.96 $665.49 |
$660.01 $695.23 $732.53 $865.06 |
$859.58 $894.80 $932.10 $1,064.63 |
$238.18 |
Plan: (HMO) Gym Access IND Silver Standardized HMO 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, 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 |
$384.31 $436.20 $491.15 $686.39 $1,043.03 |
$768.62 $872.40 $982.30 $1,372.78 $2,086.06 |
$1,062.62 $1,166.40 $1,276.30 $1,666.78 |
$1,356.62 $1,460.40 $1,570.30 $1,960.78 |
$1,650.62 $1,754.40 $1,864.30 $2,254.78 |
$678.31 $730.20 $785.15 $980.39 |
$972.31 $1,024.20 $1,079.15 $1,274.39 |
$1,266.31 $1,318.20 $1,373.15 $1,568.39 |
$350.88 |
Plan: (HMO) Gym Access IND Bronze HMO 1340Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
Deductible: Individual:
$7,900
: Family:
$15,800 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 |
$237.63 $269.71 $303.70 $424.41 $644.94 |
$475.26 $539.42 $607.40 $848.82 $1,289.88 |
$657.05 $721.21 $789.19 $1,030.61 |
$838.84 $903.00 $970.98 $1,212.40 |
$1,020.63 $1,084.79 $1,152.77 $1,394.19 |
$419.42 $451.50 $485.49 $606.20 |
$601.21 $633.29 $667.28 $787.99 |
$783.00 $815.08 $849.07 $969.78 |
$216.96 |
Plan: (HMO) Gym Access IND Bronze HMO 1041Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.)
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 |
Expanded Bronze | 21 30 40 50 60 |
$267.32 $303.41 $341.64 $477.44 $725.51 |
$534.64 $606.82 $683.28 $954.88 $1,451.02 |
$739.14 $811.32 $887.78 $1,159.38 |
$943.64 $1,015.82 $1,092.28 $1,363.88 |
$1,148.14 $1,220.32 $1,296.78 $1,568.38 |
$471.82 $507.91 $546.14 $681.94 |
$676.32 $712.41 $750.64 $886.44 |
$880.82 $916.91 $955.14 $1,090.94 |
$244.07 |
Plan: (POS) Gym Access IND Bronze POS 1042Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, 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 |
Expanded Bronze | 21 30 40 50 60 |
$294.05 $333.75 $375.80 $525.18 $798.06 |
$588.10 $667.50 $751.60 $1,050.36 $1,596.12 |
$813.05 $892.45 $976.55 $1,275.31 |
$1,038.00 $1,117.40 $1,201.50 $1,500.26 |
$1,262.95 $1,342.35 $1,426.45 $1,725.21 |
$519.00 $558.70 $600.75 $750.13 |
$743.95 $783.65 $825.70 $975.08 |
$968.90 $1,008.60 $1,050.65 $1,200.03 |
$268.47 |
Plan: (HMO) Gym Access IND Gold HMO H.S.A 9010Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, 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 |
$363.63 $412.72 $464.72 $649.44 $986.89 |
$727.26 $825.44 $929.44 $1,298.88 $1,973.78 |
$1,005.44 $1,103.62 $1,207.62 $1,577.06 |
$1,283.62 $1,381.80 $1,485.80 $1,855.24 |
$1,561.80 $1,659.98 $1,763.98 $2,133.42 |
$641.81 $690.90 $742.90 $927.62 |
$919.99 $969.08 $1,021.08 $1,205.80 |
$1,198.17 $1,247.26 $1,299.26 $1,483.98 |
$331.99 |
‡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 Volusia County here.