Obamacare 2021 Rates for Sequatchie County
Obamacare > Rates > Tennessee > Sequatchie County
Obamacare > Rates > Tennessee > Sequatchie County
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BlueCross BlueShield of TennesseeLocal: 1-423-535-5600 | Toll Free: 1-800-565-9140 |
Toc - Plan #1 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze B07S, Network S |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-800-565-9140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$345,48 $392,12 $441,52 $617,03 $937,63 |
$609,77 $656,41 $705,81 $881,32 |
$874,06 $920,70 $970,10 $1 145,61 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$690,96 $784,24 $883,04 $1 234,06 $1 875,26 |
$955,25 $1 048,53 $1 147,33 $1 498,35 |
$1 219,54 $1 312,82 $1 411,62 $1 762,64 |
Toc - Plan #2 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Bronze
(EPO) Bronze B08S, Network S |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-800-565-9140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$280,70 $318,59 $358,73 $501,33 $761,82 |
$495,44 $533,33 $573,47 $716,07 |
$710,18 $748,07 $788,21 $930,81 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$561,40 $637,18 $717,46 $1 002,66 $1 523,64 |
$776,14 $851,92 $932,20 $1 217,40 |
$990,88 $1 066,66 $1 146,94 $1 432,14 |
Toc - Plan #3 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze B10S, Network S |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-800-565-9140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$323,85 $367,57 $413,88 $578,40 $878,93 |
$571,60 $615,32 $661,63 $826,15 |
$819,35 $863,07 $909,38 $1 073,90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$647,70 $735,14 $827,76 $1 156,80 $1 757,86 |
$895,45 $982,89 $1 075,51 $1 404,55 |
$1 143,20 $1 230,64 $1 323,26 $1 652,30 |
Toc - Plan #4 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Silver
(EPO) Silver S01S, Network S |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-800-565-9140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$572,24 $649,49 $731,32 $1 022,02 $1 553,06 |
$1 010,00 $1 087,25 $1 169,08 $1 459,78 |
$1 447,76 $1 525,01 $1 606,84 $1 897,54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1 144,48 $1 298,98 $1 462,64 $2 044,04 $3 106,12 |
$1 582,24 $1 736,74 $1 900,40 $2 481,80 |
$2 020,00 $2 174,50 $2 338,16 $2 919,56 |
Toc - Plan #5 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Silver
(EPO) Silver S04S, Network S |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-800-565-9140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$480,91 $545,83 $614,60 $858,91 $1 305,19 |
$848,81 $913,73 $982,50 $1 226,81 |
$1 216,71 $1 281,63 $1 350,40 $1 594,71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$961,82 $1 091,66 $1 229,20 $1 717,82 $2 610,38 |
$1 329,72 $1 459,56 $1 597,10 $2 085,72 |
$1 697,62 $1 827,46 $1 965,00 $2 453,62 |
Toc - Plan #6 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Gold
(EPO) Gold G06S, Network S |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-800-565-9140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$619,92 $703,61 $792,26 $1 107,18 $1 682,46 |
$1 094,16 $1 177,85 $1 266,50 $1 581,42 |
$1 568,40 $1 652,09 $1 740,74 $2 055,66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1 239,84 $1 407,22 $1 584,52 $2 214,36 $3 364,92 |
$1 714,08 $1 881,46 $2 058,76 $2 688,60 |
$2 188,32 $2 355,70 $2 533,00 $3 162,84 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-877-632-4195 | Toll Free: |
Toc - Plan #7 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) Value Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$584,75 $663,69 $747,31 $1 044,37 $1 587,02 |
$1 032,09 $1 111,03 $1 194,65 $1 491,71 |
$1 479,43 $1 558,37 $1 641,99 $1 939,05 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1 169,50 $1 327,38 $1 494,62 $2 088,74 $3 174,04 |
$1 616,84 $1 774,72 $1 941,96 $2 536,08 |
$2 064,18 $2 222,06 $2 389,30 $2 983,42 |
Toc - Plan #8 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) Balance Plus Silver 3 Free Visits |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$438,32 $497,49 $560,17 $782,84 $1 189,60 |
$773,63 $832,80 $895,48 $1 118,15 |
$1 108,94 $1 168,11 $1 230,79 $1 453,46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$876,64 $994,98 $1 120,34 $1 565,68 $2 379,20 |
$1 211,95 $1 330,29 $1 455,65 $1 900,99 |
$1 547,26 $1 665,60 $1 790,96 $2 236,30 |
Toc - Plan #9 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) Balance Silver 3 Free Visits |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$437,67 $496,75 $559,34 $781,67 $1 187,82 |
$772,48 $831,56 $894,15 $1 116,48 |
$1 107,29 $1 166,37 $1 228,96 $1 451,29 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$875,34 $993,50 $1 118,68 $1 563,34 $2 375,64 |
$1 210,15 $1 328,31 $1 453,49 $1 898,15 |
$1 544,96 $1 663,12 $1 788,30 $2 232,96 |
Toc - Plan #10 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) Value Silver 3 Free Visits |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$436,03 $494,90 $557,25 $778,75 $1 183,39 |
$769,59 $828,46 $890,81 $1 112,31 |
$1 103,15 $1 162,02 $1 224,37 $1 445,87 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$872,06 $989,80 $1 114,50 $1 557,50 $2 366,78 |
$1 205,62 $1 323,36 $1 448,06 $1 891,06 |
$1 539,18 $1 656,92 $1 781,62 $2 224,62 |
Toc - Plan #11 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Value Bronze Saver (HSA) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$337,65 $383,23 $431,51 $603,04 $916,37 |
$595,95 $641,53 $689,81 $861,34 |
$854,25 $899,83 $948,11 $1 119,64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$675,30 $766,46 $863,02 $1 206,08 $1 832,74 |
$933,60 $1 024,76 $1 121,32 $1 464,38 |
$1 191,90 $1 283,06 $1 379,62 $1 722,68 |
Toc - Plan #12 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Balance Bronze 3 Free Visits |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$326,86 $370,99 $417,73 $583,77 $887,10 |
$576,91 $621,04 $667,78 $833,82 |
$826,96 $871,09 $917,83 $1 083,87 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$653,72 $741,98 $835,46 $1 167,54 $1 774,20 |
$903,77 $992,03 $1 085,51 $1 417,59 |
$1 153,82 $1 242,08 $1 335,56 $1 667,64 |
Toc - Plan #13 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Value Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$327,19 $371,36 $418,14 $584,36 $887,99 |
$577,49 $621,66 $668,44 $834,66 |
$827,79 $871,96 $918,74 $1 084,96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$654,38 $742,72 $836,28 $1 168,72 $1 775,98 |
$904,68 $993,02 $1 086,58 $1 419,02 |
$1 154,98 $1 243,32 $1 336,88 $1 669,32 |
ADVERTISEMENT
Ambetter of TennesseeLocal: 1-833-709-4735 | Toll Free: 1-833-709-4735 |
Toc - Plan #14 Ambetter of Tennessee | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$276,23 $313,51 $353,01 $493,33 $749,67 |
$487,54 $524,82 $564,32 $704,64 |
$698,85 $736,13 $775,63 $915,95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$552,46 $627,02 $706,02 $986,66 $1 499,34 |
$763,77 $838,33 $917,33 $1 197,97 |
$975,08 $1 049,64 $1 128,64 $1 409,28 |
Toc - Plan #15 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$371,43 $421,56 $474,67 $663,35 $1 008,02 |
$655,56 $705,69 $758,80 $947,48 |
$939,69 $989,82 $1 042,93 $1 231,61 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$742,86 $843,12 $949,34 $1 326,70 $2 016,04 |
$1 026,99 $1 127,25 $1 233,47 $1 610,83 |
$1 311,12 $1 411,38 $1 517,60 $1 894,96 |
Toc - Plan #16 Ambetter of Tennessee | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$428,02 $485,79 $546,99 $764,42 $1 161,62 |
$755,45 $813,22 $874,42 $1 091,85 |
$1 082,88 $1 140,65 $1 201,85 $1 419,28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$856,04 $971,58 $1 093,98 $1 528,84 $2 323,24 |
$1 183,47 $1 299,01 $1 421,41 $1 856,27 |
$1 510,90 $1 626,44 $1 748,84 $2 183,70 |
Toc - Plan #17 Ambetter of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$300,20 $340,71 $383,64 $536,13 $814,70 |
$529,84 $570,35 $613,28 $765,77 |
$759,48 $799,99 $842,92 $995,41 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$600,40 $681,42 $767,28 $1 072,26 $1 629,40 |
$830,04 $911,06 $996,92 $1 301,90 |
$1 059,68 $1 140,70 $1 226,56 $1 531,54 |
Toc - Plan #18 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$364,18 $413,33 $465,41 $650,41 $988,36 |
$642,77 $691,92 $744,00 $929,00 |
$921,36 $970,51 $1 022,59 $1 207,59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$728,36 $826,66 $930,82 $1 300,82 $1 976,72 |
$1 006,95 $1 105,25 $1 209,41 $1 579,41 |
$1 285,54 $1 383,84 $1 488,00 $1 858,00 |
Toc - Plan #19 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 29 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$360,97 $409,70 $461,31 $644,68 $979,66 |
$637,11 $685,84 $737,45 $920,82 |
$913,25 $961,98 $1 013,59 $1 196,96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$721,94 $819,40 $922,62 $1 289,36 $1 959,32 |
$998,08 $1 095,54 $1 198,76 $1 565,50 |
$1 274,22 $1 371,68 $1 474,90 $1 841,64 |
Toc - Plan #20 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 25 HSA (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$379,73 $430,98 $485,28 $678,18 $1 030,56 |
$670,22 $721,47 $775,77 $968,67 |
$960,71 $1 011,96 $1 066,26 $1 259,16 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$759,46 $861,96 $970,56 $1 356,36 $2 061,12 |
$1 049,95 $1 152,45 $1 261,05 $1 646,85 |
$1 340,44 $1 442,94 $1 551,54 $1 937,34 |
Toc - Plan #21 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 26 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$381,26 $432,72 $487,24 $680,91 $1 034,71 |
$672,92 $724,38 $778,90 $972,57 |
$964,58 $1 016,04 $1 070,56 $1 264,23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$762,52 $865,44 $974,48 $1 361,82 $2 069,42 |
$1 054,18 $1 157,10 $1 266,14 $1 653,48 |
$1 345,84 $1 448,76 $1 557,80 $1 945,14 |
Toc - Plan #22 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 27 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$396,99 $450,57 $507,34 $709,01 $1 077,41 |
$700,68 $754,26 $811,03 $1 012,70 |
$1 004,37 $1 057,95 $1 114,72 $1 316,39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$793,98 $901,14 $1 014,68 $1 418,02 $2 154,82 |
$1 097,67 $1 204,83 $1 318,37 $1 721,71 |
$1 401,36 $1 508,52 $1 622,06 $2 025,40 |
Toc - Plan #23 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 28 (2021) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$397,28 $450,90 $507,71 $709,53 $1 078,20 |
$701,19 $754,81 $811,62 $1 013,44 |
$1 005,10 $1 058,72 $1 115,53 $1 317,35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$794,56 $901,80 $1 015,42 $1 419,06 $2 156,40 |
$1 098,47 $1 205,71 $1 319,33 $1 722,97 |
$1 402,38 $1 509,62 $1 623,24 $2 026,88 |
Toc - Plan #24 Ambetter of Tennessee | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$288,30 $327,21 $368,44 $514,89 $782,43 |
$508,85 $547,76 $588,99 $735,44 |
$729,40 $768,31 $809,54 $955,99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$576,60 $654,42 $736,88 $1 029,78 $1 564,86 |
$797,15 $874,97 $957,43 $1 250,33 |
$1 017,70 $1 095,52 $1 177,98 $1 470,88 |
Toc - Plan #25 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387,66 $439,98 $495,41 $692,34 $1 052,08 |
$684,21 $736,53 $791,96 $988,89 |
$980,76 $1 033,08 $1 088,51 $1 285,44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$775,32 $879,96 $990,82 $1 384,68 $2 104,16 |
$1 071,87 $1 176,51 $1 287,37 $1 681,23 |
$1 368,42 $1 473,06 $1 583,92 $1 977,78 |
Toc - Plan #26 Ambetter of Tennessee | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$446,72 $507,02 $570,90 $797,83 $1 212,38 |
$788,46 $848,76 $912,64 $1 139,57 |
$1 130,20 $1 190,50 $1 254,38 $1 481,31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$893,44 $1 014,04 $1 141,80 $1 595,66 $2 424,76 |
$1 235,18 $1 355,78 $1 483,54 $1 937,40 |
$1 576,92 $1 697,52 $1 825,28 $2 279,14 |
Toc - Plan #27 Ambetter of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313,31 $355,60 $400,40 $559,56 $850,31 |
$552,99 $595,28 $640,08 $799,24 |
$792,67 $834,96 $879,76 $1 038,92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$626,62 $711,20 $800,80 $1 119,12 $1 700,62 |
$866,30 $950,88 $1 040,48 $1 358,80 |
$1 105,98 $1 190,56 $1 280,16 $1 598,48 |
Toc - Plan #28 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$380,09 $431,40 $485,75 $678,83 $1 031,55 |
$670,85 $722,16 $776,51 $969,59 |
$961,61 $1 012,92 $1 067,27 $1 260,35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$760,18 $862,80 $971,50 $1 357,66 $2 063,10 |
$1 050,94 $1 153,56 $1 262,26 $1 648,42 |
$1 341,70 $1 444,32 $1 553,02 $1 939,18 |
Toc - Plan #29 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 25 HSA (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396,32 $449,82 $506,49 $707,82 $1 075,60 |
$699,50 $753,00 $809,67 $1 011,00 |
$1 002,68 $1 056,18 $1 112,85 $1 314,18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792,64 $899,64 $1 012,98 $1 415,64 $2 151,20 |
$1 095,82 $1 202,82 $1 316,16 $1 718,82 |
$1 399,00 $1 506,00 $1 619,34 $2 022,00 |
Toc - Plan #30 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 26 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397,92 $451,63 $508,53 $710,67 $1 079,93 |
$702,32 $756,03 $812,93 $1 015,07 |
$1 006,72 $1 060,43 $1 117,33 $1 319,47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795,84 $903,26 $1 017,06 $1 421,34 $2 159,86 |
$1 100,24 $1 207,66 $1 321,46 $1 725,74 |
$1 404,64 $1 512,06 $1 625,86 $2 030,14 |
Toc - Plan #31 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 27 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414,34 $470,27 $529,51 $739,99 $1 124,49 |
$731,30 $787,23 $846,47 $1 056,95 |
$1 048,26 $1 104,19 $1 163,43 $1 373,91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$828,68 $940,54 $1 059,02 $1 479,98 $2 248,98 |
$1 145,64 $1 257,50 $1 375,98 $1 796,94 |
$1 462,60 $1 574,46 $1 692,94 $2 113,90 |
Toc - Plan #32 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 28 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414,64 $470,61 $529,90 $740,54 $1 125,32 |
$731,84 $787,81 $847,10 $1 057,74 |
$1 049,04 $1 105,01 $1 164,30 $1 374,94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$829,28 $941,22 $1 059,80 $1 481,08 $2 250,64 |
$1 146,48 $1 258,42 $1 377,00 $1 798,28 |
$1 463,68 $1 575,62 $1 694,20 $2 115,48 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #33 Cigna Healthcare | ||||||||||||||||||||
Bronze
(EPO) Cigna Connect 6500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$292,34 $331,80 $373,61 $522,12 $793,41 |
$515,98 $555,44 $597,25 $745,76 |
$739,62 $779,08 $820,89 $969,40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$584,68 $663,60 $747,22 $1 044,24 $1 586,82 |
$808,32 $887,24 $970,86 $1 267,88 |
$1 031,96 $1 110,88 $1 194,50 $1 491,52 |
Toc - Plan #34 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 5900 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303,91 $344,93 $388,39 $542,78 $824,80 |
$536,40 $577,42 $620,88 $775,27 |
$768,89 $809,91 $853,37 $1 007,76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$607,82 $689,86 $776,78 $1 085,56 $1 649,60 |
$840,31 $922,35 $1 009,27 $1 318,05 |
$1 072,80 $1 154,84 $1 241,76 $1 550,54 |
Toc - Plan #35 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4750 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348,63 $395,70 $445,55 $622,66 $946,19 |
$615,33 $662,40 $712,25 $889,36 |
$882,03 $929,10 $978,95 $1 156,06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$697,26 $791,40 $891,10 $1 245,32 $1 892,38 |
$963,96 $1 058,10 $1 157,80 $1 512,02 |
$1 230,66 $1 324,80 $1 424,50 $1 778,72 |
Toc - Plan #36 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351,52 $398,98 $449,25 $627,82 $954,04 |
$620,44 $667,90 $718,17 $896,74 |
$889,36 $936,82 $987,09 $1 165,66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$703,04 $797,96 $898,50 $1 255,64 $1 908,08 |
$971,96 $1 066,88 $1 167,42 $1 524,56 |
$1 240,88 $1 335,80 $1 436,34 $1 793,48 |
Toc - Plan #37 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 1000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$521,30 $591,67 $666,22 $931,04 $1 414,80 |
$920,09 $990,46 $1 065,01 $1 329,83 |
$1 318,88 $1 389,25 $1 463,80 $1 728,62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 042,60 $1 183,34 $1 332,44 $1 862,08 $2 829,60 |
$1 441,39 $1 582,13 $1 731,23 $2 260,87 |
$1 840,18 $1 980,92 $2 130,02 $2 659,66 |
Toc - Plan #38 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 7300 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348,18 $395,19 $444,98 $621,86 $944,97 |
$614,54 $661,55 $711,34 $888,22 |
$880,90 $927,91 $977,70 $1 154,58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$696,36 $790,38 $889,96 $1 243,72 $1 889,94 |
$962,72 $1 056,74 $1 156,32 $1 510,08 |
$1 229,08 $1 323,10 $1 422,68 $1 776,44 |
Toc - Plan #39 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3500 Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351,40 $398,84 $449,09 $627,60 $953,70 |
$620,22 $667,66 $717,91 $896,42 |
$889,04 $936,48 $986,73 $1 165,24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$702,80 $797,68 $898,18 $1 255,20 $1 907,40 |
$971,62 $1 066,50 $1 167,00 $1 524,02 |
$1 240,44 $1 335,32 $1 435,82 $1 792,84 |
Toc - Plan #40 Cigna Healthcare | ||||||||||||||||||||
Bronze
(EPO) Cigna Connect 8550 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291,32 $330,65 $372,31 $520,30 $790,64 |
$514,18 $553,51 $595,17 $743,16 |
$737,04 $776,37 $818,03 $966,02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$582,64 $661,30 $744,62 $1 040,60 $1 581,28 |
$805,50 $884,16 $967,48 $1 263,46 |
$1 028,36 $1 107,02 $1 190,34 $1 486,32 |
‡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 Sequatchie County here.
Sequatchie County is in “Rating Area 3” of Tennessee.
Currently, there are 40 plans offered in Rating Area 3.