Obamacare 2021 Rates for Miami-Dade County
Obamacare > Rates > Florida > Miami-Dade County
Obamacare > Rates > Florida > Miami-Dade County
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Bright HealthLocal: 1-855-521-9335 | Toll Free: 1-855-521-9335 |
Toc - Plan #1 Bright Health | ||||||||||||||||||||
Gold
(EPO) Gold 1000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
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 |
$419,80 $476,47 $536,50 $749,76 $1 139,33 |
$740,94 $797,61 $857,64 $1 070,90 |
$1 062,08 $1 118,75 $1 178,78 $1 392,04 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$839,60 $952,94 $1 073,00 $1 499,52 $2 278,66 |
$1 160,74 $1 274,08 $1 394,14 $1 820,66 |
$1 481,88 $1 595,22 $1 715,28 $2 141,80 |
Toc - Plan #2 Bright Health | ||||||||||||||||||||
Silver
(EPO) Silver 5000 |
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Benefits & Coverage
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Customer Service Phone: 1-855-521-9335
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 |
$355,98 $404,03 $454,94 $635,77 $966,12 |
$628,30 $676,35 $727,26 $908,09 |
$900,62 $948,67 $999,58 $1 180,41 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$711,96 $808,06 $909,88 $1 271,54 $1 932,24 |
$984,28 $1 080,38 $1 182,20 $1 543,86 |
$1 256,60 $1 352,70 $1 454,52 $1 816,18 |
Toc - Plan #3 Bright Health | ||||||||||||||||||||
Silver
(EPO) Silver 3000 |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$369,18 $419,02 $471,81 $659,36 $1 001,95 |
$651,60 $701,44 $754,23 $941,78 |
$934,02 $983,86 $1 036,65 $1 224,20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$738,36 $838,04 $943,62 $1 318,72 $2 003,90 |
$1 020,78 $1 120,46 $1 226,04 $1 601,14 |
$1 303,20 $1 402,88 $1 508,46 $1 883,56 |
Toc - Plan #4 Bright Health | ||||||||||||||||||||
Silver
(EPO) Silver $0 Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$386,29 $438,44 $493,68 $689,92 $1 048,40 |
$681,80 $733,95 $789,19 $985,43 |
$977,31 $1 029,46 $1 084,70 $1 280,94 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$772,58 $876,88 $987,36 $1 379,84 $2 096,80 |
$1 068,09 $1 172,39 $1 282,87 $1 675,35 |
$1 363,60 $1 467,90 $1 578,38 $1 970,86 |
Toc - Plan #5 Bright Health | ||||||||||||||||||||
Silver
(EPO) Silver $0 Primary Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$369,13 $418,96 $471,75 $659,26 $1 001,82 |
$651,51 $701,34 $754,13 $941,64 |
$933,89 $983,72 $1 036,51 $1 224,02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$738,26 $837,92 $943,50 $1 318,52 $2 003,64 |
$1 020,64 $1 120,30 $1 225,88 $1 600,90 |
$1 303,02 $1 402,68 $1 508,26 $1 883,28 |
Toc - Plan #6 Bright Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 8550 |
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Benefits & Coverage
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$267,68 $303,81 $342,09 $478,07 $726,48 |
$472,45 $508,58 $546,86 $682,84 |
$677,22 $713,35 $751,63 $887,61 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$535,36 $607,62 $684,18 $956,14 $1 452,96 |
$740,13 $812,39 $888,95 $1 160,91 |
$944,90 $1 017,16 $1 093,72 $1 365,68 |
Toc - Plan #7 Bright Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 7000 HSA |
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Benefits & Coverage
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$317,54 $360,41 $405,81 $567,12 $861,80 |
$560,46 $603,33 $648,73 $810,04 |
$803,38 $846,25 $891,65 $1 052,96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$635,08 $720,82 $811,62 $1 134,24 $1 723,60 |
$878,00 $963,74 $1 054,54 $1 377,16 |
$1 120,92 $1 206,66 $1 297,46 $1 620,08 |
Toc - Plan #8 Bright Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze $0 Primary Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$278,55 $316,16 $355,99 $497,49 $755,99 |
$491,64 $529,25 $569,08 $710,58 |
$704,73 $742,34 $782,17 $923,67 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$557,10 $632,32 $711,98 $994,98 $1 511,98 |
$770,19 $845,41 $925,07 $1 208,07 |
$983,28 $1 058,50 $1 138,16 $1 421,16 |
Toc - Plan #9 Bright Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze $0 Medical Deductible Direct |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$305,35 $346,57 $390,24 $545,35 $828,72 |
$538,94 $580,16 $623,83 $778,94 |
$772,53 $813,75 $857,42 $1 012,53 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$610,70 $693,14 $780,48 $1 090,70 $1 657,44 |
$844,29 $926,73 $1 014,07 $1 324,29 |
$1 077,88 $1 160,32 $1 247,66 $1 557,88 |
Toc - Plan #10 Bright Health | ||||||||||||||||||||
Catastrophic
(EPO) Catastrophic 3 $0 PCP Visits |
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Benefits & Coverage
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$219,30 $248,91 $280,27 $391,68 $595,19 |
$387,07 $416,68 $448,04 $559,45 |
$554,84 $584,45 $615,81 $727,22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$438,60 $497,82 $560,54 $783,36 $1 190,38 |
$606,37 $665,59 $728,31 $951,13 |
$774,14 $833,36 $896,08 $1 118,90 |
Toc - Plan #11 Bright Health | ||||||||||||||||||||
Gold
(EPO) Super Gold 10 + Dental |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$410,06 $465,42 $524,06 $732,37 $1 112,90 |
$723,76 $779,12 $837,76 $1 046,07 |
$1 037,46 $1 092,82 $1 151,46 $1 359,77 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$820,12 $930,84 $1 048,12 $1 464,74 $2 225,80 |
$1 133,82 $1 244,54 $1 361,82 $1 778,44 |
$1 447,52 $1 558,24 $1 675,52 $2 092,14 |
Toc - Plan #12 Bright Health | ||||||||||||||||||||
Silver
(EPO) Super Silver 50 + Dental |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$348,07 $395,06 $444,83 $621,65 $944,66 |
$614,34 $661,33 $711,10 $887,92 |
$880,61 $927,60 $977,37 $1 154,19 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$696,14 $790,12 $889,66 $1 243,30 $1 889,32 |
$962,41 $1 056,39 $1 155,93 $1 509,57 |
$1 228,68 $1 322,66 $1 422,20 $1 775,84 |
Toc - Plan #13 Bright Health | ||||||||||||||||||||
Silver
(EPO) Super Silver 30 + Dental |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$360,87 $409,59 $461,20 $644,52 $979,41 |
$636,94 $685,66 $737,27 $920,59 |
$913,01 $961,73 $1 013,34 $1 196,66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$721,74 $819,18 $922,40 $1 289,04 $1 958,82 |
$997,81 $1 095,25 $1 198,47 $1 565,11 |
$1 273,88 $1 371,32 $1 474,54 $1 841,18 |
Toc - Plan #14 Bright Health | ||||||||||||||||||||
Silver
(EPO) Super Silver $0 Deductible + Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$377,47 $428,43 $482,41 $674,16 $1 024,46 |
$666,24 $717,20 $771,18 $962,93 |
$955,01 $1 005,97 $1 059,95 $1 251,70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$754,94 $856,86 $964,82 $1 348,32 $2 048,92 |
$1 043,71 $1 145,63 $1 253,59 $1 637,09 |
$1 332,48 $1 434,40 $1 542,36 $1 925,86 |
Toc - Plan #15 Bright Health | ||||||||||||||||||||
Silver
(EPO) Super Silver $0 Primary Care + Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$360,82 $409,54 $461,13 $644,43 $979,28 |
$636,85 $685,57 $737,16 $920,46 |
$912,88 $961,60 $1 013,19 $1 196,49 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$721,64 $819,08 $922,26 $1 288,86 $1 958,56 |
$997,67 $1 095,11 $1 198,29 $1 564,89 |
$1 273,70 $1 371,14 $1 474,32 $1 840,92 |
Toc - Plan #16 Bright Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Super Bronze 85 + Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$262,70 $298,17 $335,73 $469,19 $712,98 |
$463,67 $499,14 $536,70 $670,16 |
$664,64 $700,11 $737,67 $871,13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$525,40 $596,34 $671,46 $938,38 $1 425,96 |
$726,37 $797,31 $872,43 $1 139,35 |
$927,34 $998,28 $1 073,40 $1 340,32 |
Toc - Plan #17 Bright Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Super Bronze 70 + Dental HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$311,06 $353,05 $397,53 $555,55 $844,22 |
$549,02 $591,01 $635,49 $793,51 |
$786,98 $828,97 $873,45 $1 031,47 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$622,12 $706,10 $795,06 $1 111,10 $1 688,44 |
$860,08 $944,06 $1 033,02 $1 349,06 |
$1 098,04 $1 182,02 $1 270,98 $1 587,02 |
Toc - Plan #18 Bright Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Super Bronze $0 Primary Care + Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
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 |
$273,25 $310,14 $349,21 $488,02 $741,60 |
$482,29 $519,18 $558,25 $697,06 |
$691,33 $728,22 $767,29 $906,10 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$546,50 $620,28 $698,42 $976,04 $1 483,20 |
$755,54 $829,32 $907,46 $1 185,08 |
$964,58 $1 038,36 $1 116,50 $1 394,12 |
Toc - Plan #19 Bright Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Super Bronze $0 Medical Deductible + Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
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 |
$299,24 $339,64 $382,43 $534,44 $812,13 |
$528,16 $568,56 $611,35 $763,36 |
$757,08 $797,48 $840,27 $992,28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$598,48 $679,28 $764,86 $1 068,88 $1 624,26 |
$827,40 $908,20 $993,78 $1 297,80 |
$1 056,32 $1 137,12 $1 222,70 $1 526,72 |
Toc - Plan #20 Bright Health | ||||||||||||||||||||
Catastrophic
(EPO) Super Catastrophic 3 $0 PCP Visits + Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
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 |
$215,83 $244,97 $275,83 $385,47 $585,76 |
$380,94 $410,08 $440,94 $550,58 |
$546,05 $575,19 $606,05 $715,69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$431,66 $489,94 $551,66 $770,94 $1 171,52 |
$596,77 $655,05 $716,77 $936,05 |
$761,88 $820,16 $881,88 $1 101,16 |
ADVERTISEMENT
Florida Blue (BlueCross BlueShield FL)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #21 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1423 ($0 Virtual Visits / $100+ in Rewards) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-800-352-2583
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 |
$746,67 $847,47 $954,24 $1 333,55 $2 026,46 |
$1 317,87 $1 418,67 $1 525,44 $1 904,75 |
$1 889,07 $1 989,87 $2 096,64 $2 475,95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1 493,34 $1 694,94 $1 908,48 $2 667,10 $4 052,92 |
$2 064,54 $2 266,14 $2 479,68 $3 238,30 |
$2 635,74 $2 837,34 $3 050,88 $3 809,50 |
Toc - Plan #22 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueOptions Bronze 1419 ($0 Virtual Visits / $100+ in Rewards) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-800-352-2583
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 |
$461,64 $523,96 $589,98 $824,49 $1 252,89 |
$814,79 $877,11 $943,13 $1 177,64 |
$1 167,94 $1 230,26 $1 296,28 $1 530,79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$923,28 $1 047,92 $1 179,96 $1 648,98 $2 505,78 |
$1 276,43 $1 401,07 $1 533,11 $2 002,13 |
$1 629,58 $1 754,22 $1 886,26 $2 355,28 |
Toc - Plan #23 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1431 ($0 Virtual Visits / $100+ in Rewards) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$768,93 $872,74 $982,69 $1 373,31 $2 086,88 |
$1 357,16 $1 460,97 $1 570,92 $1 961,54 |
$1 945,39 $2 049,20 $2 159,15 $2 549,77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 537,86 $1 745,48 $1 965,38 $2 746,62 $4 173,76 |
$2 126,09 $2 333,71 $2 553,61 $3 334,85 |
$2 714,32 $2 921,94 $3 141,84 $3 923,08 |
Toc - Plan #24 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1418 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$900,03 $1 021,53 $1 150,24 $1 607,45 $2 442,68 |
$1 588,55 $1 710,05 $1 838,76 $2 295,97 |
$2 277,07 $2 398,57 $2 527,28 $2 984,49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 800,06 $2 043,06 $2 300,48 $3 214,90 $4 885,36 |
$2 488,58 $2 731,58 $2 989,00 $3 903,42 |
$3 177,10 $3 420,10 $3 677,52 $4 591,94 |
Toc - Plan #25 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1416 ($0 Virtual Visits / 3 PCP Visits for $20) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$497,54 $564,71 $635,86 $888,61 $1 350,32 |
$878,16 $945,33 $1 016,48 $1 269,23 |
$1 258,78 $1 325,95 $1 397,10 $1 649,85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$995,08 $1 129,42 $1 271,72 $1 777,22 $2 700,64 |
$1 375,70 $1 510,04 $1 652,34 $2 157,84 |
$1 756,32 $1 890,66 $2 032,96 $2 538,46 |
Toc - Plan #26 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1424 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$953,71 $1 082,46 $1 218,84 $1 703,33 $2 588,37 |
$1 683,30 $1 812,05 $1 948,43 $2 432,92 |
$2 412,89 $2 541,64 $2 678,02 $3 162,51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 907,42 $2 164,92 $2 437,68 $3 406,66 $5 176,74 |
$2 637,01 $2 894,51 $3 167,27 $4 136,25 |
$3 366,60 $3 624,10 $3 896,86 $4 865,84 |
Toc - Plan #27 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1410 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$680,66 $772,55 $869,88 $1 215,66 $1 847,31 |
$1 201,36 $1 293,25 $1 390,58 $1 736,36 |
$1 722,06 $1 813,95 $1 911,28 $2 257,06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 361,32 $1 545,10 $1 739,76 $2 431,32 $3 694,62 |
$1 882,02 $2 065,80 $2 260,46 $2 952,02 |
$2 402,72 $2 586,50 $2 781,16 $3 472,72 |
Toc - Plan #28 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1505 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$757,67 $859,96 $968,30 $1 353,20 $2 056,32 |
$1 337,29 $1 439,58 $1 547,92 $1 932,82 |
$1 916,91 $2 019,20 $2 127,54 $2 512,44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 515,34 $1 719,92 $1 936,60 $2 706,40 $4 112,64 |
$2 094,96 $2 299,54 $2 516,22 $3 286,02 |
$2 674,58 $2 879,16 $3 095,84 $3 865,64 |
Toc - Plan #29 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze (HSA) 1705 ($100+ in Rewards / $4 Condition Care Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$482,13 $547,22 $616,16 $861,08 $1 308,50 |
$850,96 $916,05 $984,99 $1 229,91 |
$1 219,79 $1 284,88 $1 353,82 $1 598,74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$964,26 $1 094,44 $1 232,32 $1 722,16 $2 617,00 |
$1 333,09 $1 463,27 $1 601,15 $2 090,99 |
$1 701,92 $1 832,10 $1 969,98 $2 459,82 |
Toc - Plan #30 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1706S ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$761,04 $863,78 $972,61 $1 359,22 $2 065,46 |
$1 343,24 $1 445,98 $1 554,81 $1 941,42 |
$1 925,44 $2 028,18 $2 137,01 $2 523,62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 522,08 $1 727,56 $1 945,22 $2 718,44 $4 130,92 |
$2 104,28 $2 309,76 $2 527,42 $3 300,64 |
$2 686,48 $2 891,96 $3 109,62 $3 882,84 |
Toc - Plan #31 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1707S ($0 Virtual Visits / $40 PCP Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$496,22 $563,21 $634,17 $886,25 $1 346,74 |
$875,83 $942,82 $1 013,78 $1 265,86 |
$1 255,44 $1 322,43 $1 393,39 $1 645,47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$992,44 $1 126,42 $1 268,34 $1 772,50 $2 693,48 |
$1 372,05 $1 506,03 $1 647,95 $2 152,11 |
$1 751,66 $1 885,64 $2 027,56 $2 531,72 |
Toc - Plan #32 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1805 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$733,70 $832,75 $937,67 $1 310,39 $1 991,26 |
$1 294,98 $1 394,03 $1 498,95 $1 871,67 |
$1 856,26 $1 955,31 $2 060,23 $2 432,95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 467,40 $1 665,50 $1 875,34 $2 620,78 $3 982,52 |
$2 028,68 $2 226,78 $2 436,62 $3 182,06 |
$2 589,96 $2 788,06 $2 997,90 $3 743,34 |
Toc - Plan #33 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2119 ($0 Deductible / $50 PCP Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$530,87 $602,54 $678,45 $948,13 $1 440,78 |
$936,99 $1 008,66 $1 084,57 $1 354,25 |
$1 343,11 $1 414,78 $1 490,69 $1 760,37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 061,74 $1 205,08 $1 356,90 $1 896,26 $2 881,56 |
$1 467,86 $1 611,20 $1 763,02 $2 302,38 |
$1 873,98 $2 017,32 $2 169,14 $2 708,50 |
Toc - Plan #34 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1456 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$486,04 $551,66 $621,16 $868,07 $1 319,11 |
$857,86 $923,48 $992,98 $1 239,89 |
$1 229,68 $1 295,30 $1 364,80 $1 611,71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$972,08 $1 103,32 $1 242,32 $1 736,14 $2 638,22 |
$1 343,90 $1 475,14 $1 614,14 $2 107,96 |
$1 715,72 $1 846,96 $1 985,96 $2 479,78 |
Toc - Plan #35 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueSelect Bronze 1452 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$346,48 $393,25 $442,80 $618,81 $940,35 |
$611,54 $658,31 $707,86 $883,87 |
$876,60 $923,37 $972,92 $1 148,93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$692,96 $786,50 $885,60 $1 237,62 $1 880,70 |
$958,02 $1 051,56 $1 150,66 $1 502,68 |
$1 223,08 $1 316,62 $1 415,72 $1 767,74 |
Toc - Plan #36 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1464 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$503,76 $571,77 $643,81 $899,72 $1 367,20 |
$889,14 $957,15 $1 029,19 $1 285,10 |
$1 274,52 $1 342,53 $1 414,57 $1 670,48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 007,52 $1 143,54 $1 287,62 $1 799,44 $2 734,40 |
$1 392,90 $1 528,92 $1 673,00 $2 184,82 |
$1 778,28 $1 914,30 $2 058,38 $2 570,20 |
Toc - Plan #37 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1451 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$595,23 $675,59 $760,70 $1 063,08 $1 615,45 |
$1 050,58 $1 130,94 $1 216,05 $1 518,43 |
$1 505,93 $1 586,29 $1 671,40 $1 973,78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 190,46 $1 351,18 $1 521,40 $2 126,16 $3 230,90 |
$1 645,81 $1 806,53 $1 976,75 $2 581,51 |
$2 101,16 $2 261,88 $2 432,10 $3 036,86 |
Toc - Plan #38 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1449 ($0 Virtual Visits / 3 PCP Visits for $20) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370,67 $420,71 $473,72 $662,02 $1 006,00 |
$654,23 $704,27 $757,28 $945,58 |
$937,79 $987,83 $1 040,84 $1 229,14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$741,34 $841,42 $947,44 $1 324,04 $2 012,00 |
$1 024,90 $1 124,98 $1 231,00 $1 607,60 |
$1 308,46 $1 408,54 $1 514,56 $1 891,16 |
Toc - Plan #39 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1457 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$638,98 $725,24 $816,62 $1 141,22 $1 734,19 |
$1 127,80 $1 214,06 $1 305,44 $1 630,04 |
$1 616,62 $1 702,88 $1 794,26 $2 118,86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 277,96 $1 450,48 $1 633,24 $2 282,44 $3 468,38 |
$1 766,78 $1 939,30 $2 122,06 $2 771,26 |
$2 255,60 $2 428,12 $2 610,88 $3 260,08 |
Toc - Plan #40 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1443 ($0 Labs / $0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$441,76 $501,40 $564,57 $788,98 $1 198,94 |
$779,71 $839,35 $902,52 $1 126,93 |
$1 117,66 $1 177,30 $1 240,47 $1 464,88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$883,52 $1 002,80 $1 129,14 $1 577,96 $2 397,88 |
$1 221,47 $1 340,75 $1 467,09 $1 915,91 |
$1 559,42 $1 678,70 $1 805,04 $2 253,86 |
Toc - Plan #41 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1535 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$518,48 $588,47 $662,62 $926,01 $1 407,15 |
$915,12 $985,11 $1 059,26 $1 322,65 |
$1 311,76 $1 381,75 $1 455,90 $1 719,29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 036,96 $1 176,94 $1 325,24 $1 852,02 $2 814,30 |
$1 433,60 $1 573,58 $1 721,88 $2 248,66 |
$1 830,24 $1 970,22 $2 118,52 $2 645,30 |
Toc - Plan #42 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze (HSA) 1735 ($100+ in Rewards / $4 Condition Care Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361,28 $410,05 $461,72 $645,25 $980,51 |
$637,66 $686,43 $738,10 $921,63 |
$914,04 $962,81 $1 014,48 $1 198,01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$722,56 $820,10 $923,44 $1 290,50 $1 961,02 |
$998,94 $1 096,48 $1 199,82 $1 566,88 |
$1 275,32 $1 372,86 $1 476,20 $1 843,26 |
Toc - Plan #43 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1736S ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$492,55 $559,04 $629,48 $879,69 $1 336,78 |
$869,35 $935,84 $1 006,28 $1 256,49 |
$1 246,15 $1 312,64 $1 383,08 $1 633,29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$985,10 $1 118,08 $1 258,96 $1 759,38 $2 673,56 |
$1 361,90 $1 494,88 $1 635,76 $2 136,18 |
$1 738,70 $1 871,68 $2 012,56 $2 512,98 |
Toc - Plan #44 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1737S ($0 Virtual Visits / $40 PCP Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370,10 $420,06 $472,99 $661,00 $1 004,45 |
$653,23 $703,19 $756,12 $944,13 |
$936,36 $986,32 $1 039,25 $1 227,26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$740,20 $840,12 $945,98 $1 322,00 $2 008,90 |
$1 023,33 $1 123,25 $1 229,11 $1 605,13 |
$1 306,46 $1 406,38 $1 512,24 $1 888,26 |
Toc - Plan #45 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1835 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$495,32 $562,19 $633,02 $884,64 $1 344,30 |
$874,24 $941,11 $1 011,94 $1 263,56 |
$1 253,16 $1 320,03 $1 390,86 $1 642,48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$990,64 $1 124,38 $1 266,04 $1 769,28 $2 688,60 |
$1 369,56 $1 503,30 $1 644,96 $2 148,20 |
$1 748,48 $1 882,22 $2 023,88 $2 527,12 |
Toc - Plan #46 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 2139 ($0 Deductible / $50 PCP Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395,52 $448,92 $505,47 $706,40 $1 073,44 |
$698,09 $751,49 $808,04 $1 008,97 |
$1 000,66 $1 054,06 $1 110,61 $1 311,54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$791,04 $897,84 $1 010,94 $1 412,80 $2 146,88 |
$1 093,61 $1 200,41 $1 313,51 $1 715,37 |
$1 396,18 $1 502,98 $1 616,08 $2 017,94 |
ADVERTISEMENT
AvMedLocal: 1-800-477-8768 | Toll Free: |
Toc - Plan #47 AvMed | ||||||||||||||||||||
Gold
(HMO) AvMed Entrust Gold 125 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389,66 $442,26 $497,98 $695,93 $1 057,53 |
$687,75 $740,35 $796,07 $994,02 |
$985,84 $1 038,44 $1 094,16 $1 292,11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$779,32 $884,52 $995,96 $1 391,86 $2 115,06 |
$1 077,41 $1 182,61 $1 294,05 $1 689,95 |
$1 375,50 $1 480,70 $1 592,14 $1 988,04 |
Toc - Plan #48 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 300 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378,78 $429,92 $484,09 $676,51 $1 028,02 |
$668,55 $719,69 $773,86 $966,28 |
$958,32 $1 009,46 $1 063,63 $1 256,05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$757,56 $859,84 $968,18 $1 353,02 $2 056,04 |
$1 047,33 $1 149,61 $1 257,95 $1 642,79 |
$1 337,10 $1 439,38 $1 547,72 $1 932,56 |
Toc - Plan #49 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 350 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362,52 $411,46 $463,30 $647,46 $983,88 |
$639,85 $688,79 $740,63 $924,79 |
$917,18 $966,12 $1 017,96 $1 202,12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725,04 $822,92 $926,60 $1 294,92 $1 967,76 |
$1 002,37 $1 100,25 $1 203,93 $1 572,25 |
$1 279,70 $1 377,58 $1 481,26 $1 849,58 |
Toc - Plan #50 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361,61 $410,43 $462,14 $645,83 $981,41 |
$638,24 $687,06 $738,77 $922,46 |
$914,87 $963,69 $1 015,40 $1 199,09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$723,22 $820,86 $924,28 $1 291,66 $1 962,82 |
$999,85 $1 097,49 $1 200,91 $1 568,29 |
$1 276,48 $1 374,12 $1 477,54 $1 844,92 |
Toc - Plan #51 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 550 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358,97 $407,43 $458,76 $641,12 $974,24 |
$633,58 $682,04 $733,37 $915,73 |
$908,19 $956,65 $1 007,98 $1 190,34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$717,94 $814,86 $917,52 $1 282,24 $1 948,48 |
$992,55 $1 089,47 $1 192,13 $1 556,85 |
$1 267,16 $1 364,08 $1 466,74 $1 831,46 |
Toc - Plan #52 AvMed | ||||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Bronze 600 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$298,61 $338,92 $381,62 $533,31 $810,42 |
$527,04 $567,35 $610,05 $761,74 |
$755,47 $795,78 $838,48 $990,17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$597,22 $677,84 $763,24 $1 066,62 $1 620,84 |
$825,65 $906,27 $991,67 $1 295,05 |
$1 054,08 $1 134,70 $1 220,10 $1 523,48 |
Toc - Plan #53 AvMed | ||||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Bronze 650 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$274,61 $311,68 $350,95 $490,45 $745,29 |
$484,69 $521,76 $561,03 $700,53 |
$694,77 $731,84 $771,11 $910,61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$549,22 $623,36 $701,90 $980,90 $1 490,58 |
$759,30 $833,44 $911,98 $1 190,98 |
$969,38 $1 043,52 $1 122,06 $1 401,06 |
Toc - Plan #54 AvMed | ||||||||||||||||||||
Catastrophic
(HMO) AvMed Catastrophic 100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$241,39 $273,97 $308,49 $431,12 $655,13 |
$426,05 $458,63 $493,15 $615,78 |
$610,71 $643,29 $677,81 $800,44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$482,78 $547,94 $616,98 $862,24 $1 310,26 |
$667,44 $732,60 $801,64 $1 046,90 |
$852,10 $917,26 $986,30 $1 231,56 |
Toc - Plan #55 AvMed | ||||||||||||||||||||
Gold
(HMO) AvMed Entrust Gold 125 Adult Dental + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$393,11 $446,18 $502,39 $702,09 $1 066,90 |
$693,84 $746,91 $803,12 $1 002,82 |
$994,57 $1 047,64 $1 103,85 $1 303,55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$786,22 $892,36 $1 004,78 $1 404,18 $2 133,80 |
$1 086,95 $1 193,09 $1 305,51 $1 704,91 |
$1 387,68 $1 493,82 $1 606,24 $2 005,64 |
Toc - Plan #56 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 300 Adult Dental + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382,14 $433,72 $488,37 $682,50 $1 037,12 |
$674,47 $726,05 $780,70 $974,83 |
$966,80 $1 018,38 $1 073,03 $1 267,16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764,28 $867,44 $976,74 $1 365,00 $2 074,24 |
$1 056,61 $1 159,77 $1 269,07 $1 657,33 |
$1 348,94 $1 452,10 $1 561,40 $1 949,66 |
Toc - Plan #57 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 350 Adult Dental + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365,74 $415,11 $467,41 $653,21 $992,61 |
$645,53 $694,90 $747,20 $933,00 |
$925,32 $974,69 $1 026,99 $1 212,79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731,48 $830,22 $934,82 $1 306,42 $1 985,22 |
$1 011,27 $1 110,01 $1 214,61 $1 586,21 |
$1 291,06 $1 389,80 $1 494,40 $1 866,00 |
Toc - Plan #58 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 500 Adult Dental + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364,81 $414,06 $466,23 $651,55 $990,09 |
$643,89 $693,14 $745,31 $930,63 |
$922,97 $972,22 $1 024,39 $1 209,71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$729,62 $828,12 $932,46 $1 303,10 $1 980,18 |
$1 008,70 $1 107,20 $1 211,54 $1 582,18 |
$1 287,78 $1 386,28 $1 490,62 $1 861,26 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #59 Ambetter from Sunshine Health | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$267,08 $303,13 $341,32 $476,99 $724,83 |
$471,39 $507,44 $545,63 $681,30 |
$675,70 $711,75 $749,94 $885,61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$534,16 $606,26 $682,64 $953,98 $1 449,66 |
$738,47 $810,57 $886,95 $1 158,29 |
$942,78 $1 014,88 $1 091,26 $1 362,60 |
Toc - Plan #60 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 4 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381,92 $433,47 $488,08 $682,09 $1 036,51 |
$674,08 $725,63 $780,24 $974,25 |
$966,24 $1 017,79 $1 072,40 $1 266,41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$763,84 $866,94 $976,16 $1 364,18 $2 073,02 |
$1 056,00 $1 159,10 $1 268,32 $1 656,34 |
$1 348,16 $1 451,26 $1 560,48 $1 948,50 |
Toc - Plan #61 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372,45 $422,72 $475,98 $665,18 $1 010,80 |
$657,37 $707,64 $760,90 $950,10 |
$942,29 $992,56 $1 045,82 $1 235,02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$744,90 $845,44 $951,96 $1 330,36 $2 021,60 |
$1 029,82 $1 130,36 $1 236,88 $1 615,28 |
$1 314,74 $1 415,28 $1 521,80 $1 900,20 |
Toc - Plan #62 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381,88 $433,43 $488,03 $682,03 $1 036,41 |
$674,01 $725,56 $780,16 $974,16 |
$966,14 $1 017,69 $1 072,29 $1 266,29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$763,76 $866,86 $976,06 $1 364,06 $2 072,82 |
$1 055,89 $1 158,99 $1 268,19 $1 656,19 |
$1 348,02 $1 451,12 $1 560,32 $1 948,32 |
Toc - Plan #63 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$273,19 $310,06 $349,13 $487,90 $741,41 |
$482,17 $519,04 $558,11 $696,88 |
$691,15 $728,02 $767,09 $905,86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$546,38 $620,12 $698,26 $975,80 $1 482,82 |
$755,36 $829,10 $907,24 $1 184,78 |
$964,34 $1 038,08 $1 116,22 $1 393,76 |
Toc - Plan #64 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 10 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$273,69 $310,62 $349,76 $488,79 $742,76 |
$483,05 $519,98 $559,12 $698,15 |
$692,41 $729,34 $768,48 $907,51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$547,38 $621,24 $699,52 $977,58 $1 485,52 |
$756,74 $830,60 $908,88 $1 186,94 |
$966,10 $1 039,96 $1 118,24 $1 396,30 |
Toc - Plan #65 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364,28 $413,44 $465,53 $650,58 $988,62 |
$642,94 $692,10 $744,19 $929,24 |
$921,60 $970,76 $1 022,85 $1 207,90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$728,56 $826,88 $931,06 $1 301,16 $1 977,24 |
$1 007,22 $1 105,54 $1 209,72 $1 579,82 |
$1 285,88 $1 384,20 $1 488,38 $1 858,48 |
Toc - Plan #66 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 24 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377,64 $428,62 $482,62 $674,46 $1 024,90 |
$666,53 $717,51 $771,51 $963,35 |
$955,42 $1 006,40 $1 060,40 $1 252,24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$755,28 $857,24 $965,24 $1 348,92 $2 049,80 |
$1 044,17 $1 146,13 $1 254,13 $1 637,81 |
$1 333,06 $1 435,02 $1 543,02 $1 926,70 |
Toc - Plan #67 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 29 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360,99 $409,72 $461,34 $644,72 $979,71 |
$637,14 $685,87 $737,49 $920,87 |
$913,29 $962,02 $1 013,64 $1 197,02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721,98 $819,44 $922,68 $1 289,44 $1 959,42 |
$998,13 $1 095,59 $1 198,83 $1 565,59 |
$1 274,28 $1 371,74 $1 474,98 $1 841,74 |
Toc - Plan #68 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 25 HSA (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376,65 $427,49 $481,35 $672,68 $1 022,21 |
$664,78 $715,62 $769,48 $960,81 |
$952,91 $1 003,75 $1 057,61 $1 248,94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753,30 $854,98 $962,70 $1 345,36 $2 044,42 |
$1 041,43 $1 143,11 $1 250,83 $1 633,49 |
$1 329,56 $1 431,24 $1 538,96 $1 921,62 |
Toc - Plan #69 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 26 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384,02 $435,85 $490,77 $685,85 $1 042,21 |
$677,79 $729,62 $784,54 $979,62 |
$971,56 $1 023,39 $1 078,31 $1 273,39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$768,04 $871,70 $981,54 $1 371,70 $2 084,42 |
$1 061,81 $1 165,47 $1 275,31 $1 665,47 |
$1 355,58 $1 459,24 $1 569,08 $1 959,24 |
Toc - Plan #70 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 27 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401,09 $455,23 $512,59 $716,34 $1 088,54 |
$707,92 $762,06 $819,42 $1 023,17 |
$1 014,75 $1 068,89 $1 126,25 $1 330,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$802,18 $910,46 $1 025,18 $1 432,68 $2 177,08 |
$1 109,01 $1 217,29 $1 332,01 $1 739,51 |
$1 415,84 $1 524,12 $1 638,84 $2 046,34 |
Toc - Plan #71 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 28 (2021) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408,58 $463,73 $522,15 $729,71 $1 108,86 |
$721,14 $776,29 $834,71 $1 042,27 |
$1 033,70 $1 088,85 $1 147,27 $1 354,83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$817,16 $927,46 $1 044,30 $1 459,42 $2 217,72 |
$1 129,72 $1 240,02 $1 356,86 $1 771,98 |
$1 442,28 $1 552,58 $1 669,42 $2 084,54 |
Toc - Plan #72 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387,11 $439,36 $494,71 $691,36 $1 050,59 |
$683,24 $735,49 $790,84 $987,49 |
$979,37 $1 031,62 $1 086,97 $1 283,62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$774,22 $878,72 $989,42 $1 382,72 $2 101,18 |
$1 070,35 $1 174,85 $1 285,55 $1 678,85 |
$1 366,48 $1 470,98 $1 581,68 $1 974,98 |
Toc - Plan #73 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$283,94 $322,27 $362,87 $507,11 $770,60 |
$501,15 $539,48 $580,08 $724,32 |
$718,36 $756,69 $797,29 $941,53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$567,88 $644,54 $725,74 $1 014,22 $1 541,20 |
$785,09 $861,75 $942,95 $1 231,43 |
$1 002,30 $1 078,96 $1 160,16 $1 448,64 |
Toc - Plan #74 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378,62 $429,72 $483,86 $676,19 $1 027,54 |
$668,25 $719,35 $773,49 $965,82 |
$957,88 $1 008,98 $1 063,12 $1 255,45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$757,24 $859,44 $967,72 $1 352,38 $2 055,08 |
$1 046,87 $1 149,07 $1 257,35 $1 642,01 |
$1 336,50 $1 438,70 $1 546,98 $1 931,64 |
Toc - Plan #75 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396,91 $450,49 $507,24 $708,87 $1 077,20 |
$700,54 $754,12 $810,87 $1 012,50 |
$1 004,17 $1 057,75 $1 114,50 $1 316,13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$793,82 $900,98 $1 014,48 $1 417,74 $2 154,40 |
$1 097,45 $1 204,61 $1 318,11 $1 721,37 |
$1 401,08 $1 508,24 $1 621,74 $2 025,00 |
Toc - Plan #76 Ambetter from Sunshine Health | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$277,59 $315,06 $354,75 $495,76 $753,36 |
$489,94 $527,41 $567,10 $708,11 |
$702,29 $739,76 $779,45 $920,46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$555,18 $630,12 $709,50 $991,52 $1 506,72 |
$767,53 $842,47 $921,85 $1 203,87 |
$979,88 $1 054,82 $1 134,20 $1 416,22 |
Toc - Plan #77 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 4 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396,95 $450,53 $507,29 $708,94 $1 077,31 |
$700,61 $754,19 $810,95 $1 012,60 |
$1 004,27 $1 057,85 $1 114,61 $1 316,26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$793,90 $901,06 $1 014,58 $1 417,88 $2 154,62 |
$1 097,56 $1 204,72 $1 318,24 $1 721,54 |
$1 401,22 $1 508,38 $1 621,90 $2 025,20 |
Toc - Plan #78 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 10 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$284,46 $322,85 $363,53 $508,03 $772,00 |
$502,06 $540,45 $581,13 $725,63 |
$719,66 $758,05 $798,73 $943,23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$568,92 $645,70 $727,06 $1 016,06 $1 544,00 |
$786,52 $863,30 $944,66 $1 233,66 |
$1 004,12 $1 080,90 $1 162,26 $1 451,26 |
Toc - Plan #79 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 24 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392,51 $445,49 $501,61 $701,00 $1 065,24 |
$692,77 $745,75 $801,87 $1 001,26 |
$993,03 $1 046,01 $1 102,13 $1 301,52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$785,02 $890,98 $1 003,22 $1 402,00 $2 130,48 |
$1 085,28 $1 191,24 $1 303,48 $1 702,26 |
$1 385,54 $1 491,50 $1 603,74 $2 002,52 |
Toc - Plan #80 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 25 HSA (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391,48 $444,31 $500,29 $699,16 $1 062,44 |
$690,95 $743,78 $799,76 $998,63 |
$990,42 $1 043,25 $1 099,23 $1 298,10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$782,96 $888,62 $1 000,58 $1 398,32 $2 124,88 |
$1 082,43 $1 188,09 $1 300,05 $1 697,79 |
$1 381,90 $1 487,56 $1 599,52 $1 997,26 |
Toc - Plan #81 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 26 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399,14 $453,01 $510,08 $712,84 $1 083,23 |
$704,47 $758,34 $815,41 $1 018,17 |
$1 009,80 $1 063,67 $1 120,74 $1 323,50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$798,28 $906,02 $1 020,16 $1 425,68 $2 166,46 |
$1 103,61 $1 211,35 $1 325,49 $1 731,01 |
$1 408,94 $1 516,68 $1 630,82 $2 036,34 |
Toc - Plan #82 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 27 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$416,88 $473,15 $532,76 $744,53 $1 131,39 |
$735,79 $792,06 $851,67 $1 063,44 |
$1 054,70 $1 110,97 $1 170,58 $1 382,35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$833,76 $946,30 $1 065,52 $1 489,06 $2 262,78 |
$1 152,67 $1 265,21 $1 384,43 $1 807,97 |
$1 471,58 $1 584,12 $1 703,34 $2 126,88 |
Toc - Plan #83 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 28 (2021) + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$424,66 $481,98 $542,70 $758,43 $1 152,50 |
$749,52 $806,84 $867,56 $1 083,29 |
$1 074,38 $1 131,70 $1 192,42 $1 408,15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$849,32 $963,96 $1 085,40 $1 516,86 $2 305,00 |
$1 174,18 $1 288,82 $1 410,26 $1 841,72 |
$1 499,04 $1 613,68 $1 735,12 $2 166,58 |
ADVERTISEMENT
Florida Blue HMO (a BlueCross BlueShield FL company)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #84 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 2151 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$764,61 $867,83 $977,17 $1 365,59 $2 075,15 |
$1 349,54 $1 452,76 $1 562,10 $1 950,52 |
$1 934,47 $2 037,69 $2 147,03 $2 535,45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 529,22 $1 735,66 $1 954,34 $2 731,18 $4 150,30 |
$2 114,15 $2 320,59 $2 539,27 $3 316,11 |
$2 699,08 $2 905,52 $3 124,20 $3 901,04 |
Toc - Plan #85 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2153 ($0 Virtual Visits / 3 PCP Visits for $20) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$457,95 $519,77 $585,26 $817,90 $1 242,88 |
$808,28 $870,10 $935,59 $1 168,23 |
$1 158,61 $1 220,43 $1 285,92 $1 518,56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$915,90 $1 039,54 $1 170,52 $1 635,80 $2 485,76 |
$1 266,23 $1 389,87 $1 520,85 $1 986,13 |
$1 616,56 $1 740,20 $1 871,18 $2 336,46 |
Toc - Plan #86 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Bronze
(HMO) BlueCare Bronze 2154 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412,40 $468,07 $527,05 $736,55 $1 119,25 |
$727,89 $783,56 $842,54 $1 052,04 |
$1 043,38 $1 099,05 $1 158,03 $1 367,53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$824,80 $936,14 $1 054,10 $1 473,10 $2 238,50 |
$1 140,29 $1 251,63 $1 369,59 $1 788,59 |
$1 455,78 $1 567,12 $1 685,08 $2 104,08 |
Toc - Plan #87 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) BlueCare Gold 2156 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$653,97 $742,26 $835,77 $1 167,99 $1 774,87 |
$1 154,26 $1 242,55 $1 336,06 $1 668,28 |
$1 654,55 $1 742,84 $1 836,35 $2 168,57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 307,94 $1 484,52 $1 671,54 $2 335,98 $3 549,74 |
$1 808,23 $1 984,81 $2 171,83 $2 836,27 |
$2 308,52 $2 485,10 $2 672,12 $3 336,56 |
Toc - Plan #88 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 2157 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$550,56 $624,89 $703,62 $983,30 $1 494,22 |
$971,74 $1 046,07 $1 124,80 $1 404,48 |
$1 392,92 $1 467,25 $1 545,98 $1 825,66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 101,12 $1 249,78 $1 407,24 $1 966,60 $2 988,44 |
$1 522,30 $1 670,96 $1 828,42 $2 387,78 |
$1 943,48 $2 092,14 $2 249,60 $2 808,96 |
Toc - Plan #89 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2159 ($0 Deductible / $50 PCP Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$499,61 $567,06 $638,50 $892,30 $1 355,94 |
$881,81 $949,26 $1 020,70 $1 274,50 |
$1 264,01 $1 331,46 $1 402,90 $1 656,70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$999,22 $1 134,12 $1 277,00 $1 784,60 $2 711,88 |
$1 381,42 $1 516,32 $1 659,20 $2 166,80 |
$1 763,62 $1 898,52 $2 041,40 $2 549,00 |
Toc - Plan #90 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1601 ($0 Virtual Visits / 2 PCP Visits for $50) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311,59 $353,65 $398,21 $556,50 $845,66 |
$549,96 $592,02 $636,58 $794,87 |
$788,33 $830,39 $874,95 $1 033,24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$623,18 $707,30 $796,42 $1 113,00 $1 691,32 |
$861,55 $945,67 $1 034,79 $1 351,37 |
$1 099,92 $1 184,04 $1 273,16 $1 589,74 |
Toc - Plan #91 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1602 ($0 Labs / $0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$278,78 $316,42 $356,28 $497,90 $756,61 |
$492,05 $529,69 $569,55 $711,17 |
$705,32 $742,96 $782,82 $924,44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$557,56 $632,84 $712,56 $995,80 $1 513,22 |
$770,83 $846,11 $925,83 $1 209,07 |
$984,10 $1 059,38 $1 139,10 $1 422,34 |
Toc - Plan #92 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1603 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$404,47 $459,07 $516,91 $722,38 $1 097,73 |
$713,89 $768,49 $826,33 $1 031,80 |
$1 023,31 $1 077,91 $1 135,75 $1 341,22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$808,94 $918,14 $1 033,82 $1 444,76 $2 195,46 |
$1 118,36 $1 227,56 $1 343,24 $1 754,18 |
$1 427,78 $1 536,98 $1 652,66 $2 063,60 |
Toc - Plan #93 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1604 ($0 Labs / $0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370,35 $420,35 $473,31 $661,45 $1 005,13 |
$653,67 $703,67 $756,63 $944,77 |
$936,99 $986,99 $1 039,95 $1 228,09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$740,70 $840,70 $946,62 $1 322,90 $2 010,26 |
$1 024,02 $1 124,02 $1 229,94 $1 606,22 |
$1 307,34 $1 407,34 $1 513,26 $1 889,54 |
Toc - Plan #94 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 1605 ($0 Labs / $0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$419,53 $476,17 $536,16 $749,28 $1 138,60 |
$740,47 $797,11 $857,10 $1 070,22 |
$1 061,41 $1 118,05 $1 178,04 $1 391,16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$839,06 $952,34 $1 072,32 $1 498,56 $2 277,20 |
$1 160,00 $1 273,28 $1 393,26 $1 819,50 |
$1 480,94 $1 594,22 $1 714,20 $2 140,44 |
Toc - Plan #95 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1710 ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$421,21 $478,07 $538,31 $752,28 $1 143,16 |
$743,44 $800,30 $860,54 $1 074,51 |
$1 065,67 $1 122,53 $1 182,77 $1 396,74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$842,42 $956,14 $1 076,62 $1 504,56 $2 286,32 |
$1 164,65 $1 278,37 $1 398,85 $1 826,79 |
$1 486,88 $1 600,60 $1 721,08 $2 149,02 |
Toc - Plan #96 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1711S ($0 Virtual Visits / $55 PCP Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309,72 $351,53 $395,82 $553,16 $840,58 |
$546,66 $588,47 $632,76 $790,10 |
$783,60 $825,41 $869,70 $1 027,04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$619,44 $703,06 $791,64 $1 106,32 $1 681,16 |
$856,38 $940,00 $1 028,58 $1 343,26 |
$1 093,32 $1 176,94 $1 265,52 $1 580,20 |
Toc - Plan #97 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1712S ($0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413,16 $468,94 $528,02 $737,90 $1 121,32 |
$729,23 $785,01 $844,09 $1 053,97 |
$1 045,30 $1 101,08 $1 160,16 $1 370,04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$826,32 $937,88 $1 056,04 $1 475,80 $2 242,64 |
$1 142,39 $1 253,95 $1 372,11 $1 791,87 |
$1 458,46 $1 570,02 $1 688,18 $2 107,94 |
Toc - Plan #98 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2017 ($0 Labs / $0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362,73 $411,70 $463,57 $647,84 $984,45 |
$640,22 $689,19 $741,06 $925,33 |
$917,71 $966,68 $1 018,55 $1 202,82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725,46 $823,40 $927,14 $1 295,68 $1 968,90 |
$1 002,95 $1 100,89 $1 204,63 $1 573,17 |
$1 280,44 $1 378,38 $1 482,12 $1 850,66 |
Toc - Plan #99 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2127 ($0 Labs / $0 Virtual Visits / $100+ in Rewards) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351,25 $398,67 $448,90 $627,33 $953,29 |
$619,96 $667,38 $717,61 $896,04 |
$888,67 $936,09 $986,32 $1 164,75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$702,50 $797,34 $897,80 $1 254,66 $1 906,58 |
$971,21 $1 066,05 $1 166,51 $1 523,37 |
$1 239,92 $1 334,76 $1 435,22 $1 792,08 |
Toc - Plan #100 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2129 ($0 Deductible / $50 PCP Visits / $75 Specialist Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342,76 $389,03 $438,05 $612,17 $930,25 |
$604,97 $651,24 $700,26 $874,38 |
$867,18 $913,45 $962,47 $1 136,59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$685,52 $778,06 $876,10 $1 224,34 $1 860,50 |
$947,73 $1 040,27 $1 138,31 $1 486,55 |
$1 209,94 $1 302,48 $1 400,52 $1 748,76 |
Toc - Plan #101 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2126 (3 PCP Visits for $0 / $0 Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309,52 $351,31 $395,57 $552,80 $840,04 |
$546,30 $588,09 $632,35 $789,58 |
$783,08 $824,87 $869,13 $1 026,36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$619,04 $702,62 $791,14 $1 105,60 $1 680,08 |
$855,82 $939,40 $1 027,92 $1 342,38 |
$1 092,60 $1 176,18 $1 264,70 $1 579,16 |
ADVERTISEMENT
Oscar Insurance Company of FloridaLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #102 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Oscar Bronze Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$280,33 $318,16 $358,25 $500,65 $760,78 |
$494,77 $532,60 $572,69 $715,09 |
$709,21 $747,04 $787,13 $929,53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$560,66 $636,32 $716,50 $1 001,30 $1 521,56 |
$775,10 $850,76 $930,94 $1 215,74 |
$989,54 $1 065,20 $1 145,38 $1 430,18 |
Toc - Plan #103 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Oscar Bronze Classic PCP Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$292,72 $332,23 $374,09 $522,78 $794,42 |
$516,64 $556,15 $598,01 $746,70 |
$740,56 $780,07 $821,93 $970,62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$585,44 $664,46 $748,18 $1 045,56 $1 588,84 |
$809,36 $888,38 $972,10 $1 269,48 |
$1 033,28 $1 112,30 $1 196,02 $1 493,40 |
Toc - Plan #104 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Oscar Bronze Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$283,15 $321,37 $361,86 $505,70 $768,45 |
$499,76 $537,98 $578,47 $722,31 |
$716,37 $754,59 $795,08 $938,92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$566,30 $642,74 $723,72 $1 011,40 $1 536,90 |
$782,91 $859,35 $940,33 $1 228,01 |
$999,52 $1 075,96 $1 156,94 $1 444,62 |
Toc - Plan #105 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Oscar Bronze Classic Next |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333,53 $378,55 $426,24 $595,67 $905,18 |
$588,68 $633,70 $681,39 $850,82 |
$843,83 $888,85 $936,54 $1 105,97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$667,06 $757,10 $852,48 $1 191,34 $1 810,36 |
$922,21 $1 012,25 $1 107,63 $1 446,49 |
$1 177,36 $1 267,40 $1 362,78 $1 701,64 |
Toc - Plan #106 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Oscar Silver Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369,98 $419,91 $472,82 $660,76 $1 004,09 |
$653,00 $702,93 $755,84 $943,78 |
$936,02 $985,95 $1 038,86 $1 226,80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$739,96 $839,82 $945,64 $1 321,52 $2 008,18 |
$1 022,98 $1 122,84 $1 228,66 $1 604,54 |
$1 306,00 $1 405,86 $1 511,68 $1 887,56 |
Toc - Plan #107 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Oscar Silver Saver 2 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366,00 $415,40 $467,73 $653,66 $993,29 |
$645,98 $695,38 $747,71 $933,64 |
$925,96 $975,36 $1 027,69 $1 213,62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$732,00 $830,80 $935,46 $1 307,32 $1 986,58 |
$1 011,98 $1 110,78 $1 215,44 $1 587,30 |
$1 291,96 $1 390,76 $1 495,42 $1 867,28 |
Toc - Plan #108 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Oscar Silver Classic Next |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368,77 $418,55 $471,28 $658,61 $1 000,82 |
$650,87 $700,65 $753,38 $940,71 |
$932,97 $982,75 $1 035,48 $1 222,81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737,54 $837,10 $942,56 $1 317,22 $2 001,64 |
$1 019,64 $1 119,20 $1 224,66 $1 599,32 |
$1 301,74 $1 401,30 $1 506,76 $1 881,42 |
Toc - Plan #109 Oscar Insurance Company of Florida | ||||||||||||||||||||
Catastrophic
(EPO) Oscar Secure |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$230,25 $261,33 $294,25 $411,21 $624,88 |
$406,39 $437,47 $470,39 $587,35 |
$582,53 $613,61 $646,53 $763,49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$460,50 $522,66 $588,50 $822,42 $1 249,76 |
$636,64 $698,80 $764,64 $998,56 |
$812,78 $874,94 $940,78 $1 174,70 |
Toc - Plan #110 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Oscar Bronze Classic Next 2 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334,17 $379,28 $427,06 $596,82 $906,92 |
$589,81 $634,92 $682,70 $852,46 |
$845,45 $890,56 $938,34 $1 108,10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$668,34 $758,56 $854,12 $1 193,64 $1 813,84 |
$923,98 $1 014,20 $1 109,76 $1 449,28 |
$1 179,62 $1 269,84 $1 365,40 $1 704,92 |
Toc - Plan #111 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Oscar Gold Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389,55 $442,13 $497,84 $695,72 $1 057,22 |
$687,55 $740,13 $795,84 $993,72 |
$985,55 $1 038,13 $1 093,84 $1 291,72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$779,10 $884,26 $995,68 $1 391,44 $2 114,44 |
$1 077,10 $1 182,26 $1 293,68 $1 689,44 |
$1 375,10 $1 480,26 $1 591,68 $1 987,44 |
Toc - Plan #112 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Oscar Bronze HDHP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$298,11 $338,34 $380,97 $532,40 $809,03 |
$526,15 $566,38 $609,01 $760,44 |
$754,19 $794,42 $837,05 $988,48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$596,22 $676,68 $761,94 $1 064,80 $1 618,06 |
$824,26 $904,72 $989,98 $1 292,84 |
$1 052,30 $1 132,76 $1 218,02 $1 520,88 |
Toc - Plan #113 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Oscar Silver Classic Copay |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375,60 $426,29 $480,00 $670,80 $1 019,35 |
$662,93 $713,62 $767,33 $958,13 |
$950,26 $1 000,95 $1 054,66 $1 245,46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$751,20 $852,58 $960,00 $1 341,60 $2 038,70 |
$1 038,53 $1 139,91 $1 247,33 $1 628,93 |
$1 325,86 $1 427,24 $1 534,66 $1 916,26 |
Toc - Plan #114 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Oscar Silver Classic $0 Ded |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378,31 $429,37 $483,46 $675,64 $1 026,70 |
$667,71 $718,77 $772,86 $965,04 |
$957,11 $1 008,17 $1 062,26 $1 254,44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$756,62 $858,74 $966,92 $1 351,28 $2 053,40 |
$1 046,02 $1 148,14 $1 256,32 $1 640,68 |
$1 335,42 $1 437,54 $1 545,72 $1 930,08 |
Toc - Plan #115 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Oscar Silver Connect |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$358,00 $406,32 $457,52 $639,38 $971,60 |
$631,87 $680,19 $731,39 $913,25 |
$905,74 $954,06 $1 005,26 $1 187,12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716,00 $812,64 $915,04 $1 278,76 $1 943,20 |
$989,87 $1 086,51 $1 188,91 $1 552,63 |
$1 263,74 $1 360,38 $1 462,78 $1 826,50 |
ADVERTISEMENT
Molina HealthcareLocal: 1-888-560-5716 | Toll Free: 1-888-560-5716 | TTY: 1-800-955-8771 |
Toc - Plan #116 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$433,98 $492,57 $554,63 $775,10 $1 177,83 |
$765,98 $824,57 $886,63 $1 107,10 |
$1 097,98 $1 156,57 $1 218,63 $1 439,10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$867,96 $985,14 $1 109,26 $1 550,20 $2 355,66 |
$1 199,96 $1 317,14 $1 441,26 $1 882,20 |
$1 531,96 $1 649,14 $1 773,26 $2 214,20 |
Toc - Plan #117 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413,48 $469,30 $528,43 $738,47 $1 122,18 |
$729,79 $785,61 $844,74 $1 054,78 |
$1 046,10 $1 101,92 $1 161,05 $1 371,09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$826,96 $938,60 $1 056,86 $1 476,94 $2 244,36 |
$1 143,27 $1 254,91 $1 373,17 $1 793,25 |
$1 459,58 $1 571,22 $1 689,48 $2 109,56 |
Toc - Plan #118 Molina Healthcare | ||||||||||||||||||||
Bronze
(HMO) Core Care Bronze 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$288,19 $327,10 $368,31 $514,71 $782,15 |
$508,66 $547,57 $588,78 $735,18 |
$729,13 $768,04 $809,25 $955,65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$576,38 $654,20 $736,62 $1 029,42 $1 564,30 |
$796,85 $874,67 $957,09 $1 249,89 |
$1 017,32 $1 095,14 $1 177,56 $1 470,36 |
Toc - Plan #119 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 4 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408,93 $464,13 $522,61 $730,34 $1 109,83 |
$721,76 $776,96 $835,44 $1 043,17 |
$1 034,59 $1 089,79 $1 148,27 $1 356,00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$817,86 $928,26 $1 045,22 $1 460,68 $2 219,66 |
$1 130,69 $1 241,09 $1 358,05 $1 773,51 |
$1 443,52 $1 553,92 $1 670,88 $2 086,34 |
Toc - Plan #120 Molina Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Core Care Bronze 4 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301,53 $342,24 $385,36 $538,54 $818,37 |
$532,20 $572,91 $616,03 $769,21 |
$762,87 $803,58 $846,70 $999,88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$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 |
Toc - Plan #121 Molina Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Core Care Bronze 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$293,38 $332,98 $374,94 $523,97 $796,23 |
$517,81 $557,41 $599,37 $748,40 |
$742,24 $781,84 $823,80 $972,83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$586,76 $665,96 $749,88 $1 047,94 $1 592,46 |
$811,19 $890,39 $974,31 $1 272,37 |
$1 035,62 $1 114,82 $1 198,74 $1 496,80 |
Toc - Plan #122 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$437,48 $496,54 $559,10 $781,34 $1 187,32 |
$772,15 $831,21 $893,77 $1 116,01 |
$1 106,82 $1 165,88 $1 228,44 $1 450,68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$874,96 $993,08 $1 118,20 $1 562,68 $2 374,64 |
$1 209,63 $1 327,75 $1 452,87 $1 897,35 |
$1 544,30 $1 662,42 $1 787,54 $2 232,02 |
Toc - Plan #123 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Confident Care Silver 1 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$416,98 $473,27 $532,89 $744,72 $1 131,67 |
$735,97 $792,26 $851,88 $1 063,71 |
$1 054,96 $1 111,25 $1 170,87 $1 382,70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$833,96 $946,54 $1 065,78 $1 489,44 $2 263,34 |
$1 152,95 $1 265,53 $1 384,77 $1 808,43 |
$1 471,94 $1 584,52 $1 703,76 $2 127,42 |
Toc - Plan #124 Molina Healthcare | ||||||||||||||||||||
Bronze
(HMO) Core Care Bronze 1 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291,69 $331,07 $372,78 $520,95 $791,64 |
$514,83 $554,21 $595,92 $744,09 |
$737,97 $777,35 $819,06 $967,23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$583,38 $662,14 $745,56 $1 041,90 $1 583,28 |
$806,52 $885,28 $968,70 $1 265,04 |
$1 029,66 $1 108,42 $1 191,84 $1 488,18 |
Toc - Plan #125 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 2 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412,86 $468,60 $527,64 $737,38 $1 120,51 |
$728,70 $784,44 $843,48 $1 053,22 |
$1 044,54 $1 100,28 $1 159,32 $1 369,06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$825,72 $937,20 $1 055,28 $1 474,76 $2 241,02 |
$1 141,56 $1 253,04 $1 371,12 $1 790,60 |
$1 457,40 $1 568,88 $1 686,96 $2 106,44 |
Toc - Plan #126 Molina Healthcare | ||||||||||||||||||||
Bronze
(HMO) Core Care Bronze 2 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285,71 $324,28 $365,14 $510,28 $775,41 |
$504,28 $542,85 $583,71 $728,85 |
$722,85 $761,42 $802,28 $947,42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$571,42 $648,56 $730,28 $1 020,56 $1 550,82 |
$789,99 $867,13 $948,85 $1 239,13 |
$1 008,56 $1 085,70 $1 167,42 $1 457,70 |
‡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 Miami-Dade County here.
Miami-Dade County is in “Rating Area 43” of Florida.
Currently, there are 126 plans offered in Rating Area 43.