Obamacare 2021 Rates for Madison County

Obamacare > Rates > Illinois > Madison County

Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Madison County, IL.

The health insurance rates listed below are for calendar year 2021.

For information on subsidies to make your coverage affordable, you must take one of the following actions:

  • Contact a licensed health insurance agent
  • Complete an application at Healthcare.gov
  • Contact the provider directly

Obamacare Providers, 30 Plans and 2021 Rates for Madison County, Illinois

Below, you’ll find a summary of the 30 plans for Madison County, Illinois and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.

You may also be interested in:

Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 |

ADVERTISEMENT

ADVERTISEMENT

Ambetter of Illinois

Local: 1-855-745-5507 | Toll Free: 1-855-745-5507 | TTY: 1-866-565-8576
Toc - Plan #1 Ambetter of Illinois
Silver

(HMO) Ambetter Balanced Care 4 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-745-5507

Annual Out of Pocket Expenses:

Individual Family
$7,200 $14,400 Annual Deductible
$7,200 $14,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$333,49
$378,50
$426,18
$595,59
$905,06 		$588,60
$633,61
$681,29
$850,70 		$843,71
$888,72
$936,40
$1 105,81 		$1 098,82
$1 143,83
$1 191,51
$1 360,92 		$255,11
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$666,98
$757,00
$852,36
$1 191,18
$1 810,12 		$922,09
$1 012,11
$1 107,47
$1 446,29 		$1 177,20
$1 267,22
$1 362,58
$1 701,40 		$1 432,31
$1 522,33
$1 617,69
$1 956,51 		$255,11
Toc - Plan #2 Ambetter of Illinois
Gold

(HMO) Ambetter Secure Care 5 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-745-5507

Annual Out of Pocket Expenses:

Individual Family
$1,450 $2,900 Annual Deductible
$6,300 $12,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$388,74
$441,21
$496,80
$694,28
$1 055,03 		$686,12
$738,59
$794,18
$991,66 		$983,50
$1 035,97
$1 091,56
$1 289,04 		$1 280,88
$1 333,35
$1 388,94
$1 586,42 		$297,38
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$777,48
$882,42
$993,60
$1 388,56
$2 110,06 		$1 074,86
$1 179,80
$1 290,98
$1 685,94 		$1 372,24
$1 477,18
$1 588,36
$1 983,32 		$1 669,62
$1 774,56
$1 885,74
$2 280,70 		$297,38
Toc - Plan #3 Ambetter of Illinois
Silver

(HMO) Ambetter Balanced Care 11 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-745-5507

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$324,55
$368,35
$414,76
$579,63
$880,80 		$572,82
$616,62
$663,03
$827,90 		$821,09
$864,89
$911,30
$1 076,17 		$1 069,36
$1 113,16
$1 159,57
$1 324,44 		$248,27
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$649,10
$736,70
$829,52
$1 159,26
$1 761,60 		$897,37
$984,97
$1 077,79
$1 407,53 		$1 145,64
$1 233,24
$1 326,06
$1 655,80 		$1 393,91
$1 481,51
$1 574,33
$1 904,07 		$248,27
Toc - Plan #4 Ambetter of Illinois
Expanded Bronze

(HMO) Ambetter Essential Care 5 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-745-5507

Annual Out of Pocket Expenses:

Individual Family
$8,100 $16,200 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$281,36
$319,34
$359,57
$502,50
$763,60 		$496,60
$534,58
$574,81
$717,74 		$711,84
$749,82
$790,05
$932,98 		$927,08
$965,06
$1 005,29
$1 148,22 		$215,24
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$562,72
$638,68
$719,14
$1 005,00
$1 527,20 		$777,96
$853,92
$934,38
$1 220,24 		$993,20
$1 069,16
$1 149,62
$1 435,48 		$1 208,44
$1 284,40
$1 364,86
$1 650,72 		$215,24
Toc - Plan #5 Ambetter of Illinois
Silver

(HMO) Ambetter Balanced Care 12 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-745-5507

Annual Out of Pocket Expenses:

Individual Family
$6,500 $13,000 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$316,68
$359,42
$404,70
$565,57
$859,44 		$558,93
$601,67
$646,95
$807,82 		$801,18
$843,92
$889,20
$1 050,07 		$1 043,43
$1 086,17
$1 131,45
$1 292,32 		$242,25
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$633,36
$718,84
$809,40
$1 131,14
$1 718,88 		$875,61
$961,09
$1 051,65
$1 373,39 		$1 117,86
$1 203,34
$1 293,90
$1 615,64 		$1 360,11
$1 445,59
$1 536,15
$1 857,89 		$242,25
Toc - Plan #6 Ambetter of Illinois
Silver

(HMO) Ambetter Balanced Care 26 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-745-5507

Annual Out of Pocket Expenses:

Individual Family
$5,450 $10,900 Annual Deductible
$8,100 $16,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$333,99
$379,06
$426,82
$596,48
$906,42 		$589,48
$634,55
$682,31
$851,97 		$844,97
$890,04
$937,80
$1 107,46 		$1 100,46
$1 145,53
$1 193,29
$1 362,95 		$255,49
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$667,98
$758,12
$853,64
$1 192,96
$1 812,84 		$923,47
$1 013,61
$1 109,13
$1 448,45 		$1 178,96
$1 269,10
$1 364,62
$1 703,94 		$1 434,45
$1 524,59
$1 620,11
$1 959,43 		$255,49
Toc - Plan #7 Ambetter of Illinois
Silver

(HMO) Ambetter Balanced Care 27 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-745-5507

Annual Out of Pocket Expenses:

Individual Family
$2,750 $5,500 Annual Deductible
$6,500 $13,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$341,72
$387,85
$436,71
$610,30
$927,41 		$603,13
$649,26
$698,12
$871,71 		$864,54
$910,67
$959,53
$1 133,12 		$1 125,95
$1 172,08
$1 220,94
$1 394,53 		$261,41
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$683,44
$775,70
$873,42
$1 220,60
$1 854,82 		$944,85
$1 037,11
$1 134,83
$1 482,01 		$1 206,26
$1 298,52
$1 396,24
$1 743,42 		$1 467,67
$1 559,93
$1 657,65
$2 004,83 		$261,41
Toc - Plan #8 Ambetter of Illinois
Silver

(HMO) Ambetter Balanced Care 28 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-745-5507

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,200 $16,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$347,53
$394,43
$444,13
$620,66
$943,16 		$613,38
$660,28
$709,98
$886,51 		$879,23
$926,13
$975,83
$1 152,36 		$1 145,08
$1 191,98
$1 241,68
$1 418,21 		$265,85
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$695,06
$788,86
$888,26
$1 241,32
$1 886,32 		$960,91
$1 054,71
$1 154,11
$1 507,17 		$1 226,76
$1 320,56
$1 419,96
$1 773,02 		$1 492,61
$1 586,41
$1 685,81
$2 038,87 		$265,85
Toc - Plan #9 Ambetter of Illinois
Silver

(HMO) Ambetter Balanced Care 4 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-745-5507

Annual Out of Pocket Expenses:

Individual Family
$7,200 $14,400 Annual Deductible
$7,200 $14,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$352,83
$400,45
$450,90
$630,14
$957,55 		$622,74
$670,36
$720,81
$900,05 		$892,65
$940,27
$990,72
$1 169,96 		$1 162,56
$1 210,18
$1 260,63
$1 439,87 		$269,91
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$705,66
$800,90
$901,80
$1 260,28
$1 915,10 		$975,57
$1 070,81
$1 171,71
$1 530,19 		$1 245,48
$1 340,72
$1 441,62
$1 800,10 		$1 515,39
$1 610,63
$1 711,53
$2 070,01 		$269,91
Toc - Plan #10 Ambetter of Illinois
Gold

(HMO) Ambetter Secure Care 5 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-745-5507

Annual Out of Pocket Expenses:

Individual Family
$1,450 $2,900 Annual Deductible
$6,300 $12,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$411,29
$466,80
$525,62
$734,55
$1 116,22 		$725,92
$781,43
$840,25
$1 049,18 		$1 040,55
$1 096,06
$1 154,88
$1 363,81 		$1 355,18
$1 410,69
$1 469,51
$1 678,44 		$314,63
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$822,58
$933,60
$1 051,24
$1 469,10
$2 232,44 		$1 137,21
$1 248,23
$1 365,87
$1 783,73 		$1 451,84
$1 562,86
$1 680,50
$2 098,36 		$1 766,47
$1 877,49
$1 995,13
$2 412,99 		$314,63
Toc - Plan #11 Ambetter of Illinois
Silver

(HMO) Ambetter Balanced Care 11 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-745-5507

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$343,37
$389,72
$438,82
$613,25
$931,89 		$606,04
$652,39
$701,49
$875,92 		$868,71
$915,06
$964,16
$1 138,59 		$1 131,38
$1 177,73
$1 226,83
$1 401,26 		$262,67
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$686,74
$779,44
$877,64
$1 226,50
$1 863,78 		$949,41
$1 042,11
$1 140,31
$1 489,17 		$1 212,08
$1 304,78
$1 402,98
$1 751,84 		$1 474,75
$1 567,45
$1 665,65
$2 014,51 		$262,67
Toc - Plan #12 Ambetter of Illinois
Expanded Bronze

(HMO) Ambetter Essential Care 5 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-745-5507

Annual Out of Pocket Expenses:

Individual Family
$8,100 $16,200 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$297,68
$337,86
$380,43
$531,65
$807,89 		$525,40
$565,58
$608,15
$759,37 		$753,12
$793,30
$835,87
$987,09 		$980,84
$1 021,02
$1 063,59
$1 214,81 		$227,72
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$595,36
$675,72
$760,86
$1 063,30
$1 615,78 		$823,08
$903,44
$988,58
$1 291,02 		$1 050,80
$1 131,16
$1 216,30
$1 518,74 		$1 278,52
$1 358,88
$1 444,02
$1 746,46 		$227,72
Toc - Plan #13 Ambetter of Illinois
Silver

(HMO) Ambetter Balanced Care 26 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-745-5507

Annual Out of Pocket Expenses:

Individual Family
$5,450 $10,900 Annual Deductible
$8,100 $16,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$353,36
$401,05
$451,58
$631,08
$958,99 		$623,67
$671,36
$721,89
$901,39 		$893,98
$941,67
$992,20
$1 171,70 		$1 164,29
$1 211,98
$1 262,51
$1 442,01 		$270,31
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$706,72
$802,10
$903,16
$1 262,16
$1 917,98 		$977,03
$1 072,41
$1 173,47
$1 532,47 		$1 247,34
$1 342,72
$1 443,78
$1 802,78 		$1 517,65
$1 613,03
$1 714,09
$2 073,09 		$270,31
Toc - Plan #14 Ambetter of Illinois
Silver

(HMO) Ambetter Balanced Care 27 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-745-5507

Annual Out of Pocket Expenses:

Individual Family
$2,750 $5,500 Annual Deductible
$6,500 $13,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$361,54
$410,34
$462,04
$645,70
$981,20 		$638,11
$686,91
$738,61
$922,27 		$914,68
$963,48
$1 015,18
$1 198,84 		$1 191,25
$1 240,05
$1 291,75
$1 475,41 		$276,57
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$723,08
$820,68
$924,08
$1 291,40
$1 962,40 		$999,65
$1 097,25
$1 200,65
$1 567,97 		$1 276,22
$1 373,82
$1 477,22
$1 844,54 		$1 552,79
$1 650,39
$1 753,79
$2 121,11 		$276,57
Toc - Plan #15 Ambetter of Illinois
Silver

(HMO) Ambetter Balanced Care 28 (2021) + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-745-5507

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,200 $16,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$367,68
$417,31
$469,89
$656,66
$997,86 		$648,95
$698,58
$751,16
$937,93 		$930,22
$979,85
$1 032,43
$1 219,20 		$1 211,49
$1 261,12
$1 313,70
$1 500,47 		$281,27
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$735,36
$834,62
$939,78
$1 313,32
$1 995,72 		$1 016,63
$1 115,89
$1 221,05
$1 594,59 		$1 297,90
$1 397,16
$1 502,32
$1 875,86 		$1 579,17
$1 678,43
$1 783,59
$2 157,13 		$281,27

ADVERTISEMENT

Blue Cross and Blue Shield of Illinois

Local: 1-800-538-8833 | Toll Free: 1-800-538-8833 | TTY: 1-800-526-0844
Toc - Plan #16 Blue Cross and Blue Shield of Illinois
Gold

(PPO) Blue Choice Preferred Gold PPO_ 204

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family
$750 $2,250 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$479,23
$543,93
$612,46
$855,91
$1 300,64 		$845,84
$910,54
$979,07
$1 222,52 		$1 212,45
$1 277,15
$1 345,68
$1 589,13 		$1 579,06
$1 643,76
$1 712,29
$1 955,74 		$366,61
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$958,46
$1 087,86
$1 224,92
$1 711,82
$2 601,28 		$1 325,07
$1 454,47
$1 591,53
$2 078,43 		$1 691,68
$1 821,08
$1 958,14
$2 445,04 		$2 058,29
$2 187,69
$2 324,75
$2 811,65 		$366,61
Toc - Plan #17 Blue Cross and Blue Shield of Illinois
Silver

(PPO) Blue Choice Preferred Silver PPO_ 203

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family
$2,200 $6,600 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$414,35
$470,28
$529,54
$740,02
$1 124,54 		$731,33
$787,26
$846,52
$1 057,00 		$1 048,31
$1 104,24
$1 163,50
$1 373,98 		$1 365,29
$1 421,22
$1 480,48
$1 690,96 		$316,98
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$828,70
$940,56
$1 059,08
$1 480,04
$2 249,08 		$1 145,68
$1 257,54
$1 376,06
$1 797,02 		$1 462,66
$1 574,52
$1 693,04
$2 114,00 		$1 779,64
$1 891,50
$2 010,02
$2 430,98 		$316,98
Toc - Plan #18 Blue Cross and Blue Shield of Illinois
Expanded Bronze

(PPO) Blue Choice Preferred Bronze PPO_ 202

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family
$4,500 $13,500 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$339,04
$384,81
$433,29
$605,52
$920,15 		$598,40
$644,17
$692,65
$864,88 		$857,76
$903,53
$952,01
$1 124,24 		$1 117,12
$1 162,89
$1 211,37
$1 383,60 		$259,36
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$678,08
$769,62
$866,58
$1 211,04
$1 840,30 		$937,44
$1 028,98
$1 125,94
$1 470,40 		$1 196,80
$1 288,34
$1 385,30
$1 729,76 		$1 456,16
$1 547,70
$1 644,66
$1 989,12 		$259,36
Toc - Plan #19 Blue Cross and Blue Shield of Illinois
Catastrophic

(PPO) Blue Choice Preferred Security PPO_ 200

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family
$8,550 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$286,30
$324,95
$365,90
$511,34
$777,03 		$505,32
$543,97
$584,92
$730,36 		$724,34
$762,99
$803,94
$949,38 		$943,36
$982,01
$1 022,96
$1 168,40 		$219,02
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$572,60
$649,90
$731,80
$1 022,68
$1 554,06 		$791,62
$868,92
$950,82
$1 241,70 		$1 010,64
$1 087,94
$1 169,84
$1 460,72 		$1 229,66
$1 306,96
$1 388,86
$1 679,74 		$219,02
Toc - Plan #20 Blue Cross and Blue Shield of Illinois
Expanded Bronze

(PPO) Blue Choice Preferred Bronze PPO_ 201

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family
$6,100 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$315,14
$357,68
$402,75
$562,84
$855,29 		$556,22
$598,76
$643,83
$803,92 		$797,30
$839,84
$884,91
$1 045,00 		$1 038,38
$1 080,92
$1 125,99
$1 286,08 		$241,08
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$630,28
$715,36
$805,50
$1 125,68
$1 710,58 		$871,36
$956,44
$1 046,58
$1 366,76 		$1 112,44
$1 197,52
$1 287,66
$1 607,84 		$1 353,52
$1 438,60
$1 528,74
$1 848,92 		$241,08

ADVERTISEMENT

WellFirst Health

Local: 1-866-514-4194 | Toll Free: 1-866-514-4194 | TTY: 1-866-514-4194
Toc - Plan #21 WellFirst Health
Gold

(HMO) WellFirst Gold Copay Plus 1500X

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-514-4194

Annual Out of Pocket Expenses:

Individual Family
$1,500 $3,000 Annual Deductible
$5,100 $10,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$409,06
$464,29
$522,78
$730,59
$1 110,20 		$721,99
$777,22
$835,71
$1 043,52 		$1 034,92
$1 090,15
$1 148,64
$1 356,45 		$1 347,85
$1 403,08
$1 461,57
$1 669,38 		$312,93
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$818,12
$928,58
$1 045,56
$1 461,18
$2 220,40 		$1 131,05
$1 241,51
$1 358,49
$1 774,11 		$1 443,98
$1 554,44
$1 671,42
$2 087,04 		$1 756,91
$1 867,37
$1 984,35
$2 399,97 		$312,93
Toc - Plan #22 WellFirst Health
Silver

(HMO) WellFirst Silver Copay Plus 4800X

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-514-4194

Annual Out of Pocket Expenses:

Individual Family
$4,800 $9,600 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$405,22
$459,92
$517,87
$723,72
$1 099,76 		$715,21
$769,91
$827,86
$1 033,71 		$1 025,20
$1 079,90
$1 137,85
$1 343,70 		$1 335,19
$1 389,89
$1 447,84
$1 653,69 		$309,99
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$810,44
$919,84
$1 035,74
$1 447,44
$2 199,52 		$1 120,43
$1 229,83
$1 345,73
$1 757,43 		$1 430,42
$1 539,82
$1 655,72
$2 067,42 		$1 740,41
$1 849,81
$1 965,71
$2 377,41 		$309,99
Toc - Plan #23 WellFirst Health
Expanded Bronze

(HMO) WellFirst Bronze Copay Plus 8500X

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-514-4194

Annual Out of Pocket Expenses:

Individual Family
$8,500 $17,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$267,01
$303,05
$341,24
$476,88
$724,66 		$471,27
$507,31
$545,50
$681,14 		$675,53
$711,57
$749,76
$885,40 		$879,79
$915,83
$954,02
$1 089,66 		$204,26
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$534,02
$606,10
$682,48
$953,76
$1 449,32 		$738,28
$810,36
$886,74
$1 158,02 		$942,54
$1 014,62
$1 091,00
$1 362,28 		$1 146,80
$1 218,88
$1 295,26
$1 566,54 		$204,26
Toc - Plan #24 WellFirst Health
Silver

(HMO) WellFirst Silver Classic 5000X

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-514-4194

Annual Out of Pocket Expenses:

Individual Family
$5,000 $10,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$393,01
$446,07
$502,27
$701,91
$1 066,63 		$693,66
$746,72
$802,92
$1 002,56 		$994,31
$1 047,37
$1 103,57
$1 303,21 		$1 294,96
$1 348,02
$1 404,22
$1 603,86 		$300,65
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$786,02
$892,14
$1 004,54
$1 403,82
$2 133,26 		$1 086,67
$1 192,79
$1 305,19
$1 704,47 		$1 387,32
$1 493,44
$1 605,84
$2 005,12 		$1 687,97
$1 794,09
$1 906,49
$2 305,77 		$300,65
Toc - Plan #25 WellFirst Health
Gold

(HMO) WellFirst Gold Value Copay 3700X

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-514-4194

Annual Out of Pocket Expenses:

Individual Family
$3,700 $7,400 Annual Deductible
$3,700 $7,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$395,84
$449,28
$505,89
$706,97
$1 074,32 		$698,66
$752,10
$808,71
$1 009,79 		$1 001,48
$1 054,92
$1 111,53
$1 312,61 		$1 304,30
$1 357,74
$1 414,35
$1 615,43 		$302,82
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$791,68
$898,56
$1 011,78
$1 413,94
$2 148,64 		$1 094,50
$1 201,38
$1 314,60
$1 716,76 		$1 397,32
$1 504,20
$1 617,42
$2 019,58 		$1 700,14
$1 807,02
$1 920,24
$2 322,40 		$302,82
Toc - Plan #26 WellFirst Health
Silver

(HMO) WellFirst Silver Value Copay 5000X

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-514-4194

Annual Out of Pocket Expenses:

Individual Family
$5,000 $10,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$401,44
$455,64
$513,04
$716,97
$1 089,51 		$708,54
$762,74
$820,14
$1 024,07 		$1 015,64
$1 069,84
$1 127,24
$1 331,17 		$1 322,74
$1 376,94
$1 434,34
$1 638,27 		$307,10
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$802,88
$911,28
$1 026,08
$1 433,94
$2 179,02 		$1 109,98
$1 218,38
$1 333,18
$1 741,04 		$1 417,08
$1 525,48
$1 640,28
$2 048,14 		$1 724,18
$1 832,58
$1 947,38
$2 355,24 		$307,10
Toc - Plan #27 WellFirst Health
Bronze

(HMO) WellFirst Bronze Value Copay 8500X

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-514-4194

Annual Out of Pocket Expenses:

Individual Family
$8,500 $17,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$261,78
$297,12
$334,56
$467,54
$710,47 		$462,04
$497,38
$534,82
$667,80 		$662,30
$697,64
$735,08
$868,06 		$862,56
$897,90
$935,34
$1 068,32 		$200,26
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$523,56
$594,24
$669,12
$935,08
$1 420,94 		$723,82
$794,50
$869,38
$1 135,34 		$924,08
$994,76
$1 069,64
$1 335,60 		$1 124,34
$1 195,02
$1 269,90
$1 535,86 		$200,26
Toc - Plan #28 WellFirst Health
Silver

(HMO) WellFirst Silver HSA-E 4500X

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-514-4194

Annual Out of Pocket Expenses:

Individual Family
$4,500 $9,000 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$383,46
$435,23
$490,07
$684,87
$1 040,72 		$676,81
$728,58
$783,42
$978,22 		$970,16
$1 021,93
$1 076,77
$1 271,57 		$1 263,51
$1 315,28
$1 370,12
$1 564,92 		$293,35
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$766,92
$870,46
$980,14
$1 369,74
$2 081,44 		$1 060,27
$1 163,81
$1 273,49
$1 663,09 		$1 353,62
$1 457,16
$1 566,84
$1 956,44 		$1 646,97
$1 750,51
$1 860,19
$2 249,79 		$293,35
Toc - Plan #29 WellFirst Health
Expanded Bronze

(HMO) WellFirst Bronze HSA-E 6850X

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-514-4194

Annual Out of Pocket Expenses:

Individual Family
$6,850 $13,700 Annual Deductible
$6,850 $13,700 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$279,69
$317,45
$357,44
$499,53
$759,08 		$493,65
$531,41
$571,40
$713,49 		$707,61
$745,37
$785,36
$927,45 		$921,57
$959,33
$999,32
$1 141,41 		$213,96
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$559,38
$634,90
$714,88
$999,06
$1 518,16 		$773,34
$848,86
$928,84
$1 213,02 		$987,30
$1 062,82
$1 142,80
$1 426,98 		$1 201,26
$1 276,78
$1 356,76
$1 640,94 		$213,96
Toc - Plan #30 WellFirst Health
Catastrophic

(HMO) WellFirst Catastrophic Safety Net

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-514-4194

Annual Out of Pocket Expenses:

Individual Family
$8,550 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$225,66
$256,12
$288,39
$403,03
$612,44 		$398,29
$428,75
$461,02
$575,66 		$570,92
$601,38
$633,65
$748,29 		$743,55
$774,01
$806,28
$920,92 		$172,63
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$451,32
$512,24
$576,78
$806,06
$1 224,88 		$623,95
$684,87
$749,41
$978,69 		$796,58
$857,50
$922,04
$1 151,32 		$969,21
$1 030,13
$1 094,67
$1 323,95 		$172,63

‡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 Madison County here.

Madison County is in “Rating Area 12” of Illinois.

Currently, there are 30 plans offered in Rating Area 12.

Top

2021 Obamacare Plans for Madison County, IL

Plan Browser: 30 Plans
scroll down for more
Speak with a Health Insurance Expert 800-943-6832Ads by +HealthNetwork