2024 Marketplace Health Insurance Plans

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*RX Coverage: Generic/Preferred Brand/Non-Preferred Brand Copay.

When you click one of the View buttons below, your Summary of Benefits and Coverage or Policy will pull up in PDF Format.
Al hacer clic en uno de los botones de Ver que están a continuación, su Resumen de Beneficios y Cobertura o póliza saldrá a la ver en formato PDF.

SBC Policy Plan Number Network Maternity In-Network
Deductible Amount
Primary Care
Practitioner/Specialist
Copay
Teladoc Coinsurance
Percent
Out-of-Pocket
Maximum
RX Coverage*
View View Bronze B07E E Yes $5,950 Individual/  $11,900 Family ded/coins $0 50% $7,100 Individual/  $14,200 Family ded/coins
View View Bronze B07E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B07E-AI2 E Yes $5,950 Individual/  $11,900 Family ded/coins $0 50% $7,100 Individual/  $14,200 Family ded/coins
View View Bronze B07L L Yes $5,950 Individual/  $11,900 Family ded/coins $0 50% $7,100 Individual/  $14,200 Family ded/coins
View View Bronze B07L-AI1 L Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B07L-AI2 L Yes $5,950 Individual/  $11,900 Family ded/coins $0 50% $7,100 Individual/  $14,200 Family ded/coins
View View Bronze B07S S Yes $5,950 Individual/  $11,900 Family ded/coins $0 50% $7,100 Individual/  $14,200 Family ded/coins
View View Bronze B07S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B07S-AI2 S Yes $5,950 Individual/  $11,900 Family ded/coins $0 50% $7,100 Individual/  $14,200 Family ded/coins
View View Bronze B08S S Yes $8,700 Individual/  $17,400 Family ded/coins $0 0% $8,700 Individual/  $17,400 Family ded/coins
View View Bronze B08S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B08S-AI2 S Yes $8,700 Individual/  $17,400 Family ded/coins $0 0% $8,700 Individual/  $17,400 Family ded/coins
View View Bronze B10E E Yes $7,100 Individual/  $14,200 Family ded/coins $0 50% $8,600 Individual/  $17,200 Family ded/coins $20/$50/$100 PRx
View View Bronze B10E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B10E-AI2 E Yes $7,100 Individual/  $14,200 Family ded/coins $0 50% $8,600 Individual/  $17,200 Family ded/coins $20/$50/$100 PRx
View View Bronze B10L L Yes $7,100 Individual/  $14,200 Family ded/coins $0 50% $8,600 Individual/  $17,200 Family ded/coins $20/$50/$100 PRx
View View Bronze B10L-AI1 L Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B10L-AI2 L Yes $7,100 Individual/  $14,200 Family ded/coins $0 50% $8,600 Individual/  $17,200 Family ded/coins $20/$50/$100 PRx
View View Bronze B10S S Yes $7,100 Individual/  $14,200 Family ded/coins $0 50% $8,600 Individual/  $17,200 Family ded/coins $20/$50/$100 PRx
View View Bronze B10S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B10S-AI2 S Yes $7,100 Individual/  $14,200 Family ded/coins $0 50% $8,600 Individual/  $17,200 Family ded/coins $20/$50/$100 PRx
View View Bronze B11E E Yes $6,900 Individual/  $13,800 Family Sanitas PCP: $25 All Others: ded/coins $0 50% $9,100 Individual/  $18,200 Family ded/coins $20/$50/$100 PRx
View View Bronze B11E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B11E-AI2 E Yes $6,900 Individual/  $13,800 Family Sanitas PCP: $25 All Others: ded/coins $0 50% $9,100 Individual/  $18,200 Family ded/coins $20/$50/$100 PRx
View View Bronze B15E E Yes $9,450 Individual/  $18,900 Family ded/coins $0 0% $9,450 Individual/  $18,900 Family ded/coins
View View Bronze B15E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B15E-AI2 E Yes $9,450 Individual/  $18,900 Family ded/coins $0 0% $9,450 Individual/  $18,900 Family ded/coins
View View Bronze B15L L Yes $9,450 Individual/  $18,900 Family ded/coins $0 0% $9,450 Individual/  $18,900 Family ded/coins
View View Bronze B15L-AI1 L Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B15L-AI2 L Yes $9,450 Individual/  $18,900 Family ded/coins $0 0% $9,450 Individual/  $18,900 Family ded/coins
View View Bronze B15S S Yes $9,450 Individual/  $18,900 Family ded/coins $0 0% $9,450 Individual/  $18,900 Family ded/coins
View View Bronze B15S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B15S-AI2 S Yes $9,450 Individual/  $18,900 Family ded/coins $0 0% $9,450 Individual/  $18,900 Family ded/coins
View View Bronze B16E E Yes $7,500 Individual/  $15,000 Family PCP: $50 Spec: $100 $0 50% $9,400 Individual/  $18,800 Family 25/ [50/100 sub to ded]
View View Bronze B16E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B16E-AI2 E Yes $7,500 Individual/  $15,000 Family PCP: $50 Spec: $100 $0 50% $9,400 Individual/  $18,800 Family 25/ [50/100 sub to ded]
View View Bronze B16L L Yes $7,500 Individual/  $15,000 Family PCP: $50 Spec: $100 $0 50% $9,400 Individual/  $18,800 Family 25/ [50/100 sub to ded]
View View Bronze B16L-AI1 L Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B16L-AI2 L Yes $7,500 Individual/  $15,000 Family PCP: $50 Spec: $100 $0 50% $9,400 Individual/  $18,800 Family 25/ [50/100 sub to ded]
View View Bronze B16S S Yes $7,500 Individual/  $15,000 Family PCP: $50 Spec: $100 $0 50% $9,400 Individual/  $18,800 Family 25/ [50/100 sub to ded]
View View Bronze B16S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B16S-AI2 S Yes $7,500 Individual/  $15,000 Family PCP: $50 Spec: $100 $0 50% $9,400 Individual/  $18,800 Family 25/ [50/100 sub to ded]
View View Gold G06E E Yes $3,000 Individual/  $6,000 Family PCP: $35 Spec: $50 $0 20% $6,600 Individual/  $13,200 Family $8/$35/$60
View View Gold G06E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Gold G06E-AI2 E Yes $3,000 Individual/  $6,000 Family PCP: $35 Spec: $50 $0 20% $6,600 Individual/  $13,200 Family $8/$35/$60
View View Gold G06L L Yes $3,000 Individual/  $6,000 Family PCP: $35 Spec: $50 $0 20% $6,600 Individual/  $13,200 Family $8/$35/$60
View View Gold G06L-AI1 L Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Gold G06L-AI2 L Yes $3,000 Individual/  $6,000 Family PCP: $35 Spec: $50 $0 20% $6,600 Individual/  $13,200 Family $8/$35/$60
View View Gold G06S S Yes $3,000 Individual/  $6,000 Family PCP: $35 Spec: $50 $0 20% $6,600 Individual/  $13,200 Family $8/$35/$60
View View Gold G06S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Gold G06S-AI2 S Yes $3,000 Individual/  $6,000 Family PCP: $35 Spec: $50 $0 20% $6,600 Individual/  $13,200 Family $8/$35/$60
View View Gold G07E E Yes $1,550 Individual/  $3,100 Family Sanitas PCP: $10 Copay Other PCP: ded/coins Spec: ded/coins $0 30% $6,200 Individual/  $12,400 Family ded/coins $20/$50/$100 PRx
View View Gold G07E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Gold G07E-AI2 E Yes $1,550 Individual/  $3,100 Family Sanitas PCP: $10 Copay Other PCP: ded/coins Spec: ded/coins $0 30% $6,200 Individual/  $12,400 Family ded/coins $20/$50/$100 PRx
View View Gold G07S S Yes $1,000 Individual/  $2,000 Family Sanitas PCP: $10 Copay Other PCP: ded/coins Spec: ded/coins $0 30% $4,800 Individual/  $9,600 Family ded/coins $20/$50/$100 PRx
View View Gold G07S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Gold G07S-AI2 S Yes $1,000 Individual/  $2,000 Family Sanitas PCP: $10 Copay Other PCP: ded/coins Spec: ded/coins $0 30% $4,800 Individual/  $9,600 Family ded/coins $20/$50/$100 PRx
View View Gold G08E E Yes $1,500 Individual/  $3,000 Family PCP: $30 Copay Spec: $60 Copay $0 25% $8,700 Individual/  $17,400 Family $15/$30/$60
View View Gold G08E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Gold G08E-AI2 E Yes $1,500 Individual/  $3,000 Family PCP: $30 Copay Spec: $60 Copay $0 25% $8,700 Individual/  $17,400 Family $15/$30/$60
View View Gold G08L L Yes $1,500 Individual/  $3,000 Family PCP: $30 Copay Spec: $60 Copay $0 25% $8,700 Individual/  $17,400 Family $15/$30/$60
View View Gold G08L-AI1 L Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Gold G08L-AI2 L Yes $1,500 Individual/  $3,000 Family PCP: $30 Copay Spec: $60 Copay $0 25% $8,700 Individual/  $17,400 Family $15/$30/$60
View View Gold G08S S Yes $1,500 Individual/  $3,000 Family PCP: $30 Copay Spec: $60 Copay $0 25% $8,700 Individual/  $17,400 Family $15/$30/$60
View View Gold G08S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Gold G08S-AI2 S Yes $1,500 Individual/  $3,000 Family PCP: $30 Copay Spec: $60 Copay $0 25% $8,700 Individual/  $17,400 Family $15/$30/$60
View View Silver S04E E Yes $3,300 Individual/  $6,600 Family ded/coins $0 50% $6,450 Individual/  $12,900 Family ded/coins $20/$50/$100 PRx
View View Silver S04E-A E Yes $2,750 Individual/  $5,500 Family ded/coins $0 50% $5,250 Individual/  $10,500 Family ded/coins $20/$50/$100 PRx
View View Silver S04E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S04E-AI2 E Yes $3,300 Individual/  $6,600 Family ded/coins $0 50% $6,450 Individual/  $12,900 Family ded/coins $20/$50/$100 PRx
View View Silver S04E-B E Yes $950 Individual/  $1,900 Family ded/coins $0 50% $1,800 Individual/  $3,600 Family ded/coins $20/$50/$100 PRx
View View Silver S04E-C E Yes $325 Individual/  $650 Family ded/coins $0 50% $625 Individual/  $1,250 Family ded/coins $20/$50/$100 PRx
View View Silver S04L L Yes $3,300 Individual/  $6,600 Family ded/coins $0 50% $6,450 Individual/  $12,900 Family ded/coins $20/$50/$100 PRx
View View Silver S04L-A L Yes $2,750 Individual/  $5,500 Family ded/coins $0 50% $5,250 Individual/  $10,500 Family ded/coins $20/$50/$100 PRx
View View Silver S04L-AI1 L Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S04L-AI2 L Yes $3,300 Individual/  $6,600 Family ded/coins $0 50% $6,450 Individual/  $12,900 Family ded/coins $20/$50/$100 PRx
View View Silver S04L-B L Yes $950 Individual/  $1,900 Family ded/coins $0 50% $1,800 Individual/  $3,600 Family ded/coins $20/$50/$100 PRx
View View Silver S04L-C L Yes $325 Individual/  $650 Family ded/coins $0 50% $625 Individual/  $1,250 Family ded/coins $20/$50/$100 PRx
View View Silver S04S S Yes $3,300 Individual/  $6,600 Family ded/coins $0 50% $6,450 Individual/  $12,900 Family ded/coins $20/$50/$100 PRx
View View Silver S04S-A S Yes $2,750 Individual/  $5,500 Family ded/coins $0 50% $5,250 Individual/  $10,500 Family ded/coins $20/$50/$100 PRx
View View Silver S04S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S04S-AI2 S Yes $3,300 Individual/  $6,600 Family ded/coins $0 50% $6,450 Individual/  $12,900 Family ded/coins $20/$50/$100 PRx
View View Silver S04S-B S Yes $950 Individual/  $1,900 Family ded/coins $0 50% $1,800 Individual/  $3,600 Family ded/coins $20/$50/$100 PRx
View View Silver S04S-C S Yes $325 Individual/  $650 Family ded/coins $0 50% $625 Individual/  $1,250 Family ded/coins $20/$50/$100 PRx
View View Silver S24E E Yes $5,450 Individual/  $10,900 Family PCP: $35 Copay Spec: $75 Copay $0 50% $8,900 Individual/  $17,800 Family $60/$100/$250
View View Silver S24E-A E Yes $3,900 Individual/  $7,800 Family PCP: $30 Copay Spec: $75 Copay $0 50% $7,300 Individual/  $14,600 Family 40/60/250
View View Silver S24E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S24E-AI2 E Yes $5,450 Individual/  $10,900 Family PCP: $35 Copay Spec: $75 Copay $0 50% $8,900 Individual/  $17,800 Family $60/$100/$250
View View Silver S24E-B E Yes $900 Individual/  $1,800 Family PCP: $25 Copay Spec: $50 Copay $0 50% $2,300 Individual/  $4,600 Family 20/40/100
View View Silver S24E-C E Yes $250 Individual/  $500 Family PCP: $5 Copay Spec: $10 Copay $0 50% $850 Individual/  $1,700 Family $5/$10/$50
View View Silver S24L L Yes $5,450 Individual/  $10,900 Family PCP: $35 Copay Spec: $75 Copay $0 50% $8,900 Individual/  $17,800 Family $60/$100/$250
View View Silver S24L-A L Yes $3,900 Individual/  $7,800 Family PCP: $30 Copay Spec: $75 Copay $0 50% $7,300 Individual/  $14,600 Family 40/60/250
View View Silver S24L-AI1 L Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S24L-AI2 L Yes $5,450 Individual/  $10,900 Family PCP: $35 Copay Spec: $75 Copay $0 50% $8,900 Individual/  $17,800 Family $60/$100/$250
View View Silver S24L-B L Yes $900 Individual/  $1,800 Family PCP: $25 Copay Spec: $50 Copay $0 50% $2,300 Individual/  $4,600 Family 20/40/100
View View Silver S24L-C L Yes $250 Individual/  $500 Family PCP: $5 Copay Spec: $10 Copay $0 50% $850 Individual/  $1,700 Family $5/$10/$50
View View Silver S24S S Yes $5,450 Individual/  $10,900 Family PCP: $35 Copay Spec: $75 Copay $0 50% $8,900 Individual/  $17,800 Family $60/$100/$250
View View Silver S24S-A S Yes $3,900 Individual/  $7,800 Family PCP: $30 Copay Spec: $75 Copay $0 50% $7,300 Individual/  $14,600 Family 40/60/250
View View Silver S24S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S24S-AI2 S Yes $5,450 Individual/  $10,900 Family PCP: $35 Copay Spec: $75 Copay $0 50% $8,900 Individual/  $17,800 Family $60/$100/$250
View View Silver S24S-B S Yes $900 Individual/  $1,800 Family PCP: $25 Copay Spec: $50 Copay $0 50% $2,300 Individual/  $4,600 Family 20/40/100
View View Silver S24S-C S Yes $250 Individual/  $500 Family PCP: $5 Copay Spec: $10 Copay $0 50% $850 Individual/  $1,700 Family $5/$10/$50
View View Silver S25E E Yes $0 Individual/  $0 Family PCP: $55 Copay Spec: $100 Copay $0 50% $9,450 Individual/  $18,900 Family $4500 ded/coins
View View Silver S25E-A E Yes $0 Individual/  $0 Family PCP: $20 Copay Spec: $80 Copay $0 50% $7,550 Individual/  $15,100 Family $4000 ded/coins
View View Silver S25E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S25E-AI2 E Yes $0 Individual/  $0 Family PCP: $55 Copay Spec: $100 Copay $0 50% $9,450 Individual/  $18,900 Family $4500 ded/coins
View View Silver S25E-B E Yes $0 Individual/  $0 Family PCP: $10 Copay Spec: $50 Copay $0 50% $2,250 Individual/  $4,500 Family $600 ded/coins
View View Silver S25E-C E Yes $0 Individual/  $0 Family PCP: $0 Copay Spec: $25 Copay $0 50% $650 Individual/  $1,300 Family $300 ded/coins
View View Silver S25L L Yes $0 Individual/  $0 Family PCP: $55 Copay Spec: $100 Copay $0 50% $9,450 Individual/  $18,900 Family $4500 ded/coins
View View Silver S25L-A L Yes $0 Individual/  $0 Family PCP: $20 Copay Spec: $80 Copay $0 50% $7,550 Individual/  $15,100 Family $4000 ded/coins
View View Silver S25L-AI1 L Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S25L-AI2 L Yes $0 Individual/  $0 Family PCP: $55 Copay Spec: $100 Copay $0 50% $9,450 Individual/  $18,900 Family $4500 ded/coins
View View Silver S25L-B L Yes $0 Individual/  $0 Family PCP: $10 Copay Spec: $50 Copay $0 50% $2,250 Individual/  $4,500 Family $600 ded/coins
View View Silver S25L-C L Yes $0 Individual/  $0 Family PCP: $0 Copay Spec: $25 Copay $0 50% $650 Individual/  $1,300 Family $300 ded/coins
View View Silver S25S S Yes $0 Individual/  $0 Family PCP: $55 Copay Spec: $100 Copay $0 50% $9,450 Individual/  $18,900 Family $4500 ded/coins
View View Silver S25S-A S Yes $0 Individual/  $0 Family PCP: $20 Copay Spec: $80 Copay $0 50% $7,550 Individual/  $15,100 Family $4000 ded/coins
View View Silver S25S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S25S-AI2 S Yes $0 Individual/  $0 Family PCP: $55 Copay Spec: $100 Copay $0 50% $9,450 Individual/  $18,900 Family $4500 ded/coins
View View Silver S25S-B S Yes $0 Individual/  $0 Family PCP: $10 Copay Spec: $50 Copay $0 50% $2,250 Individual/  $4,500 Family $600 ded/coins
View View Silver S25S-C S Yes $0 Individual/  $0 Family PCP: $0 Copay Spec: $25 Copay $0 50% $650 Individual/  $1,300 Family $300 ded/coins
View View Silver S26E E Yes $5,900 Individual/  $11,800 Family PCP: $40 Copay Spec: $80 Copay $0 40% $9,100 Individual/  $18,200 Family 20/40[80 sub to ded]
View View Silver S26E-A E Yes $5,700 Individual/  $11,400 Family PCP: $40 Copay Spec: $80 Copay $0 40% $7,200 Individual/  $14,400 Family 20/40[80 sub to ded]
View View Silver S26E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S26E-AI2 E Yes $5,900 Individual/  $11,800 Family PCP: $40 Copay Spec: $80 Copay $0 40% $9,100 Individual/  $18,200 Family 20/40[80 sub to ded]
View View Silver S26E-B E Yes $700 Individual/  $1,400 Family PCP: $20 Copay Spec: $40 Copay $0 30% $3,000 Individual/  $6,000 Family 10/20[60 sub to ded]
View View Silver S26E-C E Yes $0 Individual/  $0 Family PCP: $0 Copay Spec: $10 Copay $0 25% $1,800 Individual/  $3,600 Family $0/$15/$50
View View Silver S26L L Yes $5,900 Individual/  $11,800 Family PCP: $40 Copay Spec: $80 Copay $0 40% $9,100 Individual/  $18,200 Family 20/40[80 sub to ded]
View View Silver S26L-A L Yes $5,700 Individual/  $11,400 Family PCP: $40 Copay Spec: $80 Copay $0 40% $7,200 Individual/  $14,400 Family 20/40[80 sub to ded]
View View Silver S26L-AI1 L Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S26L-AI2 L Yes $5,900 Individual/  $11,800 Family PCP: $40 Copay Spec: $80 Copay $0 40% $9,100 Individual/  $18,200 Family 20/40[80 sub to ded]
View View Silver S26L-B L Yes $700 Individual/  $1,400 Family PCP: $20 Copay Spec: $40 Copay $0 30% $3,000 Individual/  $6,000 Family 10/20[60 sub to ded]
View View Silver S26L-C L Yes $0 Individual/  $0 Family PCP: $0 Copay Spec: $10 Copay $0 25% $1,800 Individual/  $3,600 Family $0/$15/$50
View View Silver S26S S Yes $5,900 Individual/  $11,800 Family PCP: $40 Copay Spec: $80 Copay $0 40% $9,100 Individual/  $18,200 Family 20/40[80 sub to ded]
View View Silver S26S-A S Yes $5,700 Individual/  $11,400 Family PCP: $40 Copay Spec: $80 Copay $0 40% $7,200 Individual/  $14,400 Family 20/40[80 sub to ded]
View View Silver S26S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S26S-AI2 S Yes $5,900 Individual/  $11,800 Family PCP: $40 Copay Spec: $80 Copay $0 40% $9,100 Individual/  $18,200 Family 20/40[80 sub to ded]
View View Silver S26S-B S Yes $700 Individual/  $1,400 Family PCP: $20 Copay Spec: $40 Copay $0 30% $3,000 Individual/  $6,000 Family 10/20[60 sub to ded]
View View Silver S26S-C S Yes $0 Individual/  $0 Family PCP: $0 Copay Spec: $10 Copay $0 25% $1,800 Individual/  $3,600 Family $0/$15/$50
View View Silver S27E E Yes $5,700 Individual/  $11,400 Family PCP: $60 Copay Spec: $120 Copay $0 50% $6,700 Individual/  $13,400 Family ded/coins
View View Silver S27E-A E Yes $4,500 Individual/  $9,000 Family PCP: $60 Copay Spec: $120 Copay $0 50% $5,500 Individual/  $11,000 Family ded/coins
View View Silver S27E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S27E-AI2 E Yes $5,700 Individual/  $11,400 Family PCP: $60 Copay Spec: $120 Copay $0 50% $6,700 Individual/  $13,400 Family ded/coins
View View Silver S27E-B E Yes $875 Individual/  $1,750 Family PCP: $60 Copay Spec: $120 Copay $0 50% $1,875 Individual/  $3,750 Family ded/coins
View View Silver S27E-C E Yes $200 Individual/  $400 Family PCP: $60 Copay Spec: $120 Copay $0 50% $650 Individual/  $1,300 Family ded/coins
View View Silver S27L L Yes $5,700 Individual/  $11,400 Family PCP: $60 Copay Spec: $120 Copay $0 50% $6,700 Individual/  $13,400 Family ded/coins
View View Silver S27L-A L Yes $4,500 Individual/  $9,000 Family PCP: $60 Copay Spec: $120 Copay $0 50% $5,500 Individual/  $11,000 Family ded/coins
View View Silver S27L-AI1 L Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S27L-AI2 L Yes $5,700 Individual/  $11,400 Family PCP: $60 Copay Spec: $120 Copay $0 50% $6,700 Individual/  $13,400 Family ded/coins
View View Silver S27L-B L Yes $875 Individual/  $1,750 Family PCP: $60 Copay Spec: $120 Copay $0 50% $1,875 Individual/  $3,750 Family ded/coins
View View Silver S27L-C L Yes $200 Individual/  $400 Family PCP: $60 Copay Spec: $120 Copay $0 50% $650 Individual/  $1,300 Family ded/coins
View View Silver S27S S Yes $5,700 Individual/  $11,400 Family PCP: $60 Copay Spec: $120 Copay $0 50% $6,700 Individual/  $13,400 Family ded/coins
View View Silver S27S-A S Yes $4,500 Individual/  $9,000 Family PCP: $60 Copay Spec: $120 Copay $0 50% $5,500 Individual/  $11,000 Family ded/coins
View View Silver S27S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S27S-AI2 S Yes $5,700 Individual/  $11,400 Family PCP: $60 Copay Spec: $120 Copay $0 50% $6,700 Individual/  $13,400 Family ded/coins
View View Silver S27S-B S Yes $875 Individual/  $1,750 Family PCP: $60 Copay Spec: $120 Copay $0 50% $1,875 Individual/  $3,750 Family ded/coins
View View Silver S27S-C S Yes $200 Individual/  $400 Family PCP: $60 Copay Spec: $120 Copay $0 50% $650 Individual/  $1,300 Family ded/coins
View View Silver S28E E Yes $5,850 Individual/  $11,700 Family Sanitas: $30 Copay Other PCP: $60 Copay Spec: $120 Copay $0 50% $6,800 Individual/  $13,600 Family ded/coins
View View Silver S28E-A E Yes $4,600 Individual/  $9,200 Family Sanitas: $30 Copay Other PCP: $60 Copay Spec: $120 Copay $0 50% $5,550 Individual/  $11,100 Family ded/coins
View View Silver S28E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S28E-AI2 E Yes $5,850 Individual/  $11,700 Family Sanitas: $30 Copay Other PCP: $60 Copay Spec: $120 Copay $0 50% $6,800 Individual/  $13,600 Family ded/coins
View View Silver S28E-B E Yes $925 Individual/  $1,850 Family Sanitas: $30 Copay Other PCP: $60 Copay Spec: $120 Copay $0 50% $1,900 Individual/  $3,800 Family ded/coins
View View Silver S28E-C E Yes $275 Individual/  $550 Family Sanitas: $30 Copay Other PCP: $60 Copay Spec: $120 Copay $0 50% $650 Individual/  $1,300 Family ded/coins