2018 Individual Products Overview
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- Barrie Harper
- 5 years ago
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1 2018 Individual Products Overview
2 Agenda 2018 Product Portfolio Pharmacy Changes & Enhancements Rate & Subsidy Comparisons Questions Appendix 2
3 Tennessee Service Areas BCBST Plans available in 2018 BCBST Plans not available in
4 2018 Portfolio Product Portfolio 4 Base Plans On/Off Marketplace - B07*, S01, S04, and G06 Blue Network S SM - Select Our most popular network Plans available in 6 of 8 regions Re-entering the Knoxville region *B07 is HSA compatible 4
5 Bronze B07 $5,650 Individual Deductible $6,650 Individual Out-of-Pocket Maximum 50% Coinsurance HSA Compatible 5
6 Silver S01 $250 Individual Deductible $7,000 Individual Out-of-Pocket Maximum 50% Coinsurance S04 $2,500 Individual Deductible $6,000 Individual Out-of-Pocket Maximum 50% Coinsurance 6
7 Gold G06 $1,500 Individual Deductible $5,100 Individual Out-of-Pocket Maximum 80% Coinsurance $35/$50 Office Visit Copay $8/$35/$60 RX Copay 7
8 Summary of Plan Changes Minor benefit tweaks to meet AV requirements No Discontinued Plans Deductible Coins OOP Max Deductible Coins OOP Max Policy Individual Individual Office Rx Policy Individual Individual Office Rx Form In Network In Network In Network Visit Benefit Form In Network In Network In Network Visit Benefit B07 5,200 50% 6,400 Ded/Coins Ded/Coins B07 5,650 50% 6,650 Ded/Coins Ded/Coins S % 7,150 Ded/Coins Ded/Coins S % 7,000 Ded/Coins Ded/Coins S01-A 0 50% 5,700 Ded/Coins Ded/Coins S01-A % 5,850 Ded/Coins Ded/Coins S01-B 0 50% 1,700 Ded/Coins Ded/Coins S01-B 0 50% 1,700 Ded/Coins Ded/Coins S01-C 0 50% 675 Ded/Coins Ded/Coins S01-C 0 50% 675 Ded/Coins Ded/Coins S04 2,000 50% 5,100 Ded/Coins Ded/Coins S04 2,500 50% 6,000 Ded/Coins Ded/Coins S04-A 1,350 50% 4,200 Ded/Coins Ded/Coins S04-A 1,350 50% 4,200 Ded/Coins Ded/Coins S04-B % 1,600 Ded/Coins Ded/Coins S04-B % 1,600 Ded/Coins Ded/Coins S04-C 20 50% 675 Ded/Coins Ded/Coins S04-C 20 50% 675 Ded/Coins Ded/Coins G06 1,500 80% 4,500 $35/$50 $8/$35/$60 G06 1,500 80% 5,100 $35/$50 $8/$35/$60 8
9 Pharmacy Changes Essential Formulary Removal of brand drugs with new generic equivalents Removal of compound and non-fda approved drugs - Member can appeal ACA Preventive Drug List Adding 6 generic statins effective 12/1/17 - USPSTF Recommendation - Members between the age of
10 Pharmacy Enhancement Specialty SmartStart also referred to as Split fill 42 high cost oncology medications Member receives an initial 15 day supply Member pays half the cost share Member consults with pharmacist prior to filling the 2 nd Member pays other half of the cost share for additional script 10
11 Rate & Subsidy Comparison 2017 vs Region 1 - East Region 2 - Knoxville 150% FPL 40-Year-Old, Non Smoker 40-Year-Old, Non Smoker $18,090 B07S S04S B07S S04S Plan Price $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ Member Pays $54.09 $0.00 $ $61.51 $0.00 $ % FPL 40-Year-Old, Non Smoker 40-Year-Old, Non Smoker $30,150 B07S S04S B07S S04S Plan Price $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ Member Pays $ $28.99 $ $ $0.00 $ % FPL 40-Year-Old, Non Smoker 40-Year-Old, Non Smoker $48,240 B07S S04S B07S S04S Plan Price $ $ $ $ $ $ Federal Subsidy $4.02 $ $4.02 $ $ $ Member Pays $ $ $ $ $5.71 $ Plan Price, Subsidy, and Member Pays are projected amounts. Actuals should be determined by applying on healthcare.gov. Additional Examples available in Appendix 11
12 Rate & Subsidy Comparison 2017 vs Region 3 - Chattanooga Region 5 - West 150% FPL 40-Year-Old, Non Smoker 40-Year-Old, Non Smoker $18,090 B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ Member Pays $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $ % FPL 40-Year-Old, Non Smoker 40-Year-Old, Non Smoker $30,150 B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ Member Pays $24.91 $0.00 $ $12.79 $18.73 $0.00 $ $ % FPL 40-Year-Old, Non Smoker 40-Year-Old, Non Smoker $48,240 B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ Member Pays $ $7.65 $ $ $ $0.00 $ $ Plan Price, Subsidy, and Member Pays are projected amounts. Actuals should be determined by applying on healthcare.gov. Additional Examples available in Appendix 12
13 Rate & Subsidy Comparison 2017 vs Region 7 - East Central Region 8 - West Central 150% FPL 40-Year-Old, Non Smoker 40-Year-Old, Non Smoker $18,090 B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ Member Pays $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $ % FPL 40-Year-Old, Non Smoker 40-Year-Old, Non Smoker $30,150 B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ Member Pays $41.17 $0.00 $ $23.05 $18.20 $0.00 $ $ % FPL 40-Year-Old, Non Smoker 40-Year-Old, Non Smoker $48,240 B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ Member Pays $ $27.91 $ $ $ $0.00 $ $ Plan Price, Subsidy, and Member Pays are projected amounts. Actuals should be determined by applying on healthcare.gov. Additional Examples available in Appendix 13
14 Need Assistance? Billing & Premium Payments (On-Marketplace) (Off-Marketplace) Sales Assistance Claims & Customer Service
15 Appendix
16 2018 APTC Eligibility 2017 FPL for 2018 Subsidy 16
17 2018 Income Ranges for CSR Eligibility 2017 FPL for plan year
18 Rate & Subsidy Comparison 2017 vs Region 1 - East 150% FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $18,090 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $ Member Pays $54.80 $0.00 $ $61.51 $54.09 $0.00 $ $61.51 $51.60 $0.00 $ $ % FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $30,150 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $ Member Pays $ $48.82 $ $ $ $28.99 $ $ $ $0.00 $ $ % FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $48,240 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $0.00 $ $0.00 $ $4.02 $ $4.02 $ $ $ $ $ Member Pays $ $ $ $ $ $ $ $ $ $ $ $ Plan Price, Subsidy, and Member Pays are projected amounts. Actuals should be determined by applying on healthcare.gov. 18
19 Rate & Subsidy Comparison 2017 vs Region 2 - Knoxville 150% FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $18,090 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ Member Pays $0.00 $0.00 $0.00 $0.00 $0.00 $ % FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $30,150 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ Member Pays $0.00 $33.57 $0.00 $11.80 $0.00 $ % FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $48,240 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ Member Pays $48.66 $ $5.71 $ $0.00 $ Plan Price, Subsidy, and Member Pays are projected amounts. Actuals should be determined by applying on healthcare.gov. 19
20 Rate & Subsidy Comparison 2017 vs Region 3 - Chattanooga 150% FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $18,090 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $ Member Pays $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $ % FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $30,150 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $ Member Pays $44.86 $0.00 $ $34.45 $24.91 $0.00 $ $12.79 $0.00 $0.00 $71.71 $ % FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $48,240 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $ Member Pays $ $50.39 $ $ $ $7.65 $ $ $ $0.00 $ $ Plan Price, Subsidy, and Member Pays are projected amounts. Actuals should be determined by applying on healthcare.gov. 20
21 Rate & Subsidy Comparison 2017 vs Region 3 - Chattanooga 150% FPL 30-Year-Old, Smoker 40-Year-Old,Smoker 50-Year-Old,Smoker $18,090 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $1, Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $1, Member Pays $66.33 $0.00 $ $0.00 $67.06 $0.00 $ $0.00 $69.63 $0.00 $ $ % FPL 30-Year-Old,Smoker 40-Year-Old,Smoker 50-Year-Old,Smoker $30,150 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $1, Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $1, Member Pays $ $0.00 $ $8.68 $ $0.00 $ $0.00 $ $0.00 $ $ % FPL 30-Year-Old,Smoker 40-Year-Old,Smoker 50-Year-Old,Smoker $48,240 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $1, Federal Subsidy $41.54 $ $41.54 $ $95.12 $ $95.12 $ $ $ $ $ Member Pays $ $0.00 $ $ $ $0.00 $ $ $ $0.00 $ $78.59 Plan Price, Subsidy, and Member Pays are projected amounts. Actuals should be determined by applying on healthcare.gov. 21
22 Rate & Subsidy Comparison 2017 vs Region 3 - Chattanooga 150% FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $18,090 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $ Member Pays $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $ % FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $30,150 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $ Member Pays $44.86 $0.00 $ $34.45 $24.91 $0.00 $ $12.79 $0.00 $0.00 $71.71 $ % FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $48,240 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $ Member Pays $ $50.39 $ $ $ $7.65 $ $ $ $0.00 $ $ Plan Price, Subsidy, and Member Pays are projected amounts. Actuals should be determined by applying on healthcare.gov. 22
23 Rate & Subsidy Comparison 2017 vs Region 5 - West 150% FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $18,090 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $ Member Pays $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $ % FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $30,150 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $ Member Pays $39.37 $0.00 $ $24.19 $18.73 $0.00 $ $1.22 $0.00 $0.00 $67.16 $ % FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $48,240 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $ $ $0.00 $ $ $ $ $ $ $ $ $ Member Pays $ $30.15 $ $ $ $0.00 $ $ $ $0.00 $ $ Premium and Subsidy are projected amounts. Actuals should be determined by applying on healthcare.gov. 23
24 Rate & Subsidy Comparison 2017 vs Region 7 - East Central 150% FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $18,090 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $ Member Pays $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $ % FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $30,150 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $ Member Pays $59.29 $0.00 $ $43.56 $41.17 $0.00 $ $23.05 $0.00 $0.00 $83.70 $ % FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $48,240 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $ Member Pays $ $68.37 $ $ $ $27.91 $ $ $ $0.00 $ $ Premium and Subsidy are projected amounts. Actuals should be determined by applying on healthcare.gov. 24
25 Rate & Subsidy Comparison 2017 vs Region 8 - West Central 150% FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $18,090 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $ Member Pays $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $ % FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $30,150 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $ Member Pays $38.90 $0.00 $ $21.73 $18.20 $0.00 $ $0.00 $0.00 $0.00 $66.77 $ % FPL 30-Year-Old, Non Smoker 40-Year-Old, Non Smoker 50-Year-Old, Non Smoker $48,240 B07S S04S B07S S04S B07S S04S Plan Price $ $ $ $ $ $ $ $ $ $ $ $ Federal Subsidy $ $ $ $ $ $ $ $ $ $ $ $ Member Pays $ $25.28 $ $ $ $0.00 $ $ $ $0.00 $ $99.13 Premium and Subsidy are projected amounts. Actuals should be determined by applying on healthcare.gov. 25
26 $0 Premium plans available, after subsidy Age Upper income limit to get Silver 04S for $0/month Subscriber Subscriber Subscriber + 1 Subscriber + 2 Only +Spouse Child child Region 2 - Knoxville Upper income limit to get Bronze 07S for $0/month Subscriber Subscriber Subscriber + 1 Subscriber + 2 Only +Spouse Child child 21 $26,000 $42,500 $42,500 $58,700 $37,150 $64,950 $64,950 $81, $27,360 $45,500 $44,050 $60,100 $42,200 $64,950 $64,950 $81, $28,500 $47,300 $45,000 $60,950 $45,400 $64,950 $64,950 $81, $29,300 $48,400 $45,600 $61,750 $47,500 $64,950 $64,950 $81, $31,100 $54,400 $47,300 $64,850 $48,235 $64,950 $64,950 $81, $34,600 $64,950 $52,500 $71,300 $48,235 $64,950 $64,950 $81, $41,900 $64,950 $60,800 $79,700 $48,235 $64,950 $64,950 $81, $48,235 $64,950 $64,950 $81,675 $48,235 $64,950 $64,950 $81, $48,235 $64,950 $64,950 $81,675 $48,235 $64,950 $64,950 $81,600 Income must be greater than: $12,060 $16,240 $16,240 $20,420 $12,060 $16,240 $16,240 $20,420 Notes: 1) In subscriber/spouse examples, both are the same age 2) All children are under age 21 3) All examples are non-smokers Ranges are projected. Actuals would be determined through application on healthcare.gov. 26
27 $0 Premium plans available, after subsidy Age Upper income limit to get Silver 04S for $0/month Subscriber Subscriber Subscriber + 1 Subscriber + 2 Only +Spouse Child child Region 3 - Chattanooga Upper income limit to get Bronze 07S for $0/month Subscriber Subscriber Subscriber + 1 Subscriber + 2 Only +Spouse Child child 21 $26,000 $42,400 $42,450 $58,500 $37,000 $64,950 $64,950 $81, $27,600 $45,300 $43,900 $59,900 $41,900 $64,950 $64,950 $81, $28,600 $47,100 $44,800 $60,800 $45,200 $64,950 $64,950 $81, $29,200 $48,300 $45,400 $61,400 $47,200 $64,950 $64,950 $81, $31,050 $54,150 $47,100 $64,500 $48,235 $64,950 $64,950 $81, $34,740 $64,950 $50,000 $70,900 $48,235 $64,950 $64,950 $81, $41,750 $64,950 $60,500 $79,300 $48,235 $64,950 $64,950 $81, $48,235 $64,950 $64,950 $81,670 $48,235 $64,950 $64,950 $81, $48,235 $64,950 $64,950 $81,670 $48,235 $64,950 $64,950 $81,670 Income must be greater than: $12,060 $16,240 $16,240 $20,420 $12,060 $16,240 $16,240 $20,420 Notes: 1) In subscriber/spouse examples, both are the same age 2) All children are under age 21 3) All examples are non-smokers Ranges are projected. Actuals would be determined through application on healthcare.gov. 27
28 $0 Premium plans available, after subsidy Age Upper income limit to get Silver 04S for $0/month Subscriber Subscriber Subscriber + 1 Subscriber + 2 Only +Spouse Child child Region 5 - West Upper income limit to get Bronze 07S for $0/month Subscriber Subscriber Subscriber + 1 Subscriber + 2 Only +Spouse Child child 21 $26,700 $43,700 $43,700 $60,300 $39,200 $64,950 $64,950 $81, $28,400 $46,700 $45,300 $62,200 $44,500 $64,950 $64,950 $81, $29,400 $48,600 $46,200 $64,000 $47,900 $64,950 $64,950 $81, $30,000 $50,700 $46,800 $65,100 $48,235 $64,950 $64,950 $81, $32,000 $57,300 $48,600 $68,400 $48,235 $64,950 $64,950 $81, $35,800 $64,950 $55,300 $75,200 $48,235 $64,950 $64,950 $81, $44,300 $64,950 $64,100 $81,670 $48,235 $64,950 $64,950 $81, $48,235 $64,950 $64,950 $81,670 $48,235 $64,950 $64,950 $81, $48,235 $64,950 $64,950 $81,670 $48,235 $64,950 $64,950 $81,670 Income must be greater than: $12,060 $16,240 $16,240 $20,420 $12,060 $16,240 $16,240 $20,420 Notes: 1) In subscriber/spouse examples, both are the same age 2) All children are under age 21 3) All examples are non-smokers Ranges are projected. Actuals would be determined through application on healthcare.gov. 28
29 $0 Premium plans available, after subsidy Age Upper income limit to get Silver 04S for $0/month Subscriber Subscriber Subscriber + 1 Subscriber + 2 Only +Spouse Child child Region 7 - East Central Upper income limit to get Bronze 07S for $0/month Subscriber Subscriber Subscriber + 1 Subscriber + 2 Only +Spouse Child child 21 $25,300 $41,200 $41,200 $56,900 $35,500 $64,950 $64,950 $81, $26,900 $44,100 $42,700 $58,200 $39,700 $64,950 $64,950 $81, $27,800 $45,800 $43,600 $59,100 $42,800 $64,950 $64,950 $81, $28,400 $46,900 $44,200 $59,600 $44,700 $64,950 $64,950 $81, $30,200 $51,200 $45,800 $61,200 $48,230 $64,950 $64,950 $81, $33,700 $63,400 $49,400 $67,200 $48,230 $64,950 $64,950 $81, $39,500 $64,950 $57,300 $75,100 $48,230 $64,950 $64,950 $81, $48,100 $64,950 $64,950 $81,670 $48,230 $64,950 $64,950 $81, $48,230 $64,950 $64,950 $81,670 $48,230 $64,950 $64,950 $81,670 Income must be greater than: $12,060 $16,240 $16,240 $20,420 $12,060 $16,240 $16,240 $20,420 Notes: 1) In subscriber/spouse examples, both are the same age 2) All children are under age 21 3) All examples are non-smokers Ranges are projected. Actuals would be determined through application on healthcare.gov. 29
30 $0 Premium plans available, after subsidy Age Upper income limit to get Silver 04S for $0/month Subscriber Subscriber Subscriber + 1 Subscriber + 2 Only +Spouse Child child Region 8 - West Central Upper income limit to get Bronze 07S for $0/month Subscriber Subscriber Subscriber + 1 Subscriber + 2 Only +Spouse Child child 21 $26,900 $44,100 $44,100 $60,800 $39,700 $64,950 $64,950 $81, $28,500 $47,100 $45,600 $63,100 $45,100 $64,950 $64,950 $81, $29,600 $49,200 $46,600 $64,800 $48,230 $64,950 $64,950 $81, $30,200 $51,400 $47,200 $66,000 $48,230 $64,950 $64,950 $81, $32,200 $58,100 $49,200 $69,300 $48,230 $64,950 $64,950 $81, $36,000 $64,950 $56,050 $76,200 $48,230 $64,950 $64,950 $81, $44,900 $64,950 $64,950 $81,670 $48,230 $64,950 $64,950 $81, $48,230 $64,950 $64,950 $81,670 $48,230 $64,950 $64,950 $81, $48,230 $64,950 $64,950 $81,670 $48,230 $64,950 $64,950 $81,670 Income must be greater than: $12,060 $16,240 $16,240 $20,420 $12,060 $16,240 $16,240 $20,420 Notes: 1) In subscriber/spouse examples, both are the same age 2) All children are under age 21 3) All examples are non-smokers Ranges are projected. Actuals would be determined through application on healthcare.gov. 30
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