Compare coverage rates
All dollar amounts are monthly fees for each family member. Rates may change without notice. Print page
Extended Health (required)
| Age | 0 - 9 | 10 - 19 | 20 - 29 | 30 - 39 | 40 - 49 | 50 - 54 | 55 - 59 | 60 - 64 | 65 - 69 | 70 - 74 | 75 - 79 | 80 - 84 | 85+ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Plan level A | $15.24 | $22.90 | $32.54 | $34.24 | $34.17 | $34.17 | $35.58 | $37.84 | $41.22 | $51.83 | $72.83 | $103.20 | $107.12 |
| Plan level B | $17.62 | $28.22 | $40.91 | $58.03 | $57.94 | $57.94 | $60.06 | $65.08 | $69.02 | $81.67 | $105.82 | $140.85 | $145.37 |
| Plan level C | $18.68 | $31.13 | $45.80 | $65.91 | $65.79 | $65.79 | $68.11 | $74.02 | $78.17 | $92.16 | $117.54 | $154.29 | $159.04 |
| Plan level D | $20.99 | $48.99 | $81.69 | $126.90 | $126.78 | $126.78 | $130.68 | $143.42 | $148.02 | $163.31 | $192.01 | $233.57 | $238.94 |
Dental (optional)
| Age | 0 - 9 | 10 - 19 | 20 - 29 | 30 - 39 | 40 - 49 | 50 - 54 | 55 - 59 | 60 - 64 | 65 - 69 | 70 - 74 | 75 - 79 | 80 - 84 | 85+ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Plan level A | $6.90 | $27.60 | $27.60 | $41.46 | $42.71 | $42.71 | $48.01 | $50.65 | $50.65 | $50.65 | $50.65 | $50.65 | $50.65 |
| Plan level B | $8.65 | $34.58 | $34.58 | $51.94 | $53.50 | $53.50 | $60.14 | $63.48 | $63.48 | $63.48 | $63.48 | $63.48 | $63.48 |
| Plan level C | $11.07 | $44.31 | $44.31 | $66.55 | $68.55 | $68.55 | $77.08 | $81.37 | $81.37 | $81.37 | $81.37 | $81.37 | $81.37 |
| Plan level D | $18.38 | $73.55 | $73.55 | $110.46 | $113.78 | $113.78 | $127.94 | $135.06 | $135.06 | $135.06 | $135.06 | $135.06 | $135.06 |
Prescription drug (required)
| Age | 0 - 9 | 10 - 19 | 20 - 29 | 30 - 39 | 40 - 49 | 50 - 54 | 55 - 59 | 60 - 64 | 65 - 69 | 70 - 74 | 75 - 79 | 80 - 84 | 85+ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Plan level A | $9.43 | $18.85 | $18.85 | $38.64 | $40.92 | $40.92 | $48.51 | $57.42 | $31.89 | $31.89 | $31.89 | $31.89 | $31.89 |
| Plan level B | $13.33 | $26.66 | $26.66 | $54.66 | $57.88 | $57.88 | $68.60 | $81.17 | $45.10 | $45.10 | $45.10 | $45.10 | $45.10 |
| Plan level C | $15.29 | $30.56 | $30.56 | $62.68 | $66.36 | $66.36 | $78.67 | $93.10 | $51.72 | $51.72 | $51.72 | $51.72 | $51.72 |
| Plan level D | $25.30 | $50.57 | $50.57 | $103.69 | $109.79 | $109.79 | $130.15 | $154.02 | $85.57 | $85.57 | $85.57 | $85.57 | $85.57 |
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