The amounts shown are what the member pays
Scroll down to view the rates
| Plan Type – All HMO | Ambetter Secure Care 1 | Kaiser Gold 1500/20 |
| Plan Name | Ambetter Secure Care 1 | Kaiser 1500/20 |
| Metal Level | Gold | Gold |
| Preventive Care government list |
100% Coverage – List of Covered Services | |
| Deductible Individual / Family |
$1,000 / $2,000 | $1,500 / $3,000 |
| Coinsurance | Deductibe then 20% | Deductibe then 30% |
| Maximum Out of Pocket Individual / Family |
$6,350 / $12,700 | $5,000 / $10,000 |
| Dr Office Copay PCP/Specialist/UrgentCare | Deductibe then 20% | $20/$40/$75 |
| All Lab / X-rays & Imaging | Deductibe then 20% | Deductibe then 30% |
| Emergency Room | Deductibe then $250 | Deductibe then 30% |
| Inpatient / Outpatient Hospital & Surgery |
Deductible then 20% | Deductibe then 30% |
| Rx Deductible | Tier 1 No Ded; Tier 2,3, 4 $500 Ded | Tier 1 -2 No Deductible Tier 3, 4, 5 $500 Ded |
| Rx Copays | $10/$25/$75/30% | $5/$10/$30/45%/45% |
| Benefits shown are for services at In-Network Providers. There is No Coverage for Out of Network Providers, except for Emergencies | ||||
| Rates shown for Ambetter & BlueCross residents of counties: Cherokee, Cobb, Dekalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, & Henry | ||||
| Rates shown for Kaiser residents of counties: Clayton, Cobb, DeKalb, Fulton, Gwinnett and Henry – Other Kaiser counties are 10% higher | ||||
| For rates in other counties please use the “Online Quotes” link on the 2019 Recommended Plans page | ||||
| Rates shown are for non-tobacco users, within + / – $5; regular tobacco user rates will be approx. 15% higher. Regular use = 4 or more times per week on average in the last 6 week on average in the last 6 months. | ||||
| Please see plan brochure for a complete listing of benefit details, plan limitations and exclusions. |
Add the rate for the age of each family member to be insured. There is no family discount.
| Ambetter Secure Care 1 | Kaiser Gold 1500/20 | |
| Per Child Age 0-14 | $296 | $350 |
| Age 15 | $323 | $382 |
| Age 16 | $333 | $394 |
| Age 17 | $344 | $406 |
| Age 18 | $354 | $418 |
| Age 19 | $365 | $431 |
| Age 20 | $376 | $445 |
| Age 21-24 | $387 | $458 |
| Age 25 | $389 | $459 |
| Age 26 | $397 | $469 |
| Age 27 | $407 | $481 |
| Age 28 | $421 | $498 |
| Age 29 | $434 | $513 |
| Age 30 | $441 | $520 |
| Age 31 | $449 | $531 |
| Age 32 | $458 | $542 |
| Age 33 | $464 | $549 |
| Ambetter Secure Care 1 | Kaiser Gold 1500/20 | |
| Age 34 | $471 | $557 |
| Age 35 | $474 | $561 |
| Age 36 | $476 | $563 |
| Age 37 | $480 | $567 |
| Age 38 | $483 | $571 |
| Age 39 | $489 | $578 |
| Age 40 | $496 | $586 |
| Age 41 | $505 | $596 |
| Age 42 | $514 | $607 |
| Age 43 | $526 | $622 |
| Age 44 | $542 | $640 |
| Age 45 | $560 | $662 |
| Age 46 | $581 | $687 |
| Age 47 | $606 | $716 |
| Age 48 | $634 | $750 |
| Age 49 | $661 | $782 |
| Age 50 | $693 | $819 |
| Age 51 | $723 | $855 |
| Age 52 | $757 | $895 |
| Age 53 | $791 | $935 |
| Ambetter Secure Care 1 | Kaiser Gold 1500/20 | |
| Age 54 | $828 | $979 |
| Age 55 | $864 | $1,021 |
| Age 56 | $905 | $1,069 |
| Age 57 | $945 | $1,117 |
| Age 58 | $988 | $1,168 |
| Age 59 | $1,009 | $1,193 |
| Age 60 | $1,052 | $1,244 |
| Age 61 | $1,089 | $1,287 |
| Age 62 | $1,114 | $1,317 |
| Age 63 | $1,144 | $1,353 |
| Age 64 | $1,162 | $1,374 |
