| Plan | Household ages | Total monthly premium | Notes |
|---|
• Premiums are charged for adults (age 21+) and up to three children under 21; all children age 21 or older are charged as adults.
• Uses non-tobacco Individual Rate only. Tobacco surcharges are not included.
• Child rates 0–14 use the combined “0–14” tier. Age 64+ uses “64 and over” where available.
• If a plan is not offered in a rating area, the premium will be blank for that plan.
• Who can enroll in a catastrophic plan?
• Exemption form