Top Banner
You Need Health Insurance MyChoice Advantage SM Plans
40

You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Jul 12, 2020

Download

Documents

dariahiddleston
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

You Need Health Insurance

MyChoice AdvantageSM Plans

Page 2: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

2

MyChoice Advantage Individual PlansThere are many factors to consider when choosing a health plan. What works for one person or family

may not be right for another. Rest assured that BlueChoice HealthPlan is here to help you sort out your

options and make the best choice.

MyChoice Advantage plans provide individual coverage. Whether you need a policy for yourself or for

each member of your family, we have a plan that fits.

Why Choose MyChoice Advantage?BlueChoice HealthPlan has more than 25 years of experience providing South Carolinians like you with

health care coverage. Our service, value and quality are evident in our MyChoice Advantage plans. We

offer a range of plans that meet the requirements of the Affordable Care Act (ACA) and keep you covered.

• Ten plan designs – one Gold, five Silver, three Bronze plans and one “Under 30” Catastrophic plan.

• Deductible and copayment amounts that help you manage your health care costs

• Statewide doctor and hospital network

• No referrals for specialists needed

• Plans with low drug deductibles

• Preventive services with $0 copayment

• Nationally recognized health plan for service and member satisfaction

MyChoice Advantage

Plans

Page 3: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

3

MyChoice Advantage Plans

MyChoice Advantage NetworkOur philosophy ... keeping you healthy.

BlueChoice HealthPlan emphasizes preventive medicine, early disease detection and prompt treatment.

This approach is based on the personal relationship between the patient and the doctor. This special

relationship helps keep you healthy.

Though it is not required, we encourage you to choose a primary care physician (PCP). Having one doctor

who can help you manage your health care is important to your overall health. Referrals to specialists are not

needed. Your PCP can however, help coordinate care when you need to visit one of our network specialists.

We work hard to ensure that your providers give you and your family the best care possible. And we

make it simple — no paperwork, no referrals and no surprises. The MyChoice Advantage network is an

exclusive provider organization and includes:

• Affordable copayments or coinsurance per visit after meeting your deductible

• No claim forms or referrals needed for specialists

• No charge for certain preventive care, including routine annual exams and screenings

• Freedom to select your own providers of care within our statewide network

• Worldwide coverage for emergency care

Special ‘Under 30’ PlanWe offer a “catastrophic plan” option for adults under 30. It is also available to those experiencing

financial hardship. This plan may appeal to healthy people who don’t qualify for Medicaid or get health

benefits at work.

Superior Service and QualityIn today’s world, feeling secure is important. With MyChoice Advantage health coverage from BlueChoice®,

you are covered by a company that’s been doing business with South Carolinians since 1984.

Our commitment to our members has earned us accreditation from the National Committee for Quality

Assurance, a national group that reviews health plans. This means we passed the test in critical areas of

health plan operations. We value this award and consistently work to improve our service and maintain

this status. We’re even more pleased that thousands of South Carolinians select us as their health plan.

Page 4: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

4

Making the Right ChoiceThe ACA requires most Americans to purchase health insurance as of 2014. You may wonder why —

especially if you are young or very healthy. BlueChoice wants to help you understand the changes of

health care reform and the importance of quality health care coverage.

Why You Need Health InsuranceHealth insurance is a service you pay for, but hope you never need. Our members value health care coverage.

They value the peace of mind they have knowing it’s there. It is a safety net for the unpredictable and

uncontrollable problems that come up in life. BlueChoice encourages you to consider these factors

when deciding whether to buy health insurance.

Financial Impact You may be healthy now, but a sudden or serious illness can leave you with staggering medical bills.

The inability to pay high medical bills is one of the most common reasons people file for personal

bankruptcy. This can ruin your credit history and set you back for years.

Choosing to forgo health insurance means you must pay all of your health care costs. From doctors’

visits, health screenings and checkups to ambulance rides and trips to the emergency room, you are

responsible. You also won’t have any protection against astronomical medical bills – such as a $30,000

bill for a three-day hospital stay.

MyChoice Advantage

Plans

Page 5: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

5

Preventive or Primary CareThe ACA requires coverage for annual checkups and preventive care – mammograms, vaccinations,

colonoscopies and prostate cancer screenings – without a copayment. Preventive care helps you stay

healthy and catch health problems early. That’s when they’re easier and less expensive to treat.

Policies also must provide a minimum standard of care known as essential health benefits in 10 categories:

• Preventive and wellness services

• Ambulatory (outpatient) care services

• Emergency care

• Hospitalization

• Maternity and newborn care

• Pediatric care

• Mental health and substance use disorder services

• Prescription drugs

• Rehabilitative and habilitative services (specialized therapies and medical equipment to

help people facing long-term disabilities)

• Laboratory services

Follow-up CareHospital emergency rooms traditionally care for patients with urgent needs regardless of their ability to

pay. But necessary follow-up care, rehab care or other services can be very expensive without coverage.

Delay in Getting CoverageIf you wait too long to decide, you may face a delay before getting the coverage you and your family

need. Typically, you can only purchase health insurance during certain open enrollment periods. You may

also be able to enroll within 30 days of life-altering events, such as marriage, divorce, birth of a child or

change in job status. Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013,

to March 31, 2014.

Non-Enrollment Tax ImplicationsIf you are required to purchase health insurance and have not done so by March 31, 2014, you will receive

a penalty on your 2014 tax return (filed in 2015). The penalty in 2014 is $95.00 per adult and $47.50 per

child. The fee is capped at $285 per family, or 1 percent of household income. Each year the penalty

increases. In 2016, the fine rises to $695 per adult and will be capped at $2,085 per family, or 2.5 percent

of income. There is no penalty for a gap in coverage for less than three months.

MyChoice Advantage Plans

Page 6: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

6

Can I Afford Health Insurance?The real question is: Can you afford not to have health care coverage? We realize that cost is very

important, but there is good news. For the first time in history, people with moderate and low incomes

will be eligible for financial assistance. Tax credits and subsidies will help offset the cost of premiums and

out-of-pocket expenses. This assistance applies to plans sold in the private BlueChoice HealthPlan private

exchange or federal health insurance marketplace. Both websites will begin selling health insurance

policies in October 2013, with coverage beginning Jan. 1, 2014.

Who Is Eligible?Premium tax credits are income-based. Individuals and families whose income falls between 100 and

400 percent of the federal poverty line are eligible. Here are some examples:

• Individual $11,490 to $45,960 annual income

• Family of four $23,550 to $94,200 total household income

You cannot get premium credits if you are eligible for Medicare or Medicaid. If you are offered coverage

through your employer, you are not eligible for premium credits unless that coverage is inadequate or if it

costs more than 9.5 percent of your annual income.

Premium credits are also available to legal immigrants who have incomes below 100 percent of the

poverty line, but who are not eligible for Medicaid because they have lived in the United States for

less than five years.

How Much Is the Premium Credit?The premium credit is figured on a sliding scale. Those with lower incomes receive a bigger credit and

those who make more get a smaller one. The credits ensure that you do not have to pay more than a

certain percentage of your income to purchase health insurance. For example, someone with an income

of two times the poverty line (about $23,000) would pay no more than 6.3 percent of that income. That

would be about $121 a month for an individual policy.

What Kind of Health Plan Can Someone Buy With the Credit?BlueChoice HealthPlan will offer three types of plans in the exchange — bronze, silver and gold. These

plans vary in the level of benefits covered. Bronze plans are the least comprehensive and gold plans are

the most comprehensive.

MyChoice Advantage

Plans

Page 7: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

7

The amount of the premium credit is based on the cost of

the second-lowest cost silver plan available in the area in

which the person receiving the subsidy lives. You can

purchase a more comprehensive plan, such as a gold

plan, but will have to pay the difference between the

credit amount and the cost of the more expensive plan.

You also could purchase a less expensive plan, but you

would not receive a credit.

How Do the Premium Credits Work?The premium credits will be delivered as tax credits and

will be available to everyone who is eligible, whether they

file taxes or not. The credits will be paid directly to the

insurer, with individuals responsible for the remaining premiums. The credits will be delivered in advance,

so that people do not have to pay all of their premiums up front and wait for reimbursement.

Who Is Eligible for Cost-Sharing Assistance?People who earn less than 250 percent of the poverty line ($28,725 for an individual; $58,875 for a family

of four) will also receive additional assistance. These cost-sharing subsidies help ensure that everyone can

afford the health care they need.

How Does the Cost-Sharing Assistance Work?The premium credits allow people to buy a silver plan, which has a 70 percent actuarial value. That means

that the plan will cover 70 percent of the costs for covered medical services with the beneficiary, on aver-

age, paying the other 30 percent. People who receive cost-sharing assistance, however — those with

incomes below 250 percent of the poverty line — will not have to pay the full remaining 30 percent of the

cost of covered services. As a result, people with incomes below 250 percent of poverty will effectively be

enrolled in a plan that has a higher actuarial value than 70 percent.

For example, people with incomes below 150 percent of the poverty line will have plans that have an

actuarial value of 94 percent. Plans for people with incomes between 150 percent and 200 percent of the

poverty line will have an actuarial value of 87 percent. These higher actuarial values mean that as a result

of cost-sharing assistance, low-income individuals and families will be able to enroll in health plans with

lower deductibles, copayments and/or total out-of-pocket costs.

MyChoice Advantage Plans

Page 8: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

8

GlossaryCoinsurance — The dollar amount or percentage you pay for your covered health care services. For

example, if you have an “80/20” plan, your health plan would pay 80 percent of the bill and you would

pay 20 percent. The 20 percent you pay is your coinsurance.

Coinsurance Maximum — The total amount you pay out-of-pocket per benefit period including

copayments and deductibles.

Copayment — A set dollar amount you pay each time you receive a health care service. For example:

your health plan may have a $20 copayment for a doctor’s office visit. You will pay this amount each time

you go to the doctor.

Deductible — The amount you must pay for covered services before your health plan starts to pay.

Example: Your plan has a $500 deductible. You must pay the first $500 of allowable charges for covered

services before your plan starts to pay benefits. Your health plan may pay some benefits before you meet

your deductible. For example, your plan may pay some preventive services at 100 percent even if you

have not met your deductible.

Out-of-Pocket Costs — Your costs for health care that your health plan doesn’t pay for. Depending on

your plan, this may include your deductible, coinsurance and copayments for covered services.

Referral — When your doctor sends you to a specialist or health care facility to get certain health care

services. Some health plans require you to get this from your primary care physician.

MyChoice Advantage

Plans

Page 9: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

9

Plans

Benefit Gold 1000 (In Network Only)

Deductible $1,000

Coinsurance Maximum $6,350

Primary Care Physician Services $30 copayment per visit

Mandated Preventive Services $0 copayment per visit

Specialist Visit $60 copayment per visit

Inpatient Hospital Services Deductible, then 10%

Outpatient Hospital Services Deductible, then 10%

Urgent Care $50 copayment per visit

Emergency Room Deductible, then 10%

Ambulance Deductible, then 10%

Mental Health and Substance Abuse (office services only)

Deductible, then 10%

Gynecologist Exam (One per benefit year)

$0

Routine Screening Mammogram $0

Routine Screening Colonoscopy $0

Prescription Drugs$20 Tier 1/$40 Tier 2/Deductible, then 10% for Non-Generic/$0 copayment

for mandated preventive care medication/Mail-order drugs covered at 2 times retail

Specialty Pharmaceuticals Deductible, then 10% for Preferred and Non-Preferred

Pediatric Vision Care

$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.

In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)

Pediatric Dental Services (BlueCross® BlueShield® of South Carolina Network)

$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)

$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,

anesthesia, restorations, periodontics and endodontics)

$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]

Durable Medical Equipment Deductible, then 10%

Physical Therapy, Speech Therapy, Occupational Therapy

and Habilitation

Deductible, then 10%

30 Combined visits per benefit year

Home Health 60 visits per benefit year

Skilled Nursing Facility 60 days per benefit year

Hospice 6 months per episode

TransplantsServices must be provided at a BlueChoice HealthPlan participating

facility and covered transplants will be treated the same as any other medical condition.

Annual Benefit Maximum Unlimited

Lifetime Benefit Maximum Unlimited

Page 10: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

10

Plans

Benefit Silver 400 (In Network Only)

Deductible $400

Coinsurance Maximum $6,350

Primary Care Physician Services Deductible, then 50%

Mandated Preventive Services $0 copayment per visit

Specialist Visit Deductible, then 50%

Inpatient Hospital Services Deductible, then 50%

Outpatient Hospital Services Deductible, then 50%

Urgent Care Deductible, then 50%

Emergency Room Deductible, then 50%

Ambulance Deductible, then 50%

Mental Health and Substance Abuse (office services only)

Deductible, then 50%

Gynecologist Exam (One per benefit year)

$0

Routine Screening Mammogram $0

Routine Screening Colonoscopy $0

Prescription DrugsDeductible, then 50%/$0 copayment for mandated preventive care

medication/Mail-order drugs covered at 2 times retail

Specialty Pharmaceuticals Deductible, then 50% for Preferred and Non-Preferred

Pediatric Vision Care

$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.

In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)

Pediatric Dental Services (BlueCross Network)

$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)

$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,

anesthesia, restorations, periodontics and endodontics)

$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]

Durable Medical Equipment Deductible, then 50%

Physical Therapy, Speech Therapy, Occupational Therapy

and Habilitation

Deductible, then 50%

30 Combined visits per benefit year

Home Health 60 visits per benefit year

Skilled Nursing Facility 60 days per benefit year

Hospice 6 months per episode

TransplantsServices must be provided at a BlueChoice HealthPlan participating

facility and covered transplants will be treated the same as any other medical condition.

Annual Benefit Maximum Unlimited

Lifetime Benefit Maximum Unlimited

Page 11: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

11

Plans

Benefit Silver 2501 (In Network Only)

Deductible $2,500

Coinsurance Maximum $5,650

Primary Care Physician Services Deductible, then 15%

Mandated Preventive Services $0 copayment per visit

Specialist Visit Deductible, then 15%

Inpatient Hospital Services Deductible, then 15%

Outpatient Hospital Services Deductible, then 15%

Urgent Care Deductible, then 15%

Emergency Room Deductible, then 15%

Ambulance Deductible, then 15%

Mental Health and Substance Abuse (office services only)

Deductible, then 15%

Gynecologist Exam (One per benefit year)

$0

Routine Screening Mammogram $0

Routine Screening Colonoscopy $0

Prescription DrugsDeductible, then 15%/$0 copayment for mandated preventive care

medication/Mail-order drugs covered at 2 times retail

Specialty Pharmaceuticals Deductible, then 15% for Preferred and Non-Preferred

Pediatric Vision Care

$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.

In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)

Pediatric Dental Services (BlueCross Network)

$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)

$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,

anesthesia, restorations, periodontics and endodontics)

$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]

Durable Medical Equipment Deductible, then 15%

Physical Therapy, Speech Therapy, Occupational Therapy

and Habilitation

Deductible, then 15%

30 Combined visits per benefit year

Home Health 60 visits per benefit year

Skilled Nursing Facility 60 days per benefit year

Hospice 6 months per episode

TransplantsServices must be provided at a BlueChoice HealthPlan participating

facility and covered transplants will be treated the same as any other medical condition.

Annual Benefit Maximum Unlimited

Lifetime Benefit Maximum Unlimited

Page 12: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

12

Plans

Benefit Silver 2502 (In Network Only)

Deductible $2,500

Coinsurance Maximum $6,350

Primary Care Physician Services $25 copayment per visit

Mandated Preventive Services $0 copayment per visit

Specialist Visit $50 copayment per visit

Inpatient Hospital Services $250 copayment per admission then deductible, then 30%

Outpatient Hospital Services Deductible, then 30%

Urgent Care $50 copayment per visit

Emergency Room $250 copayment per admission then deductible, then 30%

Ambulance $250 copayment per admission then deductible, then 30%

Mental Health and Substance Abuse (office services only)

$25 copayment per visit

Gynecologist Exam (One per benefit year)

$0

Routine Screening Mammogram $0

Routine Screening Colonoscopy $0

Prescription Drugs$10 Generic/Deductible, then 30% for non-generic/$0 copayment

for mandated preventive care medication/Mail-order drugs covered at 2 times retail

Specialty Pharmaceuticals Deductible, then 30% for Preferred and Non-Preferred

Pediatric Vision Care

$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.

In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)

Pediatric Dental Services (BlueCross BlueShield Network)

$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)

$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,

anesthesia, restorations, periodontics and endodontics)

$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]

Durable Medical Equipment $250 copayment then deductible, then 30%

Physical Therapy, Speech Therapy, Occupational Therapy

and Habilitation

$250 copayment then deductible, then 30%

30 Combined visits per benefit year

Home Health 60 visits per benefit year

Skilled Nursing Facility 60 days per benefit year

Hospice 6 months per episode

TransplantsServices must be provided at a BlueChoice HealthPlan participating

facility and covered transplants will be treated the same as any other medical condition.

Annual Benefit Maximum Unlimited

Lifetime Benefit Maximum Unlimited

Page 13: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

13

Plans

Benefit Silver 1750 (In Network Only)

Deductible $1,750

Coinsurance Maximum $6,350

Primary Care Physician Services $50 copayment per visit

Mandated Preventive Services $0 copayment per visit

Specialist Visit $100 copayment per visit

Inpatient Hospital Services $250 copayment per admission then deductible, then 30%

Outpatient Hospital Services Deductible, then 30%

Urgent Care $50 copayment per visit

Emergency Room $250 copayment per admission then deductible, then 30%

Ambulance $250 copayment per admission then deductible, then 30%

Mental Health and Substance Abuse (office services only)

$50 copayment per visit

Gynecologist Exam (One per benefit year)

$0

Routine Screening Mammogram $0

Routine Screening Colonoscopy $0

Prescription Drugs$10 Generic/Deductible, then 30% for non-generic/$0 copayment

for mandated preventive care medication/Mail-order drugs covered at 2 times retail

Specialty Pharmaceuticals Deductible, then 30% for Preferred and Non-Preferred

Pediatric Vision Care

$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.

In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)

Pediatric Dental Services (BlueCross Network)

$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)

$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,

anesthesia, restorations, periodontics and endodontics)

$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]

Durable Medical Equipment $250 copayment then deductible, then 30%

Physical Therapy, Speech Therapy, Occupational Therapy

and Habilitation

$250 copayment then deductible, then 30%

30 Combined visits per benefit year

Home Health 60 visits per benefit year

Skilled Nursing Facility 60 days per benefit year

Hospice 6 months per episode

TransplantsServices must be provided at a BlueChoice HealthPlan participating

facility and covered transplants will be treated the same as any other medical condition.

Annual Benefit Maximum Unlimited

Lifetime Benefit Maximum Unlimited

Page 14: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

14

Plans

Benefit Silver 1500 (In Network Only)

Deductible $1,500

Coinsurance Maximum $6,350

Primary Care Physician Services $15 copayment per visit

Mandated Preventive Services $0 copayment per visit

Specialist Visit Deductible, then 50%

Inpatient Hospital Services $250 copayment per admission then deductible, then 50%

Outpatient Hospital Services $250 copayment then deductible, then 50%

Urgent Care $50 copayment per visit

Emergency Room $250 copayment per admission then deductible, then 50%

Ambulance Deductible, then 50%

Mental Health and Substance Abuse (office services only)

$15 copayment per visit

Gynecologist Exam (One per benefit year)

$0

Routine Screening Mammogram $0

Routine Screening Colonoscopy $0

Prescription Drugs$15 Generic/Deductible, then 50% for non-generic/$0 copayment

for mandated preventive care medication/Mail-order drugs covered at 2 times retail

Specialty Pharmaceuticals Deductible, then 50% for Preferred and Non-Preferred

Pediatric Vision Care

$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.

In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)

Pediatric Dental Services (BlueCross Network)

$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)

$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,

anesthesia, restorations, periodontics and endodontics)

$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]

Durable Medical Equipment Deductible, then 50%

Physical Therapy, Speech Therapy, Occupational Therapy

and Habilitation

Deductible, then 50%

30 Combined visits per benefit year

Home Health 60 visits per benefit year

Skilled Nursing Facility 60 days per benefit year

Hospice 6 months per episode

TransplantsServices must be provided at a BlueChoice HealthPlan participating

facility and covered transplants will be treated the same as any other medical condition.

Annual Benefit Maximum Unlimited

Lifetime Benefit Maximum Unlimited

Page 15: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

15

Plans

Benefit Bronze 5001 (In Network Only)

Deductible $5,000

Coinsurance Maximum $6,350

Primary Care Physician Services Deductible, then 50%

Mandated Preventive Services $0 copayment per visit

Specialist Visit Deductible, then 50%

Inpatient Hospital Services Deductible, then 50%

Outpatient Hospital Services Deductible, then 50%

Urgent Care Deductible, then 50%

Emergency Room Deductible, then 50%

Ambulance Deductible, then 50%

Mental Health and Substance Abuse (office services only)

Deductible, then 50%

Gynecologist Exam (One per benefit year)

$0

Routine Screening Mammogram $0

Routine Screening Colonoscopy $0

Prescription DrugsDeductible, then 50%/$0 copayment for mandated preventive

care medication/Mail-order drugs covered at 2 times retail

Specialty Pharmaceuticals Deductible, then 50% for Preferred and Non-Preferred

Pediatric Vision Care

$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.

In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)

Pediatric Dental Services (BlueCross Network)

$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)

$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,

anesthesia, restorations, periodontics and endodontics)

$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]

Durable Medical Equipment Deductible, then 50%

Physical Therapy, Speech Therapy, Occupational Therapy

and Habilitation

Deductible, then 50%

30 Combined visits per benefit year

Home Health 60 visits per benefit year

Skilled Nursing Facility 60 days per benefit year

Hospice 6 months per episode

TransplantsServices must be provided at a BlueChoice HealthPlan participating

facility and covered transplants will be treated the same as any other medical condition.

Annual Benefit Maximum Unlimited

Lifetime Benefit Maximum Unlimited

Page 16: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

16

Plans

Benefit Bronze 5002 (In Network Only)

Deductible $5,000

Coinsurance Maximum $6,250

Primary Care Physician Services $50 copayment per visit

Mandated Preventive Services $0 copayment per visit

Specialist Visit $100 copayment per visit

Inpatient Hospital Services $1,000 copayment per admission then deductible, then 20%

Outpatient Hospital Services Deductible, then 20%

Urgent Care $50 copayment per visit

Emergency Room $1,000 copayment per admission then deductible, then 20%

Ambulance $1,000 copayment per admission then deductible, then 20%

Mental Health and Substance Abuse (office services only)

$50 copayment per visit

Gynecologist Exam (One per benefit year)

$0

Routine Screening Mammogram $0

Routine Screening Colonoscopy $0

Prescription Drugs$15 Generic/Deductible, then 20% for non-generic/$0 copayment

for mandated preventive care medication/Mail-order drugs covered at 2 times retail

Specialty Pharmaceuticals Deductible, then 20% for Preferred and Non-Preferred

Pediatric Vision Care

$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.

In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)

Pediatric Dental Services (BlueCross Network)

$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)

$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,

anesthesia, restorations, periodontics and endodontics)

$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]

Durable Medical Equipment $1,000 copayment then deductible, then 20%

Physical Therapy, Speech Therapy, Occupational Therapy

and Habilitation

$1,000 copayment then deductible, then 20%

30 Combined visits per benefit year

Home Health 60 visits per benefit year

Skilled Nursing Facility 60 days per benefit year

Hospice 6 months per episode

TransplantsServices must be provided at a BlueChoice HealthPlan participating

facility and covered transplants will be treated the same as any other medical condition.

Annual Benefit Maximum Unlimited

Lifetime Benefit Maximum Unlimited

Page 17: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

17

Plans

Benefit Bronze 6350 (In Network Only)

Deductible $6,350

Coinsurance Maximum $6,350

Primary Care Physician Services $50 copayment per visit

Mandated Preventive Services $0 copayment per visit

Specialist Visit $100 copayment per visit

Inpatient Hospital Services Deductible

Outpatient Hospital Services Deductible

Urgent Care $50 copayment per visit

Emergency Room Deductible

Ambulance Deductible

Mental Health and Substance Abuse (office services only)

Deductible

Gynecologist Exam (One per benefit year)

$0

Routine Screening Mammogram $0

Routine Screening Colonoscopy $0

Prescription DrugsDeductible/$0 copayment for mandated preventive

care medication/Mail-order drugs covered at 2 times retail

Specialty Pharmaceuticals Deductible for Preferred and Non-Preferred

Pediatric Vision Care

$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.

In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)

Pediatric Dental Services (BlueCross Network)

$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)

$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,

anesthesia, restorations, periodontics and endodontics)

$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]

Durable Medical Equipment Deductible

Physical Therapy, Speech Therapy, Occupational Therapy

and Habilitation

Deductible

30 Combined visits per benefit year

Home Health 60 visits per benefit year

Skilled Nursing Facility 60 days per benefit year

Hospice 6 months per episode

TransplantsServices must be provided at a BlueChoice HealthPlan participating

facility and covered transplants will be treated the same as any other medical condition.

Annual Benefit Maximum Unlimited

Lifetime Benefit Maximum Unlimited

Page 18: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

18

Plans

Benefit Catastrophic 6351 (In Network Only)

Deductible $6,350

Coinsurance Maximum $6,350

Primary Care Physician Services$25 copayment per visit for first 3 visits;

visits 4 and up; deductible

Mandated Preventive Services $0 copayment per visit

Specialist Visit Deductible

Inpatient Hospital Services Deductible

Outpatient Hospital Services Deductible

Urgent Care Deductible

Emergency Room Deductible

Ambulance Deductible

Mental Health and Substance Abuse (office services only)

Deductible

Gynecologist Exam (One per benefit year)

$0

Routine Screening Mammogram $0

Routine Screening Colonoscopy $0

Prescription DrugsDeductible/$0 copayment for mandated preventive care

medication/Mail-order drugs covered at 2 times retail

Specialty Pharmaceuticals Deductible for Preferred and Non-Preferred

Pediatric Vision Care

$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.

In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)

Pediatric Dental Services (BlueCross Network)

$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)

$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,

anesthesia, restorations, periodontics and endodontics)

$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]

Durable Medical Equipment Deductible

Physical Therapy, Speech Therapy, Occupational Therapy

and Habilitation

Deductible

30 Combined visits per benefit year

Home Health 60 visits per benefit year

Skilled Nursing Facility 60 days per benefit year

Hospice 6 months per episode

TransplantsServices must be provided at a BlueChoice HealthPlan participating

facility and covered transplants will be treated the same as any other medical condition.

Annual Benefit Maximum Unlimited

Lifetime Benefit Maximum Unlimited

Page 19: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

RatesCounty . . . . . . . . . . . . . . . . . . . . . . . . . . . . PageAbbeville . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Aiken . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21Allendale . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32Anderson . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38Bamberg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21Barnwell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29Beaufort . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25Berkeley . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21Calhoun . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28Charleston . . . . . . . . . . . . . . . . . . . . . . . . . . . 26Cherokee . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Chester . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Chesterfield . . . . . . . . . . . . . . . . . . . . . . . . . . 22Clarendon . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Colleton . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29Darlington . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Dillon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24Dorchester . . . . . . . . . . . . . . . . . . . . . . . . . . . 21Edgefield . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26Fairfield . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Florence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Georgetown . . . . . . . . . . . . . . . . . . . . . . . . . . 24Greenville . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Greenwood . . . . . . . . . . . . . . . . . . . . . . . . . . 33Hampton . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25Horry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31Jasper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30Kershaw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34Lancaster . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Laurens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Lee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Lexington . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28McCormick . . . . . . . . . . . . . . . . . . . . . . . . . . . 26Marion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24Marlboro . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Newberry . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Oconee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37Orangeburg . . . . . . . . . . . . . . . . . . . . . . . . . . 22Pickens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21Richland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36Saluda . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Spartanburg . . . . . . . . . . . . . . . . . . . . . . . . . . 20Sumter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39Union . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27Williamsburg . . . . . . . . . . . . . . . . . . . . . . . . . 35York . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Page 20: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

20

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Abbeville, Greenville, Laurens, Saluda & Spartanburg CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $174.40 $151.12 $145.56 $145.96 $149.35 $145.40 $128.75 $136.64 $125.14 $114.47

21 $274.65 $237.98 $229.24 $229.85 $235.19 $228.97 $202.75 $215.18 $197.08 $180.27

22 $274.65 $237.98 $229.24 $229.85 $235.19 $228.97 $202.75 $215.18 $197.08 $180.27

23 $274.65 $237.98 $229.24 $229.85 $235.19 $228.97 $202.75 $215.18 $197.08 $180.27

24 $274.65 $237.98 $229.24 $229.85 $235.19 $228.97 $202.75 $215.18 $197.08 $180.27

25 $275.74 $238.94 $230.15 $230.77 $236.13 $229.88 $203.56 $216.05 $197.87 $180.99

26 $281.24 $243.70 $234.74 $235.37 $240.84 $234.46 $207.61 $220.35 $201.81 $184.60

27 $287.83 $249.41 $240.24 $240.89 $246.48 $239.96 $212.48 $225.51 $206.54 $188.93

28 $298.54 $258.69 $249.18 $249.85 $255.65 $248.89 $220.39 $233.91 $214.22 $195.96

29 $307.33 $266.30 $256.51 $257.20 $263.18 $256.22 $226.88 $240.79 $220.53 $201.72

30 $311.72 $270.11 $260.18 $260.88 $266.94 $259.88 $230.12 $244.23 $223.68 $204.61

31 $318.31 $275.82 $265.68 $266.40 $272.59 $265.38 $234.99 $249.40 $228.41 $208.94

32 $324.91 $281.54 $271.19 $271.92 $278.23 $270.87 $239.85 $254.56 $233.14 $213.26

33 $329.02 $285.11 $274.62 $275.36 $281.76 $274.30 $242.89 $257.79 $236.10 $215.97

34 $333.42 $288.91 $278.29 $279.04 $285.52 $277.97 $246.14 $261.23 $239.25 $218.85

35 $335.62 $290.82 $280.13 $280.88 $287.40 $279.80 $247.76 $262.96 $240.83 $220.29

36 $337.81 $292.72 $281.96 $282.72 $289.29 $281.63 $249.38 $264.68 $242.41 $221.73

37 $340.01 $294.62 $283.79 $284.56 $291.17 $283.46 $251.00 $266.40 $243.98 $223.18

38 $342.21 $296.53 $285.63 $286.40 $293.05 $285.30 $252.63 $268.12 $245.56 $224.62

39 $346.60 $300.34 $289.29 $290.07 $296.81 $288.96 $255.87 $271.56 $248.71 $227.50

40 $351.00 $304.14 $292.96 $293.75 $300.57 $292.62 $259.11 $275.01 $251.87 $230.39

41 $357.59 $309.86 $298.46 $299.27 $306.22 $298.12 $263.98 $280.17 $256.59 $234.71

42 $363.90 $315.33 $303.74 $304.55 $311.63 $303.38 $268.64 $285.12 $261.13 $238.86

43 $372.69 $322.94 $311.07 $311.91 $319.15 $310.71 $275.13 $292.01 $267.43 $244.63

44 $383.68 $332.46 $320.24 $321.10 $328.56 $319.87 $283.24 $300.61 $275.32 $251.84

45 $396.59 $343.65 $331.02 $331.91 $339.62 $330.63 $292.77 $310.73 $284.58 $260.31

46 $411.97 $356.98 $343.85 $344.78 $352.79 $343.45 $304.12 $322.78 $295.62 $270.41

47 $429.27 $371.97 $358.29 $359.26 $367.60 $357.88 $316.90 $336.33 $308.03 $281.77

48 $449.04 $389.10 $374.80 $375.81 $384.54 $374.36 $331.49 $351.83 $322.22 $294.74

49 $468.54 $406.00 $391.07 $392.13 $401.24 $390.62 $345.89 $367.10 $336.21 $307.54

50 $490.52 $425.04 $409.41 $410.52 $420.05 $408.94 $362.11 $384.32 $351.98 $321.97

51 $512.21 $443.84 $427.52 $428.67 $438.63 $427.03 $378.13 $401.32 $367.55 $336.21

52 $536.11 $464.55 $447.47 $448.67 $459.09 $446.95 $395.77 $420.04 $384.70 $351.89

53 $560.28 $485.49 $467.64 $468.90 $479.79 $467.10 $413.61 $438.98 $402.04 $367.75

54 $586.37 $508.10 $489.42 $490.74 $502.13 $488.85 $432.87 $459.42 $420.76 $384.88

55 $612.46 $530.71 $511.19 $512.57 $524.48 $510.60 $452.13 $479.86 $439.48 $402.01

56 $640.75 $555.22 $534.81 $536.25 $548.70 $534.18 $473.01 $502.03 $459.78 $420.57

57 $669.31 $579.97 $558.65 $560.15 $573.16 $558.00 $494.10 $524.40 $480.28 $439.32

58 $699.80 $606.38 $584.09 $585.66 $599.27 $583.41 $516.60 $548.29 $502.15 $459.33

59 $714.90 $619.47 $596.70 $598.31 $612.20 $596.01 $527.76 $560.13 $512.99 $469.25

60 $745.39 $645.89 $622.14 $623.82 $638.31 $621.42 $550.26 $584.01 $534.87 $489.26

61 $771.75 $668.74 $644.15 $645.89 $660.89 $643.40 $569.72 $604.67 $553.79 $506.56

62 $789.06 $683.73 $658.59 $660.37 $675.71 $657.83 $582.50 $618.23 $566.20 $517.92

63 $810.75 $702.53 $676.70 $678.52 $694.29 $675.92 $598.52 $635.22 $581.77 $532.16

64 $823.93 $713.94 $687.70 $689.55 $705.56 $686.90 $608.24 $645.54 $591.22 $540.81

65+ $823.93 $713.94 $687.70 $689.55 $705.56 $686.90 $608.24 $645.54 $591.22 $540.81

Page 21: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

21

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Aiken, Bamberg, Berkeley, Dorchester and Pickens CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $193.68 $167.82 $161.65 $162.09 $165.85 $161.47 $142.98 $151.74 $138.98 $127.12

21 $305.00 $264.29 $254.57 $255.26 $261.19 $254.28 $225.16 $238.97 $218.86 $200.20

22 $305.00 $264.29 $254.57 $255.26 $261.19 $254.28 $225.16 $238.97 $218.86 $200.20

23 $305.00 $264.29 $254.57 $255.26 $261.19 $254.28 $225.16 $238.97 $218.86 $200.20

24 $305.00 $264.29 $254.57 $255.26 $261.19 $254.28 $225.16 $238.97 $218.86 $200.20

25 $306.22 $265.35 $255.59 $256.28 $262.23 $255.29 $226.06 $239.92 $219.74 $201.00

26 $312.32 $270.63 $260.68 $261.38 $267.45 $260.38 $230.56 $244.70 $224.11 $205.00

27 $319.64 $276.97 $266.79 $267.51 $273.72 $266.48 $235.97 $250.44 $229.37 $209.81

28 $331.54 $287.28 $276.72 $277.46 $283.91 $276.40 $244.75 $259.76 $237.90 $217.61

29 $341.30 $295.74 $284.87 $285.63 $292.27 $284.53 $251.95 $267.41 $244.90 $224.02

30 $346.18 $299.97 $288.94 $289.72 $296.45 $288.60 $255.55 $271.23 $248.41 $227.22

31 $353.50 $306.31 $295.05 $295.84 $302.71 $294.71 $260.96 $276.96 $253.66 $232.03

32 $360.82 $312.65 $301.16 $301.97 $308.98 $300.81 $266.36 $282.70 $258.91 $236.83

33 $365.39 $316.62 $304.98 $305.80 $312.90 $304.62 $269.74 $286.28 $262.19 $239.84

34 $370.27 $320.85 $309.05 $309.88 $317.08 $308.69 $273.34 $290.11 $265.70 $243.04

35 $372.71 $322.96 $311.09 $311.92 $319.17 $310.73 $275.14 $292.02 $267.45 $244.64

36 $375.15 $325.07 $313.12 $313.97 $321.26 $312.76 $276.94 $293.93 $269.20 $246.24

37 $377.59 $327.19 $315.16 $316.01 $323.35 $314.79 $278.75 $295.84 $270.95 $247.84

38 $380.03 $329.30 $317.20 $318.05 $325.44 $316.83 $280.55 $297.75 $272.70 $249.45

39 $384.91 $333.53 $321.27 $322.13 $329.62 $320.90 $284.15 $301.58 $276.20 $252.65

40 $389.79 $337.76 $325.34 $326.22 $333.80 $324.96 $287.75 $305.40 $279.70 $255.85

41 $397.11 $344.10 $331.45 $332.34 $340.06 $331.07 $293.16 $311.14 $284.96 $260.66

42 $404.13 $350.18 $337.31 $338.22 $346.07 $336.92 $298.33 $316.63 $289.99 $265.26

43 $413.89 $358.64 $345.45 $346.38 $354.43 $345.05 $305.54 $324.28 $296.99 $271.67

44 $426.09 $369.21 $355.64 $356.59 $364.88 $355.22 $314.55 $333.84 $305.75 $279.67

45 $440.42 $381.63 $367.60 $368.59 $377.15 $367.17 $325.13 $345.07 $316.03 $289.08

46 $457.50 $396.43 $381.86 $382.89 $391.78 $381.41 $337.74 $358.45 $328.29 $300.30

47 $476.72 $413.08 $397.90 $398.97 $408.23 $397.43 $351.92 $373.51 $342.08 $312.91

48 $498.68 $432.11 $416.22 $417.35 $427.04 $415.74 $368.13 $390.71 $357.84 $327.32

49 $520.33 $450.88 $434.30 $435.47 $445.58 $433.80 $384.12 $407.68 $373.37 $341.54

50 $544.73 $472.02 $454.66 $455.89 $466.48 $454.14 $402.13 $426.80 $390.88 $357.55

51 $568.83 $492.90 $474.78 $476.05 $487.11 $474.22 $419.92 $445.68 $408.17 $373.37

52 $595.36 $515.89 $496.92 $498.26 $509.84 $496.35 $439.51 $466.47 $427.21 $390.78

53 $622.20 $539.15 $519.33 $520.72 $532.82 $518.72 $459.32 $487.49 $446.47 $408.40

54 $651.18 $564.25 $543.51 $544.97 $557.63 $542.88 $480.71 $510.20 $467.27 $427.42

55 $680.15 $589.36 $567.69 $569.22 $582.45 $567.04 $502.10 $532.90 $488.06 $446.44

56 $711.57 $616.58 $593.92 $595.52 $609.35 $593.23 $525.29 $557.51 $510.60 $467.06

57 $743.29 $644.07 $620.39 $622.06 $636.51 $619.67 $548.71 $582.37 $533.36 $487.88

58 $777.14 $673.41 $648.65 $650.40 $665.50 $647.90 $573.70 $608.89 $557.65 $510.10

59 $793.92 $687.94 $662.65 $664.43 $679.87 $661.88 $586.09 $622.03 $569.69 $521.11

60 $827.77 $717.28 $690.91 $692.77 $708.86 $690.11 $611.08 $648.56 $593.99 $543.33

61 $857.05 $742.65 $715.35 $717.27 $733.93 $714.52 $632.69 $671.50 $615.00 $562.55

62 $876.27 $759.30 $731.38 $733.35 $750.39 $730.54 $646.88 $686.56 $628.78 $575.17

63 $900.36 $780.18 $751.50 $753.52 $771.02 $750.62 $664.67 $705.43 $646.07 $590.98

64 $914.99 $792.85 $763.70 $765.76 $783.55 $762.82 $675.46 $716.89 $656.57 $600.58

65+ $914.99 $792.85 $763.70 $765.76 $783.55 $762.82 $675.46 $716.89 $656.57 $600.58

Page 22: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

22

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Cherokee, Chester, Chesterfield, Clarendon, Fairfield, Lancaster, Newberry & Orangeburg CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $182.66 $158.28 $152.46 $152.87 $156.42 $152.28 $134.84 $143.11 $131.07 $119.90

21 $287.65 $249.26 $240.09 $240.74 $246.33 $239.81 $212.35 $225.38 $206.41 $188.81

22 $287.65 $249.26 $240.09 $240.74 $246.33 $239.81 $212.35 $225.38 $206.41 $188.81

23 $287.65 $249.26 $240.09 $240.74 $246.33 $239.81 $212.35 $225.38 $206.41 $188.81

24 $287.65 $249.26 $240.09 $240.74 $246.33 $239.81 $212.35 $225.38 $206.41 $188.81

25 $288.81 $250.25 $241.05 $241.70 $247.32 $240.77 $213.20 $226.28 $207.24 $189.57

26 $294.56 $255.24 $245.86 $246.52 $252.24 $245.57 $217.45 $230.79 $211.37 $193.34

27 $301.46 $261.22 $251.62 $252.30 $258.16 $251.33 $222.55 $236.20 $216.32 $197.87

28 $312.68 $270.94 $260.98 $261.68 $267.76 $260.68 $230.83 $244.99 $224.37 $205.24

29 $321.89 $278.92 $268.66 $269.39 $275.65 $268.35 $237.62 $252.20 $230.98 $211.28

30 $326.49 $282.91 $272.51 $273.24 $279.59 $272.19 $241.02 $255.80 $234.28 $214.30

31 $333.39 $288.89 $278.27 $279.02 $285.50 $277.95 $246.12 $261.21 $239.23 $218.83

32 $340.30 $294.87 $284.03 $284.80 $291.41 $283.70 $251.21 $266.62 $244.19 $223.36

33 $344.61 $298.61 $287.63 $288.41 $295.11 $287.30 $254.40 $270.00 $247.28 $226.20

34 $349.21 $302.60 $291.47 $292.26 $299.05 $291.14 $257.80 $273.61 $250.59 $229.22

35 $351.51 $304.59 $293.39 $294.18 $301.02 $293.05 $259.50 $275.41 $252.24 $230.73

36 $353.82 $306.59 $295.32 $296.11 $302.99 $294.97 $261.19 $277.21 $253.89 $232.24

37 $356.12 $308.58 $297.24 $298.04 $304.96 $296.89 $262.89 $279.02 $255.54 $233.75

38 $358.42 $310.57 $299.16 $299.96 $306.93 $298.81 $264.59 $280.82 $257.19 $235.26

39 $363.02 $314.56 $303.00 $303.81 $310.87 $302.65 $267.99 $284.43 $260.49 $238.28

40 $367.62 $318.55 $306.84 $307.67 $314.81 $306.48 $271.39 $288.03 $263.80 $241.30

41 $374.53 $324.53 $312.60 $313.44 $320.72 $312.24 $276.48 $293.44 $268.75 $245.83

42 $381.14 $330.27 $318.12 $318.98 $326.39 $317.75 $281.37 $298.63 $273.50 $250.17

43 $390.35 $338.24 $325.81 $326.68 $334.27 $325.43 $288.16 $305.84 $280.10 $256.22

44 $401.85 $348.21 $335.41 $336.31 $344.13 $335.02 $296.66 $314.85 $288.36 $263.77

45 $415.37 $359.93 $346.70 $347.63 $355.70 $346.29 $306.64 $325.45 $298.06 $272.64

46 $431.48 $373.89 $360.14 $361.11 $369.50 $359.72 $318.53 $338.07 $309.62 $283.22

47 $449.60 $389.59 $375.27 $376.28 $385.02 $374.83 $331.91 $352.26 $322.62 $295.11

48 $470.32 $407.54 $392.55 $393.61 $402.75 $392.10 $347.20 $368.49 $337.48 $308.71

49 $490.74 $425.23 $409.60 $410.70 $420.24 $409.12 $362.27 $384.49 $352.14 $322.11

50 $513.75 $445.17 $428.81 $429.96 $439.95 $428.31 $379.26 $402.52 $368.65 $337.22

51 $536.48 $464.87 $447.77 $448.98 $459.41 $447.25 $396.04 $420.33 $384.96 $352.13

52 $561.50 $486.55 $468.66 $469.92 $480.84 $468.12 $414.51 $439.94 $402.92 $368.56

53 $586.82 $508.49 $489.79 $491.11 $502.52 $489.22 $433.20 $459.77 $421.08 $385.17

54 $614.14 $532.16 $512.60 $513.98 $525.92 $512.00 $453.37 $481.18 $440.69 $403.11

55 $641.47 $555.84 $535.41 $536.85 $549.32 $534.79 $473.55 $502.59 $460.30 $421.05

56 $671.10 $581.52 $560.14 $561.65 $574.69 $559.49 $495.42 $525.81 $481.56 $440.50

57 $701.01 $607.44 $585.11 $586.68 $600.31 $584.43 $517.50 $549.24 $503.03 $460.13

58 $732.94 $635.11 $611.76 $613.41 $627.65 $611.05 $541.08 $574.26 $525.94 $481.09

59 $748.76 $648.82 $624.96 $626.65 $641.20 $624.24 $552.75 $586.66 $537.29 $491.48

60 $780.69 $676.48 $651.61 $653.37 $668.55 $650.86 $576.33 $611.67 $560.20 $512.43

61 $808.31 $700.41 $674.66 $676.48 $692.19 $673.88 $596.71 $633.31 $580.02 $530.56

62 $826.43 $716.12 $689.79 $691.65 $707.71 $688.99 $610.09 $647.51 $593.02 $542.45

63 $849.16 $735.81 $708.76 $710.67 $727.17 $707.93 $626.87 $665.31 $609.33 $557.37

64 $862.95 $747.76 $720.27 $722.21 $738.99 $719.43 $637.05 $676.12 $619.23 $566.42

65+ $862.95 $747.76 $720.27 $722.21 $738.99 $719.43 $637.05 $676.12 $619.23 $566.42

Page 23: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

23

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Darlington, Florence, Lee, & Marlboro CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $183.12 $158.68 $152.84 $153.25 $156.81 $152.67 $135.18 $143.47 $131.40 $120.20

21 $288.38 $249.88 $240.70 $241.35 $246.95 $240.42 $212.89 $225.94 $206.93 $189.29

22 $288.38 $249.88 $240.70 $241.35 $246.95 $240.42 $212.89 $225.94 $206.93 $189.29

23 $288.38 $249.88 $240.70 $241.35 $246.95 $240.42 $212.89 $225.94 $206.93 $189.29

24 $288.38 $249.88 $240.70 $241.35 $246.95 $240.42 $212.89 $225.94 $206.93 $189.29

25 $289.53 $250.88 $241.66 $242.31 $247.94 $241.38 $213.74 $226.85 $207.76 $190.04

26 $295.30 $255.88 $246.47 $247.14 $252.88 $246.19 $218.00 $231.37 $211.90 $193.83

27 $302.22 $261.88 $252.25 $252.93 $258.80 $251.96 $223.10 $236.79 $216.86 $198.37

28 $313.47 $271.62 $261.64 $262.34 $268.44 $261.33 $231.41 $245.60 $224.93 $205.75

29 $322.69 $279.62 $269.34 $270.07 $276.34 $269.03 $238.22 $252.83 $231.56 $211.81

30 $327.31 $283.62 $273.19 $273.93 $280.29 $272.87 $241.63 $256.45 $234.87 $214.84

31 $334.23 $289.62 $278.97 $279.72 $286.22 $278.64 $246.74 $261.87 $239.83 $219.38

32 $341.15 $295.61 $284.74 $285.51 $292.14 $284.41 $251.84 $267.29 $244.80 $223.92

33 $345.48 $299.36 $288.35 $289.13 $295.85 $288.02 $255.04 $270.68 $247.90 $226.76

34 $350.09 $303.36 $292.21 $292.99 $299.80 $291.87 $258.44 $274.30 $251.21 $229.79

35 $352.40 $305.36 $294.13 $294.92 $301.77 $293.79 $260.15 $276.10 $252.87 $231.31

36 $354.70 $307.36 $296.06 $296.85 $303.75 $295.71 $261.85 $277.91 $254.53 $232.82

37 $357.01 $309.36 $297.98 $298.79 $305.73 $297.64 $263.55 $279.72 $256.18 $234.34

38 $359.32 $311.36 $299.91 $300.72 $307.70 $299.56 $265.26 $281.53 $257.84 $235.85

39 $363.93 $315.35 $303.76 $304.58 $311.65 $303.41 $268.66 $285.14 $261.15 $238.88

40 $368.55 $319.35 $307.61 $308.44 $315.60 $307.25 $272.07 $288.76 $264.46 $241.91

41 $375.47 $325.35 $313.39 $314.23 $321.53 $313.02 $277.18 $294.18 $269.42 $246.45

42 $382.10 $331.10 $318.92 $319.78 $327.21 $318.55 $282.07 $299.38 $274.18 $250.80

43 $391.33 $339.09 $326.63 $327.51 $335.11 $326.25 $288.89 $306.61 $280.81 $256.86

44 $402.86 $349.09 $336.25 $337.16 $344.99 $335.86 $297.40 $315.64 $289.08 $264.43

45 $416.42 $360.83 $347.57 $348.50 $356.60 $347.16 $307.41 $326.26 $298.81 $273.33

46 $432.57 $374.83 $361.05 $362.02 $370.43 $360.63 $319.33 $338.92 $310.40 $283.93

47 $450.73 $390.57 $376.21 $377.22 $385.98 $375.77 $332.74 $353.15 $323.43 $295.85

48 $471.50 $408.56 $393.54 $394.60 $403.77 $393.08 $348.07 $369.42 $338.33 $309.48

49 $491.97 $426.30 $410.63 $411.73 $421.30 $410.15 $363.18 $385.46 $353.02 $322.92

50 $515.04 $446.29 $429.88 $431.04 $441.05 $429.39 $380.22 $403.54 $369.58 $338.06

51 $537.82 $466.03 $448.90 $450.11 $460.56 $448.38 $397.03 $421.39 $385.93 $353.02

52 $562.91 $487.77 $469.84 $471.11 $482.05 $469.29 $415.55 $441.04 $403.93 $369.49

53 $588.29 $509.76 $491.02 $492.34 $503.78 $490.45 $434.29 $460.93 $422.14 $386.14

54 $615.69 $533.50 $513.89 $515.27 $527.24 $513.29 $454.51 $482.39 $441.80 $404.12

55 $643.08 $557.24 $536.75 $538.20 $550.70 $536.13 $474.74 $503.85 $461.46 $422.11

56 $672.78 $582.98 $561.55 $563.06 $576.14 $560.89 $496.66 $527.13 $482.77 $441.60

57 $702.78 $608.97 $586.58 $588.16 $601.82 $585.90 $518.80 $550.62 $504.29 $461.29

58 $734.79 $636.70 $613.30 $614.95 $629.23 $612.58 $542.43 $575.70 $527.26 $482.30

59 $750.65 $650.45 $626.53 $628.22 $642.81 $625.81 $554.14 $588.13 $538.64 $492.71

60 $782.66 $678.18 $653.25 $655.01 $670.23 $652.49 $577.77 $613.21 $561.61 $513.72

61 $810.34 $702.17 $676.36 $678.18 $693.93 $675.57 $598.21 $634.90 $581.48 $531.89

62 $828.51 $717.92 $691.52 $693.38 $709.49 $690.72 $611.62 $649.14 $594.51 $543.82

63 $851.29 $737.66 $710.54 $712.45 $729.00 $709.71 $628.44 $666.99 $610.86 $558.77

64 $865.12 $749.64 $722.08 $724.03 $740.84 $721.24 $638.65 $677.82 $620.78 $567.85

65+ $865.12 $749.64 $722.08 $724.03 $740.84 $721.24 $638.65 $677.82 $620.78 $567.85

Page 24: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

24

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Dillon, Georgetown & Marion CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $192.30 $166.63 $160.50 $160.94 $164.67 $160.32 $141.96 $150.67 $137.99 $126.22

21 $302.83 $262.41 $252.76 $253.44 $259.33 $252.47 $223.56 $237.27 $217.30 $198.77

22 $302.83 $262.41 $252.76 $253.44 $259.33 $252.47 $223.56 $237.27 $217.30 $198.77

23 $302.83 $262.41 $252.76 $253.44 $259.33 $252.47 $223.56 $237.27 $217.30 $198.77

24 $302.83 $262.41 $252.76 $253.44 $259.33 $252.47 $223.56 $237.27 $217.30 $198.77

25 $304.04 $263.46 $253.77 $254.46 $260.37 $253.48 $224.45 $238.22 $218.17 $199.57

26 $310.10 $268.71 $258.83 $259.53 $265.55 $258.53 $228.92 $242.96 $222.52 $203.54

27 $317.37 $275.00 $264.89 $265.61 $271.78 $264.59 $234.29 $248.66 $227.73 $208.31

28 $329.18 $285.24 $274.75 $275.49 $281.89 $274.43 $243.01 $257.91 $236.21 $216.07

29 $338.87 $293.64 $282.84 $283.60 $290.19 $282.51 $250.16 $265.50 $243.16 $222.43

30 $343.71 $297.83 $286.88 $287.66 $294.34 $286.55 $253.74 $269.30 $246.64 $225.61

31 $350.98 $304.13 $292.95 $293.74 $300.56 $292.61 $259.10 $275.00 $251.86 $230.38

32 $358.25 $310.43 $299.02 $299.82 $306.79 $298.67 $264.47 $280.69 $257.07 $235.15

33 $362.79 $314.37 $302.81 $303.62 $310.68 $302.46 $267.82 $284.25 $260.33 $238.13

34 $367.64 $318.56 $306.85 $307.68 $314.83 $306.50 $271.40 $288.04 $263.81 $241.31

35 $370.06 $320.66 $308.87 $309.71 $316.90 $308.52 $273.19 $289.94 $265.55 $242.90

36 $372.48 $322.76 $310.90 $311.73 $318.98 $310.54 $274.98 $291.84 $267.28 $244.49

37 $374.91 $324.86 $312.92 $313.76 $321.05 $312.56 $276.76 $293.74 $269.02 $246.08

38 $377.33 $326.96 $314.94 $315.79 $323.12 $314.58 $278.55 $295.64 $270.76 $247.67

39 $382.17 $331.16 $318.99 $319.84 $327.27 $318.62 $282.13 $299.43 $274.24 $250.85

40 $387.02 $335.36 $323.03 $323.90 $331.42 $322.65 $285.71 $303.23 $277.71 $254.03

41 $394.29 $341.66 $329.10 $329.98 $337.65 $328.71 $291.07 $308.92 $282.93 $258.80

42 $401.25 $347.69 $334.91 $335.81 $343.61 $334.52 $296.21 $314.38 $287.93 $263.38

43 $410.94 $356.09 $343.00 $343.92 $351.91 $342.60 $303.37 $321.97 $294.88 $269.74

44 $423.06 $366.59 $353.11 $354.06 $362.28 $352.70 $312.31 $331.47 $303.57 $277.69

45 $437.29 $378.92 $364.99 $365.97 $374.47 $364.56 $322.82 $342.62 $313.79 $287.03

46 $454.25 $393.61 $379.14 $380.16 $388.99 $378.70 $335.34 $355.90 $325.96 $298.16

47 $473.33 $410.15 $395.07 $396.13 $405.33 $394.61 $349.42 $370.85 $339.65 $310.68

48 $495.13 $429.04 $413.27 $414.38 $424.00 $412.79 $365.52 $387.94 $355.29 $324.99

49 $516.63 $447.67 $431.21 $432.37 $442.42 $430.71 $381.39 $404.78 $370.72 $339.11

50 $540.86 $468.66 $451.43 $452.65 $463.16 $450.91 $399.27 $423.76 $388.10 $355.01

51 $564.78 $489.39 $471.40 $472.67 $483.65 $470.85 $416.93 $442.51 $405.27 $370.71

52 $591.13 $512.22 $493.39 $494.72 $506.21 $492.82 $436.38 $463.15 $424.18 $388.01

53 $617.78 $535.31 $515.63 $517.02 $529.03 $515.04 $456.06 $484.03 $443.30 $405.50

54 $646.55 $560.24 $539.65 $541.10 $553.67 $539.02 $477.30 $506.57 $463.94 $424.38

55 $675.32 $585.17 $563.66 $565.18 $578.30 $563.00 $498.53 $529.11 $484.59 $443.27

56 $706.51 $612.20 $589.69 $591.28 $605.02 $589.01 $521.56 $553.55 $506.97 $463.74

57 $738.00 $639.49 $615.98 $617.64 $631.99 $615.27 $544.81 $578.23 $529.57 $484.41

58 $771.62 $668.62 $644.04 $645.77 $660.77 $643.29 $569.62 $604.56 $553.69 $506.48

59 $788.27 $683.05 $657.94 $659.71 $675.03 $657.18 $581.92 $617.61 $565.64 $517.41

60 $821.89 $712.18 $686.00 $687.84 $703.82 $685.20 $606.73 $643.95 $589.76 $539.47

61 $850.96 $737.37 $710.26 $712.17 $728.72 $709.44 $628.20 $666.73 $610.62 $558.55

62 $870.04 $753.90 $726.18 $728.14 $745.05 $725.34 $642.28 $681.67 $624.31 $571.08

63 $893.96 $774.63 $746.15 $748.16 $765.54 $745.29 $659.94 $700.42 $641.48 $586.78

64 $908.49 $787.22 $758.28 $760.32 $777.98 $757.40 $670.66 $711.80 $651.90 $596.31

65+ $908.49 $787.22 $758.28 $760.32 $777.98 $757.40 $670.66 $711.80 $651.90 $596.31

Page 25: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

25

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Beaufort & Hampton CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $173.94 $150.72 $145.18 $145.57 $148.95 $145.01 $128.41 $136.28 $124.81 $114.17

21 $273.92 $237.36 $228.63 $229.25 $234.57 $228.37 $202.22 $214.62 $196.56 $179.80

22 $273.92 $237.36 $228.63 $229.25 $234.57 $228.37 $202.22 $214.62 $196.56 $179.80

23 $273.92 $237.36 $228.63 $229.25 $234.57 $228.37 $202.22 $214.62 $196.56 $179.80

24 $273.92 $237.36 $228.63 $229.25 $234.57 $228.37 $202.22 $214.62 $196.56 $179.80

25 $275.02 $238.31 $229.55 $230.16 $235.51 $229.28 $203.02 $215.48 $197.35 $180.52

26 $280.50 $243.05 $234.12 $234.75 $240.20 $233.85 $207.07 $219.77 $201.28 $184.11

27 $287.07 $248.75 $239.61 $240.25 $245.83 $239.33 $211.92 $224.92 $205.99 $188.43

28 $297.75 $258.01 $248.52 $249.19 $254.98 $248.23 $219.81 $233.29 $213.66 $195.44

29 $306.52 $265.60 $255.84 $256.53 $262.49 $255.54 $226.28 $240.16 $219.95 $201.19

30 $310.90 $269.40 $259.50 $260.20 $266.24 $259.20 $229.51 $243.59 $223.09 $204.07

31 $317.48 $275.10 $264.98 $265.70 $271.87 $264.68 $234.37 $248.74 $227.81 $208.39

32 $324.05 $280.79 $270.47 $271.20 $277.50 $270.16 $239.22 $253.89 $232.53 $212.70

33 $328.16 $284.36 $273.90 $274.64 $281.02 $273.58 $242.25 $257.11 $235.48 $215.40

34 $332.54 $288.15 $277.56 $278.31 $284.77 $277.24 $245.49 $260.55 $238.62 $218.27

35 $334.73 $290.05 $279.39 $280.14 $286.65 $279.06 $247.11 $262.26 $240.19 $219.71

36 $336.92 $291.95 $281.22 $281.97 $288.52 $280.89 $248.73 $263.98 $241.77 $221.15

37 $339.12 $293.85 $283.05 $283.81 $290.40 $282.72 $250.34 $265.70 $243.34 $222.59

38 $341.31 $295.75 $284.88 $285.64 $292.28 $284.54 $251.96 $267.41 $244.91 $224.03

39 $345.69 $299.55 $288.53 $289.31 $296.03 $288.20 $255.20 $270.85 $248.06 $226.90

40 $350.07 $303.34 $292.19 $292.98 $299.78 $291.85 $258.43 $274.28 $251.20 $229.78

41 $356.65 $309.04 $297.68 $298.48 $305.41 $297.33 $263.28 $279.43 $255.92 $234.10

42 $362.95 $314.50 $302.94 $303.75 $310.81 $302.59 $267.94 $284.37 $260.44 $238.23

43 $371.71 $322.10 $310.25 $311.09 $318.31 $309.89 $274.41 $291.24 $266.73 $243.99

44 $382.67 $331.59 $319.40 $320.26 $327.70 $319.03 $282.49 $299.82 $274.59 $251.18

45 $395.54 $342.75 $330.14 $331.03 $338.72 $329.76 $292.00 $309.91 $283.83 $259.63

46 $410.88 $356.04 $342.95 $343.87 $351.86 $342.55 $303.32 $321.93 $294.84 $269.70

47 $428.14 $370.99 $357.35 $358.31 $366.64 $356.94 $316.06 $335.45 $307.22 $281.02

48 $447.86 $388.08 $373.81 $374.82 $383.53 $373.38 $330.62 $350.90 $321.37 $293.97

49 $467.31 $404.93 $390.05 $391.10 $400.18 $389.59 $344.98 $366.14 $335.33 $306.73

50 $489.23 $423.92 $408.34 $409.44 $418.95 $407.86 $361.16 $383.31 $351.05 $321.12

51 $510.86 $442.67 $426.40 $427.55 $437.48 $425.90 $377.13 $400.26 $366.58 $335.32

52 $534.70 $463.32 $446.29 $447.49 $457.89 $445.77 $394.72 $418.93 $383.68 $350.96

53 $558.80 $484.21 $466.41 $467.67 $478.53 $465.87 $412.52 $437.82 $400.98 $366.79

54 $584.82 $506.76 $488.13 $489.44 $500.81 $487.56 $431.73 $458.21 $419.65 $383.87

55 $610.85 $529.31 $509.85 $511.22 $523.10 $509.26 $450.94 $478.60 $438.33 $400.95

56 $639.06 $553.76 $533.40 $534.83 $547.26 $532.78 $471.77 $500.70 $458.57 $419.47

57 $667.55 $578.44 $557.18 $558.68 $571.65 $556.53 $492.80 $523.02 $479.01 $438.17

58 $697.95 $604.79 $582.55 $584.12 $597.69 $581.88 $515.24 $546.85 $500.83 $458.12

59 $713.02 $617.84 $595.13 $596.73 $610.59 $594.44 $526.37 $558.65 $511.64 $468.01

60 $743.42 $644.19 $620.51 $622.18 $636.63 $619.79 $548.81 $582.47 $533.46 $487.97

61 $769.72 $666.98 $642.46 $644.19 $659.15 $641.71 $568.23 $603.08 $552.33 $505.23

62 $786.98 $681.93 $656.86 $658.63 $673.93 $656.10 $580.96 $616.60 $564.71 $516.56

63 $808.62 $700.68 $674.92 $676.74 $692.46 $674.14 $596.94 $633.55 $580.24 $530.76

64 $821.76 $712.06 $685.89 $687.73 $703.71 $685.09 $606.64 $643.84 $589.67 $539.38

65+ $821.76 $712.06 $685.89 $687.73 $703.71 $685.09 $606.64 $643.84 $589.67 $539.38

Page 26: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

26

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Charleston, Edgefield & McCormick CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $184.04 $159.47 $153.61 $154.02 $157.60 $153.43 $135.86 $144.19 $132.06 $120.80

21 $289.82 $251.14 $241.90 $242.55 $248.19 $241.62 $213.95 $227.08 $207.97 $190.23

22 $289.82 $251.14 $241.90 $242.55 $248.19 $241.62 $213.95 $227.08 $207.97 $190.23

23 $289.82 $251.14 $241.90 $242.55 $248.19 $241.62 $213.95 $227.08 $207.97 $190.23

24 $289.82 $251.14 $241.90 $242.55 $248.19 $241.62 $213.95 $227.08 $207.97 $190.23

25 $290.98 $252.14 $242.87 $243.53 $249.18 $242.59 $214.81 $227.98 $208.80 $191.00

26 $296.78 $257.16 $247.71 $248.38 $254.15 $247.42 $219.09 $232.53 $212.96 $194.80

27 $303.73 $263.19 $253.51 $254.20 $260.10 $253.22 $224.22 $237.98 $217.95 $199.37

28 $315.04 $272.99 $262.95 $263.66 $269.78 $262.64 $232.57 $246.83 $226.06 $206.78

29 $324.31 $281.02 $270.69 $271.42 $277.72 $270.38 $239.41 $254.10 $232.72 $212.87

30 $328.95 $285.04 $274.56 $275.30 $281.69 $274.24 $242.84 $257.73 $236.04 $215.92

31 $335.90 $291.07 $280.37 $281.12 $287.65 $280.04 $247.97 $263.18 $241.04 $220.48

32 $342.86 $297.09 $286.17 $286.94 $293.61 $285.84 $253.11 $268.63 $246.03 $225.05

33 $347.21 $300.86 $289.80 $290.58 $297.33 $289.46 $256.32 $272.04 $249.15 $227.90

34 $351.84 $304.88 $293.67 $294.46 $301.30 $293.33 $259.74 $275.67 $252.47 $230.94

35 $354.16 $306.89 $295.61 $296.40 $303.29 $295.26 $261.45 $277.49 $254.14 $232.47

36 $356.48 $308.90 $297.54 $298.34 $305.27 $297.20 $263.16 $279.30 $255.80 $233.99

37 $358.80 $310.91 $299.48 $300.28 $307.26 $299.13 $264.87 $281.12 $257.47 $235.51

38 $361.12 $312.92 $301.41 $302.22 $309.24 $301.06 $266.59 $282.94 $259.13 $237.03

39 $365.76 $316.93 $305.28 $306.10 $313.21 $304.93 $270.01 $286.57 $262.46 $240.08

40 $370.39 $320.95 $309.15 $309.99 $317.19 $308.79 $273.43 $290.20 $265.78 $243.12

41 $377.35 $326.98 $314.96 $315.81 $323.14 $314.59 $278.57 $295.65 $270.78 $247.69

42 $384.02 $332.76 $320.52 $321.39 $328.85 $320.15 $283.49 $300.88 $275.56 $252.06

43 $393.29 $340.79 $328.26 $329.15 $336.79 $327.88 $290.33 $308.14 $282.21 $258.15

44 $404.88 $350.84 $337.94 $338.85 $346.72 $337.55 $298.89 $317.23 $290.53 $265.76

45 $418.50 $362.64 $349.31 $350.25 $358.38 $348.90 $308.95 $327.90 $300.31 $274.70

46 $434.73 $376.70 $362.85 $363.83 $372.28 $362.43 $320.93 $340.61 $311.95 $285.35

47 $452.99 $392.53 $378.09 $379.11 $387.92 $377.66 $334.41 $354.92 $325.05 $297.34

48 $473.86 $410.61 $395.51 $396.58 $405.79 $395.05 $349.81 $371.27 $340.03 $311.03

49 $494.44 $428.44 $412.69 $413.80 $423.41 $412.21 $365.00 $387.39 $354.79 $324.54

50 $517.62 $448.53 $432.04 $433.20 $443.27 $431.54 $382.12 $405.56 $371.43 $339.76

51 $540.52 $468.37 $451.15 $452.36 $462.87 $450.63 $399.02 $423.50 $387.86 $354.79

52 $565.73 $490.22 $472.20 $473.47 $484.46 $471.65 $417.64 $443.25 $405.95 $371.34

53 $591.24 $512.32 $493.48 $494.81 $506.31 $492.91 $436.47 $463.24 $424.26 $388.08

54 $618.77 $536.18 $516.46 $517.85 $529.88 $515.86 $456.79 $484.81 $444.01 $406.15

55 $646.30 $560.03 $539.44 $540.90 $553.46 $538.82 $477.12 $506.38 $463.77 $424.22

56 $676.16 $585.90 $564.36 $565.88 $579.02 $563.71 $499.15 $529.77 $485.19 $443.82

57 $706.30 $612.02 $589.52 $591.11 $604.84 $588.83 $521.40 $553.38 $506.82 $463.60

58 $738.47 $639.90 $616.37 $618.03 $632.39 $615.65 $545.15 $578.59 $529.90 $484.72

59 $754.41 $653.71 $629.67 $631.37 $646.04 $628.94 $556.92 $591.08 $541.34 $495.18

60 $786.58 $681.58 $656.53 $658.29 $673.58 $655.76 $580.67 $616.29 $564.43 $516.30

61 $814.40 $705.69 $679.75 $681.58 $697.41 $678.96 $601.21 $638.08 $584.39 $534.56

62 $832.66 $721.51 $694.99 $696.86 $713.05 $694.18 $614.69 $652.39 $597.49 $546.54

63 $855.56 $741.35 $714.10 $716.02 $732.65 $713.27 $631.59 $670.33 $613.92 $561.57

64 $869.46 $753.40 $725.70 $727.65 $744.56 $724.86 $641.85 $681.22 $623.90 $570.69

65+ $869.46 $753.40 $725.70 $727.65 $744.56 $724.86 $641.85 $681.22 $623.90 $570.69

Page 27: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

27

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Union & York CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $177.61 $153.90 $148.25 $148.65 $152.10 $148.07 $131.12 $139.16 $127.45 $116.58

21 $279.70 $242.37 $233.46 $234.09 $239.52 $233.19 $206.48 $219.15 $200.71 $183.59

22 $279.70 $242.37 $233.46 $234.09 $239.52 $233.19 $206.48 $219.15 $200.71 $183.59

23 $279.70 $242.37 $233.46 $234.09 $239.52 $233.19 $206.48 $219.15 $200.71 $183.59

24 $279.70 $242.37 $233.46 $234.09 $239.52 $233.19 $206.48 $219.15 $200.71 $183.59

25 $280.82 $243.34 $234.39 $235.02 $240.48 $234.12 $207.31 $220.03 $201.51 $184.33

26 $286.42 $248.19 $239.06 $239.70 $245.27 $238.78 $211.44 $224.41 $205.52 $188.00

27 $293.13 $254.00 $244.66 $245.32 $251.02 $244.38 $216.40 $229.67 $210.34 $192.41

28 $304.04 $263.45 $253.77 $254.45 $260.36 $253.47 $224.45 $238.21 $218.17 $199.57

29 $312.99 $271.21 $261.24 $261.94 $268.03 $260.94 $231.06 $245.23 $224.59 $205.44

30 $317.46 $275.09 $264.97 $265.69 $271.86 $264.67 $234.36 $248.73 $227.80 $208.38

31 $324.18 $280.91 $270.58 $271.31 $277.61 $270.26 $239.31 $253.99 $232.62 $212.78

32 $330.89 $286.72 $276.18 $276.92 $283.36 $275.86 $244.27 $259.25 $237.44 $217.19

33 $335.09 $290.36 $279.68 $280.44 $286.95 $279.36 $247.37 $262.54 $240.45 $219.94

34 $339.56 $294.24 $283.42 $284.18 $290.78 $283.09 $250.67 $266.05 $243.66 $222.88

35 $341.80 $296.17 $285.29 $286.05 $292.70 $284.95 $252.32 $267.80 $245.27 $224.35

36 $344.04 $298.11 $287.15 $287.93 $294.61 $286.82 $253.98 $269.55 $246.87 $225.82

37 $346.27 $300.05 $289.02 $289.80 $296.53 $288.69 $255.63 $271.31 $248.48 $227.29

38 $348.51 $301.99 $290.89 $291.67 $298.45 $290.55 $257.28 $273.06 $250.08 $228.76

39 $352.99 $305.87 $294.62 $295.42 $302.28 $294.28 $260.58 $276.57 $253.29 $231.69

40 $357.46 $309.75 $298.36 $299.16 $306.11 $298.01 $263.89 $280.07 $256.50 $234.63

41 $364.17 $315.56 $303.96 $304.78 $311.86 $303.61 $268.84 $285.33 $261.32 $239.04

42 $370.61 $321.14 $309.33 $310.16 $317.37 $308.97 $273.59 $290.37 $265.94 $243.26

43 $379.56 $328.89 $316.80 $317.66 $325.03 $316.43 $280.20 $297.38 $272.36 $249.14

44 $390.75 $338.59 $326.14 $327.02 $334.61 $325.76 $288.46 $306.15 $280.39 $256.48

45 $403.89 $349.98 $337.11 $338.02 $345.87 $336.72 $298.16 $316.45 $289.82 $265.11

46 $419.56 $363.55 $350.19 $351.13 $359.29 $349.78 $309.73 $328.72 $301.06 $275.39

47 $437.18 $378.82 $364.89 $365.88 $374.38 $364.47 $322.73 $342.53 $313.71 $286.96

48 $457.32 $396.27 $381.70 $382.73 $391.62 $381.26 $337.60 $358.31 $328.16 $300.17

49 $477.18 $413.48 $398.28 $399.35 $408.63 $397.82 $352.26 $373.87 $342.41 $313.21

50 $499.55 $432.87 $416.96 $418.08 $427.79 $416.47 $368.78 $391.40 $358.46 $327.90

51 $521.65 $452.02 $435.40 $436.57 $446.71 $434.89 $385.09 $408.71 $374.32 $342.40

52 $545.98 $473.10 $455.71 $456.94 $467.55 $455.18 $403.06 $427.78 $391.78 $358.37

53 $570.60 $494.43 $476.25 $477.54 $488.63 $475.70 $421.23 $447.06 $409.44 $374.53

54 $597.17 $517.46 $498.43 $499.77 $511.38 $497.85 $440.84 $467.88 $428.51 $391.97

55 $623.74 $540.48 $520.61 $522.01 $534.14 $520.01 $460.46 $488.70 $447.58 $409.41

56 $652.55 $565.45 $544.66 $546.12 $558.81 $544.02 $481.73 $511.27 $468.25 $428.32

57 $681.64 $590.65 $568.94 $570.47 $583.72 $568.28 $503.20 $534.06 $489.13 $447.42

58 $712.69 $617.55 $594.85 $596.45 $610.31 $594.16 $526.12 $558.39 $511.40 $467.79

59 $728.07 $630.89 $607.69 $609.33 $623.48 $606.99 $537.48 $570.44 $522.44 $477.89

60 $759.12 $657.79 $633.60 $635.31 $650.07 $632.87 $560.40 $594.77 $544.72 $498.27

61 $785.97 $681.06 $656.02 $657.78 $673.06 $655.26 $580.22 $615.81 $563.99 $515.90

62 $803.59 $696.32 $670.72 $672.53 $688.15 $669.95 $593.23 $629.61 $576.63 $527.46

63 $825.69 $715.47 $689.17 $691.02 $707.07 $688.37 $609.54 $646.93 $592.49 $541.97

64 $839.10 $727.10 $700.36 $702.25 $718.56 $699.55 $619.44 $657.44 $602.11 $550.77

65+ $839.10 $727.10 $700.36 $702.25 $718.56 $699.55 $619.44 $657.44 $602.11 $550.77

Page 28: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

28

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Calhoun & Lexington CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $187.71 $162.65 $156.67 $157.10 $160.74 $156.49 $138.57 $147.07 $134.69 $123.21

21 $295.60 $256.15 $246.73 $247.39 $253.14 $246.44 $218.22 $231.61 $212.12 $194.03

22 $295.60 $256.15 $246.73 $247.39 $253.14 $246.44 $218.22 $231.61 $212.12 $194.03

23 $295.60 $256.15 $246.73 $247.39 $253.14 $246.44 $218.22 $231.61 $212.12 $194.03

24 $295.60 $256.15 $246.73 $247.39 $253.14 $246.44 $218.22 $231.61 $212.12 $194.03

25 $296.79 $257.17 $247.72 $248.38 $254.15 $247.43 $219.09 $232.53 $212.97 $194.81

26 $302.70 $262.29 $252.65 $253.33 $259.22 $252.36 $223.46 $237.17 $217.21 $198.69

27 $309.79 $268.44 $258.57 $259.27 $265.29 $258.27 $228.70 $242.72 $222.30 $203.34

28 $321.32 $278.43 $268.19 $268.92 $275.16 $267.88 $237.21 $251.76 $230.57 $210.91

29 $330.78 $286.63 $276.09 $276.83 $283.26 $275.77 $244.19 $259.17 $237.36 $217.12

30 $335.51 $290.73 $280.04 $280.79 $287.31 $279.71 $247.68 $262.87 $240.75 $220.22

31 $342.61 $296.87 $285.96 $286.73 $293.39 $285.63 $252.92 $268.43 $245.84 $224.88

32 $349.70 $303.02 $291.88 $292.67 $299.47 $291.54 $258.16 $273.99 $250.94 $229.54

33 $354.13 $306.86 $295.58 $296.38 $303.26 $295.24 $261.43 $277.46 $254.12 $232.45

34 $358.86 $310.96 $299.53 $300.34 $307.31 $299.18 $264.92 $281.17 $257.51 $235.55

35 $361.23 $313.01 $301.50 $302.32 $309.34 $301.15 $266.67 $283.02 $259.21 $237.10

36 $363.59 $315.06 $303.48 $304.29 $311.36 $303.12 $268.41 $284.88 $260.90 $238.66

37 $365.96 $317.11 $305.45 $306.27 $313.39 $305.10 $270.16 $286.73 $262.60 $240.21

38 $368.32 $319.16 $307.42 $308.25 $315.41 $307.07 $271.90 $288.58 $264.30 $241.76

39 $373.05 $323.26 $311.37 $312.21 $319.46 $311.01 $275.40 $292.29 $267.69 $244.87

40 $377.78 $327.36 $315.32 $316.17 $323.51 $314.95 $278.89 $295.99 $271.09 $247.97

41 $384.88 $333.50 $321.24 $322.11 $329.59 $320.87 $284.12 $301.55 $276.18 $252.63

42 $391.68 $339.39 $326.92 $327.80 $335.41 $326.54 $289.14 $306.88 $281.06 $257.09

43 $401.14 $347.59 $334.81 $335.71 $343.51 $334.42 $296.13 $314.29 $287.84 $263.30

44 $412.96 $357.84 $344.68 $345.61 $353.64 $344.28 $304.86 $323.55 $296.33 $271.06

45 $426.85 $369.88 $356.28 $357.24 $365.53 $355.86 $315.11 $334.44 $306.30 $280.18

46 $443.41 $384.22 $370.09 $371.09 $379.71 $369.66 $327.33 $347.41 $318.18 $291.04

47 $462.03 $400.36 $385.64 $386.68 $395.66 $385.19 $341.08 $362.00 $331.54 $303.27

48 $483.31 $418.80 $403.40 $404.49 $413.88 $402.93 $356.79 $378.68 $346.81 $317.24

49 $504.30 $436.99 $420.92 $422.05 $431.86 $420.43 $372.29 $395.12 $361.87 $331.01

50 $527.95 $457.48 $440.66 $441.85 $452.11 $440.15 $389.74 $413.65 $378.84 $346.54

51 $551.30 $477.71 $460.15 $461.39 $472.11 $459.62 $406.98 $431.95 $395.60 $361.87

52 $577.02 $500.00 $481.62 $482.91 $494.13 $481.06 $425.97 $452.10 $414.05 $378.75

53 $603.03 $522.54 $503.33 $504.68 $516.41 $502.74 $445.17 $472.48 $432.72 $395.82

54 $631.12 $546.87 $526.77 $528.19 $540.45 $526.16 $465.90 $494.48 $452.87 $414.25

55 $659.20 $571.21 $550.21 $551.69 $564.50 $549.57 $486.63 $516.48 $473.02 $432.69

56 $689.65 $597.59 $575.62 $577.17 $590.58 $574.95 $509.11 $540.34 $494.87 $452.67

57 $720.39 $624.23 $601.28 $602.90 $616.90 $600.58 $531.81 $564.42 $516.93 $472.85

58 $753.20 $652.66 $628.67 $630.36 $645.00 $627.94 $556.03 $590.13 $540.48 $494.39

59 $769.46 $666.75 $642.24 $643.97 $658.92 $641.49 $568.03 $602.87 $552.14 $505.06

60 $802.27 $695.18 $669.62 $671.43 $687.02 $668.85 $592.25 $628.58 $575.69 $526.60

61 $830.65 $719.77 $693.31 $695.18 $711.32 $692.50 $613.20 $650.81 $596.05 $545.22

62 $849.27 $735.91 $708.85 $710.76 $727.27 $708.03 $626.95 $665.41 $609.41 $557.45

63 $872.63 $756.14 $728.34 $730.31 $747.27 $727.50 $644.19 $683.70 $626.17 $572.78

64 $886.80 $768.43 $740.18 $742.17 $759.41 $739.32 $654.66 $694.81 $636.34 $582.08

65+ $886.80 $768.43 $740.18 $742.17 $759.41 $739.32 $654.66 $694.81 $636.34 $582.08

Page 29: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

29

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Barnwell & Colleton CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $203.77 $176.57 $170.08 $170.54 $174.50 $169.88 $150.43 $159.66 $146.22 $133.75

21 $320.90 $278.07 $267.84 $268.56 $274.80 $267.53 $236.90 $251.43 $230.27 $210.63

22 $320.90 $278.07 $267.84 $268.56 $274.80 $267.53 $236.90 $251.43 $230.27 $210.63

23 $320.90 $278.07 $267.84 $268.56 $274.80 $267.53 $236.90 $251.43 $230.27 $210.63

24 $320.90 $278.07 $267.84 $268.56 $274.80 $267.53 $236.90 $251.43 $230.27 $210.63

25 $322.18 $279.18 $268.91 $269.64 $275.90 $268.60 $237.84 $252.43 $231.19 $211.48

26 $328.60 $284.74 $274.27 $275.01 $281.40 $273.95 $242.58 $257.46 $235.80 $215.69

27 $336.30 $291.41 $280.70 $281.46 $287.99 $280.37 $248.27 $263.49 $241.32 $220.74

28 $348.82 $302.26 $291.15 $291.93 $298.71 $290.81 $257.51 $273.30 $250.30 $228.96

29 $359.09 $311.16 $299.72 $300.52 $307.50 $299.37 $265.09 $281.35 $257.67 $235.70

30 $364.22 $315.61 $304.00 $304.82 $311.90 $303.65 $268.88 $285.37 $261.36 $239.07

31 $371.92 $322.28 $310.43 $311.27 $318.50 $310.07 $274.56 $291.40 $266.88 $244.12

32 $379.63 $328.95 $316.86 $317.71 $325.09 $316.49 $280.25 $297.44 $272.41 $249.18

33 $384.44 $333.12 $320.88 $321.74 $329.21 $320.50 $283.80 $301.21 $275.86 $252.34

34 $389.57 $337.57 $325.16 $326.04 $333.61 $324.78 $287.59 $305.23 $279.55 $255.71

35 $392.14 $339.80 $327.30 $328.19 $335.81 $326.92 $289.49 $307.24 $281.39 $257.39

36 $394.71 $342.02 $329.45 $330.33 $338.01 $329.06 $291.38 $309.25 $283.23 $259.08

37 $397.28 $344.25 $331.59 $332.48 $340.21 $331.20 $293.28 $311.27 $285.07 $260.76

38 $399.84 $346.47 $333.73 $334.63 $342.40 $333.35 $295.17 $313.28 $286.92 $262.45

39 $404.98 $350.92 $338.02 $338.93 $346.80 $337.63 $298.96 $317.30 $290.60 $265.82

40 $410.11 $355.37 $342.30 $343.23 $351.20 $341.91 $302.75 $321.32 $294.28 $269.19

41 $417.81 $362.04 $348.73 $349.67 $357.79 $348.33 $308.44 $327.36 $299.81 $274.24

42 $425.19 $368.44 $354.89 $355.85 $364.11 $354.48 $313.89 $333.14 $305.11 $279.09

43 $435.46 $377.34 $363.46 $364.44 $372.91 $363.04 $321.47 $341.19 $312.48 $285.83

44 $448.30 $388.46 $374.18 $375.18 $383.90 $373.74 $330.94 $351.24 $321.69 $294.26

45 $463.38 $401.53 $386.77 $387.81 $396.82 $386.32 $342.08 $363.06 $332.51 $304.15

46 $481.35 $417.10 $401.76 $402.85 $412.20 $401.30 $355.34 $377.14 $345.40 $315.95

47 $501.57 $434.62 $418.64 $419.77 $429.52 $418.15 $370.27 $392.98 $359.91 $329.22

48 $524.67 $454.64 $437.92 $439.10 $449.30 $437.42 $387.33 $411.08 $376.49 $344.39

49 $547.46 $474.38 $456.94 $458.17 $468.81 $456.41 $404.14 $428.93 $392.84 $359.34

50 $573.13 $496.63 $478.37 $479.66 $490.80 $477.81 $423.10 $449.05 $411.26 $376.19

51 $598.48 $518.59 $499.53 $500.87 $512.51 $498.95 $441.81 $468.91 $429.45 $392.83

52 $626.40 $542.79 $522.83 $524.24 $536.41 $522.22 $462.42 $490.78 $449.49 $411.16

53 $654.64 $567.25 $546.40 $547.87 $560.60 $545.77 $483.27 $512.91 $469.75 $429.69

54 $685.12 $593.67 $571.84 $573.39 $586.70 $571.18 $505.77 $536.79 $491.63 $449.70

55 $715.61 $620.09 $597.29 $598.90 $612.81 $596.60 $528.28 $560.68 $513.50 $469.71

56 $748.66 $648.73 $624.88 $626.56 $641.11 $624.15 $552.68 $586.58 $537.22 $491.41

57 $782.04 $677.65 $652.73 $654.49 $669.69 $651.98 $577.32 $612.73 $561.17 $513.31

58 $817.66 $708.51 $682.46 $684.30 $700.20 $681.67 $603.61 $640.63 $586.73 $536.69

59 $835.31 $723.81 $697.20 $699.07 $715.31 $696.39 $616.64 $654.46 $599.39 $548.28

60 $870.93 $754.67 $726.93 $728.88 $745.81 $726.08 $642.94 $682.37 $624.95 $571.66

61 $901.73 $781.37 $752.64 $754.67 $772.20 $751.77 $665.68 $706.51 $647.06 $591.88

62 $921.95 $798.88 $769.51 $771.59 $789.51 $768.62 $680.60 $722.35 $661.56 $605.15

63 $947.30 $820.85 $790.67 $792.80 $811.22 $789.76 $699.32 $742.21 $679.76 $621.79

64 $962.69 $834.19 $803.52 $805.68 $824.40 $802.59 $710.68 $754.27 $690.80 $631.89

65+ $962.69 $834.19 $803.52 $805.68 $824.40 $802.59 $710.68 $754.27 $690.80 $631.89

Page 30: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

30

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Jasper CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $168.89 $146.35 $140.97 $141.35 $144.63 $140.80 $124.68 $132.33 $121.19 $110.86

21 $265.97 $230.47 $222.00 $222.59 $227.76 $221.74 $196.35 $208.39 $190.85 $174.58

22 $265.97 $230.47 $222.00 $222.59 $227.76 $221.74 $196.35 $208.39 $190.85 $174.58

23 $265.97 $230.47 $222.00 $222.59 $227.76 $221.74 $196.35 $208.39 $190.85 $174.58

24 $265.97 $230.47 $222.00 $222.59 $227.76 $221.74 $196.35 $208.39 $190.85 $174.58

25 $267.04 $231.39 $222.88 $223.48 $228.68 $222.63 $197.13 $209.22 $191.62 $175.28

26 $272.36 $236.00 $227.32 $227.94 $233.23 $227.06 $201.06 $213.39 $195.43 $178.77

27 $278.74 $241.53 $232.65 $233.28 $238.70 $232.38 $205.77 $218.39 $200.01 $182.96

28 $289.11 $250.52 $241.31 $241.96 $247.58 $241.03 $213.43 $226.52 $207.46 $189.77

29 $297.62 $257.90 $248.41 $249.08 $254.87 $248.13 $219.71 $233.19 $213.57 $195.35

30 $301.88 $261.58 $251.97 $252.64 $258.51 $251.67 $222.85 $236.52 $216.62 $198.15

31 $308.26 $267.11 $257.29 $257.99 $263.98 $256.99 $227.57 $241.52 $221.20 $202.34

32 $314.64 $272.65 $262.62 $263.33 $269.45 $262.32 $232.28 $246.52 $225.78 $206.53

33 $318.63 $276.10 $265.95 $266.67 $272.86 $265.64 $235.22 $249.65 $228.64 $209.15

34 $322.89 $279.79 $269.50 $270.23 $276.51 $269.19 $238.36 $252.98 $231.70 $211.94

35 $325.02 $281.63 $271.28 $272.01 $278.33 $270.96 $239.94 $254.65 $233.22 $213.34

36 $327.15 $283.48 $273.06 $273.79 $280.15 $272.74 $241.51 $256.32 $234.75 $214.73

37 $329.27 $285.32 $274.83 $275.57 $281.97 $274.51 $243.08 $257.99 $236.28 $216.13

38 $331.40 $287.16 $276.61 $277.35 $283.79 $276.29 $244.65 $259.65 $237.80 $217.53

39 $335.66 $290.85 $280.16 $280.91 $287.44 $279.83 $247.79 $262.99 $240.86 $220.32

40 $339.91 $294.54 $283.71 $284.48 $291.08 $283.38 $250.93 $266.32 $243.91 $223.11

41 $346.30 $300.07 $289.04 $289.82 $296.55 $288.70 $255.64 $271.32 $248.49 $227.30

42 $352.41 $305.37 $294.14 $294.94 $301.79 $293.80 $260.16 $276.12 $252.88 $231.32

43 $360.92 $312.75 $301.25 $302.06 $309.08 $300.90 $266.44 $282.78 $258.99 $236.90

44 $371.56 $321.97 $310.13 $310.96 $318.19 $309.77 $274.30 $291.12 $266.62 $243.89

45 $384.06 $332.80 $320.56 $321.43 $328.89 $320.19 $283.52 $300.91 $275.59 $252.09

46 $398.96 $345.70 $332.99 $333.89 $341.65 $332.61 $294.52 $312.58 $286.28 $261.87

47 $415.71 $360.22 $346.98 $347.91 $356.00 $346.58 $306.89 $325.71 $298.30 $272.87

48 $434.86 $376.82 $362.96 $363.94 $372.39 $362.54 $321.03 $340.72 $312.05 $285.44

49 $453.75 $393.18 $378.73 $379.75 $388.57 $378.29 $334.97 $355.51 $325.60 $297.83

50 $475.03 $411.62 $396.48 $397.55 $406.79 $396.02 $350.67 $372.18 $340.87 $311.80

51 $496.04 $429.83 $414.02 $415.14 $424.78 $413.54 $366.19 $388.65 $355.94 $325.59

52 $519.18 $449.88 $433.34 $434.50 $444.60 $432.83 $383.27 $406.78 $372.55 $340.78

53 $542.58 $470.16 $452.87 $454.09 $464.64 $452.35 $400.55 $425.11 $389.34 $356.14

54 $567.85 $492.05 $473.96 $475.24 $486.28 $473.41 $419.20 $444.91 $407.47 $372.73

55 $593.12 $513.95 $495.05 $496.38 $507.91 $494.48 $437.85 $464.71 $425.60 $389.31

56 $620.51 $537.68 $517.92 $519.31 $531.37 $517.32 $458.08 $486.17 $445.26 $407.29

57 $648.17 $561.65 $541.00 $542.46 $555.06 $540.38 $478.50 $507.84 $465.11 $425.45

58 $677.70 $587.24 $565.65 $567.17 $580.34 $564.99 $500.29 $530.98 $486.30 $444.83

59 $692.33 $599.91 $577.86 $579.41 $592.87 $577.19 $511.09 $542.44 $496.79 $454.43

60 $721.85 $625.49 $602.50 $604.12 $618.15 $601.80 $532.88 $565.57 $517.98 $473.81

61 $747.38 $647.62 $623.81 $625.49 $640.02 $623.08 $551.73 $585.57 $536.30 $490.57

62 $764.14 $662.14 $637.79 $639.51 $654.37 $637.05 $564.10 $598.70 $548.32 $501.57

63 $785.15 $680.35 $655.33 $657.10 $672.36 $654.57 $579.61 $615.16 $563.40 $515.36

64 $797.91 $691.40 $665.98 $667.77 $683.28 $665.21 $589.03 $625.16 $572.55 $523.73

65+ $797.91 $691.40 $665.98 $667.77 $683.28 $665.21 $589.03 $625.16 $572.55 $523.73

Page 31: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

31

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Horry CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $178.53 $154.70 $149.01 $149.41 $152.88 $148.84 $131.79 $139.88 $128.11 $117.18

21 $281.15 $243.62 $234.66 $235.30 $240.76 $234.39 $207.55 $220.28 $201.75 $184.54

22 $281.15 $243.62 $234.66 $235.30 $240.76 $234.39 $207.55 $220.28 $201.75 $184.54

23 $281.15 $243.62 $234.66 $235.30 $240.76 $234.39 $207.55 $220.28 $201.75 $184.54

24 $281.15 $243.62 $234.66 $235.30 $240.76 $234.39 $207.55 $220.28 $201.75 $184.54

25 $282.27 $244.60 $235.60 $236.24 $241.72 $235.33 $208.38 $221.16 $202.55 $185.28

26 $287.90 $249.47 $240.30 $240.94 $246.54 $240.02 $212.53 $225.57 $206.59 $188.97

27 $294.64 $255.31 $245.93 $246.59 $252.32 $245.64 $217.51 $230.85 $211.43 $193.40

28 $305.61 $264.82 $255.08 $255.77 $261.71 $254.78 $225.61 $239.45 $219.30 $200.60

29 $314.61 $272.61 $262.59 $263.30 $269.41 $262.28 $232.25 $246.49 $225.75 $206.50

30 $319.10 $276.51 $266.34 $267.06 $273.26 $266.03 $235.57 $250.02 $228.98 $209.45

31 $325.85 $282.36 $271.98 $272.71 $279.04 $271.66 $240.55 $255.31 $233.82 $213.88

32 $332.60 $288.20 $277.61 $278.36 $284.82 $277.29 $245.53 $260.59 $238.66 $218.31

33 $336.82 $291.86 $281.13 $281.89 $288.43 $280.80 $248.65 $263.90 $241.69 $221.08

34 $341.32 $295.76 $284.88 $285.65 $292.28 $284.55 $251.97 $267.42 $244.92 $224.03

35 $343.56 $297.70 $286.76 $287.53 $294.21 $286.43 $253.63 $269.18 $246.53 $225.51

36 $345.81 $299.65 $288.64 $289.41 $296.14 $288.30 $255.29 $270.95 $248.15 $226.99

37 $348.06 $301.60 $290.51 $291.30 $298.06 $290.18 $256.95 $272.71 $249.76 $228.46

38 $350.31 $303.55 $292.39 $293.18 $299.99 $292.05 $258.61 $274.47 $251.37 $229.94

39 $354.81 $307.45 $296.15 $296.94 $303.84 $295.80 $261.93 $277.99 $254.60 $232.89

40 $359.31 $311.35 $299.90 $300.71 $307.69 $299.55 $265.25 $281.52 $257.83 $235.84

41 $366.06 $317.19 $305.53 $306.36 $313.47 $305.18 $270.23 $286.81 $262.67 $240.27

42 $372.52 $322.80 $310.93 $311.77 $319.01 $310.57 $275.01 $291.87 $267.31 $244.52

43 $381.52 $330.59 $318.44 $319.30 $326.71 $318.07 $281.65 $298.92 $273.77 $250.42

44 $392.77 $340.34 $327.83 $328.71 $336.34 $327.45 $289.95 $307.73 $281.84 $257.80

45 $405.98 $351.79 $338.86 $339.77 $347.66 $338.46 $299.70 $318.09 $291.32 $266.48

46 $421.72 $365.43 $352.00 $352.94 $361.14 $351.59 $311.33 $330.42 $302.62 $276.81

47 $439.44 $380.78 $366.78 $367.77 $376.31 $366.35 $324.40 $344.30 $315.33 $288.44

48 $459.68 $398.32 $383.68 $384.71 $393.65 $383.23 $339.35 $360.16 $329.85 $301.73

49 $479.64 $415.62 $400.34 $401.42 $410.74 $399.87 $354.08 $375.80 $344.18 $314.83

50 $502.13 $435.11 $419.11 $420.24 $430.00 $418.62 $370.69 $393.42 $360.32 $329.59

51 $524.34 $454.35 $437.65 $438.83 $449.02 $437.14 $387.08 $410.82 $376.25 $344.17

52 $548.80 $475.55 $458.06 $459.30 $469.97 $457.53 $405.14 $429.99 $393.81 $360.23

53 $573.55 $496.99 $478.72 $480.00 $491.15 $478.16 $423.40 $449.37 $411.56 $376.46

54 $600.25 $520.13 $501.01 $502.36 $514.03 $500.43 $443.12 $470.30 $430.73 $394.00

55 $626.96 $543.27 $523.30 $524.71 $536.90 $522.69 $462.84 $491.23 $449.89 $411.53

56 $655.92 $568.37 $547.47 $548.95 $561.70 $546.84 $484.22 $513.92 $470.67 $430.54

57 $685.16 $593.70 $571.88 $573.42 $586.74 $571.21 $505.80 $536.82 $491.65 $449.73

58 $716.37 $620.75 $597.92 $599.54 $613.46 $597.23 $528.84 $561.28 $514.05 $470.21

59 $731.83 $634.15 $610.83 $612.48 $626.70 $610.12 $540.26 $573.39 $525.14 $480.36

60 $763.04 $661.19 $636.88 $638.59 $653.43 $636.14 $563.29 $597.84 $547.54 $500.85

61 $790.03 $684.57 $659.41 $661.18 $676.54 $658.64 $583.22 $618.99 $566.90 $518.56

62 $807.74 $699.92 $674.19 $676.01 $691.71 $673.41 $596.29 $632.87 $579.61 $530.19

63 $829.95 $719.17 $692.73 $694.59 $710.73 $691.93 $612.69 $650.27 $595.55 $544.77

64 $843.44 $730.85 $703.98 $705.88 $722.28 $703.17 $622.64 $660.83 $605.23 $553.61

65+ $843.44 $730.85 $703.98 $705.88 $722.28 $703.17 $622.64 $660.83 $605.23 $553.61

Page 32: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

32

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Allendale CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $179.45 $155.49 $149.78 $150.18 $153.67 $149.60 $132.47 $140.60 $128.77 $117.79

21 $282.60 $244.87 $235.87 $236.51 $242.00 $235.60 $208.62 $221.41 $202.78 $185.49

22 $282.60 $244.87 $235.87 $236.51 $242.00 $235.60 $208.62 $221.41 $202.78 $185.49

23 $282.60 $244.87 $235.87 $236.51 $242.00 $235.60 $208.62 $221.41 $202.78 $185.49

24 $282.60 $244.87 $235.87 $236.51 $242.00 $235.60 $208.62 $221.41 $202.78 $185.49

25 $283.73 $245.85 $236.81 $237.45 $242.97 $236.54 $209.45 $222.30 $203.59 $186.23

26 $289.38 $250.75 $241.53 $242.18 $247.81 $241.25 $213.62 $226.73 $207.65 $189.94

27 $296.16 $256.63 $247.19 $247.86 $253.62 $246.91 $218.63 $232.04 $212.52 $194.39

28 $307.18 $266.18 $256.39 $257.08 $263.05 $256.09 $226.77 $240.68 $220.42 $201.63

29 $316.22 $274.01 $263.94 $264.65 $270.80 $263.63 $233.44 $247.76 $226.91 $207.56

30 $320.75 $277.93 $267.71 $268.43 $274.67 $267.40 $236.78 $251.30 $230.16 $210.53

31 $327.53 $283.81 $273.37 $274.11 $280.48 $273.06 $241.79 $256.62 $235.02 $214.98

32 $334.31 $289.69 $279.04 $279.79 $286.29 $278.71 $246.80 $261.93 $239.89 $219.44

33 $338.55 $293.36 $282.57 $283.33 $289.92 $282.25 $249.92 $265.25 $242.93 $222.22

34 $343.07 $297.28 $286.35 $287.12 $293.79 $286.01 $253.26 $268.80 $246.18 $225.19

35 $345.33 $299.24 $288.23 $289.01 $295.72 $287.90 $254.93 $270.57 $247.80 $226.67

36 $347.59 $301.19 $290.12 $290.90 $297.66 $289.78 $256.60 $272.34 $249.42 $228.15

37 $349.85 $303.15 $292.01 $292.79 $299.60 $291.67 $258.27 $274.11 $251.04 $229.64

38 $352.11 $305.11 $293.89 $294.69 $301.53 $293.55 $259.94 $275.88 $252.67 $231.12

39 $356.64 $309.03 $297.67 $298.47 $305.40 $297.32 $263.28 $279.42 $255.91 $234.09

40 $361.16 $312.95 $301.44 $302.25 $309.28 $301.09 $266.61 $282.97 $259.16 $237.06

41 $367.94 $318.83 $307.10 $307.93 $315.08 $306.75 $271.62 $288.28 $264.02 $241.51

42 $374.44 $324.46 $312.53 $313.37 $320.65 $312.17 $276.42 $293.37 $268.69 $245.77

43 $383.48 $332.29 $320.08 $320.94 $328.39 $319.71 $283.09 $300.46 $275.18 $251.71

44 $394.79 $342.09 $329.51 $330.40 $338.07 $329.13 $291.44 $309.31 $283.29 $259.13

45 $408.07 $353.60 $340.60 $341.51 $349.45 $340.20 $301.24 $319.72 $292.82 $267.85

46 $423.89 $367.31 $353.81 $354.76 $363.00 $353.40 $312.93 $332.12 $304.17 $278.24

47 $441.70 $382.74 $368.67 $369.66 $378.25 $368.24 $326.07 $346.07 $316.95 $289.92

48 $462.04 $400.37 $385.65 $386.69 $395.67 $385.20 $341.09 $362.01 $331.55 $303.28

49 $482.11 $417.75 $402.40 $403.48 $412.85 $401.93 $355.90 $377.73 $345.95 $316.45

50 $504.72 $437.34 $421.27 $422.40 $432.21 $420.78 $372.59 $395.44 $362.17 $331.29

51 $527.04 $456.69 $439.90 $441.08 $451.33 $439.39 $389.07 $412.94 $378.19 $345.94

52 $551.63 $477.99 $460.42 $461.66 $472.38 $459.89 $407.22 $432.20 $395.83 $362.08

53 $576.49 $499.54 $481.18 $482.47 $493.68 $480.62 $425.58 $451.68 $413.68 $378.40

54 $603.34 $522.80 $503.58 $504.94 $516.67 $503.00 $445.40 $472.72 $432.94 $396.02

55 $630.19 $546.07 $525.99 $527.41 $539.66 $525.38 $465.22 $493.75 $452.20 $413.64

56 $659.29 $571.29 $550.29 $551.77 $564.59 $549.65 $486.71 $516.56 $473.09 $432.75

57 $688.68 $596.76 $574.82 $576.37 $589.75 $574.15 $508.40 $539.58 $494.18 $452.04

58 $720.05 $623.94 $601.00 $602.62 $616.62 $600.30 $531.56 $564.16 $516.69 $472.63

59 $735.60 $637.41 $613.97 $615.63 $629.93 $613.26 $543.03 $576.34 $527.84 $482.83

60 $766.96 $664.59 $640.15 $641.88 $656.79 $639.41 $566.19 $600.92 $550.35 $503.42

61 $794.09 $688.09 $662.80 $664.58 $680.02 $662.03 $586.22 $622.17 $569.82 $521.23

62 $811.90 $703.52 $677.66 $679.48 $695.27 $676.87 $599.36 $636.12 $582.59 $532.91

63 $834.22 $722.87 $696.29 $698.17 $714.38 $695.48 $615.84 $653.61 $598.61 $547.57

64 $847.78 $734.61 $707.60 $709.51 $725.99 $706.78 $625.84 $664.23 $608.34 $556.46

65+ $847.78 $734.61 $707.60 $709.51 $725.99 $706.78 $625.84 $664.23 $608.34 $556.46

Page 33: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

33

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Greenwood CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $189.09 $163.85 $157.82 $158.25 $161.92 $157.64 $139.59 $148.15 $135.68 $124.11

21 $297.77 $258.03 $248.54 $249.21 $255.00 $248.25 $219.82 $233.31 $213.67 $195.45

22 $297.77 $258.03 $248.54 $249.21 $255.00 $248.25 $219.82 $233.31 $213.67 $195.45

23 $297.77 $258.03 $248.54 $249.21 $255.00 $248.25 $219.82 $233.31 $213.67 $195.45

24 $297.77 $258.03 $248.54 $249.21 $255.00 $248.25 $219.82 $233.31 $213.67 $195.45

25 $298.96 $259.06 $249.53 $250.21 $256.02 $249.24 $220.70 $234.24 $214.53 $196.23

26 $304.92 $264.22 $254.50 $255.19 $261.12 $254.21 $225.10 $238.90 $218.80 $200.14

27 $312.07 $270.41 $260.47 $261.17 $267.24 $260.17 $230.37 $244.50 $223.93 $204.83

28 $323.68 $280.47 $270.16 $270.89 $277.18 $269.85 $238.95 $253.60 $232.26 $212.46

29 $333.21 $288.73 $278.12 $278.86 $285.34 $277.79 $245.98 $261.07 $239.10 $218.71

30 $337.97 $292.86 $282.09 $282.85 $289.42 $281.76 $249.50 $264.80 $242.52 $221.84

31 $345.12 $299.05 $288.06 $288.83 $295.54 $287.72 $254.77 $270.40 $247.65 $226.53

32 $352.27 $305.24 $294.02 $294.81 $301.66 $293.68 $260.05 $276.00 $252.78 $231.22

33 $356.73 $309.11 $297.75 $298.55 $305.49 $297.40 $263.35 $279.50 $255.98 $234.15

34 $361.50 $313.24 $301.73 $302.54 $309.57 $301.38 $266.86 $283.23 $259.40 $237.28

35 $363.88 $315.31 $303.71 $304.53 $311.61 $303.36 $268.62 $285.10 $261.11 $238.84

36 $366.26 $317.37 $305.70 $306.53 $313.65 $305.35 $270.38 $286.97 $262.82 $240.41

37 $368.64 $319.44 $307.69 $308.52 $315.69 $307.33 $272.14 $288.83 $264.53 $241.97

38 $371.03 $321.50 $309.68 $310.51 $317.73 $309.32 $273.90 $290.70 $266.24 $243.53

39 $375.79 $325.63 $313.66 $314.50 $321.81 $313.29 $277.42 $294.43 $269.66 $246.66

40 $380.55 $329.76 $317.63 $318.49 $325.89 $317.26 $280.93 $298.16 $273.07 $249.79

41 $387.70 $335.95 $323.60 $324.47 $332.01 $323.22 $286.21 $303.76 $278.20 $254.48

42 $394.55 $341.88 $329.31 $330.20 $337.87 $328.93 $291.26 $309.13 $283.12 $258.97

43 $404.08 $350.14 $337.27 $338.18 $346.03 $336.88 $298.30 $316.60 $289.95 $265.23

44 $415.99 $360.46 $347.21 $348.14 $356.23 $346.81 $307.09 $325.93 $298.50 $273.05

45 $429.98 $372.59 $358.89 $359.86 $368.22 $358.47 $317.42 $336.89 $308.54 $282.23

46 $446.66 $387.04 $372.81 $373.81 $382.50 $372.38 $329.73 $349.96 $320.51 $293.18

47 $465.42 $403.29 $388.47 $389.51 $398.56 $388.02 $343.58 $364.66 $333.97 $305.49

48 $486.86 $421.87 $406.36 $407.46 $416.92 $405.89 $359.41 $381.45 $349.36 $319.57

49 $508.00 $440.19 $424.01 $425.15 $435.03 $423.52 $375.02 $398.02 $364.53 $333.44

50 $531.82 $460.83 $443.89 $445.09 $455.42 $443.38 $392.60 $416.68 $381.62 $349.08

51 $555.35 $481.22 $463.53 $464.77 $475.57 $462.99 $409.97 $435.11 $398.50 $364.52

52 $581.25 $503.67 $485.15 $486.45 $497.75 $484.59 $429.09 $455.41 $417.09 $381.52

53 $607.46 $526.37 $507.02 $508.39 $520.19 $506.43 $448.44 $475.94 $435.89 $398.72

54 $635.75 $550.88 $530.63 $532.06 $544.42 $530.02 $469.32 $498.11 $456.19 $417.29

55 $664.03 $575.40 $554.24 $555.73 $568.64 $553.60 $490.20 $520.27 $476.49 $435.86

56 $694.70 $601.97 $579.84 $581.40 $594.91 $579.17 $512.85 $544.30 $498.50 $455.99

57 $725.67 $628.81 $605.69 $607.32 $621.43 $604.99 $535.71 $568.57 $520.72 $476.32

58 $758.73 $657.45 $633.28 $634.98 $649.73 $632.54 $560.11 $594.46 $544.44 $498.01

59 $775.10 $671.64 $646.95 $648.69 $663.76 $646.20 $572.20 $607.29 $556.19 $508.76

60 $808.16 $700.28 $674.53 $676.35 $692.06 $673.75 $596.60 $633.19 $579.91 $530.46

61 $836.74 $725.05 $698.39 $700.28 $716.54 $697.58 $617.70 $655.59 $600.42 $549.22

62 $855.50 $741.31 $714.05 $715.98 $732.61 $713.22 $631.55 $670.29 $613.88 $561.54

63 $879.03 $761.69 $733.69 $735.66 $752.75 $732.84 $648.92 $688.72 $630.76 $576.98

64 $893.31 $774.07 $745.61 $747.62 $764.98 $744.74 $659.46 $699.91 $641.01 $586.35

65+ $893.31 $774.07 $745.61 $747.62 $764.98 $744.74 $659.46 $699.91 $641.01 $586.35

Page 34: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

34

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Kershaw CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $192.76 $167.03 $160.89 $161.32 $165.07 $160.70 $142.30 $151.03 $138.32 $126.52

21 $303.56 $263.04 $253.37 $254.05 $259.95 $253.07 $224.09 $237.84 $217.82 $199.25

22 $303.56 $263.04 $253.37 $254.05 $259.95 $253.07 $224.09 $237.84 $217.82 $199.25

23 $303.56 $263.04 $253.37 $254.05 $259.95 $253.07 $224.09 $237.84 $217.82 $199.25

24 $303.56 $263.04 $253.37 $254.05 $259.95 $253.07 $224.09 $237.84 $217.82 $199.25

25 $304.77 $264.09 $254.38 $255.06 $260.99 $254.08 $224.99 $238.79 $218.69 $200.04

26 $310.84 $269.35 $259.45 $260.14 $266.19 $259.14 $229.47 $243.54 $223.05 $204.03

27 $318.13 $275.66 $265.53 $266.24 $272.43 $265.22 $234.85 $249.25 $228.28 $208.81

28 $329.96 $285.92 $275.41 $276.15 $282.56 $275.09 $243.59 $258.53 $236.77 $216.58

29 $339.68 $294.34 $283.52 $284.28 $290.88 $283.19 $250.76 $266.14 $243.74 $222.96

30 $344.53 $298.55 $287.57 $288.34 $295.04 $287.24 $254.34 $269.94 $247.23 $226.15

31 $351.82 $304.86 $293.65 $294.44 $301.28 $293.31 $259.72 $275.65 $252.46 $230.93

32 $359.11 $311.17 $299.73 $300.54 $307.52 $299.38 $265.10 $281.36 $257.68 $235.71

33 $363.66 $315.12 $303.53 $304.35 $311.42 $303.18 $268.46 $284.93 $260.95 $238.70

34 $368.52 $319.33 $307.59 $308.41 $315.58 $307.23 $272.05 $288.73 $264.44 $241.89

35 $370.94 $321.43 $309.61 $310.45 $317.66 $309.25 $273.84 $290.63 $266.18 $243.48

36 $373.37 $323.53 $311.64 $312.48 $319.74 $311.28 $275.63 $292.54 $267.92 $245.08

37 $375.80 $325.64 $313.67 $314.51 $321.82 $313.30 $277.42 $294.44 $269.66 $246.67

38 $378.23 $327.74 $315.69 $316.54 $323.90 $315.33 $279.22 $296.34 $271.41 $248.26

39 $383.09 $331.95 $319.75 $320.61 $328.06 $319.38 $282.80 $300.15 $274.89 $251.45

40 $387.94 $336.16 $323.80 $324.67 $332.21 $323.42 $286.39 $303.95 $278.38 $254.64

41 $395.23 $342.47 $329.88 $330.77 $338.45 $329.50 $291.77 $309.66 $283.60 $259.42

42 $402.21 $348.52 $335.71 $336.61 $344.43 $335.32 $296.92 $315.13 $288.61 $264.00

43 $411.92 $356.94 $343.82 $344.74 $352.75 $343.42 $304.09 $322.74 $295.59 $270.38

44 $424.07 $367.46 $353.95 $354.90 $363.15 $353.54 $313.06 $332.26 $304.30 $278.35

45 $438.33 $379.82 $365.86 $366.84 $375.37 $365.43 $323.59 $343.43 $314.54 $287.71

46 $455.33 $394.55 $380.05 $381.07 $389.92 $379.61 $336.14 $356.75 $326.73 $298.87

47 $474.46 $411.12 $396.01 $397.08 $406.30 $395.55 $350.25 $371.74 $340.46 $311.42

48 $496.31 $430.06 $414.25 $415.37 $425.02 $413.77 $366.39 $388.86 $356.14 $325.77

49 $517.86 $448.74 $432.24 $433.41 $443.47 $431.74 $382.30 $405.75 $371.61 $339.92

50 $542.15 $469.78 $452.51 $453.73 $464.27 $451.98 $400.23 $424.77 $389.03 $355.86

51 $566.13 $490.56 $472.53 $473.80 $484.80 $471.98 $417.93 $443.56 $406.24 $371.60

52 $592.54 $513.45 $494.57 $495.90 $507.42 $493.99 $437.43 $464.25 $425.19 $388.93

53 $619.25 $536.59 $516.86 $518.26 $530.29 $516.26 $457.15 $485.18 $444.36 $406.47

54 $648.09 $561.58 $540.93 $542.39 $554.99 $540.31 $478.43 $507.78 $465.05 $425.39

55 $676.93 $586.57 $565.00 $566.53 $579.69 $564.35 $499.72 $530.37 $485.74 $444.32

56 $708.19 $613.66 $591.10 $592.69 $606.46 $590.41 $522.80 $554.87 $508.18 $464.85

57 $739.76 $641.02 $617.45 $619.11 $633.49 $616.73 $546.11 $579.61 $530.83 $485.57

58 $773.46 $670.21 $645.57 $647.31 $662.35 $644.82 $570.98 $606.00 $555.01 $507.68

59 $790.15 $684.68 $659.51 $661.29 $676.65 $658.74 $583.31 $619.09 $566.99 $518.64

60 $823.85 $713.88 $687.63 $689.48 $705.50 $686.83 $608.18 $645.49 $591.17 $540.76

61 $852.99 $739.13 $711.96 $713.87 $730.46 $711.13 $629.70 $668.32 $612.08 $559.89

62 $872.11 $755.70 $727.92 $729.88 $746.83 $727.07 $643.81 $683.30 $625.80 $572.44

63 $896.09 $776.48 $747.93 $749.95 $767.37 $747.07 $661.52 $702.09 $643.01 $588.18

64 $910.66 $789.10 $760.09 $762.13 $779.84 $759.20 $672.26 $713.50 $653.46 $597.73

65+ $910.66 $789.10 $760.09 $762.13 $779.84 $759.20 $672.26 $713.50 $653.46 $597.73

Page 35: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

35

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Williamsburg CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $196.43 $170.21 $163.95 $164.39 $168.21 $163.76 $145.01 $153.90 $140.95 $128.93

21 $309.34 $268.05 $258.19 $258.89 $264.90 $257.89 $228.36 $242.37 $221.97 $203.04

22 $309.34 $268.05 $258.19 $258.89 $264.90 $257.89 $228.36 $242.37 $221.97 $203.04

23 $309.34 $268.05 $258.19 $258.89 $264.90 $257.89 $228.36 $242.37 $221.97 $203.04

24 $309.34 $268.05 $258.19 $258.89 $264.90 $257.89 $228.36 $242.37 $221.97 $203.04

25 $310.57 $269.12 $259.22 $259.92 $265.96 $258.92 $229.27 $243.34 $222.86 $203.86

26 $316.76 $274.48 $264.39 $265.10 $271.26 $264.08 $233.84 $248.18 $227.30 $207.92

27 $324.19 $280.91 $270.58 $271.31 $277.62 $270.27 $239.32 $254.00 $232.63 $212.79

28 $336.25 $291.37 $280.65 $281.41 $287.95 $280.33 $248.23 $263.45 $241.28 $220.71

29 $346.15 $299.94 $288.92 $289.69 $296.42 $288.58 $255.53 $271.21 $248.39 $227.21

30 $351.10 $304.23 $293.05 $293.84 $300.66 $292.71 $259.19 $275.09 $251.94 $230.45

31 $358.52 $310.66 $299.24 $300.05 $307.02 $298.90 $264.67 $280.90 $257.26 $235.33

32 $365.95 $317.10 $305.44 $306.26 $313.38 $305.09 $270.15 $286.72 $262.59 $240.20

33 $370.59 $321.12 $309.31 $310.15 $317.35 $308.95 $273.57 $290.35 $265.92 $243.25

34 $375.54 $325.41 $313.44 $314.29 $321.59 $313.08 $277.23 $294.23 $269.47 $246.49

35 $378.01 $327.55 $315.51 $316.36 $323.71 $315.14 $279.06 $296.17 $271.25 $248.12

36 $380.48 $329.70 $317.57 $318.43 $325.83 $317.21 $280.88 $298.11 $273.02 $249.74

37 $382.96 $331.84 $319.64 $320.50 $327.95 $319.27 $282.71 $300.05 $274.80 $251.37

38 $385.43 $333.98 $321.71 $322.57 $330.07 $321.33 $284.54 $301.99 $276.58 $252.99

39 $390.38 $338.27 $325.84 $326.71 $334.30 $325.46 $288.19 $305.87 $280.13 $256.24

40 $395.33 $342.56 $329.97 $330.86 $338.54 $329.59 $291.84 $309.74 $283.68 $259.49

41 $402.76 $349.00 $336.16 $337.07 $344.90 $335.77 $297.32 $315.56 $289.01 $264.36

42 $409.87 $355.16 $342.10 $343.02 $350.99 $341.71 $302.58 $321.13 $294.11 $269.03

43 $419.77 $363.74 $350.37 $351.31 $359.47 $349.96 $309.88 $328.89 $301.22 $275.53

44 $432.14 $374.46 $360.69 $361.66 $370.07 $360.27 $319.02 $338.58 $310.09 $283.65

45 $446.68 $387.06 $372.83 $373.83 $382.52 $372.40 $329.75 $349.98 $320.53 $293.19

46 $464.01 $402.07 $387.29 $388.33 $397.35 $386.84 $342.54 $363.55 $332.96 $304.56

47 $483.49 $418.96 $403.55 $404.64 $414.04 $403.08 $356.93 $378.82 $346.94 $317.36

48 $505.77 $438.25 $422.14 $423.28 $433.11 $421.65 $373.37 $396.27 $362.92 $331.98

49 $527.73 $457.29 $440.47 $441.66 $451.92 $439.96 $389.58 $413.48 $378.68 $346.39

50 $552.48 $478.73 $461.13 $462.37 $473.11 $460.59 $407.85 $432.87 $396.44 $362.64

51 $576.91 $499.91 $481.53 $482.82 $494.04 $480.97 $425.89 $452.01 $413.98 $378.68

52 $603.83 $523.23 $503.99 $505.35 $517.08 $503.40 $445.76 $473.10 $433.29 $396.34

53 $631.05 $546.81 $526.71 $528.13 $540.40 $526.10 $465.85 $494.43 $452.82 $414.21

54 $660.43 $572.28 $551.24 $552.72 $565.56 $550.60 $487.55 $517.45 $473.91 $433.50

55 $689.82 $597.74 $575.77 $577.32 $590.73 $575.10 $509.24 $540.48 $495.00 $452.79

56 $721.68 $625.35 $602.36 $603.98 $618.01 $601.66 $532.76 $565.44 $517.86 $473.70

57 $753.85 $653.23 $629.21 $630.91 $645.56 $628.48 $556.51 $590.65 $540.94 $494.82

58 $788.19 $682.98 $657.87 $659.64 $674.96 $657.11 $581.86 $617.55 $565.58 $517.35

59 $805.20 $697.72 $672.07 $673.88 $689.53 $671.29 $594.42 $630.88 $577.79 $528.52

60 $839.54 $727.48 $700.73 $702.62 $718.94 $699.92 $619.77 $657.78 $602.43 $551.06

61 $869.24 $753.21 $725.52 $727.47 $744.37 $724.67 $641.69 $681.05 $623.74 $570.55

62 $888.73 $770.10 $741.78 $743.78 $761.06 $740.92 $656.08 $696.32 $637.72 $583.34

63 $913.16 $791.27 $762.18 $764.23 $781.98 $761.30 $674.12 $715.46 $655.26 $599.38

64 $928.00 $804.13 $774.56 $776.65 $794.69 $773.66 $685.07 $727.09 $665.90 $609.12

65+ $928.00 $804.13 $774.56 $776.65 $794.69 $773.66 $685.07 $727.09 $665.90 $609.12

Page 36: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

36

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Richland CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $197.81 $171.40 $165.10 $165.55 $169.39 $164.91 $146.02 $154.98 $141.94 $129.84

21 $311.51 $269.92 $260.00 $260.70 $266.76 $259.70 $229.96 $244.06 $223.53 $204.47

22 $311.51 $269.92 $260.00 $260.70 $266.76 $259.70 $229.96 $244.06 $223.53 $204.47

23 $311.51 $269.92 $260.00 $260.70 $266.76 $259.70 $229.96 $244.06 $223.53 $204.47

24 $311.51 $269.92 $260.00 $260.70 $266.76 $259.70 $229.96 $244.06 $223.53 $204.47

25 $312.75 $271.00 $261.04 $261.74 $267.82 $260.74 $230.88 $245.04 $224.42 $205.28

26 $318.98 $276.40 $266.24 $266.96 $273.16 $265.93 $235.48 $249.92 $228.89 $209.37

27 $326.46 $282.88 $272.48 $273.21 $279.56 $272.16 $241.00 $255.78 $234.26 $214.28

28 $338.61 $293.41 $282.62 $283.38 $289.96 $282.29 $249.97 $265.30 $242.97 $222.25

29 $348.57 $302.05 $290.94 $291.72 $298.50 $290.60 $257.33 $273.11 $250.13 $228.80

30 $353.56 $306.36 $295.10 $295.90 $302.77 $294.76 $261.00 $277.01 $253.70 $232.07

31 $361.03 $312.84 $301.34 $302.15 $309.17 $300.99 $266.52 $282.87 $259.07 $236.98

32 $368.51 $319.32 $307.58 $308.41 $315.57 $307.22 $272.04 $288.73 $264.43 $241.88

33 $373.18 $323.37 $311.48 $312.32 $319.57 $311.12 $275.49 $292.39 $267.79 $244.95

34 $378.17 $327.69 $315.64 $316.49 $323.84 $315.27 $279.17 $296.29 $271.36 $248.22

35 $380.66 $329.85 $317.72 $318.58 $325.98 $317.35 $281.01 $298.25 $273.15 $249.86

36 $383.15 $332.01 $319.80 $320.66 $328.11 $319.43 $282.85 $300.20 $274.94 $251.49

37 $385.64 $334.17 $321.88 $322.75 $330.24 $321.51 $284.69 $302.15 $276.73 $253.13

38 $388.14 $336.33 $323.96 $324.83 $332.38 $323.59 $286.53 $304.10 $278.52 $254.77

39 $393.12 $340.64 $328.12 $329.00 $336.65 $327.74 $290.21 $308.01 $282.09 $258.04

40 $398.10 $344.96 $332.28 $333.18 $340.92 $331.90 $293.89 $311.91 $285.67 $261.31

41 $405.58 $351.44 $338.52 $339.43 $347.32 $338.13 $299.41 $317.77 $291.03 $266.22

42 $412.74 $357.65 $344.50 $345.43 $353.45 $344.10 $304.70 $323.39 $296.17 $270.92

43 $422.71 $366.29 $352.82 $353.77 $361.99 $352.41 $312.06 $331.20 $303.33 $277.46

44 $435.17 $377.08 $363.22 $364.20 $372.66 $362.80 $321.25 $340.96 $312.27 $285.64

45 $449.81 $389.77 $375.44 $376.45 $385.20 $375.01 $332.06 $352.43 $322.77 $295.25

46 $467.26 $404.89 $390.00 $391.05 $400.14 $389.55 $344.94 $366.10 $335.29 $306.70

47 $486.88 $421.89 $406.38 $407.48 $416.94 $405.91 $359.43 $381.47 $349.37 $319.58

48 $509.31 $441.33 $425.10 $426.25 $436.15 $424.61 $375.98 $399.05 $365.47 $334.30

49 $531.43 $460.49 $443.56 $444.76 $455.09 $443.05 $392.31 $416.37 $381.34 $348.82

50 $556.35 $482.09 $464.36 $465.61 $476.43 $463.82 $410.71 $435.90 $399.22 $365.18

51 $580.96 $503.41 $484.90 $486.21 $497.50 $484.34 $428.88 $455.18 $416.88 $381.33

52 $608.06 $526.89 $507.52 $508.89 $520.71 $506.93 $448.88 $476.41 $436.33 $399.12

53 $635.47 $550.65 $530.40 $531.83 $544.18 $529.79 $469.12 $497.89 $456.00 $417.11

54 $665.06 $576.29 $555.10 $556.60 $569.53 $554.46 $490.96 $521.08 $477.23 $436.54

55 $694.66 $601.93 $579.80 $581.36 $594.87 $579.13 $512.81 $544.26 $498.47 $455.96

56 $726.74 $629.73 $606.58 $608.22 $622.34 $605.88 $536.50 $569.40 $521.49 $477.02

57 $759.14 $657.81 $633.62 $635.33 $650.09 $632.89 $560.41 $594.79 $544.74 $498.28

58 $793.72 $687.77 $662.48 $664.27 $679.70 $661.71 $585.94 $621.88 $569.55 $520.98

59 $810.85 $702.61 $676.78 $678.61 $694.37 $676.00 $598.59 $635.30 $581.84 $532.23

60 $845.43 $732.58 $705.64 $707.54 $723.98 $704.82 $624.11 $662.39 $606.65 $554.92

61 $875.33 $758.49 $730.60 $732.57 $749.59 $729.75 $646.19 $685.82 $628.11 $574.55

62 $894.95 $775.49 $746.98 $748.99 $766.39 $746.12 $660.68 $701.20 $642.19 $587.43

63 $919.56 $796.82 $767.52 $769.59 $787.47 $766.63 $678.84 $720.48 $659.85 $603.58

64 $934.51 $809.76 $779.99 $782.09 $800.26 $779.09 $689.87 $732.18 $670.57 $613.39

65+ $934.51 $809.76 $779.99 $782.09 $800.26 $779.09 $689.87 $732.18 $670.57 $613.39

Page 37: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

37

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Oconee CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $197.81 $171.40 $165.10 $165.55 $169.39 $164.91 $146.02 $154.98 $141.94 $129.84

21 $311.51 $269.92 $260.00 $260.70 $266.76 $259.70 $229.96 $244.06 $223.53 $204.47

22 $311.51 $269.92 $260.00 $260.70 $266.76 $259.70 $229.96 $244.06 $223.53 $204.47

23 $311.51 $269.92 $260.00 $260.70 $266.76 $259.70 $229.96 $244.06 $223.53 $204.47

24 $311.51 $269.92 $260.00 $260.70 $266.76 $259.70 $229.96 $244.06 $223.53 $204.47

25 $312.75 $271.00 $261.04 $261.74 $267.82 $260.74 $230.88 $245.04 $224.42 $205.28

26 $318.98 $276.40 $266.24 $266.96 $273.16 $265.93 $235.48 $249.92 $228.89 $209.37

27 $326.46 $282.88 $272.48 $273.21 $279.56 $272.16 $241.00 $255.78 $234.26 $214.28

28 $338.61 $293.41 $282.62 $283.38 $289.96 $282.29 $249.97 $265.30 $242.97 $222.25

29 $348.57 $302.05 $290.94 $291.72 $298.50 $290.60 $257.33 $273.11 $250.13 $228.80

30 $353.56 $306.36 $295.10 $295.90 $302.77 $294.76 $261.00 $277.01 $253.70 $232.07

31 $361.03 $312.84 $301.34 $302.15 $309.17 $300.99 $266.52 $282.87 $259.07 $236.98

32 $368.51 $319.32 $307.58 $308.41 $315.57 $307.22 $272.04 $288.73 $264.43 $241.88

33 $373.18 $323.37 $311.48 $312.32 $319.57 $311.12 $275.49 $292.39 $267.79 $244.95

34 $378.17 $327.69 $315.64 $316.49 $323.84 $315.27 $279.17 $296.29 $271.36 $248.22

35 $380.66 $329.85 $317.72 $318.58 $325.98 $317.35 $281.01 $298.25 $273.15 $249.86

36 $383.15 $332.01 $319.80 $320.66 $328.11 $319.43 $282.85 $300.20 $274.94 $251.49

37 $385.64 $334.17 $321.88 $322.75 $330.24 $321.51 $284.69 $302.15 $276.73 $253.13

38 $388.14 $336.33 $323.96 $324.83 $332.38 $323.59 $286.53 $304.10 $278.52 $254.77

39 $393.12 $340.64 $328.12 $329.00 $336.65 $327.74 $290.21 $308.01 $282.09 $258.04

40 $398.10 $344.96 $332.28 $333.18 $340.92 $331.90 $293.89 $311.91 $285.67 $261.31

41 $405.58 $351.44 $338.52 $339.43 $347.32 $338.13 $299.41 $317.77 $291.03 $266.22

42 $412.74 $357.65 $344.50 $345.43 $353.45 $344.10 $304.70 $323.39 $296.17 $270.92

43 $422.71 $366.29 $352.82 $353.77 $361.99 $352.41 $312.06 $331.20 $303.33 $277.46

44 $435.17 $377.08 $363.22 $364.20 $372.66 $362.80 $321.25 $340.96 $312.27 $285.64

45 $449.81 $389.77 $375.44 $376.45 $385.20 $375.01 $332.06 $352.43 $322.77 $295.25

46 $467.26 $404.89 $390.00 $391.05 $400.14 $389.55 $344.94 $366.10 $335.29 $306.70

47 $486.88 $421.89 $406.38 $407.48 $416.94 $405.91 $359.43 $381.47 $349.37 $319.58

48 $509.31 $441.33 $425.10 $426.25 $436.15 $424.61 $375.98 $399.05 $365.47 $334.30

49 $531.43 $460.49 $443.56 $444.76 $455.09 $443.05 $392.31 $416.37 $381.34 $348.82

50 $556.35 $482.09 $464.36 $465.61 $476.43 $463.82 $410.71 $435.90 $399.22 $365.18

51 $580.96 $503.41 $484.90 $486.21 $497.50 $484.34 $428.88 $455.18 $416.88 $381.33

52 $608.06 $526.89 $507.52 $508.89 $520.71 $506.93 $448.88 $476.41 $436.33 $399.12

53 $635.47 $550.65 $530.40 $531.83 $544.18 $529.79 $469.12 $497.89 $456.00 $417.11

54 $665.06 $576.29 $555.10 $556.60 $569.53 $554.46 $490.96 $521.08 $477.23 $436.54

55 $694.66 $601.93 $579.80 $581.36 $594.87 $579.13 $512.81 $544.26 $498.47 $455.96

56 $726.74 $629.73 $606.58 $608.22 $622.34 $605.88 $536.50 $569.40 $521.49 $477.02

57 $759.14 $657.81 $633.62 $635.33 $650.09 $632.89 $560.41 $594.79 $544.74 $498.28

58 $793.72 $687.77 $662.48 $664.27 $679.70 $661.71 $585.94 $621.88 $569.55 $520.98

59 $810.85 $702.61 $676.78 $678.61 $694.37 $676.00 $598.59 $635.30 $581.84 $532.23

60 $845.43 $732.58 $705.64 $707.54 $723.98 $704.82 $624.11 $662.39 $606.65 $554.92

61 $875.33 $758.49 $730.60 $732.57 $749.59 $729.75 $646.19 $685.82 $628.11 $574.55

62 $894.95 $775.49 $746.98 $748.99 $766.39 $746.12 $660.68 $701.20 $642.19 $587.43

63 $919.56 $796.82 $767.52 $769.59 $787.47 $766.63 $678.84 $720.48 $659.85 $603.58

64 $934.51 $809.76 $779.99 $782.09 $800.26 $779.09 $689.87 $732.18 $670.57 $613.39

65+ $934.51 $809.76 $779.99 $782.09 $800.26 $779.09 $689.87 $732.18 $670.57 $613.39

Page 38: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

38

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Anderson CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $208.36 $180.55 $173.91 $174.38 $178.43 $173.71 $153.82 $163.25 $149.51 $136.76

21 $328.13 $284.33 $273.88 $274.61 $280.99 $273.56 $242.23 $257.09 $235.46 $215.38

22 $328.13 $284.33 $273.88 $274.61 $280.99 $273.56 $242.23 $257.09 $235.46 $215.38

23 $328.13 $284.33 $273.88 $274.61 $280.99 $273.56 $242.23 $257.09 $235.46 $215.38

24 $328.13 $284.33 $273.88 $274.61 $280.99 $273.56 $242.23 $257.09 $235.46 $215.38

25 $329.44 $285.47 $274.97 $275.71 $282.12 $274.65 $243.20 $258.12 $236.40 $216.24

26 $336.00 $291.15 $280.45 $281.20 $287.74 $280.12 $248.05 $263.26 $241.11 $220.55

27 $343.88 $297.98 $287.02 $287.79 $294.48 $286.69 $253.86 $269.43 $246.76 $225.72

28 $356.68 $309.07 $297.70 $298.50 $305.44 $297.36 $263.31 $279.46 $255.94 $234.12

29 $367.18 $318.16 $306.47 $307.29 $314.43 $306.11 $271.06 $287.68 $263.47 $241.01

30 $372.43 $322.71 $310.85 $311.69 $318.93 $310.49 $274.93 $291.80 $267.24 $244.45

31 $380.30 $329.54 $317.42 $318.28 $325.67 $317.05 $280.75 $297.97 $272.89 $249.62

32 $388.18 $336.36 $323.99 $324.87 $332.41 $323.62 $286.56 $304.14 $278.54 $254.79

33 $393.10 $340.63 $328.10 $328.99 $336.63 $327.72 $290.19 $307.99 $282.08 $258.02

34 $398.35 $345.18 $332.48 $333.38 $341.12 $332.10 $294.07 $312.11 $285.84 $261.47

35 $400.97 $347.45 $334.68 $335.58 $343.37 $334.29 $296.01 $314.16 $287.73 $263.19

36 $403.60 $349.72 $336.87 $337.77 $345.62 $336.48 $297.94 $316.22 $289.61 $264.91

37 $406.22 $352.00 $339.06 $339.97 $347.87 $338.66 $299.88 $318.28 $291.49 $266.64

38 $408.85 $354.27 $341.25 $342.17 $350.12 $340.85 $301.82 $320.33 $293.38 $268.36

39 $414.10 $358.82 $345.63 $346.56 $354.61 $345.23 $305.70 $324.45 $297.15 $271.81

40 $419.35 $363.37 $350.01 $350.96 $359.11 $349.61 $309.57 $328.56 $300.91 $275.25

41 $427.22 $370.20 $356.59 $357.55 $365.85 $356.17 $315.39 $334.73 $306.56 $280.42

42 $434.77 $376.74 $362.89 $363.86 $372.31 $362.46 $320.96 $340.64 $311.98 $285.38

43 $445.27 $385.83 $371.65 $372.65 $381.31 $371.22 $328.71 $348.87 $319.51 $292.27

44 $458.40 $397.21 $382.60 $383.63 $392.55 $382.16 $338.40 $359.15 $328.93 $300.88

45 $473.82 $410.57 $395.48 $396.54 $405.75 $395.02 $349.78 $371.24 $340.00 $311.01

46 $492.19 $426.49 $410.81 $411.92 $421.49 $410.34 $363.35 $385.63 $353.18 $323.07

47 $512.86 $444.41 $428.07 $429.22 $439.19 $427.57 $378.61 $401.83 $368.02 $336.64

48 $536.49 $464.88 $447.79 $448.99 $459.42 $447.27 $396.05 $420.34 $384.97 $352.14

49 $559.79 $485.07 $467.23 $468.49 $479.37 $466.69 $413.25 $438.59 $401.69 $367.43

50 $586.04 $507.81 $489.14 $490.46 $501.85 $488.57 $432.63 $459.16 $420.52 $384.66

51 $611.96 $530.27 $510.78 $512.15 $524.05 $510.19 $451.76 $479.47 $439.12 $401.68

52 $640.51 $555.01 $534.60 $536.05 $548.50 $533.98 $472.84 $501.84 $459.61 $420.42

53 $669.38 $580.03 $558.71 $560.21 $573.22 $558.06 $494.15 $524.46 $480.33 $439.37

54 $700.55 $607.04 $584.72 $586.30 $599.92 $584.05 $517.16 $548.88 $502.70 $459.83

55 $731.73 $634.05 $610.74 $612.39 $626.61 $610.03 $540.18 $573.31 $525.07 $480.29

56 $765.52 $663.34 $638.95 $640.67 $655.55 $638.21 $565.13 $599.79 $549.32 $502.48

57 $799.65 $692.91 $667.43 $669.23 $684.78 $666.66 $590.32 $626.53 $573.81 $524.88

58 $836.07 $724.47 $697.83 $699.71 $715.97 $697.03 $617.21 $655.06 $599.94 $548.78

59 $854.12 $740.11 $712.90 $714.82 $731.42 $712.07 $630.53 $669.20 $612.89 $560.63

60 $890.54 $771.67 $743.30 $745.30 $762.61 $742.44 $657.42 $697.74 $639.03 $584.53

61 $922.04 $798.96 $769.59 $771.66 $789.59 $768.70 $680.67 $722.42 $661.63 $605.21

62 $942.71 $816.88 $786.84 $788.96 $807.29 $785.93 $695.93 $738.62 $676.46 $618.78

63 $968.64 $839.34 $808.48 $810.66 $829.49 $807.54 $715.07 $758.93 $695.07 $635.79

64 $984.38 $852.98 $821.62 $823.83 $842.97 $820.66 $726.69 $771.26 $706.36 $646.12

65+ $984.38 $852.98 $821.62 $823.83 $842.97 $820.66 $726.69 $771.26 $706.36 $646.12

Page 39: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Rates

39

Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)

Sumter CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $208.36 $180.55 $173.91 $174.38 $178.43 $173.71 $153.82 $163.25 $149.51 $136.76

21 $328.13 $284.33 $273.88 $274.61 $280.99 $273.56 $242.23 $257.09 $235.46 $215.38

22 $328.13 $284.33 $273.88 $274.61 $280.99 $273.56 $242.23 $257.09 $235.46 $215.38

23 $328.13 $284.33 $273.88 $274.61 $280.99 $273.56 $242.23 $257.09 $235.46 $215.38

24 $328.13 $284.33 $273.88 $274.61 $280.99 $273.56 $242.23 $257.09 $235.46 $215.38

25 $329.44 $285.47 $274.97 $275.71 $282.12 $274.65 $243.20 $258.12 $236.40 $216.24

26 $336.00 $291.15 $280.45 $281.20 $287.74 $280.12 $248.05 $263.26 $241.11 $220.55

27 $343.88 $297.98 $287.02 $287.79 $294.48 $286.69 $253.86 $269.43 $246.76 $225.72

28 $356.68 $309.07 $297.70 $298.50 $305.44 $297.36 $263.31 $279.46 $255.94 $234.12

29 $367.18 $318.16 $306.47 $307.29 $314.43 $306.11 $271.06 $287.68 $263.47 $241.01

30 $372.43 $322.71 $310.85 $311.69 $318.93 $310.49 $274.93 $291.80 $267.24 $244.45

31 $380.30 $329.54 $317.42 $318.28 $325.67 $317.05 $280.75 $297.97 $272.89 $249.62

32 $388.18 $336.36 $323.99 $324.87 $332.41 $323.62 $286.56 $304.14 $278.54 $254.79

33 $393.10 $340.63 $328.10 $328.99 $336.63 $327.72 $290.19 $307.99 $282.08 $258.02

34 $398.35 $345.18 $332.48 $333.38 $341.12 $332.10 $294.07 $312.11 $285.84 $261.47

35 $400.97 $347.45 $334.68 $335.58 $343.37 $334.29 $296.01 $314.16 $287.73 $263.19

36 $403.60 $349.72 $336.87 $337.77 $345.62 $336.48 $297.94 $316.22 $289.61 $264.91

37 $406.22 $352.00 $339.06 $339.97 $347.87 $338.66 $299.88 $318.28 $291.49 $266.64

38 $408.85 $354.27 $341.25 $342.17 $350.12 $340.85 $301.82 $320.33 $293.38 $268.36

39 $414.10 $358.82 $345.63 $346.56 $354.61 $345.23 $305.70 $324.45 $297.15 $271.81

40 $419.35 $363.37 $350.01 $350.96 $359.11 $349.61 $309.57 $328.56 $300.91 $275.25

41 $427.22 $370.20 $356.59 $357.55 $365.85 $356.17 $315.39 $334.73 $306.56 $280.42

42 $434.77 $376.74 $362.89 $363.86 $372.31 $362.46 $320.96 $340.64 $311.98 $285.38

43 $445.27 $385.83 $371.65 $372.65 $381.31 $371.22 $328.71 $348.87 $319.51 $292.27

44 $458.40 $397.21 $382.60 $383.63 $392.55 $382.16 $338.40 $359.15 $328.93 $300.88

45 $473.82 $410.57 $395.48 $396.54 $405.75 $395.02 $349.78 $371.24 $340.00 $311.01

46 $492.19 $426.49 $410.81 $411.92 $421.49 $410.34 $363.35 $385.63 $353.18 $323.07

47 $512.86 $444.41 $428.07 $429.22 $439.19 $427.57 $378.61 $401.83 $368.02 $336.64

48 $536.49 $464.88 $447.79 $448.99 $459.42 $447.27 $396.05 $420.34 $384.97 $352.14

49 $559.79 $485.07 $467.23 $468.49 $479.37 $466.69 $413.25 $438.59 $401.69 $367.43

50 $586.04 $507.81 $489.14 $490.46 $501.85 $488.57 $432.63 $459.16 $420.52 $384.66

51 $611.96 $530.27 $510.78 $512.15 $524.05 $510.19 $451.76 $479.47 $439.12 $401.68

52 $640.51 $555.01 $534.60 $536.05 $548.50 $533.98 $472.84 $501.84 $459.61 $420.42

53 $669.38 $580.03 $558.71 $560.21 $573.22 $558.06 $494.15 $524.46 $480.33 $439.37

54 $700.55 $607.04 $584.72 $586.30 $599.92 $584.05 $517.16 $548.88 $502.70 $459.83

55 $731.73 $634.05 $610.74 $612.39 $626.61 $610.03 $540.18 $573.31 $525.07 $480.29

56 $765.52 $663.34 $638.95 $640.67 $655.55 $638.21 $565.13 $599.79 $549.32 $502.48

57 $799.65 $692.91 $667.43 $669.23 $684.78 $666.66 $590.32 $626.53 $573.81 $524.88

58 $836.07 $724.47 $697.83 $699.71 $715.97 $697.03 $617.21 $655.06 $599.94 $548.78

59 $854.12 $740.11 $712.90 $714.82 $731.42 $712.07 $630.53 $669.20 $612.89 $560.63

60 $890.54 $771.67 $743.30 $745.30 $762.61 $742.44 $657.42 $697.74 $639.03 $584.53

61 $922.04 $798.96 $769.59 $771.66 $789.59 $768.70 $680.67 $722.42 $661.63 $605.21

62 $942.71 $816.88 $786.84 $788.96 $807.29 $785.93 $695.93 $738.62 $676.46 $618.78

63 $968.64 $839.34 $808.48 $810.66 $829.49 $807.54 $715.07 $758.93 $695.07 $635.79

64 $984.38 $852.98 $821.62 $823.83 $842.97 $820.66 $726.69 $771.26 $706.36 $646.12

65+ $984.38 $852.98 $821.62 $823.83 $842.97 $820.66 $726.69 $771.26 $706.36 $646.12

Page 40: You Need Health Insurance...Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013, to March 31, 2014. Non-Enrollment Tax Implications If you are required

Because It Matters How You’re Treated

Because It Matters How You’re TreatedBlueChoice HealthPlan’s goal is to help keep you healthy. We look forward to helping you decide which MyChoice Advantage plan is best for you and your family members.

For more information on MyChoice Advantage plans, you can:1. Visit ApplyNowSC.com, our private exchange where you can get product information, get

instructions on how to check if you qualify for a subsidy or apply for coverage.2. Call our MyChoice Advantage Call Center at 855-433-2132. Assistance is available

Monday–Friday, 8:30 a.m.–5 p.m.3. Contact a local insurance agent.

14991-10-2013

BlueCross BlueShield of South Carolina and BlueChoice HealthPlan are independent licensees of the Blue Cross and Blue Shield Association.