2016 Plans Available in Lewis County for Individuals & Families

Lewis County is served by 3 insurance carriers on the NYSOH Marketplace: Excellus Blue Cross Blue Shield; Fidelis Care; and MVP Health Plan.

This information is provided for research purposes only. The premium rates given are before any advance tax credits are applied. Please verify premium rates and plan details on the NYSOH Marketplace or directly with the insurance carrier.

Excellus Blue Cross Blue Shield

Customer Service: 1-800-817-8400
PLATINUM PLANS Individual Couple Individual + Child(ren) Family
Platinum Standard
HiosID: 78124NY0880004
Summary of Benefits $793.86 $1,587.72 $1,349.58 $2,262.50
Platinum Select
HiosID: 78124NY0880010
Summary of Benefits $766.17 $1,532.34 $1,302.49 $2,183.58
GOLD PLANS Individual Couple Individual + Child(ren) Family
Gold Standard
HiosID: 78124NY0890004
Summary of Benefits $683.38 $1,366.76 $1,161.75 $1,947.63
Gold Select
HiosID: 78124NY0890016
Summary of Benefits $656.01 $1,312.02 $1,115.22 $1,869.63
CNY Preferred Gold
HiosID: 78124NY1130004
Summary of Benefits $606.07 $1,212.14 $1,030.32 $1,727.30
SILVER PLANS Individual Couple Individual + Child(ren) Family
Silver Standard
HiosID: 78124NY0890010
Summary of Benefits $575.53 $1,151.06 $978.40 $1,640.26
Silver Select
HiosID: 78124NY0900010
Summary of Benefits $503.09 $1,006.18 $855.25 $1,433.81
SILVER PLANS: CSR 200-250% FPL Individual Couple Individual + Child(ren) Family
Silver Standard
HiosID: 78124NY0890010
Summary of Benefits $575.53 $1,151.06 $978.40 $1,640.26
Silver Select
HiosID: 78124NY0900010
Summary of Benefits $503.09 $1,006.18 $855.25 $1,433.81
BRONZE PLANS Individual Couple Individual + Child(ren) Family
Bronze Standard HSA
HiosID: 78124NY0900004
Summary of Benefits $420.07 $840.14 $714.12 $1,197.20
Bronze Select
HiosID: 78124NY0900014
Summary of Benefits $394.97 $789.94 $671.45 $1,125.66
Bronze Standard
HiosID: 78124NY0900018
Summary of Benefits $427.07 $854.14 $726.02 $1,217.15
CATASTROPHIC PLANS Individual Couple Individual + Child(ren) Family
Base
HiosID: 78124NY0910002
Summary of Benefits $224.13 $448.26 $381.02 $638.77
HSA QUALIFIED PLANS: You can set up a pre-tax Health Savings Account (HSA) to pay for out-of-pocket health care expenses when you enroll in one of the following plans: Bronze Standard HSA, Bronze Select or Silver Select.


Fidelis Care

Customer Service: 1-888-343-3547
PLATINUM PLANS Individual Couple Individual + Child(ren) Family
Fidelis Care Platinum
HiosID: 25303NY0040001
Summary of Benefits $555.72 $1,111.44 $944.72 $1,583.80
GOLD PLANS Individual Couple Individual + Child(ren) Family
Fidelis Care Gold
HiosID: 25303NY0030001
Summary of Benefits $457.29 $914.58 $777.39 $1,583.80
SILVER PLANS Individual Couple Individual + Child(ren) Family
Fidelis Care Silver
HiosID: 25303NY0020001
Summary of Benefits $373.31 $746.62 $634.63 $1,063.93
SILVER PLANS: CSR 200-250% FPL Individual Couple Individual + Child(ren) Family
Fidelis Care Silver
HiosID: 25303NY0020001
Summary of Benefits $373.31 $746.62 $634.63 $1,063.93
BRONZE PLANS Individual Couple Individual + Child(ren) Family
Fidelis Care Bronze
HiosID: 25303NY0010001
Summary of Benefits $296.83 $593.66 $504.61 $845.97
CATASTROPHIC PLANS Individual Couple Individual + Child(ren) Family
Fidelis Care Catastrophic
HiosID: 25303NY0090001
Summary of Benefits $161.84 $323.68 $275.13 $461.24


MVP Health Plan

Customer Service: 1-800-825-5687
PLATINUM PLANS Individual Couple Individual + Child(ren) Family
Premier Platinum
HiosID: 56184NY0140016
Summary of Benefits $688.84 $1,337.68 $1,171.03 $1,963.19
Premier Plus Platinum 1
HiosID: 56184NY0150019
Summary of Benefits $668.47 $1,336.94 $1,136.40 $1,905.14
Premier Plus Platinum 2
HiosID: 56184NY0150020
Summary of Benefits $674.47 $1,336.94 $1,136.40 $1,922.98
GOLD PLANS Individual Couple Individual + Child(ren) Family
Premier Gold
HiosID: 56184NY0140014
Summary of Benefits $591.98 $1,183.96 $1,006.37 $1,687.14
Premier Plus Gold 1
HiosID: 56184NY0150018
Summary of Benefits $567.70 $1,135.40 $965.09 $1,617.95
Premier Plus HDHP Gold 2
HiosID: 56184NY0200009
Summary of Benefits $549.27 $1,198.54 $933.76 $1,565.42
SILVER PLANS Individual Couple Individual + Child(ren) Family
Premier Silver
HiosID: 56184NY0140012
Summary of Benefits $503.54 $1,007.08 $856.02 $1,435.09
Premier Plus Silver 1
HiosID: 56184NY0150016
Summary of Benefits $503.09 $1,006.18 $855.25 $1,433.81
Premier Plus Silver 2
HiosID: 56184NY0150017
Summary of Benefits $445.66 $891.32 $757.62 $1,270.13
Premier Plus HDHP Silver 3
HiosID: 56184NY0200008
Summary of Benefits $474.83 $949.66 $807.21 $1,353.27
SILVER PLANS: CSR 200-250% FPL Individual Couple Individual + Child(ren) Family
Premier Silver
HiosID: 56184NY0140012
Summary of Benefits $503.54 $1,007.08 $856.02 $1,435.09
Premier Plus Silver 1
HiosID: 56184NY0150016
Summary of Benefits $503.09 $1,006.18 $855.25 $1,433.81
Premier Plus Silver 2
HiosID: 56184NY0150017
Summary of Benefits $445.66 $891.32 $757.62 $1,270.13
Premier Plus HDHP Silver 3
HiosID: 56184NY0200008
Summary of Benefits $474.83 $949.66 $807.21 $1,353.27
BRONZE PLANS Individual Couple Individual + Child(ren) Family
Premier HDHP Bronze 1
HiosID: 56184NY0140010
Summary of Benefits $402.58 $805.16 $684.39 $1,147.35
Premier Plus Bronze 1
HiosID: 56184NY0150021
Summary of Benefits $409.26 $805.16 $684.39 $1,147.35
Premier Plus Bronze 2
HiosID: 56184NY0150015
Summary of Benefits $381.16 $762.32 $647.97 $1,086.31
Premier Plus HDHP Bronze 3
HiosID: 56184NY0200007
Summary of Benefits $392.20 $784.40 $666.74 $1,117.77
Premier Bronze 2
HiosID: 56184NY0140030
Summary of Benefits $394.53 $789.06 $670.70 $1,124.41
CATASTROPHIC PLANS Individual Couple Individual + Child(ren) Family
Secure Catastrophic
HiosID: 56184NY0220002
Summary of Benefits $238.85 $477.70 $406.05 $680.72
HSA QUALIFIED PLANS: You can set up a pre-tax Health Savings Account (HSA) to pay for out-of-pocket health care expenses when you enroll in one of the following plans: Premier HDHP Bronze 1, Premier Plus HDHP Bronze 3, Premier Plus HDHP Silver 3 or Premier Plus HDHP Gold 2.