• $5950 Deductible

  100% coinsurance

• $3000/$5000 Deductible

  50% coinsurance

• $3000/$4000 Deductible

  70% coinsurance

• $3000 Deductible

  100% coinsurance

• Age	Applicant	Spouse	Dependent
  0-5	$62.32	$102.64	$62.32
  6-10	$49.85	$102.64	$49.85
  11-14	$52.84	$102.64	$52.84
  15-18	$59.19	$102.64	$59.19
  19-24	$108.05	$108.05	$108.05
  25-29	$115.87	$108.59	$115.87
  30-34	$123.67	$110.66	$123.67
  35-39	$137.99	$126.28	$137.99
  40-44	$152.32	$141.91	$152.32
  45-49	$182.26	$166.64	$182.26
  50-54	$208.30	$187.48	$208.30
  55-59	$239.55	$213.52	$239.55
  60-120	$275.99	$244.77	$275.99

• Age	Applicant	Spouse	Dependent
  0-5	$66.07	$108.83	$66.07
  6-10	$52.86	$108.83	$52.86
  11-14	$56.03	$108.83	$56.03
  15-18	$62.75	$108.83	$62.75
  19-24	$114.56	$114.56	$114.56
  25-29	$123.66	$115.38	$123.66
  30-34	$131.48	$118.46	$131.48
  35-39	$148.40	$136.69	$148.40
  40-44	$164.04	$153.62	$164.04
  45-49	$197.88	$182.26	$197.88
  50-54	$226.52	$205.69	$226.52
  55-59	$260.38	$234.35	$260.38
  60-120	$302.04	$270.79	$302.04

• Age	Applicant	Spouse	Dependent
  0-5	$69.83	$115.02	$69.83
  6-10	$55.86	$115.02	$55.86
  11-14	$59.22	$115.02	$59.22
  15-18	$66.32	$115.02	$66.32
  19-24	$121.08	$121.08	$121.08
  25-29	$130.19	$122.17	$130.19
  30-34	$139.30	$126.28	$139.30
  35-39	$157.53	$145.81	$157.33
  40-44	$174.46	$164.05	$174.46
  45-49	$210.91	$195.30	$210.91
  50-54	$242.16	$221.34	$242.16
  55-59	$278.62	$252.58	$278.62
  60-120	$322.88	$291.65	$322.88

• Age	Applicant	Spouse	Dependent
  0-5	$82.61	$136.06	$82.61
  6-10	$66.08	$136.06	$66.08
  11-14	$70.05	$136.06	$70.05
  15-18	$78.46	$136.06	$78.46
  19-24	$143.23	$143.73	$143.23
  25-29	$162.76	$148.43	$162.76
  30-34	$180.98	$167.96	$180.98
  35-39	$208.33	$196.62	$208.33
  40-44	$234.38	$223.97	$234.38
  45-49	$287.76	$272.15	$287.76
  50-54	$335.93	$315.13	$335.93
  55-59	$390.64	$364.61	$390.64
  60-120	$457.05	$425.81	$457.05

On Our Quote Site

These are preferred non-tobacco rates

Unlimited Lifetime Coverage
Unlimited Preventive Benefits: PPACA Info - Medical Policy

A HSA (Health Savings Account) qualified High Deductible Health plan that:

• Preventative Health Care
• Low Premiums
• 4 Plans to Choose From
• Health Savings Account (HSA)

Customize the plan that is right for you.

View list of BCBS participating providers. Select "Blue Cross and Blue Shield of Montana" from the "Choose a Plan" drop-down menu.