Covered California s 2014 Sliding Scale Plans Single Person

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1 Covered California s 2014 Sliding Scale Plans Single Person Annual Income $11,490 - $17,235 $17,235 - $22,980 $22,980 - $28,725 $28,725 - $45,960 $19 - $57 $57 - $121 $121 - $193 $193 - $364 DRUG DEDUCTIBLE, OR BOTH of Your Plan s Negotiated Rate of Your Plan s Negotiated Rate

2 Covered California s 2014 Sliding Scale Plans Couple Annual Income $15,510 - $23,265 $23,265 - $31,020 $31,020 - $38,775 $38,775 - $62,040 $26 - $78 $78 - $163 $163 - $260 $260 - $491 of Your Plan s Negotiated Rate of Your Plan s Negotiated Rate

3 Covered California s 2014 Sliding Scale Plans Family of 4 Annual Income $23,550 - $35,325 $35,325 - $47,100 $47,100 - $58,875 $58,875 - $94,200 $39 - $118 $118 - $247 $247 - $395 $395 - $746 of Your Plan s Negotiated Rate of Your Plan s Negotiated Rate

4 Covered California s 2014 Sliding Scale Plans Family of 6 Annual Income $31,590 - $47,385 $47,385 - $63,180 $63,180 - $78,975 $78,975 - $126,360 $53 - $158 $158 - $332 $332 - $530 $530 - $1000 of Your Plan s Negotiated Rate of Your Plan s Negotiated Rate

5 Covered California s 2014 Sliding Scale Plans Family of 8 Annual Income $39,630 - $59,445 $59,445 - $79,260 $79,260 - $99,075 $99,075 - $158,520 $66 - $198 $198 - $416 $416 - $665 $665 - $1255 of Your Plan s Negotiated Rate of Your Plan s Negotiated Rate

Covered California s 2014 Sliding Scale Plans Single Person

Covered California s 2014 Sliding Scale Plans Single Person Covered California s 2014 Sliding Scale Plans Single Person Annual Income $11,490 - $17,235 $17,235 - $22,980 $22,980 - $28,725 $28,725 - $45,960 $19 - $57 $57 - $121 $121 - $193 $193 - $364 Covered California

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