Plans for Arizona
ACA HIERARCHY
- Ambetter from Arkansas Health & Wellness
- Aetna
- Ambetter from Arizona Complete Health
- UnitedHealthcare of Arizona, Inc
- Oscar Health Plan, Inc.
- Cigna HealthCare of Arizona, Inc
- Bright Healthcare
Limited
1) Federal Advantage Limited Medical (First Enroll Platform) –
Federal Advantage Limited Medical
 | App Fee | Individual | Individual + Children | Individual + Spouse | Family |
| Fed Adv + 100 | $125 | $131 | $171 | $174 | $223 |
| Fed Adv + 200 | $125 | $154 | $209 | $215 | $282 |
| Fed Adv + 200+ | $125 | $189 | $274 | $282 | $379 |
| Fed Adv + 300 | $125 | $201 | $301 | $305 | $449 |
| Fed Adv + 500 | $125 | $227 | $352 | $364 | $469 |
| Fed Adv + 750 | $125 | $251 | $396 | $407 | $559 |
2) Unified Life Limited Medical (First Enroll Platform) –
Unified Life Limited Medical
 | App Fee | Individual | Individual + Spouse | Individual + Children | Family |
| Unified Signature A100 | $125 | $156.95 | $205.95 | $218.95 | $266.95 |
| Unified Signature A200 | $125 | $233.95 | $323.95 | $343.95 | $403.95 |
| Unified Signature A200+ | $125 | $260.95 | $363.95 | $388.95 | $463.95 |
| Unified Signature A300 | $125 | $290.95 | $423.95 | $453.95 | $531.95 |
| Unified Signature A500 | $125 | $310.95 | $483.95 | $507.00 | $641.00 |
| Unified Signature A750 | $125 | $353.00 | $582.00 | $562.00 | $747.00 |
STM
ANCILLARY
 | App Fee (Stand-Alone) | Individual | Individual & Children | Individual + Child or Spouse | Family |
| Gap Max+ | $50 | $90 | $160 | $135 | $160 |
| Super Gap+ | $50 | $100 | $180 | $160 | $180 |
| Gap+ | $50 | $70 | $110 | $90 | $110 |
UBA Accidents & Critical Illnesses (Optimal Platform)
| App Fee (Stand-Alone) | Individual | Individual & Children | Individual + Child or Spouse | Family |
| Gap 10000 | $50 | $50 | $70 | $60 | $70 |
| Super 25000 | $50 | $60 | $100 | $85 | $100 |
| Gap+ | $100 | $70 | $110 | $90 | $110 |
2) Aetna Dental-
Quote via carrier specific link – Can only use Routing & Account (EFT)