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Obamacare 2019 Rates for Jefferson County, Wisconsin


The health insurance rates listed below are for calendar year 2019.

2019 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

(click here for 2017)

(click here for 2018)

This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Jefferson County, Wisconsin.

Obamacare Providers, Plans and 2019 Rates for Jefferson County

Jefferson County is in “Rating Area 14” of Wisconsin.

Currently, there are 41 plans offered in Rating Area 14.

Below, you’ll find a summary of plans and rates for each of these providers. This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must either

  • contact a licensed health insurance agent (by contacting one of the advertisers you see on this website)
  • complete an application at HealthCare.gov, or
  • contact the provider directly.

The table below shows premiums for the following scenarios for:

  • Individual
  • Couple
  • Couple with 1 2 or 3 children
  • Individual with 1 2 or 3 children
  • A child alone

Each scenario is covered for age

  • Age 21, 30, 40, 50
  • Age 60 (Individual and Couple only)

For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:

  • a summary of plan benefits and costs,
  • a plan brochure, and
  • a "Provider Directory" -- where you can find out which doctors and hospitals in the Fort Atkinson, WI area accept this insurance coverage as within the plan's "network".

2019 Obamacare Rates Providers, Plans for Jefferson County

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Unity Health Plans Insurance Corporation

Local: 1-608-644-3430 | Toll Free: 1-800-362-3310

TTY: 1-800-877-8973

Silver

Plan: (HMO) Prime Silver 5000 - Copay $50/$100 with Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$437.29
$496.32
$558.85
$780.99
$1,186.79
$874.58
$992.64
$1,117.70
$1,561.98
$2,373.58
$1,209.10
$1,327.16
$1,452.22
$1,896.50
$1,543.62
$1,661.68
$1,786.74
$2,231.02
$1,878.14
$1,996.20
$2,121.26
$2,565.54
$771.81
$830.84
$893.37
$1,115.51
$1,106.33
$1,165.36
$1,227.89
$1,450.03
$1,440.85
$1,499.88
$1,562.41
$1,784.55
$399.24

Silver

Plan: (HMO) Prime Silver 7900 - Copay $80/$160 with Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$423.04
$480.15
$540.64
$755.55
$1,148.13
$846.08
$960.30
$1,081.28
$1,511.10
$2,296.26
$1,169.71
$1,283.93
$1,404.91
$1,834.73
$1,493.34
$1,607.56
$1,728.54
$2,158.36
$1,816.97
$1,931.19
$2,052.17
$2,481.99
$746.67
$803.78
$864.27
$1,079.18
$1,070.30
$1,127.41
$1,187.90
$1,402.81
$1,393.93
$1,451.04
$1,511.53
$1,726.44
$386.24

Gold

Plan: (HMO) Prime Gold Maintenance - Copay $40/$90 with Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Gold 21
30
40
50
60
$369.76
$419.67
$472.55
$660.38
$1,003.52
$739.52
$839.34
$945.10
$1,320.76
$2,007.04
$1,022.38
$1,122.20
$1,227.96
$1,603.62
$1,305.24
$1,405.06
$1,510.82
$1,886.48
$1,588.10
$1,687.92
$1,793.68
$2,169.34
$652.62
$702.53
$755.41
$943.24
$935.48
$985.39
$1,038.27
$1,226.10
$1,218.34
$1,268.25
$1,321.13
$1,508.96
$337.59

Gold

Plan: (HMO) Prime Gold 2000 - Copay $30/$70 with Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Gold 21
30
40
50
60
$360.82
$409.52
$461.12
$644.41
$979.25
$721.64
$819.04
$922.24
$1,288.82
$1,958.50
$997.66
$1,095.06
$1,198.26
$1,564.84
$1,273.68
$1,371.08
$1,474.28
$1,840.86
$1,549.70
$1,647.10
$1,750.30
$2,116.88
$636.84
$685.54
$737.14
$920.43
$912.86
$961.56
$1,013.16
$1,196.45
$1,188.88
$1,237.58
$1,289.18
$1,472.47
$329.42

Silver

Plan: (HMO) Prime Silver 4000 - Copay $45/$90 with Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$442.14
$501.83
$565.05
$789.66
$1,199.96
$884.28
$1,003.66
$1,130.10
$1,579.32
$2,399.92
$1,222.52
$1,341.90
$1,468.34
$1,917.56
$1,560.76
$1,680.14
$1,806.58
$2,255.80
$1,899.00
$2,018.38
$2,144.82
$2,594.04
$780.38
$840.07
$903.29
$1,127.90
$1,118.62
$1,178.31
$1,241.53
$1,466.14
$1,456.86
$1,516.55
$1,579.77
$1,804.38
$403.67

Expanded Bronze

Plan: (HMO) Prime Bronze 7500 - Copay $80/$160 with Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $7,500 : Family: $15,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Expanded Bronze 21
30
40
50
60
$274.12
$311.13
$350.32
$489.58
$743.96
$548.24
$622.26
$700.64
$979.16
$1,487.92
$757.94
$831.96
$910.34
$1,188.86
$967.64
$1,041.66
$1,120.04
$1,398.56
$1,177.34
$1,251.36
$1,329.74
$1,608.26
$483.82
$520.83
$560.02
$699.28
$693.52
$730.53
$769.72
$908.98
$903.22
$940.23
$979.42
$1,118.68
$250.27

Bronze

Plan: (HMO) Prime Bronze 7900 - Copay $50/$100 with Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Bronze 21
30
40
50
60
$267.22
$303.29
$341.50
$477.25
$725.22
$534.44
$606.58
$683.00
$954.50
$1,450.44
$738.86
$811.00
$887.42
$1,158.92
$943.28
$1,015.42
$1,091.84
$1,363.34
$1,147.70
$1,219.84
$1,296.26
$1,567.76
$471.64
$507.71
$545.92
$681.67
$676.06
$712.13
$750.34
$886.09
$880.48
$916.55
$954.76
$1,090.51
$243.97

Silver

Plan: (HMO) Prime Silver 5000 - Copay $50/$100

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$416.61
$472.84
$532.42
$744.05
$1,130.66
$833.22
$945.68
$1,064.84
$1,488.10
$2,261.32
$1,151.92
$1,264.38
$1,383.54
$1,806.80
$1,470.62
$1,583.08
$1,702.24
$2,125.50
$1,789.32
$1,901.78
$2,020.94
$2,444.20
$735.31
$791.54
$851.12
$1,062.75
$1,054.01
$1,110.24
$1,169.82
$1,381.45
$1,372.71
$1,428.94
$1,488.52
$1,700.15
$380.36

Silver

Plan: (HMO) Prime Silver 7900 - Copay $80/$160

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$403.04
$457.44
$515.08
$719.82
$1,093.83
$806.08
$914.88
$1,030.16
$1,439.64
$2,187.66
$1,114.40
$1,223.20
$1,338.48
$1,747.96
$1,422.72
$1,531.52
$1,646.80
$2,056.28
$1,731.04
$1,839.84
$1,955.12
$2,364.60
$711.36
$765.76
$823.40
$1,028.14
$1,019.68
$1,074.08
$1,131.72
$1,336.46
$1,328.00
$1,382.40
$1,440.04
$1,644.78
$367.97

Gold

Plan: (HMO) Prime Gold Maintenance - Copay $40/$90

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Gold 21
30
40
50
60
$352.27
$399.82
$450.20
$629.15
$956.06
$704.54
$799.64
$900.40
$1,258.30
$1,912.12
$974.03
$1,069.13
$1,169.89
$1,527.79
$1,243.52
$1,338.62
$1,439.38
$1,797.28
$1,513.01
$1,608.11
$1,708.87
$2,066.77
$621.76
$669.31
$719.69
$898.64
$891.25
$938.80
$989.18
$1,168.13
$1,160.74
$1,208.29
$1,258.67
$1,437.62
$321.62

Gold

Plan: (HMO) Prime Gold 2000 - Copay $30/$70

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Gold 21
30
40
50
60
$343.76
$390.16
$439.31
$613.94
$932.94
$687.52
$780.32
$878.62
$1,227.88
$1,865.88
$950.49
$1,043.29
$1,141.59
$1,490.85
$1,213.46
$1,306.26
$1,404.56
$1,753.82
$1,476.43
$1,569.23
$1,667.53
$2,016.79
$606.73
$653.13
$702.28
$876.91
$869.70
$916.10
$965.25
$1,139.88
$1,132.67
$1,179.07
$1,228.22
$1,402.85
$313.84

Silver

Plan: (HMO) Prime Silver 4000 - Copay $45/$90

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$421.23
$478.09
$538.33
$752.31
$1,143.21
$842.46
$956.18
$1,076.66
$1,504.62
$2,286.42
$1,164.70
$1,278.42
$1,398.90
$1,826.86
$1,486.94
$1,600.66
$1,721.14
$2,149.10
$1,809.18
$1,922.90
$2,043.38
$2,471.34
$743.47
$800.33
$860.57
$1,074.55
$1,065.71
$1,122.57
$1,182.81
$1,396.79
$1,387.95
$1,444.81
$1,505.05
$1,719.03
$384.58

Expanded Bronze

Plan: (HMO) Prime Bronze 7500 - Copay $80/$160

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $7,500 : Family: $15,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Expanded Bronze 21
30
40
50
60
$261.16
$296.41
$333.76
$466.42
$708.78
$522.32
$592.82
$667.52
$932.84
$1,417.56
$722.10
$792.60
$867.30
$1,132.62
$921.88
$992.38
$1,067.08
$1,332.40
$1,121.66
$1,192.16
$1,266.86
$1,532.18
$460.94
$496.19
$533.54
$666.20
$660.72
$695.97
$733.32
$865.98
$860.50
$895.75
$933.10
$1,065.76
$238.43

Bronze

Plan: (HMO) Prime Bronze 7900 - Copay $50/$100

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Bronze 21
30
40
50
60
$254.58
$288.95
$325.35
$454.68
$690.92
$509.16
$577.90
$650.70
$909.36
$1,381.84
$703.91
$772.65
$845.45
$1,104.11
$898.66
$967.40
$1,040.20
$1,298.86
$1,093.41
$1,162.15
$1,234.95
$1,493.61
$449.33
$483.70
$520.10
$649.43
$644.08
$678.45
$714.85
$844.18
$838.83
$873.20
$909.60
$1,038.93
$232.43

Gold

Plan: (HMO) Prime Gold HSA 2000

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $6,650 : Family: $13,300

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Gold 21
30
40
50
60
$360.04
$408.64
$460.12
$643.02
$977.13
$720.08
$817.28
$920.24
$1,286.04
$1,954.26
$995.50
$1,092.70
$1,195.66
$1,561.46
$1,270.92
$1,368.12
$1,471.08
$1,836.88
$1,546.34
$1,643.54
$1,746.50
$2,112.30
$635.46
$684.06
$735.54
$918.44
$910.88
$959.48
$1,010.96
$1,193.86
$1,186.30
$1,234.90
$1,286.38
$1,469.28
$328.71

Bronze

Plan: (HMO) Prime Bronze HSA 6750

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $6,750 : Family: $13,500
Out of Pocket Maximum per year: Individual: $6,750 : Family: $13,500

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Bronze 21
30
40
50
60
$266.07
$301.98
$340.03
$475.19
$722.09
$532.14
$603.96
$680.06
$950.38
$1,444.18
$735.68
$807.50
$883.60
$1,153.92
$939.22
$1,011.04
$1,087.14
$1,357.46
$1,142.76
$1,214.58
$1,290.68
$1,561.00
$469.61
$505.52
$543.57
$678.73
$673.15
$709.06
$747.11
$882.27
$876.69
$912.60
$950.65
$1,085.81
$242.91

Catastrophic

Plan: (HMO) Prime Catastrophic

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Catastrophic 21
30
40
50
60
$197.54
$224.21
$252.45
$352.80
$536.12
$395.08
$448.42
$504.90
$705.60
$1,072.24
$546.20
$599.54
$656.02
$856.72
$697.32
$750.66
$807.14
$1,007.84
$848.44
$901.78
$958.26
$1,158.96
$348.66
$375.33
$403.57
$503.92
$499.78
$526.45
$554.69
$655.04
$650.90
$677.57
$705.81
$806.16
$180.35

Silver

Plan: (HMO) Prime Silver HSA 5250

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $5,250 : Family: $10,500
Out of Pocket Maximum per year: Individual: $5,250 : Family: $10,500

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$431.24
$489.45
$551.12
$770.19
$1,170.37
$862.48
$978.90
$1,102.24
$1,540.38
$2,340.74
$1,192.38
$1,308.80
$1,432.14
$1,870.28
$1,522.28
$1,638.70
$1,762.04
$2,200.18
$1,852.18
$1,968.60
$2,091.94
$2,530.08
$761.14
$819.35
$881.02
$1,100.09
$1,091.04
$1,149.25
$1,210.92
$1,429.99
$1,420.94
$1,479.15
$1,540.82
$1,759.89
$393.72

Gold

Plan: (HMO) Prime Gold HSA 3000

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Customer Service Phone: 1-800-362-3310

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $3,000 : Family: $6,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Gold 21
30
40
50
60
$363.86
$412.98
$465.01
$649.85
$987.52
$727.72
$825.96
$930.02
$1,299.70
$1,975.04
$1,006.07
$1,104.31
$1,208.37
$1,578.05
$1,284.42
$1,382.66
$1,486.72
$1,856.40
$1,562.77
$1,661.01
$1,765.07
$2,134.75
$642.21
$691.33
$743.36
$928.20
$920.56
$969.68
$1,021.71
$1,206.55
$1,198.91
$1,248.03
$1,300.06
$1,484.90
$332.20

ADVERTISEMENT

Dean Health Plan

Local: 1-608-828-1302 | Toll Free: 1-800-279-1302

TTY: 1-608-827-4086

Catastrophic

Plan: (HMO) Dean Catastrophic Safety Net

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Dean Health Plan)
Customer Service Phone: 1-800-279-1302

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Catastrophic 21
30
40
50
60
$167.71
$190.35
$214.34
$299.53
$455.17
$335.42
$380.70
$428.68
$599.06
$910.34
$463.72
$509.00
$556.98
$727.36
$592.02
$637.30
$685.28
$855.66
$720.32
$765.60
$813.58
$983.96
$296.01
$318.65
$342.64
$427.83
$424.31
$446.95
$470.94
$556.13
$552.61
$575.25
$599.24
$684.43
$153.12

Silver

Plan: (HMO) Dean Silver Copay Plus 3600X

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Dean Health Plan)
Customer Service Phone: 1-800-279-1302

Deductible: Individual: $3,600 : Family: $7,200
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$367.37
$416.96
$469.50
$656.12
$997.04
$734.74
$833.92
$939.00
$1,312.24
$1,994.08
$1,015.78
$1,114.96
$1,220.04
$1,593.28
$1,296.82
$1,396.00
$1,501.08
$1,874.32
$1,577.86
$1,677.04
$1,782.12
$2,155.36
$648.41
$698.00
$750.54
$937.16
$929.45
$979.04
$1,031.58
$1,218.20
$1,210.49
$1,260.08
$1,312.62
$1,499.24
$335.41

Silver

Plan: (HMO) Dean Silver Classic 4750X

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Dean Health Plan)
Customer Service Phone: 1-800-279-1302

Deductible: Individual: $4,750 : Family: $9,500
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$356.88
$405.06
$456.10
$637.39
$968.58
$713.76
$810.12
$912.20
$1,274.78
$1,937.16
$986.77
$1,083.13
$1,185.21
$1,547.79
$1,259.78
$1,356.14
$1,458.22
$1,820.80
$1,532.79
$1,629.15
$1,731.23
$2,093.81
$629.89
$678.07
$729.11
$910.40
$902.90
$951.08
$1,002.12
$1,183.41
$1,175.91
$1,224.09
$1,275.13
$1,456.42
$325.83

Silver

Plan: (HMO) Dean Silver Value Copay 5000X

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Dean Health Plan)
Customer Service Phone: 1-800-279-1302

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$363.78
$412.89
$464.92
$649.72
$987.31
$727.56
$825.78
$929.84
$1,299.44
$1,974.62
$1,005.85
$1,104.07
$1,208.13
$1,577.73
$1,284.14
$1,382.36
$1,486.42
$1,856.02
$1,562.43
$1,660.65
$1,764.71
$2,134.31
$642.07
$691.18
$743.21
$928.01
$920.36
$969.47
$1,021.50
$1,206.30
$1,198.65
$1,247.76
$1,299.79
$1,484.59
$332.13

Gold

Plan: (HMO) Dean Gold Value Copay 3500X

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Dean Health Plan)
Customer Service Phone: 1-800-279-1302

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $3,500 : Family: $7,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Gold 21
30
40
50
60
$347.57
$394.49
$444.19
$620.76
$943.30
$695.14
$788.98
$888.38
$1,241.52
$1,886.60
$961.03
$1,054.87
$1,154.27
$1,507.41
$1,226.92
$1,320.76
$1,420.16
$1,773.30
$1,492.81
$1,586.65
$1,686.05
$2,039.19
$613.46
$660.38
$710.08
$886.65
$879.35
$926.27
$975.97
$1,152.54
$1,145.24
$1,192.16
$1,241.86
$1,418.43
$317.33

Bronze

Plan: (HMO) Dean Bronze Value Copay 7800X

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Dean Health Plan)
Customer Service Phone: 1-800-279-1302

Deductible: Individual: $7,800 : Family: $15,600
Out of Pocket Maximum per year: Individual: $7,800 : Family: $15,600

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Bronze 21
30
40
50
60
$243.33
$276.17
$310.97
$434.58
$660.39
$486.66
$552.34
$621.94
$869.16
$1,320.78
$672.80
$738.48
$808.08
$1,055.30
$858.94
$924.62
$994.22
$1,241.44
$1,045.08
$1,110.76
$1,180.36
$1,427.58
$429.47
$462.31
$497.11
$620.72
$615.61
$648.45
$683.25
$806.86
$801.75
$834.59
$869.39
$993.00
$222.16

Silver

Plan: (HMO) Dean Silver HSA-E 3500X

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Dean Health Plan)
Customer Service Phone: 1-800-279-1302

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$350.01
$397.26
$447.31
$625.12
$949.93
$700.02
$794.52
$894.62
$1,250.24
$1,899.86
$967.78
$1,062.28
$1,162.38
$1,518.00
$1,235.54
$1,330.04
$1,430.14
$1,785.76
$1,503.30
$1,597.80
$1,697.90
$2,053.52
$617.77
$665.02
$715.07
$892.88
$885.53
$932.78
$982.83
$1,160.64
$1,153.29
$1,200.54
$1,250.59
$1,428.40
$319.56

Gold

Plan: (HMO) Dean Gold Copay Plus 1500X

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Dean Health Plan)
Customer Service Phone: 1-800-279-1302

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $3,500 : Family: $7,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Gold 21
30
40
50
60
$361.37
$410.16
$461.83
$645.41
$980.76
$722.74
$820.32
$923.66
$1,290.82
$1,961.52
$999.19
$1,096.77
$1,200.11
$1,567.27
$1,275.64
$1,373.22
$1,476.56
$1,843.72
$1,552.09
$1,649.67
$1,753.01
$2,120.17
$637.82
$686.61
$738.28
$921.86
$914.27
$963.06
$1,014.73
$1,198.31
$1,190.72
$1,239.51
$1,291.18
$1,474.76
$329.93

Bronze

Plan: (HMO) Dean Bronze HSA-E 6550X

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Dean Health Plan)
Customer Service Phone: 1-800-279-1302

Deductible: Individual: $6,550 : Family: $13,100
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Bronze 21
30
40
50
60
$240.10
$272.51
$306.85
$428.82
$651.63
$480.20
$545.02
$613.70
$857.64
$1,303.26
$663.88
$728.70
$797.38
$1,041.32
$847.56
$912.38
$981.06
$1,225.00
$1,031.24
$1,096.06
$1,164.74
$1,408.68
$423.78
$456.19
$490.53
$612.50
$607.46
$639.87
$674.21
$796.18
$791.14
$823.55
$857.89
$979.86
$219.21

ADVERTISEMENT

Group Health Cooperative of South Central Wisconsin

Local: 1-608-828-4831 | Toll Free: 1-855-344-2729

TTY: 1-608-828-4815

Platinum

Plan: (HMO) Platinum 500 Ded/1500 MOOP

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Group Health Cooperative of South Central Wisconsin)
Customer Service Phone: 1-855-344-2729

Deductible: Individual: $500 : Family: $1,000
Out of Pocket Maximum per year: Individual: $1,500 : Family: $3,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Platinum 21
30
40
50
60
$476.42
$540.73
$608.86
$850.88
$1,292.99
$952.84
$1,081.46
$1,217.72
$1,701.76
$2,585.98
$1,317.30
$1,445.92
$1,582.18
$2,066.22
$1,681.76
$1,810.38
$1,946.64
$2,430.68
$2,046.22
$2,174.84
$2,311.10
$2,795.14
$840.88
$905.19
$973.32
$1,215.34
$1,205.34
$1,269.65
$1,337.78
$1,579.80
$1,569.80
$1,634.11
$1,702.24
$1,944.26
$434.97

Gold

Plan: (HMO) Gold 2000 Ded/2000 MOOP HSA

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Group Health Cooperative of South Central Wisconsin)
Customer Service Phone: 1-855-344-2729

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $2,000 : Family: $4,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Gold 21
30
40
50
60
$417.98
$474.41
$534.18
$746.51
$1,134.39
$835.96
$948.82
$1,068.36
$1,493.02
$2,268.78
$1,155.72
$1,268.58
$1,388.12
$1,812.78
$1,475.48
$1,588.34
$1,707.88
$2,132.54
$1,795.24
$1,908.10
$2,027.64
$2,452.30
$737.74
$794.17
$853.94
$1,066.27
$1,057.50
$1,113.93
$1,173.70
$1,386.03
$1,377.26
$1,433.69
$1,493.46
$1,705.79
$381.62

Silver

Plan: (HMO) Silver 2000 Ded/6000 MOOP

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Group Health Cooperative of South Central Wisconsin)
Customer Service Phone: 1-855-344-2729

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$457.12
$518.83
$584.20
$816.42
$1,240.62
$914.24
$1,037.66
$1,168.40
$1,632.84
$2,481.24
$1,263.94
$1,387.36
$1,518.10
$1,982.54
$1,613.64
$1,737.06
$1,867.80
$2,332.24
$1,963.34
$2,086.76
$2,217.50
$2,681.94
$806.82
$868.53
$933.90
$1,166.12
$1,156.52
$1,218.23
$1,283.60
$1,515.82
$1,506.22
$1,567.93
$1,633.30
$1,865.52
$417.35

Expanded Bronze

Plan: (HMO) Bronze 4000 Ded/7350 MOOP

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Group Health Cooperative of South Central Wisconsin)
Customer Service Phone: 1-855-344-2729

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Expanded Bronze 21
30
40
50
60
$325.57
$369.52
$416.07
$581.46
$883.58
$651.14
$739.04
$832.14
$1,162.92
$1,767.16
$900.20
$988.10
$1,081.20
$1,411.98
$1,149.26
$1,237.16
$1,330.26
$1,661.04
$1,398.32
$1,486.22
$1,579.32
$1,910.10
$574.63
$618.58
$665.13
$830.52
$823.69
$867.64
$914.19
$1,079.58
$1,072.75
$1,116.70
$1,163.25
$1,328.64
$297.24

Bronze

Plan: (HMO) Bronze 6550 Ded/6550 MOOP HSA

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Group Health Cooperative of South Central Wisconsin)
Customer Service Phone: 1-855-344-2729

Deductible: Individual: $6,550 : Family: $13,100
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Bronze 21
30
40
50
60
$317.98
$360.91
$406.38
$567.91
$863.00
$635.96
$721.82
$812.76
$1,135.82
$1,726.00
$879.22
$965.08
$1,056.02
$1,379.08
$1,122.48
$1,208.34
$1,299.28
$1,622.34
$1,365.74
$1,451.60
$1,542.54
$1,865.60
$561.24
$604.17
$649.64
$811.17
$804.50
$847.43
$892.90
$1,054.43
$1,047.76
$1,090.69
$1,136.16
$1,297.69
$290.32

Gold

Plan: (HMO) Gold 2500 Ded/6500 MOOP

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Group Health Cooperative of South Central Wisconsin)
Customer Service Phone: 1-855-344-2729

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Gold 21
30
40
50
60
$387.97
$440.35
$495.82
$692.91
$1,052.94
$775.94
$880.70
$991.64
$1,385.82
$2,105.88
$1,072.74
$1,177.50
$1,288.44
$1,682.62
$1,369.54
$1,474.30
$1,585.24
$1,979.42
$1,666.34
$1,771.10
$1,882.04
$2,276.22
$684.77
$737.15
$792.62
$989.71
$981.57
$1,033.95
$1,089.42
$1,286.51
$1,278.37
$1,330.75
$1,386.22
$1,583.31
$354.22

Gold

Plan: (HMO) Gold Simple Choice 1400 Ded/5000 MOOP

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Group Health Cooperative of South Central Wisconsin)
Customer Service Phone: 1-855-344-2729

Deductible: Individual: $1,400 : Family: $2,800
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Gold 21
30
40
50
60
$413.58
$469.41
$528.55
$738.64
$1,122.43
$827.16
$938.82
$1,057.10
$1,477.28
$2,244.86
$1,143.55
$1,255.21
$1,373.49
$1,793.67
$1,459.94
$1,571.60
$1,689.88
$2,110.06
$1,776.33
$1,887.99
$2,006.27
$2,426.45
$729.97
$785.80
$844.94
$1,055.03
$1,046.36
$1,102.19
$1,161.33
$1,371.42
$1,362.75
$1,418.58
$1,477.72
$1,687.81
$377.59

Silver

Plan: (HMO) Silver Simple Choice 4000X Ded/7350 MOOP

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Group Health Cooperative of South Central Wisconsin)
Customer Service Phone: 1-855-344-2729

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$439.26
$498.56
$561.37
$784.51
$1,192.14
$878.52
$997.12
$1,122.74
$1,569.02
$2,384.28
$1,214.55
$1,333.15
$1,458.77
$1,905.05
$1,550.58
$1,669.18
$1,794.80
$2,241.08
$1,886.61
$2,005.21
$2,130.83
$2,577.11
$775.29
$834.59
$897.40
$1,120.54
$1,111.32
$1,170.62
$1,233.43
$1,456.57
$1,447.35
$1,506.65
$1,569.46
$1,792.60
$401.04

Expanded Bronze

Plan: (HMO) Bronze Simple Choice 6650 Ded/7350 MOOP

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Group Health Cooperative of South Central Wisconsin)
Customer Service Phone: 1-855-344-2729

Deductible: Individual: $6,650 : Family: $13,300
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Expanded Bronze 21
30
40
50
60
$325.29
$369.20
$415.72
$580.96
$882.82
$650.58
$738.40
$831.44
$1,161.92
$1,765.64
$899.43
$987.25
$1,080.29
$1,410.77
$1,148.28
$1,236.10
$1,329.14
$1,659.62
$1,397.13
$1,484.95
$1,577.99
$1,908.47
$574.14
$618.05
$664.57
$829.81
$822.99
$866.90
$913.42
$1,078.66
$1,071.84
$1,115.75
$1,162.27
$1,327.51
$296.99

Platinum

Plan: (HMO) Platinum No Ded/2000 MOOP

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Group Health Cooperative of South Central Wisconsin)
Customer Service Phone: 1-855-344-2729

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $2,000 : Family: $4,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Platinum 21
30
40
50
60
$482.73
$547.90
$616.93
$862.15
$1,310.12
$965.46
$1,095.80
$1,233.86
$1,724.30
$2,620.24
$1,334.75
$1,465.09
$1,603.15
$2,093.59
$1,704.04
$1,834.38
$1,972.44
$2,462.88
$2,073.33
$2,203.67
$2,341.73
$2,832.17
$852.02
$917.19
$986.22
$1,231.44
$1,221.31
$1,286.48
$1,355.51
$1,600.73
$1,590.60
$1,655.77
$1,724.80
$1,970.02
$440.73

Bronze

Plan: (HMO) Bronze 7900 Ded/7900 MOOP

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Group Health Cooperative of South Central Wisconsin)
Customer Service Phone: 1-855-344-2729

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Bronze 21
30
40
50
60
$307.98
$349.56
$393.60
$550.05
$835.85
$615.96
$699.12
$787.20
$1,100.10
$1,671.70
$851.57
$934.73
$1,022.81
$1,335.71
$1,087.18
$1,170.34
$1,258.42
$1,571.32
$1,322.79
$1,405.95
$1,494.03
$1,806.93
$543.59
$585.17
$629.21
$785.66
$779.20
$820.78
$864.82
$1,021.27
$1,014.81
$1,056.39
$1,100.43
$1,256.88
$281.19

Silver

Plan: (HMO) Silver 4900 Ded/7900 MOOP

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Group Health Cooperative of South Central Wisconsin)
Customer Service Phone: 1-855-344-2729

Deductible: Individual: $4,900 : Family: $9,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$445.41
$505.54
$569.24
$795.50
$1,208.84
$890.82
$1,011.08
$1,138.48
$1,591.00
$2,417.68
$1,231.56
$1,351.82
$1,479.22
$1,931.74
$1,572.30
$1,692.56
$1,819.96
$2,272.48
$1,913.04
$2,033.30
$2,160.70
$2,613.22
$786.15
$846.28
$909.98
$1,136.24
$1,126.89
$1,187.02
$1,250.72
$1,476.98
$1,467.63
$1,527.76
$1,591.46
$1,817.72
$406.66

Silver

Plan: (HMO) Silver 5250 Ded/5250 MOOP HSA

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Group Health Cooperative of South Central Wisconsin)
Customer Service Phone: 1-855-344-2729

Deductible: Individual: $5,250 : Family: $10,500
Out of Pocket Maximum per year: Individual: $5,250 : Family: $10,500

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$443.27
$503.11
$566.50
$791.67
$1,203.02
$886.54
$1,006.22
$1,133.00
$1,583.34
$2,406.04
$1,225.64
$1,345.32
$1,472.10
$1,922.44
$1,564.74
$1,684.42
$1,811.20
$2,261.54
$1,903.84
$2,023.52
$2,150.30
$2,600.64
$782.37
$842.21
$905.60
$1,130.77
$1,121.47
$1,181.31
$1,244.70
$1,469.87
$1,460.57
$1,520.41
$1,583.80
$1,808.97
$404.70

‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Jefferson County here.

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