Obamacare 2020 Rates and Health Insurance Providers for Juneau County , Wisconsin


Obamacare > Rates > Wisconsin > Juneau County

Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Juneau County, Wisconsin.

The health insurance rates listed below are for calendar year 2020.

Obamacare Providers, Plans and 2020 Rates for Juneau County, Wisconsin

Below, you’ll find a summary of the 68 plans for Juneau County, Wisconsin 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 take one of the following actions:

  • Contact a licensed health insurance agent
  • Complete an application at
  • Contact the provider directly

The table below shows premiums for the following profiles at various ages:

  • Individuals
  • Couples
  • Couples with 1, 2, or 3 children
  • Individuals with 1, 2, or 3 children
  • A child alone

Each plan links to the insurance provider's website. You can find the following:

  • Summary of plan benefits and costs
  • Plan brochure
  • Provider Directory where you can find out which doctors and hospitals in the Mauston, WI area accept this insurance coverage as within the plan's network.

2020 Obamacare Rates, Providers, and Plans for Juneau County

ADVERTISEMENT

Quartz Health Benefit Plans Corporation

Local: 1-608-644-3430 | Toll Free: 1-800-362-3310 | TTY: 1-800-877-8973

 

Silver

(HMO) Quartz One Silver I302 with Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$427.80
$485.55
$546.72
$764.04
$1,161.04
$855.60
$971.10
$1,093.44
$1,528.08
$2,322.08
$1,182.86
$1,298.36
$1,420.70
$1,855.34
$1,510.12
$1,625.62
$1,747.96
$2,182.60
$1,837.38
$1,952.88
$2,075.22
$2,509.86
$755.06
$812.81
$873.98
$1,091.30
$1,082.32
$1,140.07
$1,201.24
$1,418.56
$1,409.58
$1,467.33
$1,528.50
$1,745.82
$327.26
 

Silver

(HMO) Quartz One Silver I303 with Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,900 $15,800
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$415.94
$472.09
$531.57
$742.86
$1,128.85
$831.88
$944.18
$1,063.14
$1,485.72
$2,257.70
$1,150.07
$1,262.37
$1,381.33
$1,803.91
$1,468.26
$1,580.56
$1,699.52
$2,122.10
$1,786.45
$1,898.75
$2,017.71
$2,440.29
$734.13
$790.28
$849.76
$1,061.05
$1,052.32
$1,108.47
$1,167.95
$1,379.24
$1,370.51
$1,426.66
$1,486.14
$1,697.43
$318.19
 

Gold

(HMO) Quartz One Gold I402 Maintenance with Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,500 $3,000
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$395.54
$448.94
$505.50
$706.43
$1,073.49
$791.08
$897.88
$1,011.00
$1,412.86
$2,146.98
$1,093.67
$1,200.47
$1,313.59
$1,715.45
$1,396.26
$1,503.06
$1,616.18
$2,018.04
$1,698.85
$1,805.65
$1,918.77
$2,320.63
$698.13
$751.53
$808.09
$1,009.02
$1,000.72
$1,054.12
$1,110.68
$1,311.61
$1,303.31
$1,356.71
$1,413.27
$1,614.20
$302.59
 

Gold

(HMO) Quartz One Gold I401 with Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,000 $4,000
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$390.47
$443.18
$499.02
$697.38
$1,059.73
$780.94
$886.36
$998.04
$1,394.76
$2,119.46
$1,079.65
$1,185.07
$1,296.75
$1,693.47
$1,378.36
$1,483.78
$1,595.46
$1,992.18
$1,677.07
$1,782.49
$1,894.17
$2,290.89
$689.18
$741.89
$797.73
$996.09
$987.89
$1,040.60
$1,096.44
$1,294.80
$1,286.60
$1,339.31
$1,395.15
$1,593.51
$298.71
 

Silver

(HMO) Quartz One Silver I301 with Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,300 $8,600
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$429.71
$487.72
$549.17
$767.46
$1,166.23
$859.42
$975.44
$1,098.34
$1,534.92
$2,332.46
$1,188.15
$1,304.17
$1,427.07
$1,863.65
$1,516.88
$1,632.90
$1,755.80
$2,192.38
$1,845.61
$1,961.63
$2,084.53
$2,521.11
$758.44
$816.45
$877.90
$1,096.19
$1,087.17
$1,145.18
$1,206.63
$1,424.92
$1,415.90
$1,473.91
$1,535.36
$1,753.65
$328.73
 

Expanded Bronze

(HMO) Quartz One Bronze I201 with Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,000 $16,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$291.99
$331.41
$373.16
$521.49
$792.45
$583.98
$662.82
$746.32
$1,042.98
$1,584.90
$807.35
$886.19
$969.69
$1,266.35
$1,030.72
$1,109.56
$1,193.06
$1,489.72
$1,254.09
$1,332.93
$1,416.43
$1,713.09
$515.36
$554.78
$596.53
$744.86
$738.73
$778.15
$819.90
$968.23
$962.10
$1,001.52
$1,043.27
$1,191.60
$223.37
 

Expanded Bronze

(HMO) Quartz One Bronze I202 with Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,900 $15,800
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$298.85
$339.19
$381.93
$533.74
$811.07
$597.70
$678.38
$763.86
$1,067.48
$1,622.14
$826.32
$907.00
$992.48
$1,296.10
$1,054.94
$1,135.62
$1,221.10
$1,524.72
$1,283.56
$1,364.24
$1,449.72
$1,753.34
$527.47
$567.81
$610.55
$762.36
$756.09
$796.43
$839.17
$990.98
$984.71
$1,025.05
$1,067.79
$1,219.60
$228.62
 

Silver

(HMO) Quartz One Silver I302

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$407.89
$462.94
$521.27
$728.47
$1,106.99
$815.78
$925.88
$1,042.54
$1,456.94
$2,213.98
$1,127.81
$1,237.91
$1,354.57
$1,768.97
$1,439.84
$1,549.94
$1,666.60
$2,081.00
$1,751.87
$1,861.97
$1,978.63
$2,393.03
$719.92
$774.97
$833.30
$1,040.50
$1,031.95
$1,087.00
$1,145.33
$1,352.53
$1,343.98
$1,399.03
$1,457.36
$1,664.56
$312.03
 

Silver

(HMO) Quartz One Silver I303

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,900 $15,800
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$396.58
$450.11
$506.82
$708.28
$1,076.30
$793.16
$900.22
$1,013.64
$1,416.56
$2,152.60
$1,096.54
$1,203.60
$1,317.02
$1,719.94
$1,399.92
$1,506.98
$1,620.40
$2,023.32
$1,703.30
$1,810.36
$1,923.78
$2,326.70
$699.96
$753.49
$810.20
$1,011.66
$1,003.34
$1,056.87
$1,113.58
$1,315.04
$1,306.72
$1,360.25
$1,416.96
$1,618.42
$303.38
 

Gold

(HMO) Quartz One Gold I402 Maintenance

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,500 $3,000
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$377.13
$428.04
$481.97
$673.55
$1,023.52
$754.26
$856.08
$963.94
$1,347.10
$2,047.04
$1,042.76
$1,144.58
$1,252.44
$1,635.60
$1,331.26
$1,433.08
$1,540.94
$1,924.10
$1,619.76
$1,721.58
$1,829.44
$2,212.60
$665.63
$716.54
$770.47
$962.05
$954.13
$1,005.04
$1,058.97
$1,250.55
$1,242.63
$1,293.54
$1,347.47
$1,539.05
$288.50
 

Gold

(HMO) Quartz One Gold I401

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,000 $4,000
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$372.30
$422.55
$475.79
$664.91
$1,010.40
$744.60
$845.10
$951.58
$1,329.82
$2,020.80
$1,029.40
$1,129.90
$1,236.38
$1,614.62
$1,314.20
$1,414.70
$1,521.18
$1,899.42
$1,599.00
$1,699.50
$1,805.98
$2,184.22
$657.10
$707.35
$760.59
$949.71
$941.90
$992.15
$1,045.39
$1,234.51
$1,226.70
$1,276.95
$1,330.19
$1,519.31
$284.80
 

Silver

(HMO) Quartz One Silver I301

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,300 $8,600
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$409.71
$465.01
$523.60
$731.73
$1,111.94
$819.42
$930.02
$1,047.20
$1,463.46
$2,223.88
$1,132.84
$1,243.44
$1,360.62
$1,776.88
$1,446.26
$1,556.86
$1,674.04
$2,090.30
$1,759.68
$1,870.28
$1,987.46
$2,403.72
$723.13
$778.43
$837.02
$1,045.15
$1,036.55
$1,091.85
$1,150.44
$1,358.57
$1,349.97
$1,405.27
$1,463.86
$1,671.99
$313.42
 

Expanded Bronze

(HMO) Quartz One Bronze I201

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,000 $16,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$278.40
$315.98
$355.79
$497.21
$755.56
$556.80
$631.96
$711.58
$994.42
$1,511.12
$769.77
$844.93
$924.55
$1,207.39
$982.74
$1,057.90
$1,137.52
$1,420.36
$1,195.71
$1,270.87
$1,350.49
$1,633.33
$491.37
$528.95
$568.76
$710.18
$704.34
$741.92
$781.73
$923.15
$917.31
$954.89
$994.70
$1,136.12
$212.97
 

Expanded Bronze

(HMO) Quartz One Bronze I202

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,900 $15,800
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$284.94
$323.40
$364.15
$508.89
$773.31
$569.88
$646.80
$728.30
$1,017.78
$1,546.62
$787.85
$864.77
$946.27
$1,235.75
$1,005.82
$1,082.74
$1,164.24
$1,453.72
$1,223.79
$1,300.71
$1,382.21
$1,671.69
$502.91
$541.37
$582.12
$726.86
$720.88
$759.34
$800.09
$944.83
$938.85
$977.31
$1,018.06
$1,162.80
$217.97
 

Gold

(HMO) Quartz One Gold I404 HSA

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,000 $4,000
Maximum Out of Pocket Per Year $6,650 $13,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$392.83
$445.85
$502.03
$701.58
$1,066.12
$785.66
$891.70
$1,004.06
$1,403.16
$2,132.24
$1,086.17
$1,192.21
$1,304.57
$1,703.67
$1,386.68
$1,492.72
$1,605.08
$2,004.18
$1,687.19
$1,793.23
$1,905.59
$2,304.69
$693.34
$746.36
$802.54
$1,002.09
$993.85
$1,046.87
$1,103.05
$1,302.60
$1,294.36
$1,347.38
$1,403.56
$1,603.11
$300.51
 

Expanded Bronze

(HMO) Quartz One Bronze I203 HSA

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,750 $13,500
Maximum Out of Pocket Per Year $6,750 $13,500
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$288.98
$327.98
$369.31
$516.10
$784.27
$577.96
$655.96
$738.62
$1,032.20
$1,568.54
$799.02
$877.02
$959.68
$1,253.26
$1,020.08
$1,098.08
$1,180.74
$1,474.32
$1,241.14
$1,319.14
$1,401.80
$1,695.38
$510.04
$549.04
$590.37
$737.16
$731.10
$770.10
$811.43
$958.22
$952.16
$991.16
$1,032.49
$1,179.28
$221.06
 

Catastrophic

(HMO) Quartz One Catastrophic I101

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$212.08
$240.71
$271.04
$378.77
$575.58
$424.16
$481.42
$542.08
$757.54
$1,151.16
$586.40
$643.66
$704.32
$919.78
$748.64
$805.90
$866.56
$1,082.02
$910.88
$968.14
$1,028.80
$1,244.26
$374.32
$402.95
$433.28
$541.01
$536.56
$565.19
$595.52
$703.25
$698.80
$727.43
$757.76
$865.49
$162.24
 

Silver

(HMO) Quartz One Silver I304 HSA

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,250 $10,500
Maximum Out of Pocket Per Year $5,250 $10,500
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$429.33
$487.29
$548.68
$766.78
$1,165.20
$858.66
$974.58
$1,097.36
$1,533.56
$2,330.40
$1,187.10
$1,303.02
$1,425.80
$1,862.00
$1,515.54
$1,631.46
$1,754.24
$2,190.44
$1,843.98
$1,959.90
$2,082.68
$2,518.88
$757.77
$815.73
$877.12
$1,095.22
$1,086.21
$1,144.17
$1,205.56
$1,423.66
$1,414.65
$1,472.61
$1,534.00
$1,752.10
$328.44
 

Gold

(HMO) Quartz One Gold I403 HSA

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,000 $6,000
Maximum Out of Pocket Per Year $3,000 $6,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$396.30
$449.79
$506.46
$707.78
$1,075.53
$792.60
$899.58
$1,012.92
$1,415.56
$2,151.06
$1,095.76
$1,202.74
$1,316.08
$1,718.72
$1,398.92
$1,505.90
$1,619.24
$2,021.88
$1,702.08
$1,809.06
$1,922.40
$2,325.04
$699.46
$752.95
$809.62
$1,010.94
$1,002.62
$1,056.11
$1,112.78
$1,314.10
$1,305.78
$1,359.27
$1,415.94
$1,617.26
$303.16

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Security Health Plan of Wisconsin, Inc.

Local: 1-715-221-9258x19258 | Toll Free: 1-844-293-9624 | TTY: 1-877-727-2232

 

Catastrophic

(EPO) Select Protection

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$226.82
$257.43
$289.87
$405.09
$615.57
$453.64
$514.86
$579.74
$810.18
$1,231.14
$627.15
$688.37
$753.25
$983.69
$800.66
$861.88
$926.76
$1,157.20
$974.17
$1,035.39
$1,100.27
$1,330.71
$400.33
$430.94
$463.38
$578.60
$573.84
$604.45
$636.89
$752.11
$747.35
$777.96
$810.40
$925.62
$173.51
 

Bronze

(EPO) Select $8,150

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$331.61
$376.37
$423.78
$592.24
$899.96
$663.22
$752.74
$847.56
$1,184.48
$1,799.92
$916.89
$1,006.41
$1,101.23
$1,438.15
$1,170.56
$1,260.08
$1,354.90
$1,691.82
$1,424.23
$1,513.75
$1,608.57
$1,945.49
$585.28
$630.04
$677.45
$845.91
$838.95
$883.71
$931.12
$1,099.58
$1,092.62
$1,137.38
$1,184.79
$1,353.25
$253.67
 

Silver

(EPO) Select $7,100 - 30%

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,100 $14,200
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$522.28
$592.78
$667.46
$932.77
$1,417.44
$1,044.56
$1,185.56
$1,334.92
$1,865.54
$2,834.88
$1,444.10
$1,585.10
$1,734.46
$2,265.08
$1,843.64
$1,984.64
$2,134.00
$2,664.62
$2,243.18
$2,384.18
$2,533.54
$3,064.16
$921.82
$992.32
$1,067.00
$1,332.31
$1,321.36
$1,391.86
$1,466.54
$1,731.85
$1,720.90
$1,791.40
$1,866.08
$2,131.39
$399.54
 

Gold

(EPO) Select $3,500 - 30%

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,500 $7,000
Maximum Out of Pocket Per Year $6,000 $12,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$447.01
$507.34
$571.26
$798.34
$1,213.15
$894.02
$1,014.68
$1,142.52
$1,596.68
$2,426.30
$1,235.97
$1,356.63
$1,484.47
$1,938.63
$1,577.92
$1,698.58
$1,826.42
$2,280.58
$1,919.87
$2,040.53
$2,168.37
$2,622.53
$788.96
$849.29
$913.21
$1,140.29
$1,130.91
$1,191.24
$1,255.16
$1,482.24
$1,472.86
$1,533.19
$1,597.11
$1,824.19
$341.95
 

Silver

(EPO) Select $4,500 HDHP

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,500 $9,000
Maximum Out of Pocket Per Year $6,850 $13,700
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$538.86
$611.59
$688.65
$962.39
$1,462.44
$1,077.72
$1,223.18
$1,377.30
$1,924.78
$2,924.88
$1,489.94
$1,635.40
$1,789.52
$2,337.00
$1,902.16
$2,047.62
$2,201.74
$2,749.22
$2,314.38
$2,459.84
$2,613.96
$3,161.44
$951.08
$1,023.81
$1,100.87
$1,374.61
$1,363.30
$1,436.03
$1,513.09
$1,786.83
$1,775.52
$1,848.25
$1,925.31
$2,199.05
$412.22
 

Bronze

(EPO) Select $7,000

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,000 $14,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$337.58
$383.14
$431.41
$602.90
$916.16
$675.16
$766.28
$862.82
$1,205.80
$1,832.32
$933.40
$1,024.52
$1,121.06
$1,464.04
$1,191.64
$1,282.76
$1,379.30
$1,722.28
$1,449.88
$1,541.00
$1,637.54
$1,980.52
$595.82
$641.38
$689.65
$861.14
$854.06
$899.62
$947.89
$1,119.38
$1,112.30
$1,157.86
$1,206.13
$1,377.62
$258.24
 

Silver

(EPO) Select $4,800 - 30%

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,800 $9,600
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$522.94
$593.53
$668.31
$933.96
$1,419.24
$1,045.88
$1,187.06
$1,336.62
$1,867.92
$2,838.48
$1,445.92
$1,587.10
$1,736.66
$2,267.96
$1,845.96
$1,987.14
$2,136.70
$2,668.00
$2,246.00
$2,387.18
$2,536.74
$3,068.04
$922.98
$993.57
$1,068.35
$1,334.00
$1,323.02
$1,393.61
$1,468.39
$1,734.04
$1,723.06
$1,793.65
$1,868.43
$2,134.08
$400.04
 

Expanded Bronze

(EPO) Select $6,000 HDHP

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $6,850 $13,700
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$363.11
$412.12
$464.04
$648.50
$985.46
$726.22
$824.24
$928.08
$1,297.00
$1,970.92
$1,003.99
$1,102.01
$1,205.85
$1,574.77
$1,281.76
$1,379.78
$1,483.62
$1,852.54
$1,559.53
$1,657.55
$1,761.39
$2,130.31
$640.88
$689.89
$741.81
$926.27
$918.65
$967.66
$1,019.58
$1,204.04
$1,196.42
$1,245.43
$1,297.35
$1,481.81
$277.77

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Dean Health Plan

Local: 1-608-828-1302 | Toll Free: 1-800-279-1302 | TTY: 1-800-947-3529

 

Catastrophic

(HMO) Dean Catastrophic Safety Net

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$187.75
$213.10
$239.95
$335.33
$509.56
$375.50
$426.20
$479.90
$670.66
$1,019.12
$519.13
$569.83
$623.53
$814.29
$662.76
$713.46
$767.16
$957.92
$806.39
$857.09
$910.79
$1,101.55
$331.38
$356.73
$383.58
$478.96
$475.01
$500.36
$527.21
$622.59
$618.64
$643.99
$670.84
$766.22
$143.63
 

Silver

(HMO) Dean Silver Copay Plus 4400X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,400 $8,800
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$364.30
$413.48
$465.57
$650.64
$988.71
$728.60
$826.96
$931.14
$1,301.28
$1,977.42
$1,007.29
$1,105.65
$1,209.83
$1,579.97
$1,285.98
$1,384.34
$1,488.52
$1,858.66
$1,564.67
$1,663.03
$1,767.21
$2,137.35
$642.99
$692.17
$744.26
$929.33
$921.68
$970.86
$1,022.95
$1,208.02
$1,200.37
$1,249.55
$1,301.64
$1,486.71
$278.69
 

Silver

(HMO) Dean Silver Classic 5000X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$353.21
$400.90
$451.41
$630.84
$958.62
$706.42
$801.80
$902.82
$1,261.68
$1,917.24
$976.63
$1,072.01
$1,173.03
$1,531.89
$1,246.84
$1,342.22
$1,443.24
$1,802.10
$1,517.05
$1,612.43
$1,713.45
$2,072.31
$623.42
$671.11
$721.62
$901.05
$893.63
$941.32
$991.83
$1,171.26
$1,163.84
$1,211.53
$1,262.04
$1,441.47
$270.21
 

Silver

(HMO) Dean Silver Value Copay 5000X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$361.83
$410.68
$462.42
$646.23
$982.01
$723.66
$821.36
$924.84
$1,292.46
$1,964.02
$1,000.46
$1,098.16
$1,201.64
$1,569.26
$1,277.26
$1,374.96
$1,478.44
$1,846.06
$1,554.06
$1,651.76
$1,755.24
$2,122.86
$638.63
$687.48
$739.22
$923.03
$915.43
$964.28
$1,016.02
$1,199.83
$1,192.23
$1,241.08
$1,292.82
$1,476.63
$276.80
 

Gold

(HMO) Dean Gold Value Copay 3700X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,700 $7,400
Maximum Out of Pocket Per Year $3,700 $7,400
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$355.65
$403.66
$454.52
$635.19
$965.23
$711.30
$807.32
$909.04
$1,270.38
$1,930.46
$983.37
$1,079.39
$1,181.11
$1,542.45
$1,255.44
$1,351.46
$1,453.18
$1,814.52
$1,527.51
$1,623.53
$1,725.25
$2,086.59
$627.72
$675.73
$726.59
$907.26
$899.79
$947.80
$998.66
$1,179.33
$1,171.86
$1,219.87
$1,270.73
$1,451.40
$272.07
 

Bronze

(HMO) Dean Bronze Value Copay 8100X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,100 $16,200
Maximum Out of Pocket Per Year $8,100 $16,200
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$250.44
$284.24
$320.06
$447.28
$679.68
$500.88
$568.48
$640.12
$894.56
$1,359.36
$692.46
$760.06
$831.70
$1,086.14
$884.04
$951.64
$1,023.28
$1,277.72
$1,075.62
$1,143.22
$1,214.86
$1,469.30
$442.02
$475.82
$511.64
$638.86
$633.60
$667.40
$703.22
$830.44
$825.18
$858.98
$894.80
$1,022.02
$191.58
 

Silver

(HMO) Dean Silver HSA-E 4000X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,000 $8,000
Maximum Out of Pocket Per Year $6,750 $13,500
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$348.07
$395.06
$444.83
$621.65
$944.66
$696.14
$790.12
$889.66
$1,243.30
$1,889.32
$962.41
$1,056.39
$1,155.93
$1,509.57
$1,228.68
$1,322.66
$1,422.20
$1,775.84
$1,494.95
$1,588.93
$1,688.47
$2,042.11
$614.34
$661.33
$711.10
$887.92
$880.61
$927.60
$977.37
$1,154.19
$1,146.88
$1,193.87
$1,243.64
$1,420.46
$266.27
 

Gold

(HMO) Dean Gold Copay Plus 1500X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,500 $3,000
Maximum Out of Pocket Per Year $4,000 $8,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$372.23
$422.49
$475.72
$664.81
$1,010.24
$744.46
$844.98
$951.44
$1,329.62
$2,020.48
$1,029.22
$1,129.74
$1,236.20
$1,614.38
$1,313.98
$1,414.50
$1,520.96
$1,899.14
$1,598.74
$1,699.26
$1,805.72
$2,183.90
$656.99
$707.25
$760.48
$949.57
$941.75
$992.01
$1,045.24
$1,234.33
$1,226.51
$1,276.77
$1,330.00
$1,519.09
$284.76
 

Expanded Bronze

(HMO) Dean Bronze HSA-E 6700X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,700 $13,400
Maximum Out of Pocket Per Year $6,700 $13,400
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$248.44
$281.98
$317.51
$443.72
$674.28
$496.88
$563.96
$635.02
$887.44
$1,348.56
$686.94
$754.02
$825.08
$1,077.50
$877.00
$944.08
$1,015.14
$1,267.56
$1,067.06
$1,134.14
$1,205.20
$1,457.62
$438.50
$472.04
$507.57
$633.78
$628.56
$662.10
$697.63
$823.84
$818.62
$852.16
$887.69
$1,013.90
$190.06
 

Expanded Bronze

(HMO) Dean Bronze Copay Plus 8100X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,100 $16,200
Maximum Out of Pocket Per Year $8,100 $16,200
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$256.71
$291.36
$328.07
$458.48
$696.70
$513.42
$582.72
$656.14
$916.96
$1,393.40
$709.80
$779.10
$852.52
$1,113.34
$906.18
$975.48
$1,048.90
$1,309.72
$1,102.56
$1,171.86
$1,245.28
$1,506.10
$453.09
$487.74
$524.45
$654.86
$649.47
$684.12
$720.83
$851.24
$845.85
$880.50
$917.21
$1,047.62
$196.38

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Aspirus Arise Health Plan of Wisconsin, Inc.

Local: 1-800-332-6290 | Toll Free: 1-800-332-6290 | TTY: 1-888-332-0144

 

Silver

(HMO) HMO Silver 7150

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,150 $14,300
Maximum Out of Pocket Per Year $7,150 $14,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$561.08
$636.83
$717.06
$1,002.09
$1,522.77
$1,122.16
$1,273.66
$1,434.12
$2,004.18
$3,045.54
$1,551.39
$1,702.89
$1,863.35
$2,433.41
$1,980.62
$2,132.12
$2,292.58
$2,862.64
$2,409.85
$2,561.35
$2,721.81
$3,291.87
$990.31
$1,066.06
$1,146.29
$1,431.32
$1,419.54
$1,495.29
$1,575.52
$1,860.55
$1,848.77
$1,924.52
$2,004.75
$2,289.78
$429.23
 

Silver

(HMO) HMO Silver 5000 with 3 Free PCP Visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$583.76
$662.57
$746.05
$1,042.60
$1,584.32
$1,167.52
$1,325.14
$1,492.10
$2,085.20
$3,168.64
$1,614.10
$1,771.72
$1,938.68
$2,531.78
$2,060.68
$2,218.30
$2,385.26
$2,978.36
$2,507.26
$2,664.88
$2,831.84
$3,424.94
$1,030.34
$1,109.15
$1,192.63
$1,489.18
$1,476.92
$1,555.73
$1,639.21
$1,935.76
$1,923.50
$2,002.31
$2,085.79
$2,382.34
$446.58
 

Expanded Bronze

(HMO) HMO HDHP Bronze 5500

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,500 $11,000
Maximum Out of Pocket Per Year $6,900 $13,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$394.86
$448.17
$504.63
$705.22
$1,071.65
$789.72
$896.34
$1,009.26
$1,410.44
$2,143.30
$1,091.79
$1,198.41
$1,311.33
$1,712.51
$1,393.86
$1,500.48
$1,613.40
$2,014.58
$1,695.93
$1,802.55
$1,915.47
$2,316.65
$696.93
$750.24
$806.70
$1,007.29
$999.00
$1,052.31
$1,108.77
$1,309.36
$1,301.07
$1,354.38
$1,410.84
$1,611.43
$302.07
 

Silver

(HMO) HMO HDHP Silver 2800

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,800 $5,600
Maximum Out of Pocket Per Year $6,900 $13,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$572.98
$650.33
$732.27
$1,023.34
$1,555.07
$1,145.96
$1,300.66
$1,464.54
$2,046.68
$3,110.14
$1,584.29
$1,738.99
$1,902.87
$2,485.01
$2,022.62
$2,177.32
$2,341.20
$2,923.34
$2,460.95
$2,615.65
$2,779.53
$3,361.67
$1,011.31
$1,088.66
$1,170.60
$1,461.67
$1,449.64
$1,526.99
$1,608.93
$1,900.00
$1,887.97
$1,965.32
$2,047.26
$2,338.33
$438.33
 

Bronze

(HMO) HMO Bronze 8150

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$379.96
$431.25
$485.59
$678.61
$1,031.21
$759.92
$862.50
$971.18
$1,357.22
$2,062.42
$1,050.59
$1,153.17
$1,261.85
$1,647.89
$1,341.26
$1,443.84
$1,552.52
$1,938.56
$1,631.93
$1,734.51
$1,843.19
$2,229.23
$670.63
$721.92
$776.26
$969.28
$961.30
$1,012.59
$1,066.93
$1,259.95
$1,251.97
$1,303.26
$1,357.60
$1,550.62
$290.67
 

Expanded Bronze

(HMO) HMO Bronze 6250 with 3 Free PCP Visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,250 $12,500
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$395.50
$448.89
$505.45
$706.36
$1,073.39
$791.00
$897.78
$1,010.90
$1,412.72
$2,146.78
$1,093.56
$1,200.34
$1,313.46
$1,715.28
$1,396.12
$1,502.90
$1,616.02
$2,017.84
$1,698.68
$1,805.46
$1,918.58
$2,320.40
$698.06
$751.45
$808.01
$1,008.92
$1,000.62
$1,054.01
$1,110.57
$1,311.48
$1,303.18
$1,356.57
$1,413.13
$1,614.04
$302.56
 

Gold

(HMO) HMO Gold 2250

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,250 $4,500
Maximum Out of Pocket Per Year $4,000 $8,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$872.44
$990.22
$1,114.98
$1,558.18
$2,367.80
$1,744.88
$1,980.44
$2,229.96
$3,116.36
$4,735.60
$2,412.30
$2,647.86
$2,897.38
$3,783.78
$3,079.72
$3,315.28
$3,564.80
$4,451.20
$3,747.14
$3,982.70
$4,232.22
$5,118.62
$1,539.86
$1,657.64
$1,782.40
$2,225.60
$2,207.28
$2,325.06
$2,449.82
$2,893.02
$2,874.70
$2,992.48
$3,117.24
$3,560.44
$667.42
 

Catastrophic

(HMO) HMO Catastrophic 8150 with 3 Free PCP Visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$315.96
$358.61
$403.80
$564.30
$857.52
$631.92
$717.22
$807.60
$1,128.60
$1,715.04
$873.63
$958.93
$1,049.31
$1,370.31
$1,115.34
$1,200.64
$1,291.02
$1,612.02
$1,357.05
$1,442.35
$1,532.73
$1,853.73
$557.67
$600.32
$645.51
$806.01
$799.38
$842.03
$887.22
$1,047.72
$1,041.09
$1,083.74
$1,128.93
$1,289.43
$241.71
 

Expanded Bronze

(HMO) HMO HDHP Bronze 6900

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,900 $13,800
Maximum Out of Pocket Per Year $6,900 $13,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$393.52
$446.65
$502.92
$702.83
$1,068.01
$787.04
$893.30
$1,005.84
$1,405.66
$2,136.02
$1,088.08
$1,194.34
$1,306.88
$1,706.70
$1,389.12
$1,495.38
$1,607.92
$2,007.74
$1,690.16
$1,796.42
$1,908.96
$2,308.78
$694.56
$747.69
$803.96
$1,003.87
$995.60
$1,048.73
$1,105.00
$1,304.91
$1,296.64
$1,349.77
$1,406.04
$1,605.95
$301.04
 

Silver

(HMO) HMO HDHP Silver 4500

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,500 $9,000
Maximum Out of Pocket Per Year $4,500 $9,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$571.00
$648.09
$729.74
$1,019.81
$1,549.69
$1,142.00
$1,296.18
$1,459.48
$2,039.62
$3,099.38
$1,578.82
$1,733.00
$1,896.30
$2,476.44
$2,015.64
$2,169.82
$2,333.12
$2,913.26
$2,452.46
$2,606.64
$2,769.94
$3,350.08
$1,007.82
$1,084.91
$1,166.56
$1,456.63
$1,444.64
$1,521.73
$1,603.38
$1,893.45
$1,881.46
$1,958.55
$2,040.20
$2,330.27
$436.82
 

Bronze

(HMO) HMO Bronze 7200

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,200 $14,400
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$385.58
$437.63
$492.77
$688.65
$1,046.46
$771.16
$875.26
$985.54
$1,377.30
$2,092.92
$1,066.13
$1,170.23
$1,280.51
$1,672.27
$1,361.10
$1,465.20
$1,575.48
$1,967.24
$1,656.07
$1,760.17
$1,870.45
$2,262.21
$680.55
$732.60
$787.74
$983.62
$975.52
$1,027.57
$1,082.71
$1,278.59
$1,270.49
$1,322.54
$1,377.68
$1,573.56
$294.97
 

Silver

(HMO) HMO Silver 4500

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,500 $9,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$561.48
$637.28
$717.57
$1,002.80
$1,523.86
$1,122.96
$1,274.56
$1,435.14
$2,005.60
$3,047.72
$1,552.49
$1,704.09
$1,864.67
$2,435.13
$1,982.02
$2,133.62
$2,294.20
$2,864.66
$2,411.55
$2,563.15
$2,723.73
$3,294.19
$991.01
$1,066.81
$1,147.10
$1,432.33
$1,420.54
$1,496.34
$1,576.63
$1,861.86
$1,850.07
$1,925.87
$2,006.16
$2,291.39
$429.53
 

Silver

(HMO) HMO HDHP Silver 5500

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,500 $11,000
Maximum Out of Pocket Per Year $5,500 $11,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$542.21
$615.41
$692.94
$968.39
$1,471.56
$1,084.42
$1,230.82
$1,385.88
$1,936.78
$2,943.12
$1,499.21
$1,645.61
$1,800.67
$2,351.57
$1,914.00
$2,060.40
$2,215.46
$2,766.36
$2,328.79
$2,475.19
$2,630.25
$3,181.15
$957.00
$1,030.20
$1,107.73
$1,383.18
$1,371.79
$1,444.99
$1,522.52
$1,797.97
$1,786.58
$1,859.78
$1,937.31
$2,212.76
$414.79
 

Expanded Bronze

(HMO) HMO HDHP Bronze 6450

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,450 $12,900
Maximum Out of Pocket Per Year $6,450 $12,900
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$403.19
$457.62
$515.28
$720.10
$1,094.26
$806.38
$915.24
$1,030.56
$1,440.20
$2,188.52
$1,114.82
$1,223.68
$1,339.00
$1,748.64
$1,423.26
$1,532.12
$1,647.44
$2,057.08
$1,731.70
$1,840.56
$1,955.88
$2,365.52
$711.63
$766.06
$823.72
$1,028.54
$1,020.07
$1,074.50
$1,132.16
$1,336.98
$1,328.51
$1,382.94
$1,440.60
$1,645.42
$308.44
 

Silver

(POS) POS Silver 7150

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,150 $14,300
Maximum Out of Pocket Per Year $7,150 $14,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$617.23
$700.56
$788.82
$1,102.37
$1,675.16
$1,234.46
$1,401.12
$1,577.64
$2,204.74
$3,350.32
$1,706.64
$1,873.30
$2,049.82
$2,676.92
$2,178.82
$2,345.48
$2,522.00
$3,149.10
$2,651.00
$2,817.66
$2,994.18
$3,621.28
$1,089.41
$1,172.74
$1,261.00
$1,574.55
$1,561.59
$1,644.92
$1,733.18
$2,046.73
$2,033.77
$2,117.10
$2,205.36
$2,518.91
$472.18
 

Silver

(POS) POS Silver 5000 with 3 Free PCP Visits

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$642.22
$728.92
$820.76
$1,147.00
$1,742.99
$1,284.44
$1,457.84
$1,641.52
$2,294.00
$3,485.98
$1,775.74
$1,949.14
$2,132.82
$2,785.30
$2,267.04
$2,440.44
$2,624.12
$3,276.60
$2,758.34
$2,931.74
$3,115.42
$3,767.90
$1,133.52
$1,220.22
$1,312.06
$1,638.30
$1,624.82
$1,711.52
$1,803.36
$2,129.60
$2,116.12
$2,202.82
$2,294.66
$2,620.90
$491.30
 

Expanded Bronze

(POS) POS HDHP Bronze 5500

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,500 $11,000
Maximum Out of Pocket Per Year $6,900 $13,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$434.36
$493.00
$555.11
$775.77
$1,178.85
$868.72
$986.00
$1,110.22
$1,551.54
$2,357.70
$1,201.01
$1,318.29
$1,442.51
$1,883.83
$1,533.30
$1,650.58
$1,774.80
$2,216.12
$1,865.59
$1,982.87
$2,107.09
$2,548.41
$766.65
$825.29
$887.40
$1,108.06
$1,098.94
$1,157.58
$1,219.69
$1,440.35
$1,431.23
$1,489.87
$1,551.98
$1,772.64
$332.29
 

Silver

(POS) POS HDHP Silver 2800

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,800 $5,600
Maximum Out of Pocket Per Year $6,900 $13,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$630.32
$715.41
$805.55
$1,125.75
$1,710.69
$1,260.64
$1,430.82
$1,611.10
$2,251.50
$3,421.38
$1,742.83
$1,913.01
$2,093.29
$2,733.69
$2,225.02
$2,395.20
$2,575.48
$3,215.88
$2,707.21
$2,877.39
$3,057.67
$3,698.07
$1,112.51
$1,197.60
$1,287.74
$1,607.94
$1,594.70
$1,679.79
$1,769.93
$2,090.13
$2,076.89
$2,161.98
$2,252.12
$2,572.32
$482.19

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

(HMO) Platinum 500 Ded/1500 MOOP

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $500 $1,000
Maximum Out of Pocket Per Year $1,500 $3,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$462.01
$524.38
$590.44
$825.14
$1,253.87
$924.02
$1,048.76
$1,180.88
$1,650.28
$2,507.74
$1,277.46
$1,402.20
$1,534.32
$2,003.72
$1,630.90
$1,755.64
$1,887.76
$2,357.16
$1,984.34
$2,109.08
$2,241.20
$2,710.60
$815.45
$877.82
$943.88
$1,178.58
$1,168.89
$1,231.26
$1,297.32
$1,532.02
$1,522.33
$1,584.70
$1,650.76
$1,885.46
$353.44
 

Gold

(HMO) Gold 2500 Ded/2500 MOOP HSA

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,500 $5,000
Maximum Out of Pocket Per Year $2,500 $5,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$393.35
$446.46
$502.70
$702.53
$1,067.55
$786.70
$892.92
$1,005.40
$1,405.06
$2,135.10
$1,087.62
$1,193.84
$1,306.32
$1,705.98
$1,388.54
$1,494.76
$1,607.24
$2,006.90
$1,689.46
$1,795.68
$1,908.16
$2,307.82
$694.27
$747.38
$803.62
$1,003.45
$995.19
$1,048.30
$1,104.54
$1,304.37
$1,296.11
$1,349.22
$1,405.46
$1,605.29
$300.92
 

Expanded Bronze

(HMO) Bronze 4000 Ded/7350 MOOP

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,000 $8,000
Maximum Out of Pocket Per Year $7,350 $14,700
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$308.96
$350.67
$394.85
$551.80
$838.51
$617.92
$701.34
$789.70
$1,103.60
$1,677.02
$854.28
$937.70
$1,026.06
$1,339.96
$1,090.64
$1,174.06
$1,262.42
$1,576.32
$1,327.00
$1,410.42
$1,498.78
$1,812.68
$545.32
$587.03
$631.21
$788.16
$781.68
$823.39
$867.57
$1,024.52
$1,018.04
$1,059.75
$1,103.93
$1,260.88
$236.36
 

Expanded Bronze

(HMO) Bronze 6900 Ded/6900 MOOP HSA

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,900 $13,800
Maximum Out of Pocket Per Year $6,900 $13,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$300.59
$341.16
$384.15
$536.84
$815.78
$601.18
$682.32
$768.30
$1,073.68
$1,631.56
$831.13
$912.27
$998.25
$1,303.63
$1,061.08
$1,142.22
$1,228.20
$1,533.58
$1,291.03
$1,372.17
$1,458.15
$1,763.53
$530.54
$571.11
$614.10
$766.79
$760.49
$801.06
$844.05
$996.74
$990.44
$1,031.01
$1,074.00
$1,226.69
$229.95
 

Gold

(HMO) Gold 2500 Ded/6500 MOOP

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,500 $5,000
Maximum Out of Pocket Per Year $6,500 $13,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$376.01
$426.77
$480.54
$671.55
$1,020.49
$752.02
$853.54
$961.08
$1,343.10
$2,040.98
$1,039.67
$1,141.19
$1,248.73
$1,630.75
$1,327.32
$1,428.84
$1,536.38
$1,918.40
$1,614.97
$1,716.49
$1,824.03
$2,206.05
$663.66
$714.42
$768.19
$959.20
$951.31
$1,002.07
$1,055.84
$1,246.85
$1,238.96
$1,289.72
$1,343.49
$1,534.50
$287.65
 

Gold

(HMO) Gold Simple Choice 1600 Ded/5200 MOOP

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,600 $3,200
Maximum Out of Pocket Per Year $5,200 $10,400
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$392.27
$445.23
$501.32
$700.59
$1,064.61
$784.54
$890.46
$1,002.64
$1,401.18
$2,129.22
$1,084.63
$1,190.55
$1,302.73
$1,701.27
$1,384.72
$1,490.64
$1,602.82
$2,001.36
$1,684.81
$1,790.73
$1,902.91
$2,301.45
$692.36
$745.32
$801.41
$1,000.68
$992.45
$1,045.41
$1,101.50
$1,300.77
$1,292.54
$1,345.50
$1,401.59
$1,600.86
$300.09
 

Silver

(HMO) Silver Simple Choice 4550X Ded/7900 MOOP

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,000 $8,000
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$410.48
$465.89
$524.59
$733.11
$1,114.02
$820.96
$931.78
$1,049.18
$1,466.22
$2,228.04
$1,134.98
$1,245.80
$1,363.20
$1,780.24
$1,449.00
$1,559.82
$1,677.22
$2,094.26
$1,763.02
$1,873.84
$1,991.24
$2,408.28
$724.50
$779.91
$838.61
$1,047.13
$1,038.52
$1,093.93
$1,152.63
$1,361.15
$1,352.54
$1,407.95
$1,466.65
$1,675.17
$314.02
 

Expanded Bronze

(HMO) Bronze Simple Choice 6750 Ded/7650 MOOP

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,750 $13,500
Maximum Out of Pocket Per Year $7,650 $15,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$317.32
$360.15
$405.53
$566.72
$861.18
$634.64
$720.30
$811.06
$1,133.44
$1,722.36
$877.39
$963.05
$1,053.81
$1,376.19
$1,120.14
$1,205.80
$1,296.56
$1,618.94
$1,362.89
$1,448.55
$1,539.31
$1,861.69
$560.07
$602.90
$648.28
$809.47
$802.82
$845.65
$891.03
$1,052.22
$1,045.57
$1,088.40
$1,133.78
$1,294.97
$242.75
 

Platinum

(HMO) Platinum No Ded/2000 MOOP

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $0 $0
Maximum Out of Pocket Per Year $2,000 $4,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$466.26
$529.21
$595.88
$832.74
$1,265.43
$932.52
$1,058.42
$1,191.76
$1,665.48
$2,530.86
$1,289.21
$1,415.11
$1,548.45
$2,022.17
$1,645.90
$1,771.80
$1,905.14
$2,378.86
$2,002.59
$2,128.49
$2,261.83
$2,735.55
$822.95
$885.90
$952.57
$1,189.43
$1,179.64
$1,242.59
$1,309.26
$1,546.12
$1,536.33
$1,599.28
$1,665.95
$1,902.81
$356.69
 

Bronze

(HMO) Bronze 8150 Ded/8150 MOOP

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$296.10
$336.08
$378.42
$528.84
$803.62
$592.20
$672.16
$756.84
$1,057.68
$1,607.24
$818.72
$898.68
$983.36
$1,284.20
$1,045.24
$1,125.20
$1,209.88
$1,510.72
$1,271.76
$1,351.72
$1,436.40
$1,737.24
$522.62
$562.60
$604.94
$755.36
$749.14
$789.12
$831.46
$981.88
$975.66
$1,015.64
$1,057.98
$1,208.40
$226.52
 

Silver

(HMO) Silver 4900 Ded/7900 MOOP

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,900 $9,800
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$408.56
$463.72
$522.14
$729.68
$1,108.82
$817.12
$927.44
$1,044.28
$1,459.36
$2,217.64
$1,129.67
$1,239.99
$1,356.83
$1,771.91
$1,442.22
$1,552.54
$1,669.38
$2,084.46
$1,754.77
$1,865.09
$1,981.93
$2,397.01
$721.11
$776.27
$834.69
$1,042.23
$1,033.66
$1,088.82
$1,147.24
$1,354.78
$1,346.21
$1,401.37
$1,459.79
$1,667.33
$312.55
 

Gold

(HMO) Gold 1500 Ded/8150 MOOP

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,500 $3,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$365.49
$414.83
$467.10
$652.76
$991.93
$730.98
$829.66
$934.20
$1,305.52
$1,983.86
$1,010.58
$1,109.26
$1,213.80
$1,585.12
$1,290.18
$1,388.86
$1,493.40
$1,864.72
$1,569.78
$1,668.46
$1,773.00
$2,144.32
$645.09
$694.43
$746.70
$932.36
$924.69
$974.03
$1,026.30
$1,211.96
$1,204.29
$1,253.63
$1,305.90
$1,491.56
$279.60
 

Silver

(HMO) Silver 8100X Ded/8150 MOOP

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,500 $15,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$402.85
$457.23
$514.84
$719.48
$1,093.32
$805.70
$914.46
$1,029.68
$1,438.96
$2,186.64
$1,113.88
$1,222.64
$1,337.86
$1,747.14
$1,422.06
$1,530.82
$1,646.04
$2,055.32
$1,730.24
$1,839.00
$1,954.22
$2,363.50
$711.03
$765.41
$823.02
$1,027.66
$1,019.21
$1,073.59
$1,131.20
$1,335.84
$1,327.39
$1,381.77
$1,439.38
$1,644.02
$308.18

‡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 Juneau County here.

Juneau County is in “Rating Area 15” of Wisconsin.

Currently, there are 68 plans offered in Rating Area 15.

Ashland County Ashland County Bayfield County Ashland County Douglas County Ashland County Iron County Vilas County Burnett County Washburn County Sawyer County Forest County Florence County Price County Oneida County Marinette County Polk County Barron County Rusk County Lincoln County Langlade County Door County Taylor County Oconto County Door County Chippewa County St. Croix County Dunn County Marathon County Menominee County Marinette County Clark County Shawano County Pierce County Eau Claire County Pepin County Kewaunee County Brown County Wood County Portage County Waupaca County Buffalo County Trempealeau County Jackson County Outagamie County Manitowoc County Juneau County Calumet County Winnebago County Adams County Waushara County Monroe County La Crosse County Green Lake County Marquette County Fond du Lac County Sheboygan County Vernon County Columbia County Sauk County Dodge County Richland County Ozaukee County Washington County Crawford County Dane County Grant County Iowa County Milwaukee County Waukesha County Jefferson County Green County Racine County Walworth County Rock County Lafayette County Kenosha County Kenosha County

Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016| 2017 | 2018 | 2019

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