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Obamacare 2019 Rates for Racine 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 HealthCare.gov, the marketplace for Racine County, Wisconsin.

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

Obamacare Providers, Plans and 2019 Rates for Racine County, Wisconsin

Below, you’ll find a summary of the 26 plans for Racine County 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 HealthCare.gov
  • 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 Racine, WI area accept this insurance coverage as within the plan's network.

2019 Obamacare Rates, Providers, and Plans for Racine County

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Children's Community Health Plan

Local: 1-844-201-4672 | Toll Free: 1-844-201-4672 | TTY: 1-844-531-4856

Bronze

Plan: (EPO) Together Bronze

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Children's Community Health Plan)
Customer Service Phone: 1-844-201-4672

Deductible: Individual: $7,000 | Family: $14,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $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
$353.48
$401.18
$451.73
$631.29
$959.31
$706.96
$802.36
$903.46
$1,262.58
$1,918.62
$977.36
$1,072.76
$1,173.86
$1,532.98
$1,247.76
$1,343.16
$1,444.26
$1,803.38
$1,518.16
$1,613.56
$1,714.66
$2,073.78
$623.88
$671.58
$722.13
$901.69
$894.28
$941.98
$992.53
$1,172.09
$1,164.68
$1,212.38
$1,262.93
$1,442.49
$322.71

Silver

Plan: (EPO) Together Standard Silver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Children's Community Health Plan)
Customer Service Phone: 1-844-201-4672

Deductible: Individual: $4,000 | Family: $8,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $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
$490.25
$556.43
$626.53
$875.58
$1,330.52
$980.50
$1,112.86
$1,253.06
$1,751.16
$2,661.04
$1,355.54
$1,487.90
$1,628.10
$2,126.20
$1,730.58
$1,862.94
$2,003.14
$2,501.24
$2,105.62
$2,237.98
$2,378.18
$2,876.28
$865.29
$931.47
$1,001.57
$1,250.62
$1,240.33
$1,306.51
$1,376.61
$1,625.66
$1,615.37
$1,681.55
$1,751.65
$2,000.70
$447.59

Silver

Plan: (EPO) Together Silver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Children's Community Health Plan)
Customer Service Phone: 1-844-201-4672

Deductible: Individual: $4,700 | Family: $9,400
Out of Pocket Maximum per year: Individual: $7,900 | Family: $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
$455.45
$516.92
$582.05
$813.41
$1,236.05
$910.90
$1,033.84
$1,164.10
$1,626.82
$2,472.10
$1,259.31
$1,382.25
$1,512.51
$1,975.23
$1,607.72
$1,730.66
$1,860.92
$2,323.64
$1,956.13
$2,079.07
$2,209.33
$2,672.05
$803.86
$865.33
$930.46
$1,161.82
$1,152.27
$1,213.74
$1,278.87
$1,510.23
$1,500.68
$1,562.15
$1,627.28
$1,858.64
$415.81

Gold

Plan: (EPO) Together Gold

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Children's Community Health Plan)
Customer Service Phone: 1-844-201-4672

Deductible: Individual: $2,000 | Family: $4,000
Out of Pocket Maximum per year: Individual: $6,500 | Family: $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
$484.37
$549.75
$619.01
$865.07
$1,314.56
$968.74
$1,099.50
$1,238.02
$1,730.14
$2,629.12
$1,339.28
$1,470.04
$1,608.56
$2,100.68
$1,709.82
$1,840.58
$1,979.10
$2,471.22
$2,080.36
$2,211.12
$2,349.64
$2,841.76
$854.91
$920.29
$989.55
$1,235.61
$1,225.45
$1,290.83
$1,360.09
$1,606.15
$1,595.99
$1,661.37
$1,730.63
$1,976.69
$442.22

Bronze

Plan: (EPO) Together Bronze HDHP

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Children's Community Health Plan)
Customer Service Phone: 1-844-201-4672

Deductible: Individual: $6,750 | Family: $13,500
Out of Pocket Maximum per year: Individual: $6,750 | Family: $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
$376.52
$427.34
$481.18
$672.44
$1,021.84
$753.04
$854.68
$962.36
$1,344.88
$2,043.68
$1,041.07
$1,142.71
$1,250.39
$1,632.91
$1,329.10
$1,430.74
$1,538.42
$1,920.94
$1,617.13
$1,718.77
$1,826.45
$2,208.97
$664.55
$715.37
$769.21
$960.47
$952.58
$1,003.40
$1,057.24
$1,248.50
$1,240.61
$1,291.43
$1,345.27
$1,536.53
$343.75

Silver

Plan: (EPO) Together Silver Select

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Children's Community Health Plan)
Customer Service Phone: 1-844-201-4672

Deductible: Individual: $3,250 | Family: $6,500
Out of Pocket Maximum per year: Individual: $7,900 | Family: $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
$475.06
$539.18
$607.11
$848.43
$1,289.28
$950.12
$1,078.36
$1,214.22
$1,696.86
$2,578.56
$1,313.53
$1,441.77
$1,577.63
$2,060.27
$1,676.94
$1,805.18
$1,941.04
$2,423.68
$2,040.35
$2,168.59
$2,304.45
$2,787.09
$838.47
$902.59
$970.52
$1,211.84
$1,201.88
$1,266.00
$1,333.93
$1,575.25
$1,565.29
$1,629.41
$1,697.34
$1,938.66
$433.72

Catastrophic

Plan: (EPO) Together Catastrophic

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Children's Community Health Plan)
Customer Service Phone: 1-844-201-4672

Deductible: Individual: $7,900 | Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 | Family: $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
$290.23
$329.40
$370.91
$518.34
$787.67
$580.46
$658.80
$741.82
$1,036.68
$1,575.34
$802.48
$880.82
$963.84
$1,258.70
$1,024.50
$1,102.84
$1,185.86
$1,480.72
$1,246.52
$1,324.86
$1,407.88
$1,702.74
$512.25
$551.42
$592.93
$740.36
$734.27
$773.44
$814.95
$962.38
$956.29
$995.46
$1,036.97
$1,184.40
$264.97

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Molina Healthcare of Wisconsin, Inc.

Local: 1-888-560-2043 | Toll Free: 1-888-560-2043

Gold

Plan: (HMO) Molina Gold

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Molina Healthcare of Wisconsin, Inc.)
Customer Service Phone: 1-888-560-2043

Deductible: Individual: $2,925 | Family: $5,850
Out of Pocket Maximum per year: Individual: $5,000 | Family: $10,000

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
$497.34
$564.48
$635.60
$888.24
$1,349.77
$994.68
$1,128.96
$1,271.20
$1,776.48
$2,699.54
$1,375.14
$1,509.42
$1,651.66
$2,156.94
$1,755.60
$1,889.88
$2,032.12
$2,537.40
$2,136.06
$2,270.34
$2,412.58
$2,917.86
$877.80
$944.94
$1,016.06
$1,268.70
$1,258.26
$1,325.40
$1,396.52
$1,649.16
$1,638.72
$1,705.86
$1,776.98
$2,029.62
$454.07

Silver

Plan: (HMO) Molina Silver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Molina Healthcare of Wisconsin, Inc.)
Customer Service Phone: 1-888-560-2043

Deductible: Individual: $5,350 | Family: $10,700
Out of Pocket Maximum per year: Individual: $7,900 | Family: $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
$439.34
$498.65
$561.48
$784.66
$1,192.37
$878.68
$997.30
$1,122.96
$1,569.32
$2,384.74
$1,214.77
$1,333.39
$1,459.05
$1,905.41
$1,550.86
$1,669.48
$1,795.14
$2,241.50
$1,886.95
$2,005.57
$2,131.23
$2,577.59
$775.43
$834.74
$897.57
$1,120.75
$1,111.52
$1,170.83
$1,233.66
$1,456.84
$1,447.61
$1,506.92
$1,569.75
$1,792.93
$401.12

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Network Health Plan

Local: 1-920-720-1400x1400 | Toll Free: 1-855-275-1400 | TTY: 1-800-947-3529

Bronze

Plan: (HMO) Prestige Bronze 20 HDHP

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Network Health Plan)
Customer Service Phone: 1-855-275-1400

Deductible: Individual: $6,000 | Family: $12,000
Out of Pocket Maximum per year: Individual: $6,750 | Family: $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
$374.96
$425.57
$479.19
$669.67
$1,017.62
$749.92
$851.14
$958.38
$1,339.34
$2,035.24
$1,036.76
$1,137.98
$1,245.22
$1,626.18
$1,323.60
$1,424.82
$1,532.06
$1,913.02
$1,610.44
$1,711.66
$1,818.90
$2,199.86
$661.80
$712.41
$766.03
$956.51
$948.64
$999.25
$1,052.87
$1,243.35
$1,235.48
$1,286.09
$1,339.71
$1,530.19
$342.34

Silver

Plan: (HMO) Prestige Silver 20 HDHP

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Network Health Plan)
Customer Service Phone: 1-855-275-1400

Deductible: Individual: $3,500 | Family: $7,000
Out of Pocket Maximum per year: Individual: $6,750 | Family: $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
$540.82
$613.83
$691.17
$965.90
$1,467.78
$1,081.64
$1,227.66
$1,382.34
$1,931.80
$2,935.56
$1,495.37
$1,641.39
$1,796.07
$2,345.53
$1,909.10
$2,055.12
$2,209.80
$2,759.26
$2,322.83
$2,468.85
$2,623.53
$3,172.99
$954.55
$1,027.56
$1,104.90
$1,379.63
$1,368.28
$1,441.29
$1,518.63
$1,793.36
$1,782.01
$1,855.02
$1,932.36
$2,207.09
$493.77

Expanded Bronze

Plan: (HMO) Prestige Bronze Essential

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Network Health Plan)
Customer Service Phone: 1-855-275-1400

Deductible: Individual: $7,000 | Family: $14,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $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
$364.63
$413.85
$465.99
$651.22
$989.58
$729.26
$827.70
$931.98
$1,302.44
$1,979.16
$1,008.20
$1,106.64
$1,210.92
$1,581.38
$1,287.14
$1,385.58
$1,489.86
$1,860.32
$1,566.08
$1,664.52
$1,768.80
$2,139.26
$643.57
$692.79
$744.93
$930.16
$922.51
$971.73
$1,023.87
$1,209.10
$1,201.45
$1,250.67
$1,302.81
$1,488.04
$332.90

Silver

Plan: (HMO) Prestige Silver Essential

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Network Health Plan)
Customer Service Phone: 1-855-275-1400

Deductible: Individual: $4,000 | Family: $8,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $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
$525.18
$596.08
$671.18
$937.97
$1,425.34
$1,050.36
$1,192.16
$1,342.36
$1,875.94
$2,850.68
$1,452.13
$1,593.93
$1,744.13
$2,277.71
$1,853.90
$1,995.70
$2,145.90
$2,679.48
$2,255.67
$2,397.47
$2,547.67
$3,081.25
$926.95
$997.85
$1,072.95
$1,339.74
$1,328.72
$1,399.62
$1,474.72
$1,741.51
$1,730.49
$1,801.39
$1,876.49
$2,143.28
$479.49

Gold

Plan: (HMO) Prestige Gold Essential

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Network Health Plan)
Customer Service Phone: 1-855-275-1400

Deductible: Individual: $1,750 | Family: $3,500
Out of Pocket Maximum per year: Individual: $7,900 | Family: $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
$541.91
$615.07
$692.56
$967.85
$1,470.74
$1,083.82
$1,230.14
$1,385.12
$1,935.70
$2,941.48
$1,498.38
$1,644.70
$1,799.68
$2,350.26
$1,912.94
$2,059.26
$2,214.24
$2,764.82
$2,327.50
$2,473.82
$2,628.80
$3,179.38
$956.47
$1,029.63
$1,107.12
$1,382.41
$1,371.03
$1,444.19
$1,521.68
$1,796.97
$1,785.59
$1,858.75
$1,936.24
$2,211.53
$494.77

Bronze

Plan: (HMO) Prestige Bronze 0

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Network Health Plan)
Customer Service Phone: 1-855-275-1400

Deductible: Individual: $6,500 | Family: $13,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $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
$384.20
$436.06
$491.00
$686.17
$1,042.70
$768.40
$872.12
$982.00
$1,372.34
$2,085.40
$1,062.31
$1,166.03
$1,275.91
$1,666.25
$1,356.22
$1,459.94
$1,569.82
$1,960.16
$1,650.13
$1,753.85
$1,863.73
$2,254.07
$678.11
$729.97
$784.91
$980.08
$972.02
$1,023.88
$1,078.82
$1,273.99
$1,265.93
$1,317.79
$1,372.73
$1,567.90
$350.77

Expanded Bronze

Plan: (HMO) Prestige Bronze 50 HDHP

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Network Health Plan)
Customer Service Phone: 1-855-275-1400

Deductible: Individual: $2,700 | Family: $5,400
Out of Pocket Maximum per year: Individual: $6,750 | Family: $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
$395.29
$448.65
$505.18
$705.98
$1,072.80
$790.58
$897.30
$1,010.36
$1,411.96
$2,145.60
$1,092.98
$1,199.70
$1,312.76
$1,714.36
$1,395.38
$1,502.10
$1,615.16
$2,016.76
$1,697.78
$1,804.50
$1,917.56
$2,319.16
$697.69
$751.05
$807.58
$1,008.38
$1,000.09
$1,053.45
$1,109.98
$1,310.78
$1,302.49
$1,355.85
$1,412.38
$1,613.18
$360.90

Gold

Plan: (HMO) Prestige Gold 50

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Network Health Plan)
Customer Service Phone: 1-855-275-1400

Deductible: Individual: $1,000 | Family: $2,000
Out of Pocket Maximum per year: Individual: $4,300 | Family: $8,600

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
$562.29
$638.20
$718.61
$1,004.25
$1,526.05
$1,124.58
$1,276.40
$1,437.22
$2,008.50
$3,052.10
$1,554.73
$1,706.55
$1,867.37
$2,438.65
$1,984.88
$2,136.70
$2,297.52
$2,868.80
$2,415.03
$2,566.85
$2,727.67
$3,298.95
$992.44
$1,068.35
$1,148.76
$1,434.40
$1,422.59
$1,498.50
$1,578.91
$1,864.55
$1,852.74
$1,928.65
$2,009.06
$2,294.70
$513.37

Gold

Plan: (HMO) Prestige Gold 0 HDHP

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Network Health Plan)
Customer Service Phone: 1-855-275-1400

Deductible: Individual: $2,700 | Family: $5,400
Out of Pocket Maximum per year: Individual: $5,000 | Family: $10,000

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
$577.31
$655.25
$737.80
$1,031.08
$1,566.82
$1,154.62
$1,310.50
$1,475.60
$2,062.16
$3,133.64
$1,596.27
$1,752.15
$1,917.25
$2,503.81
$2,037.92
$2,193.80
$2,358.90
$2,945.46
$2,479.57
$2,635.45
$2,800.55
$3,387.11
$1,018.96
$1,096.90
$1,179.45
$1,472.73
$1,460.61
$1,538.55
$1,621.10
$1,914.38
$1,902.26
$1,980.20
$2,062.75
$2,356.03
$527.09

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Common Ground Healthcare Cooperative

Local: 1-877-514-2442 | Toll Free: 1-877-514-2442 | TTY: 1-855-643-5001

Gold

Plan: (EPO) Envision Aurora Bellin ThedaCare CHHS - Gold 2000/80

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Common Ground Healthcare Cooperative)
Customer Service Phone: 1-877-514-2442

Deductible: Individual: $2,000 | Family: $4,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $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
$501.09
$568.73
$640.39
$894.94
$1,359.94
$1,002.18
$1,137.46
$1,280.78
$1,789.88
$2,719.88
$1,385.51
$1,520.79
$1,664.11
$2,173.21
$1,768.84
$1,904.12
$2,047.44
$2,556.54
$2,152.17
$2,287.45
$2,430.77
$2,939.87
$884.42
$952.06
$1,023.72
$1,278.27
$1,267.75
$1,335.39
$1,407.05
$1,661.60
$1,651.08
$1,718.72
$1,790.38
$2,044.93
$457.49

Silver

Plan: (EPO) Envision Aurora Bellin ThedaCare CHHS - Silver 4000/75

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Common Ground Healthcare Cooperative)
Customer Service Phone: 1-877-514-2442

Deductible: Individual: $4,000 | Family: $8,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $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
$499.59
$567.03
$638.47
$892.25
$1,355.86
$999.18
$1,134.06
$1,276.94
$1,784.50
$2,711.72
$1,381.36
$1,516.24
$1,659.12
$2,166.68
$1,763.54
$1,898.42
$2,041.30
$2,548.86
$2,145.72
$2,280.60
$2,423.48
$2,931.04
$881.77
$949.21
$1,020.65
$1,274.43
$1,263.95
$1,331.39
$1,402.83
$1,656.61
$1,646.13
$1,713.57
$1,785.01
$2,038.79
$456.12

Silver

Plan: (EPO) Envision Aurora Bellin ThedaCare CHHS - Silver 3000/75/Copay40

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Common Ground Healthcare Cooperative)
Customer Service Phone: 1-877-514-2442

Deductible: Individual: $3,000 | Family: $6,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $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
$515.08
$584.61
$658.26
$919.92
$1,397.91
$1,030.16
$1,169.22
$1,316.52
$1,839.84
$2,795.82
$1,424.19
$1,563.25
$1,710.55
$2,233.87
$1,818.22
$1,957.28
$2,104.58
$2,627.90
$2,212.25
$2,351.31
$2,498.61
$3,021.93
$909.11
$978.64
$1,052.29
$1,313.95
$1,303.14
$1,372.67
$1,446.32
$1,707.98
$1,697.17
$1,766.70
$1,840.35
$2,102.01
$470.26

Catastrophic

Plan: (EPO) Envision Aurora Bellin ThedaCare CHHS - Catastrophic 7900/100

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Common Ground Healthcare Cooperative)
Customer Service Phone: 1-877-514-2442

Deductible: Individual: $7,900 | Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 | Family: $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
$252.14
$286.17
$322.22
$450.30
$684.27
$504.28
$572.34
$644.44
$900.60
$1,368.54
$697.16
$765.22
$837.32
$1,093.48
$890.04
$958.10
$1,030.20
$1,286.36
$1,082.92
$1,150.98
$1,223.08
$1,479.24
$445.02
$479.05
$515.10
$643.18
$637.90
$671.93
$707.98
$836.06
$830.78
$864.81
$900.86
$1,028.94
$230.19

Bronze

Plan: (EPO) Envision Aurora Bellin ThedaCare CHHS - Bronze 7900/100

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Common Ground Healthcare Cooperative)
Customer Service Phone: 1-877-514-2442

Deductible: Individual: $7,900 | Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 | Family: $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
$327.16
$371.31
$418.09
$584.28
$887.88
$654.32
$742.62
$836.18
$1,168.56
$1,775.76
$904.59
$992.89
$1,086.45
$1,418.83
$1,154.86
$1,243.16
$1,336.72
$1,669.10
$1,405.13
$1,493.43
$1,586.99
$1,919.37
$577.43
$621.58
$668.36
$834.55
$827.70
$871.85
$918.63
$1,084.82
$1,077.97
$1,122.12
$1,168.90
$1,335.09
$298.68

Silver

Plan: (EPO) Envision Aurora Bellin ThedaCare CHHS - HSA Silver 3500/75

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Common Ground Healthcare Cooperative)
Customer Service Phone: 1-877-514-2442

Deductible: Individual: $3,500 | Family: $7,000
Out of Pocket Maximum per year: Individual: $6,650 | Family: $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
$533.32
$605.30
$681.57
$952.48
$1,447.39
$1,066.64
$1,210.60
$1,363.14
$1,904.96
$2,894.78
$1,474.62
$1,618.58
$1,771.12
$2,312.94
$1,882.60
$2,026.56
$2,179.10
$2,720.92
$2,290.58
$2,434.54
$2,587.08
$3,128.90
$941.30
$1,013.28
$1,089.55
$1,360.46
$1,349.28
$1,421.26
$1,497.53
$1,768.44
$1,757.26
$1,829.24
$1,905.51
$2,176.42
$486.91

Bronze

Plan: (EPO) Envision Aurora Bellin ThedaCare CHHS - HSA Bronze 6650/100

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Common Ground Healthcare Cooperative)
Customer Service Phone: 1-877-514-2442

Deductible: Individual: $6,650 | Family: $13,300
Out of Pocket Maximum per year: Individual: $6,650 | Family: $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
$351.42
$398.85
$449.10
$627.62
$953.73
$702.84
$797.70
$898.20
$1,255.24
$1,907.46
$971.67
$1,066.53
$1,167.03
$1,524.07
$1,240.50
$1,335.36
$1,435.86
$1,792.90
$1,509.33
$1,604.19
$1,704.69
$2,061.73
$620.25
$667.68
$717.93
$896.45
$889.08
$936.51
$986.76
$1,165.28
$1,157.91
$1,205.34
$1,255.59
$1,434.11
$320.84

Silver

Plan: (EPO) Envision Aurora Bellin ThedaCare CHHS - Silver 6000/75

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Common Ground Healthcare Cooperative)
Customer Service Phone: 1-877-514-2442

Deductible: Individual: $6,000 | Family: $12,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $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
$419.89
$476.56
$536.60
$749.90
$1,139.55
$839.78
$953.12
$1,073.20
$1,499.80
$2,279.10
$1,160.99
$1,274.33
$1,394.41
$1,821.01
$1,482.20
$1,595.54
$1,715.62
$2,142.22
$1,803.41
$1,916.75
$2,036.83
$2,463.43
$741.10
$797.77
$857.81
$1,071.11
$1,062.31
$1,118.98
$1,179.02
$1,392.32
$1,383.52
$1,440.19
$1,500.23
$1,713.53
$383.35

‡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 Racine County here.

Racine County is in “Rating Area 9” of Wisconsin.

Currently, there are 26 plans offered in Rating Area 9.

Obamacare Rates and Providers for Past Years

2014 | 2015 | 2016| 2017 | 2018

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