Obamacare 2022 Rates and Health Insurance Providers for Washington County , Wisconsin
Obamacare > Rates > Wisconsin > Washington County
Obamacare Rates and Providers for Other Years
2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 |
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 Washington County, WI.
The health insurance rates listed below are for calendar year 2022.
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 West Bend, WI area accept this insurance coverage as within the plan's network.
Obamacare Providers, Plans and 2022 Rates for Washington County, Wisconsin
Below, you’ll find a summary of the 59 plans for Washington County, Wisconsin and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.
Obamacare Rates and Providers for Other Years
2014 | 2015 | 2016| 2017 | 2018 | 2019 2020 2021 2022
You may also be interested in:
-
Do I Qualify For a Tax Credit to Pay My Premiums?
-
How do I sign up in Wisconsin?
-
Using a Broker to Help You Sign Up
How To Sign Up for Obamacare in Wisconsin
For 2022 health plans, Wisconsin open enrollment has ended. However, you may still be able to purchase health insurance for this year if you qualify for a special enrollment period. For example, if you’ve recently lost your job or income due to the COVID-19 crisis or for any other reason, you might qualify for a 60-day special enrollment period that will allow you to sign up for a new health insurance plan. (See What Happens If I Missed the Enrollment Deadline for 2022?)
To get covered, you can go directly to the online health insurance marketplace for Wisconsin. If you need personalized help, you can reach out to an enrollment assistant. Most enrollment helpers are working remotely during the COVID crisis.
Where's the Wisconsin Health Care Exchange?
You can find the health insurance exchange for Wisconsin at Healthcare.gov. This is where you can learn about the various health insurance options available to you under the Affordable Care Act. If you see a plan you like, you'll be guided through the enrollment process online.
Wisconsin Medicaid Expansion: Do I Qualify for Medicaid Under the ACA?
The Affordable Care Act (Obamacare) expanded Medicaid eligibility to include more people who couldn’t otherwise obtain health insurance. As written, the ACA would extend Medicaid to all adults with incomes at or below 138% of the federal poverty level. (For a single person in Wisconsin in 2021, that’s $17,609. For a family of four, it’s $36,156.)
However, the U.S. Supreme Court later ruled that it was up to individual states to decide whether to expand Medicaid. As of October 2021, 12 states have not expanded their programs.
Wisconsin Has Not Expanded Medicaid
Wisconsin has repeatedly rejected federal funding to expand Medicaid under the Affordable Care Act, but the state is unique in that its Medicaid program -- called BadgerCare -- covers all state residents with incomes up to the federal poverty level. That makes Wisconsin the only non-Medicaid-expansion state without a coverage gap -- that is, a failure to provide coverage or subsidies for many adults with incomes under the poverty level.
If you're a low-income Wisconsin resident, you'll most likely qualify for BadgerCare or be eligible for subsidies to help you purchase health insurance at Healthcare.gov.
Get Help Finding a Health Insurance Plan in Wisconsin
Get Help From Wisconsin's Health Insurance Exchange
The following links and telephone numbers take you to the official help resources for Healthcare.gov, the health insurance marketplace for Wisconsin.
Help by phone: 800-318-2596 (TTY: 855-889-4325)
In-person help: Go to Find Local Help, where you can enter your city and state or zip code to find an application assister, insurance agent, or health insurance broker in your area.
Get Help From a Licensed Insurance Broker
To directly connect with a Wisconsin insurance broker who can help you evaluate insurance plans and choose a plan that's appropriate for your situation, call 800-943-6832. (We receive advertising income from the licensed brokers who offer their services through this telephone number.)
More Information
For more detailed information, see How Do I Sign Up for Obamacare in Wisconsin?
-
Washington County, WI Obamacare Rates
- General Info
- Rates
- How To Sign Up for Obamacare in Wisconsin
- Can I Use a Paper Application to Get Obamacare?
- Where can I get in-person help with my application?
- Information & Documents to Have on Hand
- How an Insurance Agent or Broker Can Help You Sign Up for Obamacare in Wisconsin
- What Happens If I Missed the Wisconsin Obamacare Enrollment Deadline for 2022?
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Together with CCHPLocal: 1-844-201-4672 | Toll Free: 1-844-201-4672 | TTY: 1-844-531-4856 |
Toc - Plan #2 Together with CCHP | |||||||||||||||||||
Silver
(EPO) Together Standard Silver |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$4,000
| Family:
$8,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$425,44 $482,86 $543,70 $759,82 $1 154,62 |
$750,89 $808,31 $869,15 $1 085,27 |
$1 076,34 $1 133,76 $1 194,60 $1 410,72 |
$1 401,79 $1 459,21 $1 520,05 $1 736,17 |
$325,45 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$850,88 $965,72 $1 087,40 $1 519,64 $2 309,24 |
$1 176,33 $1 291,17 $1 412,85 $1 845,09 |
$1 501,78 $1 616,62 $1 738,30 $2 170,54 |
$1 827,23 $1 942,07 $2 063,75 $2 495,99 |
$325,45 |
Toc - Plan #3 Together with CCHP | |||||||||||||||||||
Silver
(EPO) Together Silver |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,400
| Family:
$10,800 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$376,52 $427,33 $481,18 $672,44 $1 021,84 |
$664,55 $715,36 $769,21 $960,47 |
$952,58 $1 003,39 $1 057,24 $1 248,50 |
$1 240,61 $1 291,42 $1 345,27 $1 536,53 |
$288,03 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$753,04 $854,66 $962,36 $1 344,88 $2 043,68 |
$1 041,07 $1 142,69 $1 250,39 $1 632,91 |
$1 329,10 $1 430,72 $1 538,42 $1 920,94 |
$1 617,13 $1 718,75 $1 826,45 $2 208,97 |
$288,03 |
Toc - Plan #4 Together with CCHP | |||||||||||||||||||
Gold
(EPO) Together Gold |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$2,000
| Family:
$4,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$445,44 $505,56 $569,25 $795,53 $1 208,89 |
$786,19 $846,31 $910,00 $1 136,28 |
$1 126,94 $1 187,06 $1 250,75 $1 477,03 |
$1 467,69 $1 527,81 $1 591,50 $1 817,78 |
$340,75 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$890,88 $1 011,12 $1 138,50 $1 591,06 $2 417,78 |
$1 231,63 $1 351,87 $1 479,25 $1 931,81 |
$1 572,38 $1 692,62 $1 820,00 $2 272,56 |
$1 913,13 $2 033,37 $2 160,75 $2 613,31 |
$340,75 |
Toc - Plan #5 Together with CCHP | |||||||||||||||||||
Expanded Bronze
(EPO) Together Bronze HDHP |
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Annual Out of Pocket Expenses
Deductible: Individual:
$7,000
| Family:
$14,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$335,25 $380,50 $428,44 $598,74 $909,84 |
$591,71 $636,96 $684,90 $855,20 |
$848,17 $893,42 $941,36 $1 111,66 |
$1 104,63 $1 149,88 $1 197,82 $1 368,12 |
$256,46 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$670,50 $761,00 $856,88 $1 197,48 $1 819,68 |
$926,96 $1 017,46 $1 113,34 $1 453,94 |
$1 183,42 $1 273,92 $1 369,80 $1 710,40 |
$1 439,88 $1 530,38 $1 626,26 $1 966,86 |
$256,46 |
Toc - Plan #6 Together with CCHP | |||||||||||||||||||
Silver
(EPO) Together Silver Select |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$3,250
| Family:
$6,500 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$409,70 $465,00 $523,58 $731,71 $1 111,90 |
$723,11 $778,41 $836,99 $1 045,12 |
$1 036,52 $1 091,82 $1 150,40 $1 358,53 |
$1 349,93 $1 405,23 $1 463,81 $1 671,94 |
$313,41 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$819,40 $930,00 $1 047,16 $1 463,42 $2 223,80 |
$1 132,81 $1 243,41 $1 360,57 $1 776,83 |
$1 446,22 $1 556,82 $1 673,98 $2 090,24 |
$1 759,63 $1 870,23 $1 987,39 $2 403,65 |
$313,41 |
Toc - Plan #7 Together with CCHP | |||||||||||||||||||
Catastrophic
(EPO) Together Catastrophic |
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Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$261,22 $296,48 $333,83 $466,53 $708,94 |
$461,05 $496,31 $533,66 $666,36 |
$660,88 $696,14 $733,49 $866,19 |
$860,71 $895,97 $933,32 $1 066,02 |
$199,83 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$522,44 $592,96 $667,66 $933,06 $1 417,88 |
$722,27 $792,79 $867,49 $1 132,89 |
$922,10 $992,62 $1 067,32 $1 332,72 |
$1 121,93 $1 192,45 $1 267,15 $1 532,55 |
$199,83 |
ADVERTISEMENT |
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Molina HealthcareLocal: 1-888-560-2043 | Toll Free: 1-888-560-2043 |
Toc - Plan #8 Molina Healthcare | |||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 |
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Annual Out of Pocket Expenses
Deductible: Individual:
$2,925
| Family:
$5,850 Monthly Premiums: |
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
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21 30 40 50 60 |
$446,43 $506,69 $570,53 $797,32 $1 211,60 |
$787,95 $848,21 $912,05 $1 138,84 |
$1 129,47 $1 189,73 $1 253,57 $1 480,36 |
$1 470,99 $1 531,25 $1 595,09 $1 821,88 |
$341,52 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
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21 30 40 50 60 |
$892,86 $1 013,38 $1 141,06 $1 594,64 $2 423,20 |
$1 234,38 $1 354,90 $1 482,58 $1 936,16 |
$1 575,90 $1 696,42 $1 824,10 $2 277,68 |
$1 917,42 $2 037,94 $2 165,62 $2 619,20 |
$341,52 |
Toc - Plan #9 Molina Healthcare | |||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$393,50 $446,62 $502,89 $702,79 $1 067,96 |
$694,53 $747,65 $803,92 $1 003,82 |
$995,56 $1 048,68 $1 104,95 $1 304,85 |
$1 296,59 $1 349,71 $1 405,98 $1 605,88 |
$301,03 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$787,00 $893,24 $1 005,78 $1 405,58 $2 135,92 |
$1 088,03 $1 194,27 $1 306,81 $1 706,61 |
$1 389,06 $1 495,30 $1 607,84 $2 007,64 |
$1 690,09 $1 796,33 $1 908,87 $2 308,67 |
$301,03 |
Toc - Plan #10 Molina Healthcare | |||||||||||||||||||
Bronze
(HMO) Core Care Bronze 1 |
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Annual Out of Pocket Expenses
Deductible: Individual:
$6,100
| Family:
$12,200 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$311,89 $353,99 $398,59 $557,03 $846,47 |
$550,48 $592,58 $637,18 $795,62 |
$789,07 $831,17 $875,77 $1 034,21 |
$1 027,66 $1 069,76 $1 114,36 $1 272,80 |
$238,59 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$623,78 $707,98 $797,18 $1 114,06 $1 692,94 |
$862,37 $946,57 $1 035,77 $1 352,65 |
$1 100,96 $1 185,16 $1 274,36 $1 591,24 |
$1 339,55 $1 423,75 $1 512,95 $1 829,83 |
$238,59 |
Toc - Plan #11 Molina Healthcare | |||||||||||||||||||
Silver
(HMO) Constant Care Silver 4 |
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Annual Out of Pocket Expenses
Deductible: Individual:
$7,450
| Family:
$14,900 Monthly Premiums: |
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$389,34 $441,90 $497,58 $695,36 $1 056,67 |
$687,19 $739,75 $795,43 $993,21 |
$985,04 $1 037,60 $1 093,28 $1 291,06 |
$1 282,89 $1 335,45 $1 391,13 $1 588,91 |
$297,85 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
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21 30 40 50 60 |
$778,68 $883,80 $995,16 $1 390,72 $2 113,34 |
$1 076,53 $1 181,65 $1 293,01 $1 688,57 |
$1 374,38 $1 479,50 $1 590,86 $1 986,42 |
$1 672,23 $1 777,35 $1 888,71 $2 284,27 |
$297,85 |
Toc - Plan #12 Molina Healthcare | |||||||||||||||||||
Expanded Bronze
(HMO) Core Care Bronze 4 |
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Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$326,70 $370,81 $417,53 $583,49 $886,67 |
$576,63 $620,74 $667,46 $833,42 |
$826,56 $870,67 $917,39 $1 083,35 |
$1 076,49 $1 120,60 $1 167,32 $1 333,28 |
$249,93 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$653,40 $741,62 $835,06 $1 166,98 $1 773,34 |
$903,33 $991,55 $1 084,99 $1 416,91 |
$1 153,26 $1 241,48 $1 334,92 $1 666,84 |
$1 403,19 $1 491,41 $1 584,85 $1 916,77 |
$249,93 |
Toc - Plan #13 Molina Healthcare | |||||||||||||||||||
Expanded Bronze
(HMO) Core Care Bronze 5 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$317,65 $360,53 $405,95 $567,32 $862,09 |
$560,65 $603,53 $648,95 $810,32 |
$803,65 $846,53 $891,95 $1 053,32 |
$1 046,65 $1 089,53 $1 134,95 $1 296,32 |
$243,00 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$635,30 $721,06 $811,90 $1 134,64 $1 724,18 |
$878,30 $964,06 $1 054,90 $1 377,64 |
$1 121,30 $1 207,06 $1 297,90 $1 620,64 |
$1 364,30 $1 450,06 $1 540,90 $1 863,64 |
$243,00 |
Toc - Plan #14 Molina Healthcare | |||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 + Vision |
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Annual Out of Pocket Expenses
Deductible: Individual:
$2,925
| Family:
$5,850 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$449,96 $510,70 $575,05 $803,62 $1 221,19 |
$794,18 $854,92 $919,27 $1 147,84 |
$1 138,40 $1 199,14 $1 263,49 $1 492,06 |
$1 482,62 $1 543,36 $1 607,71 $1 836,28 |
$344,22 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$899,92 $1 021,40 $1 150,10 $1 607,24 $2 442,38 |
$1 244,14 $1 365,62 $1 494,32 $1 951,46 |
$1 588,36 $1 709,84 $1 838,54 $2 295,68 |
$1 932,58 $2 054,06 $2 182,76 $2 639,90 |
$344,22 |
Toc - Plan #15 Molina Healthcare | |||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 + Vision |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$397,03 $450,63 $507,41 $709,10 $1 077,54 |
$700,76 $754,36 $811,14 $1 012,83 |
$1 004,49 $1 058,09 $1 114,87 $1 316,56 |
$1 308,22 $1 361,82 $1 418,60 $1 620,29 |
$303,73 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$794,06 $901,26 $1 014,82 $1 418,20 $2 155,08 |
$1 097,79 $1 204,99 $1 318,55 $1 721,93 |
$1 401,52 $1 508,72 $1 622,28 $2 025,66 |
$1 705,25 $1 812,45 $1 926,01 $2 329,39 |
$303,73 |
Toc - Plan #16 Molina Healthcare | |||||||||||||||||||
Bronze
(HMO) Core Care Bronze 1 + Vision |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,100
| Family:
$12,200 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$315,42 $358,00 $403,11 $563,34 $856,05 |
$556,72 $599,30 $644,41 $804,64 |
$798,02 $840,60 $885,71 $1 045,94 |
$1 039,32 $1 081,90 $1 127,01 $1 287,24 |
$241,30 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$630,84 $716,00 $806,22 $1 126,68 $1 712,10 |
$872,14 $957,30 $1 047,52 $1 367,98 |
$1 113,44 $1 198,60 $1 288,82 $1 609,28 |
$1 354,74 $1 439,90 $1 530,12 $1 850,58 |
$241,30 |
Toc - Plan #17 Molina Healthcare | |||||||||||||||||||
Silver
(HMO) Constant Care Silver 2 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,200
| Family:
$10,400 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$393,08 $446,14 $502,35 $702,03 $1 066,81 |
$693,78 $746,84 $803,05 $1 002,73 |
$994,48 $1 047,54 $1 103,75 $1 303,43 |
$1 295,18 $1 348,24 $1 404,45 $1 604,13 |
$300,70 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$786,16 $892,28 $1 004,70 $1 404,06 $2 133,62 |
$1 086,86 $1 192,98 $1 305,40 $1 704,76 |
$1 387,56 $1 493,68 $1 606,10 $2 005,46 |
$1 688,26 $1 794,38 $1 906,80 $2 306,16 |
$300,70 |
Toc - Plan #18 Molina Healthcare | |||||||||||||||||||
Bronze
(HMO) Core Care Bronze 2 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,000
| Family:
$16,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$309,13 $350,87 $395,07 $552,11 $838,99 |
$545,62 $587,36 $631,56 $788,60 |
$782,11 $823,85 $868,05 $1 025,09 |
$1 018,60 $1 060,34 $1 104,54 $1 261,58 |
$236,49 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$618,26 $701,74 $790,14 $1 104,22 $1 677,98 |
$854,75 $938,23 $1 026,63 $1 340,71 |
$1 091,24 $1 174,72 $1 263,12 $1 577,20 |
$1 327,73 $1 411,21 $1 499,61 $1 813,69 |
$236,49 |
ADVERTISEMENT |
||||||||||
Anthem Blue Cross and Blue ShieldLocal: 1-855-748-1813 | Toll Free: 1-855-748-1813 |
Toc - Plan #19 Anthem Blue Cross and Blue Shield | |||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway X 0 for HSA |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,000
| Family:
$14,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$289,25 $328,30 $369,66 $516,60 $785,02 |
$510,53 $549,58 $590,94 $737,88 |
$731,81 $770,86 $812,22 $959,16 |
$953,09 $992,14 $1 033,50 $1 180,44 |
$221,28 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$578,50 $656,60 $739,32 $1 033,20 $1 570,04 |
$799,78 $877,88 $960,60 $1 254,48 |
$1 021,06 $1 099,16 $1 181,88 $1 475,76 |
$1 242,34 $1 320,44 $1 403,16 $1 697,04 |
$221,28 |
Toc - Plan #20 Anthem Blue Cross and Blue Shield | |||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway X 5000 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,000
| Family:
$10,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$286,14 $324,77 $365,69 $511,05 $776,58 |
$505,04 $543,67 $584,59 $729,95 |
$723,94 $762,57 $803,49 $948,85 |
$942,84 $981,47 $1 022,39 $1 167,75 |
$218,90 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$572,28 $649,54 $731,38 $1 022,10 $1 553,16 |
$791,18 $868,44 $950,28 $1 241,00 |
$1 010,08 $1 087,34 $1 169,18 $1 459,90 |
$1 228,98 $1 306,24 $1 388,08 $1 678,80 |
$218,90 |
Toc - Plan #21 Anthem Blue Cross and Blue Shield | |||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway X 6550 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,550
| Family:
$13,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$276,97 $314,36 $353,97 $494,67 $751,70 |
$488,85 $526,24 $565,85 $706,55 |
$700,73 $738,12 $777,73 $918,43 |
$912,61 $950,00 $989,61 $1 130,31 |
$211,88 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$553,94 $628,72 $707,94 $989,34 $1 503,40 |
$765,82 $840,60 $919,82 $1 201,22 |
$977,70 $1 052,48 $1 131,70 $1 413,10 |
$1 189,58 $1 264,36 $1 343,58 $1 624,98 |
$211,88 |
Toc - Plan #22 Anthem Blue Cross and Blue Shield | |||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway X 8550 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$274,25 $311,27 $350,49 $489,81 $744,31 |
$484,05 $521,07 $560,29 $699,61 |
$693,85 $730,87 $770,09 $909,41 |
$903,65 $940,67 $979,89 $1 119,21 |
$209,80 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$548,50 $622,54 $700,98 $979,62 $1 488,62 |
$758,30 $832,34 $910,78 $1 189,42 |
$968,10 $1 042,14 $1 120,58 $1 399,22 |
$1 177,90 $1 251,94 $1 330,38 $1 609,02 |
$209,80 |
Toc - Plan #23 Anthem Blue Cross and Blue Shield | |||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X 4000 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$4,000
| Family:
$8,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$354,42 $402,27 $452,95 $632,99 $961,90 |
$625,55 $673,40 $724,08 $904,12 |
$896,68 $944,53 $995,21 $1 175,25 |
$1 167,81 $1 215,66 $1 266,34 $1 446,38 |
$271,13 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$708,84 $804,54 $905,90 $1 265,98 $1 923,80 |
$979,97 $1 075,67 $1 177,03 $1 537,11 |
$1 251,10 $1 346,80 $1 448,16 $1 808,24 |
$1 522,23 $1 617,93 $1 719,29 $2 079,37 |
$271,13 |
Toc - Plan #24 Anthem Blue Cross and Blue Shield | |||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X 4750 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$4,750
| Family:
$9,500 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$355,33 $403,30 $454,11 $634,62 $964,37 |
$627,16 $675,13 $725,94 $906,45 |
$898,99 $946,96 $997,77 $1 178,28 |
$1 170,82 $1 218,79 $1 269,60 $1 450,11 |
$271,83 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$710,66 $806,60 $908,22 $1 269,24 $1 928,74 |
$982,49 $1 078,43 $1 180,05 $1 541,07 |
$1 254,32 $1 350,26 $1 451,88 $1 812,90 |
$1 526,15 $1 622,09 $1 723,71 $2 084,73 |
$271,83 |
Toc - Plan #25 Anthem Blue Cross and Blue Shield | |||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X 6550 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,550
| Family:
$13,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$338,65 $384,37 $432,79 $604,83 $919,10 |
$597,72 $643,44 $691,86 $863,90 |
$856,79 $902,51 $950,93 $1 122,97 |
$1 115,86 $1 161,58 $1 210,00 $1 382,04 |
$259,07 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$677,30 $768,74 $865,58 $1 209,66 $1 838,20 |
$936,37 $1 027,81 $1 124,65 $1 468,73 |
$1 195,44 $1 286,88 $1 383,72 $1 727,80 |
$1 454,51 $1 545,95 $1 642,79 $1 986,87 |
$259,07 |
Toc - Plan #26 Anthem Blue Cross and Blue Shield | |||||||||||||||||||
Gold
(HMO) Anthem Gold Pathway X 2700 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$2,700
| Family:
$5,400 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$406,39 $461,25 $519,37 $725,81 $1 102,94 |
$717,28 $772,14 $830,26 $1 036,70 |
$1 028,17 $1 083,03 $1 141,15 $1 347,59 |
$1 339,06 $1 393,92 $1 452,04 $1 658,48 |
$310,89 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$812,78 $922,50 $1 038,74 $1 451,62 $2 205,88 |
$1 123,67 $1 233,39 $1 349,63 $1 762,51 |
$1 434,56 $1 544,28 $1 660,52 $2 073,40 |
$1 745,45 $1 855,17 $1 971,41 $2 384,29 |
$310,89 |
ADVERTISEMENT |
||||||||||
Network HealthLocal: 1-920-720-1400x1400 | Toll Free: 1-855-275-1400 | TTY: 1-800-947-3529 |
Toc - Plan #27 Network Health | |||||||||||||||||||
Expanded Bronze
(HMO) Prestige Bronze 20 HDHP + Dental + Vision |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,500
| Family:
$13,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$375,06 $425,70 $479,33 $669,86 $1 017,91 |
$661,98 $712,62 $766,25 $956,78 |
$948,90 $999,54 $1 053,17 $1 243,70 |
$1 235,82 $1 286,46 $1 340,09 $1 530,62 |
$286,92 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$750,12 $851,40 $958,66 $1 339,72 $2 035,82 |
$1 037,04 $1 138,32 $1 245,58 $1 626,64 |
$1 323,96 $1 425,24 $1 532,50 $1 913,56 |
$1 610,88 $1 712,16 $1 819,42 $2 200,48 |
$286,92 |
Toc - Plan #28 Network Health | |||||||||||||||||||
Silver
(HMO) Prestige Silver 20 HDHP + Dental + Vision |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$3,500
| Family:
$7,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$578,90 $657,05 $739,83 $1 033,91 $1 571,13 |
$1 021,76 $1 099,91 $1 182,69 $1 476,77 |
$1 464,62 $1 542,77 $1 625,55 $1 919,63 |
$1 907,48 $1 985,63 $2 068,41 $2 362,49 |
$442,86 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 157,80 $1 314,10 $1 479,66 $2 067,82 $3 142,26 |
$1 600,66 $1 756,96 $1 922,52 $2 510,68 |
$2 043,52 $2 199,82 $2 365,38 $2 953,54 |
$2 486,38 $2 642,68 $2 808,24 $3 396,40 |
$442,86 |
Toc - Plan #29 Network Health | |||||||||||||||||||
Expanded Bronze
(HMO) Prestige Bronze Essential + Dental + Vision + Fitness + 3 Free PCP Visits |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,750
| Family:
$15,500 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$360,93 $409,65 $461,27 $644,62 $979,55 |
$637,04 $685,76 $737,38 $920,73 |
$913,15 $961,87 $1 013,49 $1 196,84 |
$1 189,26 $1 237,98 $1 289,60 $1 472,95 |
$276,11 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$721,86 $819,30 $922,54 $1 289,24 $1 959,10 |
$997,97 $1 095,41 $1 198,65 $1 565,35 |
$1 274,08 $1 371,52 $1 474,76 $1 841,46 |
$1 550,19 $1 647,63 $1 750,87 $2 117,57 |
$276,11 |
Toc - Plan #30 Network Health | |||||||||||||||||||
Silver
(HMO) Prestige Silver Essential + Dental + Vision + Fitness + 3 Free PCP Visits |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$4,000
| Family:
$8,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$552,42 $627,00 $706,00 $986,62 $1 499,27 |
$975,03 $1 049,61 $1 128,61 $1 409,23 |
$1 397,64 $1 472,22 $1 551,22 $1 831,84 |
$1 820,25 $1 894,83 $1 973,83 $2 254,45 |
$422,61 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 104,84 $1 254,00 $1 412,00 $1 973,24 $2 998,54 |
$1 527,45 $1 676,61 $1 834,61 $2 395,85 |
$1 950,06 $2 099,22 $2 257,22 $2 818,46 |
$2 372,67 $2 521,83 $2 679,83 $3 241,07 |
$422,61 |
Toc - Plan #31 Network Health | |||||||||||||||||||
Gold
(HMO) Prestige Gold Essential + Dental + Vision + Fitness + 3 Free PCP Visits |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$1,750
| Family:
$3,500 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$547,53 $621,45 $699,75 $977,89 $1 485,99 |
$966,39 $1 040,31 $1 118,61 $1 396,75 |
$1 385,25 $1 459,17 $1 537,47 $1 815,61 |
$1 804,11 $1 878,03 $1 956,33 $2 234,47 |
$418,86 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 095,06 $1 242,90 $1 399,50 $1 955,78 $2 971,98 |
$1 513,92 $1 661,76 $1 818,36 $2 374,64 |
$1 932,78 $2 080,62 $2 237,22 $2 793,50 |
$2 351,64 $2 499,48 $2 656,08 $3 212,36 |
$418,86 |
Toc - Plan #32 Network Health | |||||||||||||||||||
Expanded Bronze
(HMO) Prestige Bronze 0 + Dental + Vision |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$335,58 $380,88 $428,87 $599,34 $910,76 |
$592,30 $637,60 $685,59 $856,06 |
$849,02 $894,32 $942,31 $1 112,78 |
$1 105,74 $1 151,04 $1 199,03 $1 369,50 |
$256,72 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$671,16 $761,76 $857,74 $1 198,68 $1 821,52 |
$927,88 $1 018,48 $1 114,46 $1 455,40 |
$1 184,60 $1 275,20 $1 371,18 $1 712,12 |
$1 441,32 $1 531,92 $1 627,90 $1 968,84 |
$256,72 |
Toc - Plan #33 Network Health | |||||||||||||||||||
Gold
(HMO) Prestige Gold 50 + Dental + Vision |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$1,000
| Family:
$2,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$564,65 $640,88 $721,63 $1 008,47 $1 532,47 |
$996,61 $1 072,84 $1 153,59 $1 440,43 |
$1 428,57 $1 504,80 $1 585,55 $1 872,39 |
$1 860,53 $1 936,76 $2 017,51 $2 304,35 |
$431,96 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 129,30 $1 281,76 $1 443,26 $2 016,94 $3 064,94 |
$1 561,26 $1 713,72 $1 875,22 $2 448,90 |
$1 993,22 $2 145,68 $2 307,18 $2 880,86 |
$2 425,18 $2 577,64 $2 739,14 $3 312,82 |
$431,96 |
Toc - Plan #34 Network Health | |||||||||||||||||||
Gold
(HMO) Prestige Gold 0 HDHP + Dental + Vision |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$2,800
| Family:
$5,600 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$572,15 $649,38 $731,20 $1 021,85 $1 552,79 |
$1 009,84 $1 087,07 $1 168,89 $1 459,54 |
$1 447,53 $1 524,76 $1 606,58 $1 897,23 |
$1 885,22 $1 962,45 $2 044,27 $2 334,92 |
$437,69 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 144,30 $1 298,76 $1 462,40 $2 043,70 $3 105,58 |
$1 581,99 $1 736,45 $1 900,09 $2 481,39 |
$2 019,68 $2 174,14 $2 337,78 $2 919,08 |
$2 457,37 $2 611,83 $2 775,47 $3 356,77 |
$437,69 |
ADVERTISEMENT |
||||||||||
Arise Health PlanLocal: 1-920-490-6900 | Toll Free: 1-800-332-6249 | TTY: 1-888-332-0144 |
Toc - Plan #35 Arise Health Plan | |||||||||||||||||||
Bronze
(HMO) WPS HMO Bronze $8,550 | Select Network |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$318,18 $361,13 $406,63 $568,27 $863,54 |
$561,59 $604,54 $650,04 $811,68 |
$805,00 $847,95 $893,45 $1 055,09 |
$1 048,41 $1 091,36 $1 136,86 $1 298,50 |
$243,41 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$636,36 $722,26 $813,26 $1 136,54 $1 727,08 |
$879,77 $965,67 $1 056,67 $1 379,95 |
$1 123,18 $1 209,08 $1 300,08 $1 623,36 |
$1 366,59 $1 452,49 $1 543,49 $1 866,77 |
$243,41 |
Toc - Plan #36 Arise Health Plan | |||||||||||||||||||
Expanded Bronze
(HMO) WPS HMO Bronze $6,500 with 3 Free PCP Visits | Select Network |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,500
| Family:
$13,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$330,38 $374,98 $422,23 $590,06 $896,65 |
$583,12 $627,72 $674,97 $842,80 |
$835,86 $880,46 $927,71 $1 095,54 |
$1 088,60 $1 133,20 $1 180,45 $1 348,28 |
$252,74 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$660,76 $749,96 $844,46 $1 180,12 $1 793,30 |
$913,50 $1 002,70 $1 097,20 $1 432,86 |
$1 166,24 $1 255,44 $1 349,94 $1 685,60 |
$1 418,98 $1 508,18 $1 602,68 $1 938,34 |
$252,74 |
Toc - Plan #37 Arise Health Plan | |||||||||||||||||||
Expanded Bronze
(HMO) WPS HMO Bronze $7,200 | Select Network |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,200
| Family:
$14,400 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$323,70 $367,40 $413,69 $578,13 $878,52 |
$571,33 $615,03 $661,32 $825,76 |
$818,96 $862,66 $908,95 $1 073,39 |
$1 066,59 $1 110,29 $1 156,58 $1 321,02 |
$247,63 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$647,40 $734,80 $827,38 $1 156,26 $1 757,04 |
$895,03 $982,43 $1 075,01 $1 403,89 |
$1 142,66 $1 230,06 $1 322,64 $1 651,52 |
$1 390,29 $1 477,69 $1 570,27 $1 899,15 |
$247,63 |
Toc - Plan #38 Arise Health Plan | |||||||||||||||||||
Silver
(HMO) WPS HMO Silver $7,500 | Select Network |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,500
| Family:
$15,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$427,74 $485,48 $546,65 $763,94 $1 160,89 |
$754,96 $812,70 $873,87 $1 091,16 |
$1 082,18 $1 139,92 $1 201,09 $1 418,38 |
$1 409,40 $1 467,14 $1 528,31 $1 745,60 |
$327,22 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$855,48 $970,96 $1 093,30 $1 527,88 $2 321,78 |
$1 182,70 $1 298,18 $1 420,52 $1 855,10 |
$1 509,92 $1 625,40 $1 747,74 $2 182,32 |
$1 837,14 $1 952,62 $2 074,96 $2 509,54 |
$327,22 |
Toc - Plan #39 Arise Health Plan | |||||||||||||||||||
Silver
(HMO) WPS HMO Silver $4,500 | Select Network |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$4,500
| Family:
$9,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$428,76 $486,64 $547,96 $765,77 $1 163,65 |
$756,76 $814,64 $875,96 $1 093,77 |
$1 084,76 $1 142,64 $1 203,96 $1 421,77 |
$1 412,76 $1 470,64 $1 531,96 $1 749,77 |
$328,00 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$857,52 $973,28 $1 095,92 $1 531,54 $2 327,30 |
$1 185,52 $1 301,28 $1 423,92 $1 859,54 |
$1 513,52 $1 629,28 $1 751,92 $2 187,54 |
$1 841,52 $1 957,28 $2 079,92 $2 515,54 |
$328,00 |
Toc - Plan #40 Arise Health Plan | |||||||||||||||||||
Silver
(HMO) WPS HMO Silver $5,000 with 3 Free PCP Visits | Select Network |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,000
| Family:
$10,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$446,00 $506,21 $569,99 $796,56 $1 210,44 |
$787,19 $847,40 $911,18 $1 137,75 |
$1 128,38 $1 188,59 $1 252,37 $1 478,94 |
$1 469,57 $1 529,78 $1 593,56 $1 820,13 |
$341,19 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$892,00 $1 012,42 $1 139,98 $1 593,12 $2 420,88 |
$1 233,19 $1 353,61 $1 481,17 $1 934,31 |
$1 574,38 $1 694,80 $1 822,36 $2 275,50 |
$1 915,57 $2 035,99 $2 163,55 $2 616,69 |
$341,19 |
Toc - Plan #41 Arise Health Plan | |||||||||||||||||||
Gold
(HMO) WPS HMO Gold $2,500 | Select Network |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$2,500
| Family:
$5,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$590,79 $670,55 $755,03 $1 055,15 $1 603,40 |
$1 042,74 $1 122,50 $1 206,98 $1 507,10 |
$1 494,69 $1 574,45 $1 658,93 $1 959,05 |
$1 946,64 $2 026,40 $2 110,88 $2 411,00 |
$451,95 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 181,58 $1 341,10 $1 510,06 $2 110,30 $3 206,80 |
$1 633,53 $1 793,05 $1 962,01 $2 562,25 |
$2 085,48 $2 245,00 $2 413,96 $3 014,20 |
$2 537,43 $2 696,95 $2 865,91 $3 466,15 |
$451,95 |
Toc - Plan #42 Arise Health Plan | |||||||||||||||||||
Catastrophic
(HMO) WPS HMO Catastrophic $8,550 with 3 Free PCP Visits | Select Network |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$276,62 $313,96 $353,52 $494,04 $750,75 |
$488,23 $525,57 $565,13 $705,65 |
$699,84 $737,18 $776,74 $917,26 |
$911,45 $948,79 $988,35 $1 128,87 |
$211,61 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$553,24 $627,92 $707,04 $988,08 $1 501,50 |
$764,85 $839,53 $918,65 $1 199,69 |
$976,46 $1 051,14 $1 130,26 $1 411,30 |
$1 188,07 $1 262,75 $1 341,87 $1 622,91 |
$211,61 |
Toc - Plan #43 Arise Health Plan | |||||||||||||||||||
Expanded Bronze
(HMO) WPS HMO HDHP Bronze $7,000 | Select Network |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,000
| Family:
$14,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$330,78 $375,44 $422,74 $590,77 $897,74 |
$583,83 $628,49 $675,79 $843,82 |
$836,88 $881,54 $928,84 $1 096,87 |
$1 089,93 $1 134,59 $1 181,89 $1 349,92 |
$253,05 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$661,56 $750,88 $845,48 $1 181,54 $1 795,48 |
$914,61 $1 003,93 $1 098,53 $1 434,59 |
$1 167,66 $1 256,98 $1 351,58 $1 687,64 |
$1 420,71 $1 510,03 $1 604,63 $1 940,69 |
$253,05 |
Toc - Plan #44 Arise Health Plan | |||||||||||||||||||
Expanded Bronze
(HMO) WPS HMO HDHP Bronze $6,830 | Select Network |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,830
| Family:
$13,660 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$337,53 $383,10 $431,36 $602,83 $916,06 |
$595,74 $641,31 $689,57 $861,04 |
$853,95 $899,52 $947,78 $1 119,25 |
$1 112,16 $1 157,73 $1 205,99 $1 377,46 |
$258,21 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$675,06 $766,20 $862,72 $1 205,66 $1 832,12 |
$933,27 $1 024,41 $1 120,93 $1 463,87 |
$1 191,48 $1 282,62 $1 379,14 $1 722,08 |
$1 449,69 $1 540,83 $1 637,35 $1 980,29 |
$258,21 |
Toc - Plan #45 Arise Health Plan | |||||||||||||||||||
Expanded Bronze
(HMO) WPS HMO HDHP Bronze $6,000 | Select Network |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,000
| Family:
$12,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$331,47 $376,22 $423,62 $592,01 $899,61 |
$585,04 $629,79 $677,19 $845,58 |
$838,61 $883,36 $930,76 $1 099,15 |
$1 092,18 $1 136,93 $1 184,33 $1 352,72 |
$253,57 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$662,94 $752,44 $847,24 $1 184,02 $1 799,22 |
$916,51 $1 006,01 $1 100,81 $1 437,59 |
$1 170,08 $1 259,58 $1 354,38 $1 691,16 |
$1 423,65 $1 513,15 $1 607,95 $1 944,73 |
$253,57 |
Toc - Plan #46 Arise Health Plan | |||||||||||||||||||
Silver
(HMO) WPS HMO HDHP Silver $2,800 | Select Network |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$2,800
| Family:
$5,600 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$439,59 $498,93 $561,80 $785,11 $1 193,05 |
$775,88 $835,22 $898,09 $1 121,40 |
$1 112,17 $1 171,51 $1 234,38 $1 457,69 |
$1 448,46 $1 507,80 $1 570,67 $1 793,98 |
$336,29 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$879,18 $997,86 $1 123,60 $1 570,22 $2 386,10 |
$1 215,47 $1 334,15 $1 459,89 $1 906,51 |
$1 551,76 $1 670,44 $1 796,18 $2 242,80 |
$1 888,05 $2 006,73 $2 132,47 $2 579,09 |
$336,29 |
Toc - Plan #47 Arise Health Plan | |||||||||||||||||||
Silver
(HMO) WPS HMO HDHP Silver $4,500 | Select Network |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$4,500
| Family:
$9,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$438,57 $497,78 $560,49 $783,29 $1 190,28 |
$774,08 $833,29 $896,00 $1 118,80 |
$1 109,59 $1 168,80 $1 231,51 $1 454,31 |
$1 445,10 $1 504,31 $1 567,02 $1 789,82 |
$335,51 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$877,14 $995,56 $1 120,98 $1 566,58 $2 380,56 |
$1 212,65 $1 331,07 $1 456,49 $1 902,09 |
$1 548,16 $1 666,58 $1 792,00 $2 237,60 |
$1 883,67 $2 002,09 $2 127,51 $2 573,11 |
$335,51 |
Toc - Plan #48 Arise Health Plan | |||||||||||||||||||
Silver
(HMO) WPS HMO HDHP Silver $5,500 | Select Network |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,500
| Family:
$11,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$416,43 $472,65 $532,20 $743,74 $1 130,19 |
$735,00 $791,22 $850,77 $1 062,31 |
$1 053,57 $1 109,79 $1 169,34 $1 380,88 |
$1 372,14 $1 428,36 $1 487,91 $1 699,45 |
$318,57 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$832,86 $945,30 $1 064,40 $1 487,48 $2 260,38 |
$1 151,43 $1 263,87 $1 382,97 $1 806,05 |
$1 470,00 $1 582,44 $1 701,54 $2 124,62 |
$1 788,57 $1 901,01 $2 020,11 $2 443,19 |
$318,57 |
Toc - Plan #49 Arise Health Plan | |||||||||||||||||||
Bronze
(POS) WPS POS Bronze $8,550 | Select Network |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$340,33 $386,27 $434,94 $607,83 $923,66 |
$600,68 $646,62 $695,29 $868,18 |
$861,03 $906,97 $955,64 $1 128,53 |
$1 121,38 $1 167,32 $1 215,99 $1 388,88 |
$260,35 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$680,66 $772,54 $869,88 $1 215,66 $1 847,32 |
$941,01 $1 032,89 $1 130,23 $1 476,01 |
$1 201,36 $1 293,24 $1 390,58 $1 736,36 |
$1 461,71 $1 553,59 $1 650,93 $1 996,71 |
$260,35 |
Toc - Plan #50 Arise Health Plan | |||||||||||||||||||
Expanded Bronze
(POS) WPS POS HDHP Bronze $6,000 | Select Network |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,000
| Family:
$12,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$354,49 $402,35 $453,04 $633,12 $962,09 |
$625,67 $673,53 $724,22 $904,30 |
$896,85 $944,71 $995,40 $1 175,48 |
$1 168,03 $1 215,89 $1 266,58 $1 446,66 |
$271,18 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$708,98 $804,70 $906,08 $1 266,24 $1 924,18 |
$980,16 $1 075,88 $1 177,26 $1 537,42 |
$1 251,34 $1 347,06 $1 448,44 $1 808,60 |
$1 522,52 $1 618,24 $1 719,62 $2 079,78 |
$271,18 |
ADVERTISEMENT |
||||||||||
Common Ground Healthcare CooperativeLocal: 1-877-514-2442 | Toll Free: 1-877-514-2442 | TTY: 1-844-472-2442 |
Toc - Plan #51 Common Ground Healthcare Cooperative | |||||||||||||||||||
Gold
(EPO) Envision - Gold 1800/80 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$1,800
| Family:
$3,600 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$471,45 $535,09 $602,50 $842,00 $1 279,49 |
$832,10 $895,74 $963,15 $1 202,65 |
$1 192,75 $1 256,39 $1 323,80 $1 563,30 |
$1 553,40 $1 617,04 $1 684,45 $1 923,95 |
$360,65 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$942,90 $1 070,18 $1 205,00 $1 684,00 $2 558,98 |
$1 303,55 $1 430,83 $1 565,65 $2 044,65 |
$1 664,20 $1 791,48 $1 926,30 $2 405,30 |
$2 024,85 $2 152,13 $2 286,95 $2 765,95 |
$360,65 |
Toc - Plan #52 Common Ground Healthcare Cooperative | |||||||||||||||||||
Gold
(EPO) Envision - Gold 2000/80 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$2,000
| Family:
$4,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$443,26 $503,08 $566,47 $791,64 $1 202,97 |
$782,34 $842,16 $905,55 $1 130,72 |
$1 121,42 $1 181,24 $1 244,63 $1 469,80 |
$1 460,50 $1 520,32 $1 583,71 $1 808,88 |
$339,08 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$886,52 $1 006,16 $1 132,94 $1 583,28 $2 405,94 |
$1 225,60 $1 345,24 $1 472,02 $1 922,36 |
$1 564,68 $1 684,32 $1 811,10 $2 261,44 |
$1 903,76 $2 023,40 $2 150,18 $2 600,52 |
$339,08 |
Toc - Plan #53 Common Ground Healthcare Cooperative | |||||||||||||||||||
Silver
(EPO) Envision - Silver 4000/75 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$4,000
| Family:
$8,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$433,52 $492,03 $554,02 $774,24 $1 176,54 |
$765,15 $823,66 $885,65 $1 105,87 |
$1 096,78 $1 155,29 $1 217,28 $1 437,50 |
$1 428,41 $1 486,92 $1 548,91 $1 769,13 |
$331,63 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$867,04 $984,06 $1 108,04 $1 548,48 $2 353,08 |
$1 198,67 $1 315,69 $1 439,67 $1 880,11 |
$1 530,30 $1 647,32 $1 771,30 $2 211,74 |
$1 861,93 $1 978,95 $2 102,93 $2 543,37 |
$331,63 |
Toc - Plan #54 Common Ground Healthcare Cooperative | |||||||||||||||||||
Silver
(EPO) Envision - Silver 3000/75/Copay40 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$3,000
| Family:
$6,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$453,38 $514,57 $579,40 $809,71 $1 230,44 |
$800,21 $861,40 $926,23 $1 156,54 |
$1 147,04 $1 208,23 $1 273,06 $1 503,37 |
$1 493,87 $1 555,06 $1 619,89 $1 850,20 |
$346,83 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$906,76 $1 029,14 $1 158,80 $1 619,42 $2 460,88 |
$1 253,59 $1 375,97 $1 505,63 $1 966,25 |
$1 600,42 $1 722,80 $1 852,46 $2 313,08 |
$1 947,25 $2 069,63 $2 199,29 $2 659,91 |
$346,83 |
Toc - Plan #55 Common Ground Healthcare Cooperative | |||||||||||||||||||
Catastrophic
(EPO) Envision - Catastrophic 8550/100 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$214,55 $243,50 $274,18 $383,16 $582,26 |
$378,67 $407,62 $438,30 $547,28 |
$542,79 $571,74 $602,42 $711,40 |
$706,91 $735,86 $766,54 $875,52 |
$164,12 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$429,10 $487,00 $548,36 $766,32 $1 164,52 |
$593,22 $651,12 $712,48 $930,44 |
$757,34 $815,24 $876,60 $1 094,56 |
$921,46 $979,36 $1 040,72 $1 258,68 |
$164,12 |
Toc - Plan #56 Common Ground Healthcare Cooperative | |||||||||||||||||||
Expanded Bronze
(EPO) Envision - Bronze 8550/100 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$301,84 $342,58 $385,74 $539,07 $819,16 |
$532,74 $573,48 $616,64 $769,97 |
$763,64 $804,38 $847,54 $1 000,87 |
$994,54 $1 035,28 $1 078,44 $1 231,77 |
$230,90 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$603,68 $685,16 $771,48 $1 078,14 $1 638,32 |
$834,58 $916,06 $1 002,38 $1 309,04 |
$1 065,48 $1 146,96 $1 233,28 $1 539,94 |
$1 296,38 $1 377,86 $1 464,18 $1 770,84 |
$230,90 |
Toc - Plan #57 Common Ground Healthcare Cooperative | |||||||||||||||||||
Expanded Bronze
(EPO) Envision - Bronze 8150/ 100 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,150
| Family:
$16,300 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$321,52 $364,91 $410,89 $574,22 $872,58 |
$567,47 $610,86 $656,84 $820,17 |
$813,42 $856,81 $902,79 $1 066,12 |
$1 059,37 $1 102,76 $1 148,74 $1 312,07 |
$245,95 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$643,04 $729,82 $821,78 $1 148,44 $1 745,16 |
$888,99 $975,77 $1 067,73 $1 394,39 |
$1 134,94 $1 221,72 $1 313,68 $1 640,34 |
$1 380,89 $1 467,67 $1 559,63 $1 886,29 |
$245,95 |
Toc - Plan #58 Common Ground Healthcare Cooperative | |||||||||||||||||||
Expanded Bronze
(EPO) Envision - HSA Bronze 7000/100 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,000
| Family:
$14,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$318,92 $361,96 $407,56 $569,57 $865,51 |
$562,88 $605,92 $651,52 $813,53 |
$806,84 $849,88 $895,48 $1 057,49 |
$1 050,80 $1 093,84 $1 139,44 $1 301,45 |
$243,96 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$637,84 $723,92 $815,12 $1 139,14 $1 731,02 |
$881,80 $967,88 $1 059,08 $1 383,10 |
$1 125,76 $1 211,84 $1 303,04 $1 627,06 |
$1 369,72 $1 455,80 $1 547,00 $1 871,02 |
$243,96 |
Toc - Plan #59 Common Ground Healthcare Cooperative | |||||||||||||||||||
Silver
(EPO) Envision - Silver 7000/75 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,000
| Family:
$14,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$360,44 $409,09 $460,63 $643,73 $978,21 |
$636,17 $684,82 $736,36 $919,46 |
$911,90 $960,55 $1 012,09 $1 195,19 |
$1 187,63 $1 236,28 $1 287,82 $1 470,92 |
$275,73 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$720,88 $818,18 $921,26 $1 287,46 $1 956,42 |
$996,61 $1 093,91 $1 196,99 $1 563,19 |
$1 272,34 $1 369,64 $1 472,72 $1 838,92 |
$1 548,07 $1 645,37 $1 748,45 $2 114,65 |
$275,73 |
‡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 Washington County here.
Washington County is in “Rating Area 12” of Wisconsin.
Currently, there are 59 plans offered in Rating Area 12.
