Jackson County, Wisconsin Obamacare 2024 Rates
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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 Jackson County, WI.
The health insurance rates listed below are for calendar year 2024.
For information on 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
Obamacare Providers, 58 Plans and 2024 Rates for Jackson County, Wisconsin
Below, you’ll find a summary of the 58 plans for Jackson 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 | 2023 | 2024 |
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QuartzLocal: 1-608-644-3430 | Toll Free: 1-800-362-3310 | TTY: 1-800-877-8973 |
Toc - Plan #1 Quartz | ||||||||||||||||||||
Gold
(HMO) QUARTZ ONE GOLD I402 MAINTENANCE VALUE TIER RX W/DENTAL |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$488.56 $554.51 $624.37 $872.56 $1,325.94 |
$862.30 $928.25 $998.11 $1,246.30 |
$1,236.04 $1,301.99 $1,371.85 $1,620.04 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$977.12 $1,109.02 $1,248.74 $1,745.12 $2,651.88 |
$1,350.86 $1,482.76 $1,622.48 $2,118.86 |
$1,724.60 $1,856.50 $1,996.22 $2,492.60 |
Toc - Plan #2 Quartz | ||||||||||||||||||||
Gold
(HMO) QUARTZ ONE GOLD I410 STANDARD W/DENTAL |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$492.36 $558.83 $629.23 $879.35 $1,336.26 |
$869.01 $935.48 $1,005.88 $1,256.00 |
$1,245.66 $1,312.13 $1,382.53 $1,632.65 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$984.72 $1,117.66 $1,258.46 $1,758.70 $2,672.52 |
$1,361.37 $1,494.31 $1,635.11 $2,135.35 |
$1,738.02 $1,870.96 $2,011.76 $2,512.00 |
Toc - Plan #3 Quartz | ||||||||||||||||||||
Silver
(HMO) QUARTZ ONE SILVER I308 VALUE TIER RX W/DENTAL |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$520.47 $590.72 $665.15 $929.54 $1,412.53 |
$918.62 $988.87 $1,063.30 $1,327.69 |
$1,316.77 $1,387.02 $1,461.45 $1,725.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,040.94 $1,181.44 $1,330.30 $1,859.08 $2,825.06 |
$1,439.09 $1,579.59 $1,728.45 $2,257.23 |
$1,837.24 $1,977.74 $2,126.60 $2,655.38 |
Toc - Plan #4 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) QUARTZ ONE BRONZE I204 VALUE TIER RX W/DENTAL |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$387.25 $439.52 $494.89 $691.61 $1,050.97 |
$683.49 $735.76 $791.13 $987.85 |
$979.73 $1,032.00 $1,087.37 $1,284.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$774.50 $879.04 $989.78 $1,383.22 $2,101.94 |
$1,070.74 $1,175.28 $1,286.02 $1,679.46 |
$1,366.98 $1,471.52 $1,582.26 $1,975.70 |
Toc - Plan #5 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) QUARTZ ONE BRONZE I205 VALUE TIER RX W/DENTAL |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$376.89 $427.76 $481.66 $673.11 $1,022.86 |
$665.21 $716.08 $769.98 $961.43 |
$953.53 $1,004.40 $1,058.30 $1,249.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$753.78 $855.52 $963.32 $1,346.22 $2,045.72 |
$1,042.10 $1,143.84 $1,251.64 $1,634.54 |
$1,330.42 $1,432.16 $1,539.96 $1,922.86 |
Toc - Plan #6 Quartz | ||||||||||||||||||||
Silver
(HMO) QUARTZ ONE SILVER I320 VALUE TIER RX W/DENTAL |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$532.85 $604.78 $680.97 $951.66 $1,446.14 |
$940.48 $1,012.41 $1,088.60 $1,359.29 |
$1,348.11 $1,420.04 $1,496.23 $1,766.92 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,065.70 $1,209.56 $1,361.94 $1,903.32 $2,892.28 |
$1,473.33 $1,617.19 $1,769.57 $2,310.95 |
$1,880.96 $2,024.82 $2,177.20 $2,718.58 |
Toc - Plan #7 Quartz | ||||||||||||||||||||
Gold
(HMO) QUARTZ ONE GOLD I420 VALUE TIER RX |
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Benefits & Coverage
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Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$447.66 $508.09 $572.11 $799.51 $1,214.94 |
$790.12 $850.55 $914.57 $1,141.97 |
$1,132.58 $1,193.01 $1,257.03 $1,484.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$895.32 $1,016.18 $1,144.22 $1,599.02 $2,429.88 |
$1,237.78 $1,358.64 $1,486.68 $1,941.48 |
$1,580.24 $1,701.10 $1,829.14 $2,283.94 |
Toc - Plan #8 Quartz | ||||||||||||||||||||
Gold
(HMO) QUARTZ ONE GOLD I402 MAINTENANCE VALUE TIER RX |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$465.27 $528.08 $594.61 $830.96 $1,262.73 |
$821.20 $884.01 $950.54 $1,186.89 |
$1,177.13 $1,239.94 $1,306.47 $1,542.82 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$930.54 $1,056.16 $1,189.22 $1,661.92 $2,525.46 |
$1,286.47 $1,412.09 $1,545.15 $2,017.85 |
$1,642.40 $1,768.02 $1,901.08 $2,373.78 |
Toc - Plan #9 Quartz | ||||||||||||||||||||
Gold
(HMO) QUARTZ ONE GOLD I410 STANDARD |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$468.89 $532.19 $599.24 $837.44 $1,272.56 |
$827.59 $890.89 $957.94 $1,196.14 |
$1,186.29 $1,249.59 $1,316.64 $1,554.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$937.78 $1,064.38 $1,198.48 $1,674.88 $2,545.12 |
$1,296.48 $1,423.08 $1,557.18 $2,033.58 |
$1,655.18 $1,781.78 $1,915.88 $2,392.28 |
Toc - Plan #10 Quartz | ||||||||||||||||||||
Silver
(HMO) QUARTZ ONE SILVER I308 VALUE TIER RX |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$495.66 $562.56 $633.44 $885.23 $1,345.20 |
$874.83 $941.73 $1,012.61 $1,264.40 |
$1,254.00 $1,320.90 $1,391.78 $1,643.57 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$991.32 $1,125.12 $1,266.88 $1,770.46 $2,690.40 |
$1,370.49 $1,504.29 $1,646.05 $2,149.63 |
$1,749.66 $1,883.46 $2,025.22 $2,528.80 |
Toc - Plan #11 Quartz | ||||||||||||||||||||
Silver
(HMO) QUARTZ ONE SILVER I309 STANDARD |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$482.44 $547.56 $616.55 $861.62 $1,309.32 |
$851.50 $916.62 $985.61 $1,230.68 |
$1,220.56 $1,285.68 $1,354.67 $1,599.74 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$964.88 $1,095.12 $1,233.10 $1,723.24 $2,618.64 |
$1,333.94 $1,464.18 $1,602.16 $2,092.30 |
$1,703.00 $1,833.24 $1,971.22 $2,461.36 |
Toc - Plan #12 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) QUARTZ ONE BRONZE I204 VALUE TIER RX |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$368.79 $418.57 $471.30 $658.64 $1,000.87 |
$650.91 $700.69 $753.42 $940.76 |
$933.03 $982.81 $1,035.54 $1,222.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$737.58 $837.14 $942.60 $1,317.28 $2,001.74 |
$1,019.70 $1,119.26 $1,224.72 $1,599.40 |
$1,301.82 $1,401.38 $1,506.84 $1,881.52 |
Toc - Plan #13 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) QUARTZ ONE BRONZE I205 VALUE TIER RX |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$358.92 $407.37 $458.70 $641.03 $974.11 |
$633.49 $681.94 $733.27 $915.60 |
$908.06 $956.51 $1,007.84 $1,190.17 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$717.84 $814.74 $917.40 $1,282.06 $1,948.22 |
$992.41 $1,089.31 $1,191.97 $1,556.63 |
$1,266.98 $1,363.88 $1,466.54 $1,831.20 |
Toc - Plan #14 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) QUARTZ ONE BRONZE I206 STANDARD |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$342.56 $388.80 $437.79 $611.80 $929.70 |
$604.61 $650.85 $699.84 $873.85 |
$866.66 $912.90 $961.89 $1,135.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$685.12 $777.60 $875.58 $1,223.60 $1,859.40 |
$947.17 $1,039.65 $1,137.63 $1,485.65 |
$1,209.22 $1,301.70 $1,399.68 $1,747.70 |
Toc - Plan #15 Quartz | ||||||||||||||||||||
Silver
(HMO) QUARTZ ONE SILVER I320 VALUE TIER RX |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$507.45 $575.95 $648.51 $906.30 $1,377.20 |
$895.64 $964.14 $1,036.70 $1,294.49 |
$1,283.83 $1,352.33 $1,424.89 $1,682.68 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,014.90 $1,151.90 $1,297.02 $1,812.60 $2,754.40 |
$1,403.09 $1,540.09 $1,685.21 $2,200.79 |
$1,791.28 $1,928.28 $2,073.40 $2,588.98 |
Toc - Plan #16 Quartz | ||||||||||||||||||||
Gold
(HMO) QUARTZ ONE GOLD I401 VALUE TIER RX |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$440.89 $500.40 $563.45 $787.42 $1,196.56 |
$778.17 $837.68 $900.73 $1,124.70 |
$1,115.45 $1,174.96 $1,238.01 $1,461.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$881.78 $1,000.80 $1,126.90 $1,574.84 $2,393.12 |
$1,219.06 $1,338.08 $1,464.18 $1,912.12 |
$1,556.34 $1,675.36 $1,801.46 $2,249.40 |
Toc - Plan #17 Quartz | ||||||||||||||||||||
Silver
(HMO) QUARTZ ONE SILVER I303 VALUE TIER RX |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$471.53 $535.18 $602.61 $842.14 $1,279.72 |
$832.25 $895.90 $963.33 $1,202.86 |
$1,192.97 $1,256.62 $1,324.05 $1,563.58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$943.06 $1,070.36 $1,205.22 $1,684.28 $2,559.44 |
$1,303.78 $1,431.08 $1,565.94 $2,045.00 |
$1,664.50 $1,791.80 $1,926.66 $2,405.72 |
Toc - Plan #18 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) QUARTZ ONE BRONZE I201 VALUE TIER RX |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$322.80 $366.37 $412.53 $576.52 $876.07 |
$569.74 $613.31 $659.47 $823.46 |
$816.68 $860.25 $906.41 $1,070.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$645.60 $732.74 $825.06 $1,153.04 $1,752.14 |
$892.54 $979.68 $1,072.00 $1,399.98 |
$1,139.48 $1,226.62 $1,318.94 $1,646.92 |
Toc - Plan #19 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) QUARTZ ONE BRONZE I203 HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$350.84 $398.20 $448.37 $626.60 $952.17 |
$619.23 $666.59 $716.76 $894.99 |
$887.62 $934.98 $985.15 $1,163.38 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$701.68 $796.40 $896.74 $1,253.20 $1,904.34 |
$970.07 $1,064.79 $1,165.13 $1,521.59 |
$1,238.46 $1,333.18 $1,433.52 $1,789.98 |
Toc - Plan #20 Quartz | ||||||||||||||||||||
Catastrophic
(HMO) QUARTZ ONE CATASTROPHIC I101 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$254.73 $289.11 $325.54 $454.94 $691.32 |
$449.59 $483.97 $520.40 $649.80 |
$644.45 $678.83 $715.26 $844.66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$509.46 $578.22 $651.08 $909.88 $1,382.64 |
$704.32 $773.08 $845.94 $1,104.74 |
$899.18 $967.94 $1,040.80 $1,299.60 |
Toc - Plan #21 Quartz | ||||||||||||||||||||
Silver
(HMO) QUARTZ ONE SILVER I304 HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$500.11 $567.62 $639.13 $893.19 $1,357.28 |
$882.69 $950.20 $1,021.71 $1,275.77 |
$1,265.27 $1,332.78 $1,404.29 $1,658.35 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,000.22 $1,135.24 $1,278.26 $1,786.38 $2,714.56 |
$1,382.80 $1,517.82 $1,660.84 $2,168.96 |
$1,765.38 $1,900.40 $2,043.42 $2,551.54 |
Toc - Plan #22 Quartz | ||||||||||||||||||||
Gold
(HMO) QUARTZ ONE GOLD I403 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$458.82 $520.76 $586.37 $819.45 $1,245.23 |
$809.82 $871.76 $937.37 $1,170.45 |
$1,160.82 $1,222.76 $1,288.37 $1,521.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$917.64 $1,041.52 $1,172.74 $1,638.90 $2,490.46 |
$1,268.64 $1,392.52 $1,523.74 $1,989.90 |
$1,619.64 $1,743.52 $1,874.74 $2,340.90 |
ADVERTISEMENT
Security Health PlanLocal: 1-715-221-9258x19258 | Toll Free: 1-844-293-9624 | TTY: 1-800-947-3529 |
Toc - Plan #23 Security Health Plan | ||||||||||||||||||||
Catastrophic
(EPO) Select Protection |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$234.49 $266.14 $299.67 $418.79 $636.39 |
$413.87 $445.52 $479.05 $598.17 |
$593.25 $624.90 $658.43 $777.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$468.98 $532.28 $599.34 $837.58 $1,272.78 |
$648.36 $711.66 $778.72 $1,016.96 |
$827.74 $891.04 $958.10 $1,196.34 |
Toc - Plan #24 Security Health Plan | ||||||||||||||||||||
Bronze
(EPO) Select $9,100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351.16 $398.56 $448.77 $627.16 $953.02 |
$619.79 $667.19 $717.40 $895.79 |
$888.42 $935.82 $986.03 $1,164.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$702.32 $797.12 $897.54 $1,254.32 $1,906.04 |
$970.95 $1,065.75 $1,166.17 $1,522.95 |
$1,239.58 $1,334.38 $1,434.80 $1,791.58 |
Toc - Plan #25 Security Health Plan | ||||||||||||||||||||
Silver
(EPO) Select $4,100 HDHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$552.13 $626.65 $705.61 $986.08 $1,498.45 |
$974.50 $1,049.02 $1,127.98 $1,408.45 |
$1,396.87 $1,471.39 $1,550.35 $1,830.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,104.26 $1,253.30 $1,411.22 $1,972.16 $2,996.90 |
$1,526.63 $1,675.67 $1,833.59 $2,394.53 |
$1,949.00 $2,098.04 $2,255.96 $2,816.90 |
Toc - Plan #26 Security Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Select $6,200 HDHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.49 $455.68 $513.09 $717.04 $1,089.62 |
$708.62 $762.81 $820.22 $1,024.17 |
$1,015.75 $1,069.94 $1,127.35 $1,331.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$802.98 $911.36 $1,026.18 $1,434.08 $2,179.24 |
$1,110.11 $1,218.49 $1,333.31 $1,741.21 |
$1,417.24 $1,525.62 $1,640.44 $2,048.34 |
Toc - Plan #27 Security Health Plan | ||||||||||||||||||||
Gold
(EPO) Select $3,500 - 30% |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$504.21 $572.27 $644.37 $900.50 $1,368.40 |
$889.92 $957.98 $1,030.08 $1,286.21 |
$1,275.63 $1,343.69 $1,415.79 $1,671.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,008.42 $1,144.54 $1,288.74 $1,801.00 $2,736.80 |
$1,394.13 $1,530.25 $1,674.45 $2,186.71 |
$1,779.84 $1,915.96 $2,060.16 $2,572.42 |
Toc - Plan #28 Security Health Plan | ||||||||||||||||||||
Gold
(EPO) Select $1,500 - 25% |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$551.02 $625.40 $704.19 $984.11 $1,495.45 |
$972.54 $1,046.92 $1,125.71 $1,405.63 |
$1,394.06 $1,468.44 $1,547.23 $1,827.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,102.04 $1,250.80 $1,408.38 $1,968.22 $2,990.90 |
$1,523.56 $1,672.32 $1,829.90 $2,389.74 |
$1,945.08 $2,093.84 $2,251.42 $2,811.26 |
Toc - Plan #29 Security Health Plan | ||||||||||||||||||||
Silver
(EPO) Select $5,900 - 40% |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$474.42 $538.46 $606.30 $847.30 $1,287.56 |
$837.35 $901.39 $969.23 $1,210.23 |
$1,200.28 $1,264.32 $1,332.16 $1,573.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$948.84 $1,076.92 $1,212.60 $1,694.60 $2,575.12 |
$1,311.77 $1,439.85 $1,575.53 $2,057.53 |
$1,674.70 $1,802.78 $1,938.46 $2,420.46 |
Toc - Plan #30 Security Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Select $7,500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.22 $399.75 $450.12 $629.04 $955.89 |
$621.66 $669.19 $719.56 $898.48 |
$891.10 $938.63 $989.00 $1,167.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.44 $799.50 $900.24 $1,258.08 $1,911.78 |
$973.88 $1,068.94 $1,169.68 $1,527.52 |
$1,243.32 $1,338.38 $1,439.12 $1,796.96 |
Toc - Plan #31 Security Health Plan | ||||||||||||||||||||
Gold
(HMO) Premier $1,500 - 25% |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$589.59 $669.18 $753.49 $1,053.00 $1,600.13 |
$1,040.62 $1,120.21 $1,204.52 $1,504.03 |
$1,491.65 $1,571.24 $1,655.55 $1,955.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,179.18 $1,338.36 $1,506.98 $2,106.00 $3,200.26 |
$1,630.21 $1,789.39 $1,958.01 $2,557.03 |
$2,081.24 $2,240.42 $2,409.04 $3,008.06 |
Toc - Plan #32 Security Health Plan | ||||||||||||||||||||
Gold
(HMO) Premier $3,500 - 30% |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$539.50 $612.32 $689.47 $963.53 $1,464.18 |
$952.21 $1,025.03 $1,102.18 $1,376.24 |
$1,364.92 $1,437.74 $1,514.89 $1,788.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,079.00 $1,224.64 $1,378.94 $1,927.06 $2,928.36 |
$1,491.71 $1,637.35 $1,791.65 $2,339.77 |
$1,904.42 $2,050.06 $2,204.36 $2,752.48 |
Toc - Plan #33 Security Health Plan | ||||||||||||||||||||
Silver
(HMO) Premier $5,900 - 40% |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$507.63 $576.15 $648.74 $906.61 $1,377.69 |
$895.96 $964.48 $1,037.07 $1,294.94 |
$1,284.29 $1,352.81 $1,425.40 $1,683.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,015.26 $1,152.30 $1,297.48 $1,813.22 $2,755.38 |
$1,403.59 $1,540.63 $1,685.81 $2,201.55 |
$1,791.92 $1,928.96 $2,074.14 $2,589.88 |
Toc - Plan #34 Security Health Plan | ||||||||||||||||||||
Silver
(HMO) Premier $4,100 HDHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$590.78 $670.52 $755.00 $1,055.11 $1,603.34 |
$1,042.72 $1,122.46 $1,206.94 $1,507.05 |
$1,494.66 $1,574.40 $1,658.88 $1,958.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,181.56 $1,341.04 $1,510.00 $2,110.22 $3,206.68 |
$1,633.50 $1,792.98 $1,961.94 $2,562.16 |
$2,085.44 $2,244.92 $2,413.88 $3,014.10 |
Toc - Plan #35 Security Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Premier $6,200 HDHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$429.59 $487.58 $549.01 $767.24 $1,165.89 |
$758.22 $816.21 $877.64 $1,095.87 |
$1,086.85 $1,144.84 $1,206.27 $1,424.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$859.18 $975.16 $1,098.02 $1,534.48 $2,331.78 |
$1,187.81 $1,303.79 $1,426.65 $1,863.11 |
$1,516.44 $1,632.42 $1,755.28 $2,191.74 |
Toc - Plan #36 Security Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Premier $7,500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.87 $427.74 $481.63 $673.07 $1,022.80 |
$665.17 $716.04 $769.93 $961.37 |
$953.47 $1,004.34 $1,058.23 $1,249.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.74 $855.48 $963.26 $1,346.14 $2,045.60 |
$1,042.04 $1,143.78 $1,251.56 $1,634.44 |
$1,330.34 $1,432.08 $1,539.86 $1,922.74 |
Toc - Plan #37 Security Health Plan | ||||||||||||||||||||
Bronze
(HMO) Premier $9,100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375.74 $426.46 $480.18 $671.06 $1,019.74 |
$663.17 $713.89 $767.61 $958.49 |
$950.60 $1,001.32 $1,055.04 $1,245.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$751.48 $852.92 $960.36 $1,342.12 $2,039.48 |
$1,038.91 $1,140.35 $1,247.79 $1,629.55 |
$1,326.34 $1,427.78 $1,535.22 $1,916.98 |
Toc - Plan #38 Security Health Plan | ||||||||||||||||||||
Catastrophic
(HMO) Premier Protection |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$250.91 $284.77 $320.65 $448.10 $680.94 |
$442.85 $476.71 $512.59 $640.04 |
$634.79 $668.65 $704.53 $831.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$501.82 $569.54 $641.30 $896.20 $1,361.88 |
$693.76 $761.48 $833.24 $1,088.14 |
$885.70 $953.42 $1,025.18 $1,280.08 |
ADVERTISEMENT
MedicaLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-800-947-3529 |
Toc - Plan #39 Medica | ||||||||||||||||||||
Gold
(EPO) Engage by Medica Gold Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$474.97 $539.09 $607.01 $848.30 $1,289.07 |
$838.32 $902.44 $970.36 $1,211.65 |
$1,201.67 $1,265.79 $1,333.71 $1,575.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$949.94 $1,078.18 $1,214.02 $1,696.60 $2,578.14 |
$1,313.29 $1,441.53 $1,577.37 $2,059.95 |
$1,676.64 $1,804.88 $1,940.72 $2,423.30 |
Toc - Plan #40 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Engage by Medica Bronze Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.06 $423.42 $476.77 $666.29 $1,012.49 |
$658.45 $708.81 $762.16 $951.68 |
$943.84 $994.20 $1,047.55 $1,237.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$746.12 $846.84 $953.54 $1,332.58 $2,024.98 |
$1,031.51 $1,132.23 $1,238.93 $1,617.97 |
$1,316.90 $1,417.62 $1,524.32 $1,903.36 |
Toc - Plan #41 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Engage by Medica Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.96 $450.55 $507.31 $708.96 $1,077.34 |
$700.63 $754.22 $810.98 $1,012.63 |
$1,004.30 $1,057.89 $1,114.65 $1,316.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$793.92 $901.10 $1,014.62 $1,417.92 $2,154.68 |
$1,097.59 $1,204.77 $1,318.29 $1,721.59 |
$1,401.26 $1,508.44 $1,621.96 $2,025.26 |
Toc - Plan #42 Medica | ||||||||||||||||||||
Silver
(EPO) Engage by Medica Silver Share |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$467.43 $530.53 $597.38 $834.83 $1,268.61 |
$825.02 $888.12 $954.97 $1,192.42 |
$1,182.61 $1,245.71 $1,312.56 $1,550.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$934.86 $1,061.06 $1,194.76 $1,669.66 $2,537.22 |
$1,292.45 $1,418.65 $1,552.35 $2,027.25 |
$1,650.04 $1,776.24 $1,909.94 $2,384.84 |
Toc - Plan #43 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Engage by Medica Bronze Share Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.78 $427.65 $481.53 $672.93 $1,022.59 |
$665.02 $715.89 $769.77 $961.17 |
$953.26 $1,004.13 $1,058.01 $1,249.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.56 $855.30 $963.06 $1,345.86 $2,045.18 |
$1,041.80 $1,143.54 $1,251.30 $1,634.10 |
$1,330.04 $1,431.78 $1,539.54 $1,922.34 |
Toc - Plan #44 Medica | ||||||||||||||||||||
Gold
(EPO) Engage by Medica Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$489.92 $556.05 $626.11 $874.99 $1,329.63 |
$864.71 $930.84 $1,000.90 $1,249.78 |
$1,239.50 $1,305.63 $1,375.69 $1,624.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$979.84 $1,112.10 $1,252.22 $1,749.98 $2,659.26 |
$1,354.63 $1,486.89 $1,627.01 $2,124.77 |
$1,729.42 $1,861.68 $2,001.80 $2,499.56 |
Toc - Plan #45 Medica | ||||||||||||||||||||
Silver
(EPO) Engage by Medica Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$459.99 $522.09 $587.87 $821.54 $1,248.41 |
$811.88 $873.98 $939.76 $1,173.43 |
$1,163.77 $1,225.87 $1,291.65 $1,525.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$919.98 $1,044.18 $1,175.74 $1,643.08 $2,496.82 |
$1,271.87 $1,396.07 $1,527.63 $1,994.97 |
$1,623.76 $1,747.96 $1,879.52 $2,346.86 |
Toc - Plan #46 Medica | ||||||||||||||||||||
Bronze
(EPO) Engage by Medica Bronze Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344.79 $391.33 $440.64 $615.79 $935.76 |
$608.55 $655.09 $704.40 $879.55 |
$872.31 $918.85 $968.16 $1,143.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$689.58 $782.66 $881.28 $1,231.58 $1,871.52 |
$953.34 $1,046.42 $1,145.04 $1,495.34 |
$1,217.10 $1,310.18 $1,408.80 $1,759.10 |
Toc - Plan #47 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Engage by Medica Expanded Bronze Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371.68 $421.86 $475.01 $663.83 $1,008.75 |
$656.02 $706.20 $759.35 $948.17 |
$940.36 $990.54 $1,043.69 $1,232.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$743.36 $843.72 $950.02 $1,327.66 $2,017.50 |
$1,027.70 $1,128.06 $1,234.36 $1,612.00 |
$1,312.04 $1,412.40 $1,518.70 $1,896.34 |
ADVERTISEMENT
Anthem Blue Cross and Blue ShieldLocal: 1-855-748-1813 | Toll Free: 1-855-748-1813 |
Toc - Plan #48 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(POS) Anthem Bronze Blue Preferred/Broad 0 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1813
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$490.70 $556.94 $627.11 $876.39 $1,331.76 |
$866.09 $932.33 $1,002.50 $1,251.78 |
$1,241.48 $1,307.72 $1,377.89 $1,627.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$981.40 $1,113.88 $1,254.22 $1,752.78 $2,663.52 |
$1,356.79 $1,489.27 $1,629.61 $2,128.17 |
$1,732.18 $1,864.66 $2,005.00 $2,503.56 |
Toc - Plan #49 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(POS) Anthem Silver Blue Preferred/Broad 4100 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1813
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$580.82 $659.23 $742.29 $1,037.34 $1,576.35 |
$1,025.15 $1,103.56 $1,186.62 $1,481.67 |
$1,469.48 $1,547.89 $1,630.95 $1,926.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,161.64 $1,318.46 $1,484.58 $2,074.68 $3,152.70 |
$1,605.97 $1,762.79 $1,928.91 $2,519.01 |
$2,050.30 $2,207.12 $2,373.24 $2,963.34 |
Toc - Plan #50 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Bronze
(POS) Anthem Bronze Blue Preferred/Broad 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1813
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$444.65 $504.68 $568.26 $794.14 $1,206.78 |
$784.81 $844.84 $908.42 $1,134.30 |
$1,124.97 $1,185.00 $1,248.58 $1,474.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$889.30 $1,009.36 $1,136.52 $1,588.28 $2,413.56 |
$1,229.46 $1,349.52 $1,476.68 $1,928.44 |
$1,569.62 $1,689.68 $1,816.84 $2,268.60 |
Toc - Plan #51 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(POS) Anthem Bronze Blue Preferred/Broad 0% for HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1813
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$466.44 $529.41 $596.11 $833.06 $1,265.92 |
$823.27 $886.24 $952.94 $1,189.89 |
$1,180.10 $1,243.07 $1,309.77 $1,546.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$932.88 $1,058.82 $1,192.22 $1,666.12 $2,531.84 |
$1,289.71 $1,415.65 $1,549.05 $2,022.95 |
$1,646.54 $1,772.48 $1,905.88 $2,379.78 |
Toc - Plan #52 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(POS) Anthem Bronze Blue Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1813
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$468.22 $531.43 $598.39 $836.24 $1,270.75 |
$826.41 $889.62 $956.58 $1,194.43 |
$1,184.60 $1,247.81 $1,314.77 $1,552.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$936.44 $1,062.86 $1,196.78 $1,672.48 $2,541.50 |
$1,294.63 $1,421.05 $1,554.97 $2,030.67 |
$1,652.82 $1,779.24 $1,913.16 $2,388.86 |
Toc - Plan #53 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(POS) Anthem Silver Blue Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1813
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$567.18 $643.75 $724.86 $1,012.98 $1,539.33 |
$1,001.07 $1,077.64 $1,158.75 $1,446.87 |
$1,434.96 $1,511.53 $1,592.64 $1,880.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,134.36 $1,287.50 $1,449.72 $2,025.96 $3,078.66 |
$1,568.25 $1,721.39 $1,883.61 $2,459.85 |
$2,002.14 $2,155.28 $2,317.50 $2,893.74 |
Toc - Plan #54 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Gold
(POS) Anthem Gold Blue Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1813
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$621.09 $704.94 $793.75 $1,109.27 $1,685.64 |
$1,096.22 $1,180.07 $1,268.88 $1,584.40 |
$1,571.35 $1,655.20 $1,744.01 $2,059.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,242.18 $1,409.88 $1,587.50 $2,218.54 $3,371.28 |
$1,717.31 $1,885.01 $2,062.63 $2,693.67 |
$2,192.44 $2,360.14 $2,537.76 $3,168.80 |
Toc - Plan #55 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(POS) Anthem Bronze Blue Preferred/Broad 7500/50% Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1813
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$466.85 $529.87 $596.63 $833.79 $1,267.03 |
$823.99 $887.01 $953.77 $1,190.93 |
$1,181.13 $1,244.15 $1,310.91 $1,548.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$933.70 $1,059.74 $1,193.26 $1,667.58 $2,534.06 |
$1,290.84 $1,416.88 $1,550.40 $2,024.72 |
$1,647.98 $1,774.02 $1,907.54 $2,381.86 |
Toc - Plan #56 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(POS) Anthem Silver Blue Preferred/Broad 5900/40% Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1813
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$566.72 $643.23 $724.27 $1,012.16 $1,538.08 |
$1,000.26 $1,076.77 $1,157.81 $1,445.70 |
$1,433.80 $1,510.31 $1,591.35 $1,879.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,133.44 $1,286.46 $1,448.54 $2,024.32 $3,076.16 |
$1,566.98 $1,720.00 $1,882.08 $2,457.86 |
$2,000.52 $2,153.54 $2,315.62 $2,891.40 |
Toc - Plan #57 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Gold
(POS) Anthem Gold Blue Preferred/Broad 1500/25% Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1813
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$632.77 $718.19 $808.68 $1,130.13 $1,717.34 |
$1,116.84 $1,202.26 $1,292.75 $1,614.20 |
$1,600.91 $1,686.33 $1,776.82 $2,098.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,265.54 $1,436.38 $1,617.36 $2,260.26 $3,434.68 |
$1,749.61 $1,920.45 $2,101.43 $2,744.33 |
$2,233.68 $2,404.52 $2,585.50 $3,228.40 |
Toc - Plan #58 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(POS) Anthem Silver Blue Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1813
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$580.50 $658.87 $741.88 $1,036.77 $1,575.48 |
$1,024.58 $1,102.95 $1,185.96 $1,480.85 |
$1,468.66 $1,547.03 $1,630.04 $1,924.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,161.00 $1,317.74 $1,483.76 $2,073.54 $3,150.96 |
$1,605.08 $1,761.82 $1,927.84 $2,517.62 |
$2,049.16 $2,205.90 $2,371.92 $2,961.70 |
‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Jackson County here.
Jackson County is in “Rating Area 6” of Wisconsin.
Currently, there are 58 plans offered in Rating Area 6.