Providers for Zip Code 53704

Unity Health Plans Insurance Corporation

Local: 1-608-643-2491 | Toll Free: 1-800-362-3310

TTY: 1-608-643-1421

Plan: (HMO) Unity Prime Platinum 30/60 with Dental

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

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

Monthly Premiums:

Plan: (HMO) Unity Prime Platinum 25/50 with Dental

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

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

Monthly Premiums:

Plan: (HMO) Unity Prime Gold 30/60 with Dental

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

Deductible: Individual: $1,350 : Family: $2,700
Out of Pocket Maximum per year: Individual: $5,800 : Family: $11,600

Monthly Premiums:

Plan: (HMO) Unity Prime Gold 20/40 with Dental

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

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $4,500 : Family: $9,000

Monthly Premiums:

Plan: (HMO) Unity Prime Silver Plus with Dental

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

Deductible: Individual: $4,550 : Family: $9,100
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Unity Prime Silver Choice Value with Dental

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

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Unity Prime Silver Exclusive Value with Dental

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

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Unity Prime Bronze 55/150 with Dental

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

Deductible: Individual: $6,300 : Family: $12,600
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Unity Prime Silver Maintenance with Dental

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

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Unity Prime Platinum 20/40 with Dental

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

Deductible: Individual: $200 : Family: $400
Out of Pocket Maximum per year: Individual: $1,500 : Family: $3,000

Monthly Premiums:

Plan: (HMO) Unity Prime Bronze 45/125 Value with Dental

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

Deductible: Individual: $6,600 : Family: $13,200
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Unity Prime Platinum 30/60

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

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

Monthly Premiums:

Plan: (HMO) Unity Prime Platinum 25/50

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

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

Monthly Premiums:

Plan: (HMO) Unity Prime Gold 30/60

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

Deductible: Individual: $1,350 : Family: $2,700
Out of Pocket Maximum per year: Individual: $5,800 : Family: $11,600

Monthly Premiums:

Plan: (HMO) Unity Prime Gold 20/40

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

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $4,500 : Family: $9,000

Monthly Premiums:

Plan: (HMO) Unity Prime Silver Plus

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

Deductible: Individual: $4,550 : Family: $9,100
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Unity Prime Silver Choice Value

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

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Unity Prime Silver Exclusive Value

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

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Unity Prime Bronze 55/150

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

Deductible: Individual: $6,300 : Family: $12,600
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Unity Prime Silver Maintenance

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

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Unity Prime Platinum 20/40

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

Deductible: Individual: $200 : Family: $400
Out of Pocket Maximum per year: Individual: $1,500 : Family: $3,000

Monthly Premiums:

Plan: (HMO) Unity Prime Bronze 45/125 Value

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

Deductible: Individual: $6,600 : Family: $13,200
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Unity Prime Gold Deductible

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

Deductible: Individual: $1,400 : Family: $2,800
Out of Pocket Maximum per year: Individual: $3,000 : Family: $6,000

Monthly Premiums:

Plan: (HMO) Unity Prime Silver Deductible

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

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

Monthly Premiums:

Plan: (HMO) Unity Prime Bronze HSA

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

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

Monthly Premiums:

Plan: (HMO) Unity Prime Catastrophic

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

Deductible: Individual: $6,850 : Family: $13,700
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Dean Health Plan

Local: 1-608-828-1301 | Toll Free: 1-800-279-1301

TTY: 1-608-827-4086

Plan: (HMO) Dean Catastrophic Safety Net

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

Deductible: Individual: $6,850 : Family: $13,700
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Dean Silver Copay Plus 2000X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Dean Silver Classic 2500X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Dean Silver Classic 4500X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

Deductible: Individual: $4,500 : Family: $9,000
Out of Pocket Maximum per year: Individual: $4,500 : Family: $9,000

Monthly Premiums:

Plan: (HMO) Dean Silver Value Copay 5150X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

Deductible: Individual: $5,150 : Family: $10,300
Out of Pocket Maximum per year: Individual: $5,150 : Family: $10,300

Monthly Premiums:

Plan: (HMO) Dean Bronze Value Copay 5500X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Dean Gold Classic 1500X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000

Monthly Premiums:

Plan: (HMO) Dean Gold Value Copay 2250X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

Deductible: Individual: $2,250 : Family: $4,500
Out of Pocket Maximum per year: Individual: $2,250 : Family: $4,500

Monthly Premiums:

Plan: (HMO) Dean Gold HSA 2000X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

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

Monthly Premiums:

Plan: (HMO) Dean Bronze Value Copay 6750X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

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

Monthly Premiums:

Plan: (HMO) Dean Bronze HSA-E 6000X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

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

Monthly Premiums:

Plan: (HMO) Dean Bronze HSA-E 6450X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

Deductible: Individual: $6,450 : Family: $12,900
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

Monthly Premiums:

Plan: (HMO) Dean Silver HSA-E 3400X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

Deductible: Individual: $3,400 : Family: $6,800
Out of Pocket Maximum per year: Individual: $3,400 : Family: $6,800

Monthly Premiums:

Plan: (HMO) Dean Platinum Copay Plus 500X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

Deductible: Individual: $500 : Family: $1,000
Out of Pocket Maximum per year: Individual: $1,000 : Family: $2,000

Monthly Premiums:

Plan: (HMO) Dean Gold Copay Plus 1000X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $3,000 : Family: $6,000

Monthly Premiums:

Plan: (HMO) Dean Silver Copay Plus 3500X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (EPO) Dean Focus Network Silver Value Copay 5150X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

Deductible: Individual: $5,150 : Family: $10,300
Out of Pocket Maximum per year: Individual: $5,150 : Family: $10,300

Monthly Premiums:

Plan: (EPO) Dean Focus Network Bronze Value Copay 5500X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (EPO) Dean Focus Network Bronze Value Copay 6750X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

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

Monthly Premiums:

Plan: (EPO) Dean Focus Network Bronze HSA-E 6000X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

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

Monthly Premiums:

Plan: (EPO) Dean Focus Network Bronze HSA-E 6450X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

Deductible: Individual: $6,450 : Family: $12,900
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

Monthly Premiums:

Plan: (EPO) Dean Focus Network Silver HSA-E 3400X

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-279-1301 - Provider Directory for This Plan: (Dean Health Plan)

Deductible: Individual: $3,400 : Family: $6,800
Out of Pocket Maximum per year: Individual: $3,400 : Family: $6,800

Monthly Premiums:

Physicians Plus Insurance Corporation

Local: 1-608-282-8900 | Toll Free: 1-800-545-5015

TTY: 1-608-260-7998

Plan: (HMO) 6850D

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-545-5015 - Provider Directory for This Plan: (Physicians Plus Insurance Corporation)

Deductible: Individual: $6,850 : Family: $13,700
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) 6600D OV 75 LTD

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-545-5015 - Provider Directory for This Plan: (Physicians Plus Insurance Corporation)

Deductible: Individual: $6,600 : Family: $13,200
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) 6550D

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-545-5015 - Provider Directory for This Plan: (Physicians Plus Insurance Corporation)

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

Monthly Premiums:

Plan: (HMO) 6600D 50 COINS OV 75 LTD

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-545-5015 - Provider Directory for This Plan: (Physicians Plus Insurance Corporation)

Deductible: Individual: $6,600 : Family: $13,200
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) 6600D 50 COINS

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-545-5015 - Provider Directory for This Plan: (Physicians Plus Insurance Corporation)

Deductible: Individual: $6,600 : Family: $13,200
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) 4000D

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-545-5015 - Provider Directory for This Plan: (Physicians Plus Insurance Corporation)

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000

Monthly Premiums:

Plan: (HMO) 3000D 30 COINS OV 40

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-545-5015 - Provider Directory for This Plan: (Physicians Plus Insurance Corporation)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000

Monthly Premiums:

Plan: (HMO) 3000D 20 COINS OV 40

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-545-5015 - Provider Directory for This Plan: (Physicians Plus Insurance Corporation)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000

Monthly Premiums:

Plan: (HMO) 2500D 30 COINS OV 40

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-545-5015 - Provider Directory for This Plan: (Physicians Plus Insurance Corporation)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000

Monthly Premiums:

Plan: (HMO) 2500D 20 COINS OV 40

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-545-5015 - Provider Directory for This Plan: (Physicians Plus Insurance Corporation)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000

Monthly Premiums:

Plan: (HMO) 1500D 20 COINS OV 35

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-545-5015 - Provider Directory for This Plan: (Physicians Plus Insurance Corporation)

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $3,000 : Family: $6,000

Monthly Premiums:

Plan: (HMO) 2250D

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-545-5015 - Provider Directory for This Plan: (Physicians Plus Insurance Corporation)

Deductible: Individual: $2,250 : Family: $4,500
Out of Pocket Maximum per year: Individual: $4,500 : Family: $9,000

Monthly Premiums:

Plan: (HMO) 2000D 20 COINS OV 35

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-545-5015 - Provider Directory for This Plan: (Physicians Plus Insurance Corporation)

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $3,000 : Family: $6,000

Monthly Premiums:

Plan: (HMO) 5250D OV 25

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-545-5015 - Provider Directory for This Plan: (Physicians Plus Insurance Corporation)

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

Monthly Premiums:

Plan: (HMO) 5500D OV 25

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-545-5015 - Provider Directory for This Plan: (Physicians Plus Insurance Corporation)

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $5,500 : Family: $11,000

Monthly Premiums:

Group Health Cooperative- SCW

Local: 1-608-442-7290 | Toll Free: 1-855-344-2729

TTY: 1-608-828-4815

Plan: (HMO) Platinum 500 Deductible

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

Deductible: Individual: $500 : Family: $1,000
Out of Pocket Maximum per year: Individual: $1,000 : Family: $2,000

Monthly Premiums:

Plan: (HMO) Platinum Benefit Arch

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

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

Monthly Premiums:

Plan: (HMO) Gold 1,000 Deductible

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

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $3,000 : Family: $6,000

Monthly Premiums:

Plan: (HMO) Gold Benefit Arch

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

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

Monthly Premiums:

Plan: (HMO) Gold 2000 Deductible HSA

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

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

Monthly Premiums:

Plan: (HMO) Silver 30 Copay

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

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

Monthly Premiums:

Plan: (HMO) Silver 2000 Deductible

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

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

Monthly Premiums:

Plan: (HMO) Silver 3500 Deductible HSA

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

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

Monthly Premiums:

Plan: (HMO) Bronze 4,000 Deductible

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

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Bronze 5000 Deductible HSA

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

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

Monthly Premiums:

Plan: (HMO) Select Platinum 500 Deductible

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

Deductible: Individual: $500 : Family: $1,000
Out of Pocket Maximum per year: Individual: $1,000 : Family: $2,000

Monthly Premiums:

Plan: (HMO) Select Platinum Benefit Arch

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

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

Monthly Premiums:

Plan: (HMO) Select Gold 1,000 Deductible

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

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $3,000 : Family: $6,000

Monthly Premiums:

Plan: (HMO) Select Gold Benefit Arch

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

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

Monthly Premiums:

Plan: (HMO) Select Gold 2000 Deductible HSA

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

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

Monthly Premiums:

Plan: (HMO) Select Silver 30 Copay

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

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

Monthly Premiums:

Plan: (HMO) Select Silver 2000 Deductible

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

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

Monthly Premiums:

Plan: (HMO) Select Silver 3500 Deductible HSA

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

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

Monthly Premiums:

Plan: (HMO) Select Bronze 4,000 Deductible

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

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Select Bronze 5000 Deductible HSA

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

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

Monthly Premiums:

Plan: (HMO) Silver 3,500 Deductible

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

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Catastrophic 6,850 Deductible

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

Deductible: Individual: $6,850 : Family: $13,700
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Select Silver 3,500 Deductible

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

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Plan: (HMO) Select Catastrophic 6,850 Deductible

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

Deductible: Individual: $6,850 : Family: $13,700
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums: