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Providers for Zip Code 54121

LegalConsumer.com/obamacare

ObamacareByZipCode.com

Obamacare 2016 Marketplace Rates For Florence County, Wisconsin

Thursday, April 18th, 2024


The health insurance rates listed below are for calendar year 2016.

2016 Rates and Providers

(click here for 2014)

(click here for 2015)

This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Florence County, Wisconsin.

Obamacare Providers, Plans and 2016 Rates for Florence County

Florence County is in “Rating Area 13” of Wisconsin.

Currently, there are 4 providers offering 81 plans to Rating Area 13. †

Below, you’ll find a summary of plans and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must complete an application at HealthCare.gov or contact the provider directly.

The table below shows premiums for the following scenarios for:

  • Individual
  • Couple
  • Couple with 1 2 or 3 children
  • Individual with 1 2 or 3 children
  • A child alone

Each scenario is covered for age

  • Age 21, 30, 40, 50
  • Age 60 (Individual and Couple only)

For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:

  • a summary of plan benefits and costs,
  • a plan brochure, and
  • a "Provider Directory" -- where you can find out which doctors and hospitals in the Florence, WI area accept this insurance coverage as within the plan's "network".
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All Savers Insurance Company

Local: 1-877-887-0450 | Toll Free: 1-877-887-0450

Plan: (EPO) Gold Compass 1000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0450 - Provider Directory for This Plan: (All Savers Insurance Company)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $485.73
$551.29
$620.75
$867.49
$1318.24		 $971.46
$1102.58
$1241.50
$1734.98
$2636.48		 $1279.89
$1411.01
$1549.93
$2043.41		 $1588.32
$1719.44
$1858.36
$2351.84		 $1896.75
$2027.87
$2166.79
$2660.27		 $794.16
$859.72
$929.18
$1175.92		 $1102.59
$1168.15
$1237.61
$1484.35		 $1411.02
$1476.58
$1546.04
$1792.78		 $308.43

Plan: (EPO) Gold Compass 500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0450 - Provider Directory for This Plan: (All Savers Insurance Company)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $483.65
$548.93
$618.09
$863.78
$1312.60		 $967.30
$1097.86
$1236.18
$1727.56
$2625.20		 $1274.41
$1404.97
$1543.29
$2034.67		 $1581.52
$1712.08
$1850.40
$2341.78		 $1888.63
$2019.19
$2157.51
$2648.89		 $790.76
$856.04
$925.20
$1170.89		 $1097.87
$1163.15
$1232.31
$1478.00		 $1404.98
$1470.26
$1539.42
$1785.11		 $307.11

Plan: (EPO) Silver Compass HSA 3000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0450 - Provider Directory for This Plan: (All Savers Insurance Company)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $403.39
$457.84
$515.52
$720.44
$1094.77		 $806.78
$915.68
$1031.04
$1440.88
$2189.54		 $1062.93
$1171.83
$1287.19
$1697.03		 $1319.08
$1427.98
$1543.34
$1953.18		 $1575.23
$1684.13
$1799.49
$2209.33		 $659.54
$713.99
$771.67
$976.59		 $915.69
$970.14
$1027.82
$1232.74		 $1171.84
$1226.29
$1283.97
$1488.89		 $256.15

Plan: (EPO) Silver Compass 2000 1

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0450 - Provider Directory for This Plan: (All Savers Insurance Company)

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $420.02
$476.72
$536.78
$750.14
$1139.92		 $840.04
$953.44
$1073.56
$1500.28
$2279.84		 $1106.75
$1220.15
$1340.27
$1766.99		 $1373.46
$1486.86
$1606.98
$2033.70		 $1640.17
$1753.57
$1873.69
$2300.41		 $686.73
$743.43
$803.49
$1016.85		 $953.44
$1010.14
$1070.20
$1283.56		 $1220.15
$1276.85
$1336.91
$1550.27		 $266.71

Plan: (EPO) Silver Compass 2000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0450 - Provider Directory for This Plan: (All Savers Insurance Company)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $423.35
$480.49
$541.03
$756.09
$1148.95		 $846.70
$960.98
$1082.06
$1512.18
$2297.90		 $1115.52
$1229.80
$1350.88
$1781.00		 $1384.34
$1498.62
$1619.70
$2049.82		 $1653.16
$1767.44
$1888.52
$2318.64		 $692.17
$749.31
$809.85
$1024.91		 $960.99
$1018.13
$1078.67
$1293.73		 $1229.81
$1286.95
$1347.49
$1562.55		 $268.82

Plan: (EPO) Silver Compass 3500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0450 - Provider Directory for This Plan: (All Savers Insurance Company)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $426.26
$483.80
$544.75
$761.28
$1156.85		 $852.52
$967.60
$1089.50
$1522.56
$2313.70		 $1123.19
$1238.27
$1360.17
$1793.23		 $1393.86
$1508.94
$1630.84
$2063.90		 $1664.53
$1779.61
$1901.51
$2334.57		 $696.93
$754.47
$815.42
$1031.95		 $967.60
$1025.14
$1086.09
$1302.62		 $1238.27
$1295.81
$1356.76
$1573.29		 $270.67

Plan: (EPO) Silver Compass 4500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0450 - Provider Directory for This Plan: (All Savers Insurance Company)

Deductible: Individual: $4,500 : Family: $9,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $435.83
$494.65
$556.97
$778.37
$1182.80		 $871.66
$989.30
$1113.94
$1556.74
$2365.60		 $1148.40
$1266.04
$1390.68
$1833.48		 $1425.14
$1542.78
$1667.42
$2110.22		 $1701.88
$1819.52
$1944.16
$2386.96		 $712.57
$771.39
$833.71
$1055.11		 $989.31
$1048.13
$1110.45
$1331.85		 $1266.05
$1324.87
$1387.19
$1608.59		 $276.74

Plan: (EPO) Bronze Compass HSA 5500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0450 - Provider Directory for This Plan: (All Savers Insurance Company)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $351.82
$399.31
$449.62
$628.34
$954.82		 $703.64
$798.62
$899.24
$1256.68
$1909.64		 $927.04
$1022.02
$1122.64
$1480.08		 $1150.44
$1245.42
$1346.04
$1703.48		 $1373.84
$1468.82
$1569.44
$1926.88		 $575.22
$622.71
$673.02
$851.74		 $798.62
$846.11
$896.42
$1075.14		 $1022.02
$1069.51
$1119.82
$1298.54		 $223.40

Plan: (EPO) Bronze Compass 6500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0450 - Provider Directory for This Plan: (All Savers Insurance Company)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $370.95
$421.02
$474.06
$662.50
$1006.74		 $741.90
$842.04
$948.12
$1325.00
$2013.48		 $977.45
$1077.59
$1183.67
$1560.55		 $1213.00
$1313.14
$1419.22
$1796.10		 $1448.55
$1548.69
$1654.77
$2031.65		 $606.50
$656.57
$709.61
$898.05		 $842.05
$892.12
$945.16
$1133.60		 $1077.60
$1127.67
$1180.71
$1369.15		 $235.55

Plan: (EPO) Gold Compass 0

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0450 - Provider Directory for This Plan: (All Savers Insurance Company)

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $478.24
$542.79
$611.18
$854.12
$1297.92		 $956.48
$1085.58
$1222.36
$1708.24
$2595.84		 $1260.16
$1389.26
$1526.04
$2011.92		 $1563.84
$1692.94
$1829.72
$2315.60		 $1867.52
$1996.62
$2133.40
$2619.28		 $781.92
$846.47
$914.86
$1157.80		 $1085.60
$1150.15
$1218.54
$1461.48		 $1389.28
$1453.83
$1522.22
$1765.16		 $303.68
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Molina Healthcare of Wisconsin, Inc.

Local: 1-855-540-1979 | Toll Free: 1-855-540-1979

Plan: (HMO) Molina Marketplace Gold Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-540-1979 - Provider Directory for This Plan: (Molina Healthcare of Wisconsin, Inc.)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $308.73
$350.41
$394.56
$551.39
$837.89		 $617.46
$700.82
$789.12
$1102.78
$1675.78		 $813.50
$896.86
$985.16
$1298.82		 $1009.54
$1092.90
$1181.20
$1494.86		 $1205.58
$1288.94
$1377.24
$1690.90		 $504.77
$546.45
$590.60
$747.43		 $700.81
$742.49
$786.64
$943.47		 $896.85
$938.53
$982.68
$1139.51		 $196.04

Plan: (HMO) Molina Marketplace Silver Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-540-1979 - Provider Directory for This Plan: (Molina Healthcare of Wisconsin, Inc.)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $247.52
$280.94
$316.33
$442.08
$671.78		 $495.04
$561.88
$632.66
$884.16
$1343.56		 $652.22
$719.06
$789.84
$1041.34		 $809.40
$876.24
$947.02
$1198.52		 $966.58
$1033.42
$1104.20
$1355.70		 $404.70
$438.12
$473.51
$599.26		 $561.88
$595.30
$630.69
$756.44		 $719.06
$752.48
$787.87
$913.62		 $157.18

Plan: (HMO) Molina Marketplace Bronze Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-540-1979 - Provider Directory for This Plan: (Molina Healthcare of Wisconsin, Inc.)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $214.00
$242.89
$273.49
$382.20
$580.79		 $428.00
$485.78
$546.98
$764.40
$1161.58		 $563.89
$621.67
$682.87
$900.29		 $699.78
$757.56
$818.76
$1036.18		 $835.67
$893.45
$954.65
$1172.07		 $349.89
$378.78
$409.38
$518.09		 $485.78
$514.67
$545.27
$653.98		 $621.67
$650.56
$681.16
$789.87		 $135.89
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WPS Health Plan, Inc.

Local: 1-920-490-6900 | Toll Free: 1-888-711-1444

TTY: 1-888-332-0144

Plan: (HMO) Aspirus Arise HMO 1500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-711-1444 - Provider Directory for This Plan: (WPS Health Plan, Inc.)

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $3,250 : Family: $6,500

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $357.69
$405.98
$457.13
$638.83
$970.77		 $715.38
$811.96
$914.26
$1277.66
$1941.54		 $942.51
$1039.09
$1141.39
$1504.79		 $1169.64
$1266.22
$1368.52
$1731.92		 $1396.77
$1493.35
$1595.65
$1959.05		 $584.82
$633.11
$684.26
$865.96		 $811.95
$860.24
$911.39
$1093.09		 $1039.08
$1087.37
$1138.52
$1320.22		 $227.13

Plan: (HMO) Aspirus Arise HMO 4000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-711-1444 - Provider Directory for This Plan: (WPS Health Plan, Inc.)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $281.04
$318.98
$359.17
$501.94
$762.74		 $562.08
$637.96
$718.34
$1003.88
$1525.48		 $740.54
$816.42
$896.80
$1182.34		 $919.00
$994.88
$1075.26
$1360.80		 $1097.46
$1173.34
$1253.72
$1539.26		 $459.50
$497.44
$537.63
$680.40		 $637.96
$675.90
$716.09
$858.86		 $816.42
$854.36
$894.55
$1037.32		 $178.46

Plan: (HMO) Aspirus Arise HMO 3500 HDHP

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-711-1444 - Provider Directory for This Plan: (WPS Health Plan, Inc.)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $283.81
$322.12
$362.71
$506.88
$770.26		 $567.62
$644.24
$725.42
$1013.76
$1540.52		 $747.84
$824.46
$905.64
$1193.98		 $928.06
$1004.68
$1085.86
$1374.20		 $1108.28
$1184.90
$1266.08
$1554.42		 $464.03
$502.34
$542.93
$687.10		 $644.25
$682.56
$723.15
$867.32		 $824.47
$862.78
$903.37
$1047.54		 $180.22

Plan: (HMO) Aspirus Arise HMO 2600 HDHP

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-711-1444 - Provider Directory for This Plan: (WPS Health Plan, Inc.)

Deductible: Individual: $2,600 : Family: $5,200
Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $286.84
$325.56
$366.58
$512.30
$778.48		 $573.68
$651.12
$733.16
$1024.60
$1556.96		 $755.82
$833.26
$915.30
$1206.74		 $937.96
$1015.40
$1097.44
$1388.88		 $1120.10
$1197.54
$1279.58
$1571.02		 $468.98
$507.70
$548.72
$694.44		 $651.12
$689.84
$730.86
$876.58		 $833.26
$871.98
$913.00
$1058.72		 $182.14

Plan: (HMO) Aspirus Arise HMO 6450 HDHP

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-711-1444 - Provider Directory for This Plan: (WPS Health Plan, Inc.)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $222.32
$252.33
$284.12
$397.06
$603.38		 $444.64
$504.66
$568.24
$794.12
$1206.76		 $585.81
$645.83
$709.41
$935.29		 $726.98
$787.00
$850.58
$1076.46		 $868.15
$928.17
$991.75
$1217.63		 $363.49
$393.50
$425.29
$538.23		 $504.66
$534.67
$566.46
$679.40		 $645.83
$675.84
$707.63
$820.57		 $141.17

Plan: (HMO) Aspirus Arise HMO 5500 HDHP

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-711-1444 - Provider Directory for This Plan: (WPS Health Plan, Inc.)

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $226.07
$256.59
$288.92
$403.76
$613.55		 $452.14
$513.18
$577.84
$807.52
$1227.10		 $595.69
$656.73
$721.39
$951.07		 $739.24
$800.28
$864.94
$1094.62		 $882.79
$943.83
$1008.49
$1238.17		 $369.62
$400.14
$432.47
$547.31		 $513.17
$543.69
$576.02
$690.86		 $656.72
$687.24
$719.57
$834.41		 $143.55

Plan: (HMO) Aspirus Arise HMO 6850 Catastrophic

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-711-1444 - Provider Directory for This Plan: (WPS Health Plan, Inc.)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Catastrophic 21
30
40
50
60		 $191.79
$217.68
$245.11
$342.54
$520.52		 $383.58
$435.36
$490.22
$685.08
$1041.04		 $505.37
$557.15
$612.01
$806.87		 $627.16
$678.94
$733.80
$928.66		 $748.95
$800.73
$855.59
$1050.45		 $313.58
$339.47
$366.90
$464.33		 $435.37
$461.26
$488.69
$586.12		 $557.16
$583.05
$610.48
$707.91		 $121.79

Plan: (HMO) Aspirus Arise HMO 5000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-711-1444 - Provider Directory for This Plan: (WPS Health Plan, Inc.)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $279.60
$317.35
$357.33
$499.37
$758.83		 $559.20
$634.70
$714.66
$998.74
$1517.66		 $736.75
$812.25
$892.21
$1176.29		 $914.30
$989.80
$1069.76
$1353.84		 $1091.85
$1167.35
$1247.31
$1531.39		 $457.15
$494.90
$534.88
$676.92		 $634.70
$672.45
$712.43
$854.47		 $812.25
$850.00
$889.98
$1032.02		 $177.55

Plan: (HMO) Aspirus Arise HMO 6000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-711-1444 - Provider Directory for This Plan: (WPS Health Plan, Inc.)

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $278.02
$315.55
$355.31
$496.54
$754.55		 $556.04
$631.10
$710.62
$993.08
$1509.10		 $732.58
$807.64
$887.16
$1169.62		 $909.12
$984.18
$1063.70
$1346.16		 $1085.66
$1160.72
$1240.24
$1522.70		 $454.56
$492.09
$531.85
$673.08		 $631.10
$668.63
$708.39
$849.62		 $807.64
$845.17
$884.93
$1026.16		 $176.54

Plan: (HMO) Aspirus Arise HMO 6850

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-711-1444 - Provider Directory for This Plan: (WPS Health Plan, Inc.)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $273.51
$310.43
$349.55
$488.49
$742.31		 $547.02
$620.86
$699.10
$976.98
$1484.62		 $720.70
$794.54
$872.78
$1150.66		 $894.38
$968.22
$1046.46
$1324.34		 $1068.06
$1141.90
$1220.14
$1498.02		 $447.19
$484.11
$523.23
$662.17		 $620.87
$657.79
$696.91
$835.85		 $794.55
$831.47
$870.59
$1009.53		 $173.68

Plan: (POS) Aspirus Arise 4000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-711-1444 - Provider Directory for This Plan: (WPS Health Plan, Inc.)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $309.18
$350.92
$395.13
$552.20
$839.11		 $618.36
$701.84
$790.26
$1104.40
$1678.22		 $814.69
$898.17
$986.59
$1300.73		 $1011.02
$1094.50
$1182.92
$1497.06		 $1207.35
$1290.83
$1379.25
$1693.39		 $505.51
$547.25
$591.46
$748.53		 $701.84
$743.58
$787.79
$944.86		 $898.17
$939.91
$984.12
$1141.19		 $196.33

Plan: (POS) Aspirus Arise 2600 HDHP

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-711-1444 - Provider Directory for This Plan: (WPS Health Plan, Inc.)

Deductible: Individual: $2,600 : Family: $5,200
Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $315.55
$358.15
$403.27
$563.57
$856.40		 $631.10
$716.30
$806.54
$1127.14
$1712.80		 $831.47
$916.67
$1006.91
$1327.51		 $1031.84
$1117.04
$1207.28
$1527.88		 $1232.21
$1317.41
$1407.65
$1728.25		 $515.92
$558.52
$603.64
$763.94		 $716.29
$758.89
$804.01
$964.31		 $916.66
$959.26
$1004.38
$1164.68		 $200.37

Plan: (POS) Aspirus Arise 5500 HDHP

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-711-1444 - Provider Directory for This Plan: (WPS Health Plan, Inc.)

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $248.70
$282.27
$317.84
$444.18
$674.97		 $497.40
$564.54
$635.68
$888.36
$1349.94		 $655.32
$722.46
$793.60
$1046.28		 $813.24
$880.38
$951.52
$1204.20		 $971.16
$1038.30
$1109.44
$1362.12		 $406.62
$440.19
$475.76
$602.10		 $564.54
$598.11
$633.68
$760.02		 $722.46
$756.03
$791.60
$917.94		 $157.92

Plan: (POS) Aspirus Arise 6850

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-711-1444 - Provider Directory for This Plan: (WPS Health Plan, Inc.)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $300.89
$341.51
$384.54
$537.39
$816.62		 $601.78
$683.02
$769.08
$1074.78
$1633.24		 $792.85
$874.09
$960.15
$1265.85		 $983.92
$1065.16
$1151.22
$1456.92		 $1174.99
$1256.23
$1342.29
$1647.99		 $491.96
$532.58
$575.61
$728.46		 $683.03
$723.65
$766.68
$919.53		 $874.10
$914.72
$957.75
$1110.60		 $191.07

†Source: Our summary of lowest costs and numbers of providers is based on a government report released September 25, 2013. For more detailed information about specific plans and providers, see HealthCare.gov.

‡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 Florence County here.

 

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