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 La Crosse County, Wisconsin.
Obamacare Providers, Plans and 2016 Rates for La Crosse County
La Crosse County is in “Rating Area 6” of Wisconsin.
Currently, there are 3 providers offering 34 plans to Rating Area 6. †
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 La Crosse, WI area accept this insurance coverage as within the plan's "network".
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All Savers Insurance CompanyLocal: 1-877-887-0450 | Toll Free: 1-877-887-0450 |
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Plan: (EPO) Gold Compass 1000Summary 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 Monthly Premiums: |
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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 |
$474.65 $538.72 $606.60 $847.72 $1288.19 |
$949.30 $1077.44 $1213.20 $1695.44 $2576.38 |
$1250.70 $1378.84 $1514.60 $1996.84 |
$1552.10 $1680.24 $1816.00 $2298.24 |
$1853.50 $1981.64 $2117.40 $2599.64 |
$776.05 $840.12 $908.00 $1149.12 |
$1077.45 $1141.52 $1209.40 $1450.52 |
$1378.85 $1442.92 $1510.80 $1751.92 |
$301.40 |
Plan: (EPO) Gold Compass 500Summary 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 Monthly Premiums: |
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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 |
$472.62 $536.42 $604.00 $844.09 $1282.67 |
$945.24 $1072.84 $1208.00 $1688.18 $2565.34 |
$1245.35 $1372.95 $1508.11 $1988.29 |
$1545.46 $1673.06 $1808.22 $2288.40 |
$1845.57 $1973.17 $2108.33 $2588.51 |
$772.73 $836.53 $904.11 $1144.20 |
$1072.84 $1136.64 $1204.22 $1444.31 |
$1372.95 $1436.75 $1504.33 $1744.42 |
$300.11 |
Plan: (EPO) Silver Compass HSA 3000Summary 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 Monthly Premiums: |
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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 |
$394.19 $447.40 $503.77 $704.01 $1069.81 |
$788.38 $894.80 $1007.54 $1408.02 $2139.62 |
$1038.69 $1145.11 $1257.85 $1658.33 |
$1289.00 $1395.42 $1508.16 $1908.64 |
$1539.31 $1645.73 $1758.47 $2158.95 |
$644.50 $697.71 $754.08 $954.32 |
$894.81 $948.02 $1004.39 $1204.63 |
$1145.12 $1198.33 $1254.70 $1454.94 |
$250.31 |
Plan: (EPO) Silver Compass 2000 1Summary 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 Monthly Premiums: |
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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 |
$410.45 $465.85 $524.54 $733.04 $1113.93 |
$820.90 $931.70 $1049.08 $1466.08 $2227.86 |
$1081.53 $1192.33 $1309.71 $1726.71 |
$1342.16 $1452.96 $1570.34 $1987.34 |
$1602.79 $1713.59 $1830.97 $2247.97 |
$671.08 $726.48 $785.17 $993.67 |
$931.71 $987.11 $1045.80 $1254.30 |
$1192.34 $1247.74 $1306.43 $1514.93 |
$260.63 |
Plan: (EPO) Silver Compass 2000Summary 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 Monthly Premiums: |
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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 |
$413.70 $469.54 $528.69 $738.85 $1122.75 |
$827.40 $939.08 $1057.38 $1477.70 $2245.50 |
$1090.09 $1201.77 $1320.07 $1740.39 |
$1352.78 $1464.46 $1582.76 $2003.08 |
$1615.47 $1727.15 $1845.45 $2265.77 |
$676.39 $732.23 $791.38 $1001.54 |
$939.08 $994.92 $1054.07 $1264.23 |
$1201.77 $1257.61 $1316.76 $1526.92 |
$262.69 |
Plan: (EPO) Silver Compass 3500Summary 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 Monthly Premiums: |
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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 |
$416.54 $472.77 $532.33 $743.93 $1130.47 |
$833.08 $945.54 $1064.66 $1487.86 $2260.94 |
$1097.58 $1210.04 $1329.16 $1752.36 |
$1362.08 $1474.54 $1593.66 $2016.86 |
$1626.58 $1739.04 $1858.16 $2281.36 |
$681.04 $737.27 $796.83 $1008.43 |
$945.54 $1001.77 $1061.33 $1272.93 |
$1210.04 $1266.27 $1325.83 $1537.43 |
$264.50 |
Plan: (EPO) Silver Compass 4500Summary 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 Monthly Premiums: |
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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 |
$425.89 $483.37 $544.27 $760.62 $1155.84 |
$851.78 $966.74 $1088.54 $1521.24 $2311.68 |
$1122.21 $1237.17 $1358.97 $1791.67 |
$1392.64 $1507.60 $1629.40 $2062.10 |
$1663.07 $1778.03 $1899.83 $2332.53 |
$696.32 $753.80 $814.70 $1031.05 |
$966.75 $1024.23 $1085.13 $1301.48 |
$1237.18 $1294.66 $1355.56 $1571.91 |
$270.43 |
Plan: (EPO) Bronze Compass HSA 5500Summary 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 Monthly Premiums: |
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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 |
$343.80 $390.20 $439.37 $614.01 $933.05 |
$687.60 $780.40 $878.74 $1228.02 $1866.10 |
$905.91 $998.71 $1097.05 $1446.33 |
$1124.22 $1217.02 $1315.36 $1664.64 |
$1342.53 $1435.33 $1533.67 $1882.95 |
$562.11 $608.51 $657.68 $832.32 |
$780.42 $826.82 $875.99 $1050.63 |
$998.73 $1045.13 $1094.30 $1268.94 |
$218.31 |
Plan: (EPO) Bronze Compass 6500Summary 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 Monthly Premiums: |
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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 |
$362.50 $411.42 $463.26 $647.40 $983.79 |
$725.00 $822.84 $926.52 $1294.80 $1967.58 |
$955.18 $1053.02 $1156.70 $1524.98 |
$1185.36 $1283.20 $1386.88 $1755.16 |
$1415.54 $1513.38 $1617.06 $1985.34 |
$592.68 $641.60 $693.44 $877.58 |
$822.86 $871.78 $923.62 $1107.76 |
$1053.04 $1101.96 $1153.80 $1337.94 |
$230.18 |
Plan: (EPO) Gold Compass 0Summary 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 Monthly Premiums: |
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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 |
$467.34 $530.42 $597.25 $834.65 $1268.33 |
$934.68 $1060.84 $1194.50 $1669.30 $2536.66 |
$1231.43 $1357.59 $1491.25 $1966.05 |
$1528.18 $1654.34 $1788.00 $2262.80 |
$1824.93 $1951.09 $2084.75 $2559.55 |
$764.09 $827.17 $894.00 $1131.40 |
$1060.84 $1123.92 $1190.75 $1428.15 |
$1357.59 $1420.67 $1487.50 $1724.90 |
$296.75 |
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Health Tradition Health PlanLocal: 1-608-781-9692 | Toll Free: 1-888-459-3020 |
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Plan: (HMO) Gold 1000/80Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-459-3020 - Provider Directory for This Plan: (Health Tradition Health Plan)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
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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 |
$354.65 $402.53 $453.25 $633.41 $962.52 |
$709.30 $805.06 $906.50 $1266.82 $1925.04 |
$934.51 $1030.27 $1131.71 $1492.03 |
$1159.72 $1255.48 $1356.92 $1717.24 |
$1384.93 $1480.69 $1582.13 $1942.45 |
$579.86 $627.74 $678.46 $858.62 |
$805.07 $852.95 $903.67 $1083.83 |
$1030.28 $1078.16 $1128.88 $1309.04 |
$225.21 |
Plan: (HMO) Gold 2000/80 w/copaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-459-3020 - Provider Directory for This Plan: (Health Tradition Health Plan)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
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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 |
$357.14 $405.35 $456.42 $637.85 $969.27 |
$714.28 $810.70 $912.84 $1275.70 $1938.54 |
$941.07 $1037.49 $1139.63 $1502.49 |
$1167.86 $1264.28 $1366.42 $1729.28 |
$1394.65 $1491.07 $1593.21 $1956.07 |
$583.93 $632.14 $683.21 $864.64 |
$810.72 $858.93 $910.00 $1091.43 |
$1037.51 $1085.72 $1136.79 $1318.22 |
$226.79 |
Plan: (HMO) Bronze HDHP 100 LowSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-459-3020 - Provider Directory for This Plan: (Health Tradition Health Plan)
Deductible: Individual:
$6,250
: Family:
$12,500 Monthly Premiums: |
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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 |
$221.74 $251.67 $283.38 $396.02 $601.79 |
$443.48 $503.34 $566.76 $792.04 $1203.58 |
$584.29 $644.15 $707.57 $932.85 |
$725.10 $784.96 $848.38 $1073.66 |
$865.91 $925.77 $989.19 $1214.47 |
$362.55 $392.48 $424.19 $536.83 |
$503.36 $533.29 $565.00 $677.64 |
$644.17 $674.10 $705.81 $818.45 |
$140.81 |
Plan: (HMO) Bronze 6000/80Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-459-3020 - Provider Directory for This Plan: (Health Tradition Health Plan)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
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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 |
$245.90 $279.10 $314.26 $439.17 $667.36 |
$491.80 $558.20 $628.52 $878.34 $1334.72 |
$647.95 $714.35 $784.67 $1034.49 |
$804.10 $870.50 $940.82 $1190.64 |
$960.25 $1026.65 $1096.97 $1346.79 |
$402.05 $435.25 $470.41 $595.32 |
$558.20 $591.40 $626.56 $751.47 |
$714.35 $747.55 $782.71 $907.62 |
$156.15 |
Plan: (HMO) Bronze HDHP 100 HighSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-459-3020 - Provider Directory for This Plan: (Health Tradition Health Plan)
Deductible: Individual:
$6,450
: Family:
$12,900 Monthly Premiums: |
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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 |
$218.90 $248.45 $279.75 $390.95 $594.08 |
$437.80 $496.90 $559.50 $781.90 $1188.16 |
$576.80 $635.90 $698.50 $920.90 |
$715.80 $774.90 $837.50 $1059.90 |
$854.80 $913.90 $976.50 $1198.90 |
$357.90 $387.45 $418.75 $529.95 |
$496.90 $526.45 $557.75 $668.95 |
$635.90 $665.45 $696.75 $807.95 |
$139.00 |
Plan: (HMO) Essential HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-459-3020 - Provider Directory for This Plan: (Health Tradition Health Plan)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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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 |
$195.27 $221.63 $249.56 $348.75 $529.96 |
$390.54 $443.26 $499.12 $697.50 $1059.92 |
$514.54 $567.26 $623.12 $821.50 |
$638.54 $691.26 $747.12 $945.50 |
$762.54 $815.26 $871.12 $1069.50 |
$319.27 $345.63 $373.56 $472.75 |
$443.27 $469.63 $497.56 $596.75 |
$567.27 $593.63 $621.56 $720.75 |
$124.00 |
Plan: (HMO) Silver 2000/80Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-459-3020 - Provider Directory for This Plan: (Health Tradition Health Plan)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
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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 |
$309.67 $351.48 $395.76 $553.07 $840.45 |
$619.34 $702.96 $791.52 $1106.14 $1680.90 |
$815.98 $899.60 $988.16 $1302.78 |
$1012.62 $1096.24 $1184.80 $1499.42 |
$1209.26 $1292.88 $1381.44 $1696.06 |
$506.31 $548.12 $592.40 $749.71 |
$702.95 $744.76 $789.04 $946.35 |
$899.59 $941.40 $985.68 $1142.99 |
$196.64 |
Plan: (HMO) Silver 4000/80 w/copaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-459-3020 - Provider Directory for This Plan: (Health Tradition Health Plan)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
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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 |
$306.83 $348.25 $392.13 $548.00 $832.73 |
$613.66 $696.50 $784.26 $1096.00 $1665.46 |
$808.50 $891.34 $979.10 $1290.84 |
$1003.34 $1086.18 $1173.94 $1485.68 |
$1198.18 $1281.02 $1368.78 $1680.52 |
$501.67 $543.09 $586.97 $742.84 |
$696.51 $737.93 $781.81 $937.68 |
$891.35 $932.77 $976.65 $1132.52 |
$194.84 |
Plan: (HMO) Silver HDHP 85Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-459-3020 - Provider Directory for This Plan: (Health Tradition Health Plan)
Deductible: Individual:
$3,000
: Family:
$6,000 Monthly Premiums: |
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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 |
$291.70 $331.07 $372.79 $520.97 $791.66 |
$583.40 $662.14 $745.58 $1041.94 $1583.32 |
$768.63 $847.37 $930.81 $1227.17 |
$953.86 $1032.60 $1116.04 $1412.40 |
$1139.09 $1217.83 $1301.27 $1597.63 |
$476.93 $516.30 $558.02 $706.20 |
$662.16 $701.53 $743.25 $891.43 |
$847.39 $886.76 $928.48 $1076.66 |
$185.23 |
Plan: (HMO) Gold 2375/100Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-459-3020 - Provider Directory for This Plan: (Health Tradition Health Plan)
Deductible: Individual:
$2,375
: Family:
$4,750 Monthly Premiums: |
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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 |
$342.40 $388.62 $437.58 $611.52 $929.25 |
$684.80 $777.24 $875.16 $1223.04 $1858.50 |
$902.22 $994.66 $1092.58 $1440.46 |
$1119.64 $1212.08 $1310.00 $1657.88 |
$1337.06 $1429.50 $1527.42 $1875.30 |
$559.82 $606.04 $655.00 $828.94 |
$777.24 $823.46 $872.42 $1046.36 |
$994.66 $1040.88 $1089.84 $1263.78 |
$217.42 |
Plan: (HMO) Silver 3000/70 w/copaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-459-3020 - Provider Directory for This Plan: (Health Tradition Health Plan)
Deductible: Individual:
$3,000
: Family:
$6,000 Monthly Premiums: |
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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 |
$305.20 $346.40 $390.04 $545.08 $828.30 |
$610.40 $692.80 $780.08 $1090.16 $1656.60 |
$804.20 $886.60 $973.88 $1283.96 |
$998.00 $1080.40 $1167.68 $1477.76 |
$1191.80 $1274.20 $1361.48 $1671.56 |
$499.00 $540.20 $583.84 $738.88 |
$692.80 $734.00 $777.64 $932.68 |
$886.60 $927.80 $971.44 $1126.48 |
$193.80 |
Plan: (HMO) Silver HDHP 100Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-459-3020 - Provider Directory for This Plan: (Health Tradition Health Plan)
Deductible: Individual:
$4,125
: Family:
$8,250 Monthly Premiums: |
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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 |
$281.46 $319.46 $359.71 $502.69 $763.88 |
$562.92 $638.92 $719.42 $1005.38 $1527.76 |
$741.65 $817.65 $898.15 $1184.11 |
$920.38 $996.38 $1076.88 $1362.84 |
$1099.11 $1175.11 $1255.61 $1541.57 |
$460.19 $498.19 $538.44 $681.42 |
$638.92 $676.92 $717.17 $860.15 |
$817.65 $855.65 $895.90 $1038.88 |
$178.73 |
Plan: (HMO) Silver 3500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-459-3020 - Provider Directory for This Plan: (Health Tradition Health Plan)
Deductible: 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 |
$281.46 $319.46 $359.71 $502.69 $763.88 |
$562.92 $638.92 $719.42 $1005.38 $1527.76 |
$741.65 $817.65 $898.15 $1184.11 |
$920.38 $996.38 $1076.88 $1362.84 |
$1099.11 $1175.11 $1255.61 $1541.57 |
$460.19 $498.19 $538.44 $681.42 |
$638.92 $676.92 $717.17 $860.15 |
$817.65 $855.65 $895.90 $1038.88 |
$178.73 |
Plan: (HMO) Bronze HDHP 80Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-459-3020 - Provider Directory for This Plan: (Health Tradition Health Plan)
Deductible: Individual:
$5,000
: Family:
$10,000 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 |
$230.34 $261.43 $294.37 $411.38 $625.13 |
$460.68 $522.86 $588.74 $822.76 $1250.26 |
$606.95 $669.13 $735.01 $969.03 |
$753.22 $815.40 $881.28 $1115.30 |
$899.49 $961.67 $1027.55 $1261.57 |
$376.61 $407.70 $440.64 $557.65 |
$522.88 $553.97 $586.91 $703.92 |
$669.15 $700.24 $733.18 $850.19 |
$146.27 |
Plan: (HMO) Bronze HDHP 50Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-459-3020 - Provider Directory for This Plan: (Health Tradition Health Plan)
Deductible: 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 |
Bronze | 21 30 40 50 60 |
$232.40 $263.77 $297.00 $415.06 $630.72 |
$464.80 $527.54 $594.00 $830.12 $1261.44 |
$612.38 $675.12 $741.58 $977.70 |
$759.96 $822.70 $889.16 $1125.28 |
$907.54 $970.28 $1036.74 $1272.86 |
$379.98 $411.35 $444.58 $562.64 |
$527.56 $558.93 $592.16 $710.22 |
$675.14 $706.51 $739.74 $857.80 |
$147.58 |
Plan: (HMO) Bronze 6850/100 RxSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-459-3020 - Provider Directory for This Plan: (Health Tradition Health Plan)
Deductible: 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 |
$240.14 $272.56 $306.90 $428.89 $651.74 |
$480.28 $545.12 $613.80 $857.78 $1303.48 |
$632.77 $697.61 $766.29 $1010.27 |
$785.26 $850.10 $918.78 $1162.76 |
$937.75 $1002.59 $1071.27 $1315.25 |
$392.63 $425.05 $459.39 $581.38 |
$545.12 $577.54 $611.88 $733.87 |
$697.61 $730.03 $764.37 $886.36 |
$152.49 |
Plan: (HMO) Bronze 6850/100Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-459-3020 - Provider Directory for This Plan: (Health Tradition Health Plan)
Deductible: 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 |
$213.57 $242.40 $272.94 $381.43 $579.62 |
$427.14 $484.80 $545.88 $762.86 $1159.24 |
$562.76 $620.42 $681.50 $898.48 |
$698.38 $756.04 $817.12 $1034.10 |
$834.00 $891.66 $952.74 $1169.72 |
$349.19 $378.02 $408.56 $517.05 |
$484.81 $513.64 $544.18 $652.67 |
$620.43 $649.26 $679.80 $788.29 |
$135.62 |
ADVERTISEMENT
|
||||||||||
Compcare Health Serv Ins Co(Anthem BCBS)Local: 1-855-748-1813 | Toll Free: 1-855-748-1813 |
||||||||||
Plan: (POS) Anthem Catastrophic Blue Priority X WI 6850/0%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1813 - Provider Directory for This Plan: (Compcare Health Serv Ins Co(Anthem BCBS))
Deductible: 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 |
$316.86 $359.64 $404.95 $565.91 $859.96 |
$633.72 $719.28 $809.90 $1131.82 $1719.92 |
$834.93 $920.49 $1011.11 $1333.03 |
$1036.14 $1121.70 $1212.32 $1534.24 |
$1237.35 $1322.91 $1413.53 $1735.45 |
$518.07 $560.85 $606.16 $767.12 |
$719.28 $762.06 $807.37 $968.33 |
$920.49 $963.27 $1008.58 $1169.54 |
$201.21 |
Plan: (POS) Anthem Bronze Blue Priority X WI 5850 20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1813 - Provider Directory for This Plan: (Compcare Health Serv Ins Co(Anthem BCBS))
Deductible: Individual:
$5,850
: Family:
$11,700 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 |
$409.89 $465.23 $523.84 $732.06 $1112.44 |
$819.78 $930.46 $1047.68 $1464.12 $2224.88 |
$1080.06 $1190.74 $1307.96 $1724.40 |
$1340.34 $1451.02 $1568.24 $1984.68 |
$1600.62 $1711.30 $1828.52 $2244.96 |
$670.17 $725.51 $784.12 $992.34 |
$930.45 $985.79 $1044.40 $1252.62 |
$1190.73 $1246.07 $1304.68 $1512.90 |
$260.28 |
Plan: (POS) Anthem Bronze Blue Priority X WI 6050 25Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1813 - Provider Directory for This Plan: (Compcare Health Serv Ins Co(Anthem BCBS))
Deductible: Individual:
$6,050
: Family:
$12,100 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 |
$404.55 $459.16 $517.01 $722.53 $1097.95 |
$809.10 $918.32 $1034.02 $1445.06 $2195.90 |
$1065.99 $1175.21 $1290.91 $1701.95 |
$1322.88 $1432.10 $1547.80 $1958.84 |
$1579.77 $1688.99 $1804.69 $2215.73 |
$661.44 $716.05 $773.90 $979.42 |
$918.33 $972.94 $1030.79 $1236.31 |
$1175.22 $1229.83 $1287.68 $1493.20 |
$256.89 |
Plan: (POS) Anthem Bronze Blue Priority X WI 0 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1813 - Provider Directory for This Plan: (Compcare Health Serv Ins Co(Anthem BCBS))
Deductible: Individual:
$6,550
: Family:
$13,100 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 |
$403.96 $458.49 $516.26 $721.47 $1096.35 |
$807.92 $916.98 $1032.52 $1442.94 $2192.70 |
$1064.43 $1173.49 $1289.03 $1699.45 |
$1320.94 $1430.00 $1545.54 $1955.96 |
$1577.45 $1686.51 $1802.05 $2212.47 |
$660.47 $715.00 $772.77 $977.98 |
$916.98 $971.51 $1029.28 $1234.49 |
$1173.49 $1228.02 $1285.79 $1491.00 |
$256.51 |
Plan: (POS) Anthem Bronze Blue Priority X WI 30 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1813 - Provider Directory for This Plan: (Compcare Health Serv Ins Co(Anthem BCBS))
Deductible: Individual:
$4,650
: Family:
$9,300 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 |
$396.08 $449.55 $506.19 $707.40 $1074.96 |
$792.16 $899.10 $1012.38 $1414.80 $2149.92 |
$1043.67 $1150.61 $1263.89 $1666.31 |
$1295.18 $1402.12 $1515.40 $1917.82 |
$1546.69 $1653.63 $1766.91 $2169.33 |
$647.59 $701.06 $757.70 $958.91 |
$899.10 $952.57 $1009.21 $1210.42 |
$1150.61 $1204.08 $1260.72 $1461.93 |
$251.51 |
Plan: (POS) Anthem Silver Blue Priority X WI 3750 10Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1813 - Provider Directory for This Plan: (Compcare Health Serv Ins Co(Anthem BCBS))
Deductible: Individual:
$3,750
: Family:
$7,500 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 |
Silver | 21 30 40 50 60 |
$435.79 $494.62 $556.94 $778.32 $1182.73 |
$871.58 $989.24 $1113.88 $1556.64 $2365.46 |
$1148.31 $1265.97 $1390.61 $1833.37 |
$1425.04 $1542.70 $1667.34 $2110.10 |
$1701.77 $1819.43 $1944.07 $2386.83 |
$712.52 $771.35 $833.67 $1055.05 |
$989.25 $1048.08 $1110.40 $1331.78 |
$1265.98 $1324.81 $1387.13 $1608.51 |
$276.73 |
Plan: (POS) Anthem Silver Blue Priority X WI 2500/10%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1813 - Provider Directory for This Plan: (Compcare Health Serv Ins Co(Anthem BCBS))
Deductible: Individual:
$2,500
: Family:
$5,000 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 |
$457.70 $519.49 $584.94 $817.45 $1242.20 |
$915.40 $1038.98 $1169.88 $1634.90 $2484.40 |
$1206.04 $1329.62 $1460.52 $1925.54 |
$1496.68 $1620.26 $1751.16 $2216.18 |
$1787.32 $1910.90 $2041.80 $2506.82 |
$748.34 $810.13 $875.58 $1108.09 |
$1038.98 $1100.77 $1166.22 $1398.73 |
$1329.62 $1391.41 $1456.86 $1689.37 |
$290.64 |
Plan: (POS) Anthem Silver Blue Priority X WI 10 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1813 - Provider Directory for This Plan: (Compcare Health Serv Ins Co(Anthem BCBS))
Deductible: Individual:
$3,000
: Family:
$6,000 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 |
$440.33 $499.77 $562.74 $786.43 $1195.06 |
$880.66 $999.54 $1125.48 $1572.86 $2390.12 |
$1160.27 $1279.15 $1405.09 $1852.47 |
$1439.88 $1558.76 $1684.70 $2132.08 |
$1719.49 $1838.37 $1964.31 $2411.69 |
$719.94 $779.38 $842.35 $1066.04 |
$999.55 $1058.99 $1121.96 $1345.65 |
$1279.16 $1338.60 $1401.57 $1625.26 |
$279.61 |
Plan: (POS) Anthem Silver Blue Priority X WI 1850/20%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1813 - Provider Directory for This Plan: (Compcare Health Serv Ins Co(Anthem BCBS))
Deductible: Individual:
$1,850
: Family:
$3,700 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 |
$456.47 $518.09 $583.37 $815.26 $1238.86 |
$912.94 $1036.18 $1166.74 $1630.52 $2477.72 |
$1202.80 $1326.04 $1456.60 $1920.38 |
$1492.66 $1615.90 $1746.46 $2210.24 |
$1782.52 $1905.76 $2036.32 $2500.10 |
$746.33 $807.95 $873.23 $1105.12 |
$1036.19 $1097.81 $1163.09 $1394.98 |
$1326.05 $1387.67 $1452.95 $1684.84 |
$289.86 |
Plan: (POS) Anthem Bronze Blue Priority X WI 40 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1813 - Provider Directory for This Plan: (Compcare Health Serv Ins Co(Anthem BCBS))
Deductible: Individual:
$5,500
: Family:
$11,000 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 |
$383.49 $435.26 $490.10 $684.91 $1040.79 |
$766.98 $870.52 $980.20 $1369.82 $2081.58 |
$1010.50 $1114.04 $1223.72 $1613.34 |
$1254.02 $1357.56 $1467.24 $1856.86 |
$1497.54 $1601.08 $1710.76 $2100.38 |
$627.01 $678.78 $733.62 $928.43 |
$870.53 $922.30 $977.14 $1171.95 |
$1114.05 $1165.82 $1220.66 $1415.47 |
$243.52 |
Plan: (POS) Anthem Bronze Blue Priority X WI 5450 30Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1813 - Provider Directory for This Plan: (Compcare Health Serv Ins Co(Anthem BCBS))
Deductible: Individual:
$5,450
: Family:
$10,900 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 |
$387.77 $440.12 $495.57 $692.56 $1052.41 |
$775.54 $880.24 $991.14 $1385.12 $2104.82 |
$1021.77 $1126.47 $1237.37 $1631.35 |
$1268.00 $1372.70 $1483.60 $1877.58 |
$1514.23 $1618.93 $1729.83 $2123.81 |
$634.00 $686.35 $741.80 $938.79 |
$880.23 $932.58 $988.03 $1185.02 |
$1126.46 $1178.81 $1234.26 $1431.25 |
$246.23 |
Plan: (POS) Anthem Silver Blue Priority X WI 4000 25Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1813 - Provider Directory for This Plan: (Compcare Health Serv Ins Co(Anthem BCBS))
Deductible: 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 |
$421.97 $478.94 $539.28 $753.64 $1145.23 |
$843.94 $957.88 $1078.56 $1507.28 $2290.46 |
$1111.89 $1225.83 $1346.51 $1775.23 |
$1379.84 $1493.78 $1614.46 $2043.18 |
$1647.79 $1761.73 $1882.41 $2311.13 |
$689.92 $746.89 $807.23 $1021.59 |
$957.87 $1014.84 $1075.18 $1289.54 |
$1225.82 $1282.79 $1343.13 $1557.49 |
$267.95 |
Plan: (POS) Anthem Blue Cross and Blue Shield Silver DirectAccess, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1813 - Provider Directory for This Plan: (Compcare Health Serv Ins Co(Anthem BCBS))
Deductible: Individual:
$1,750
: Family:
$3,500 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 |
Silver | 21 30 40 50 60 |
$461.52 $523.83 $589.82 $824.27 $1252.57 |
$923.04 $1047.66 $1179.64 $1648.54 $2505.14 |
$1216.11 $1340.73 $1472.71 $1941.61 |
$1509.18 $1633.80 $1765.78 $2234.68 |
$1802.25 $1926.87 $2058.85 $2527.75 |
$754.59 $816.90 $882.89 $1117.34 |
$1047.66 $1109.97 $1175.96 $1410.41 |
$1340.73 $1403.04 $1469.03 $1703.48 |
$293.07 |
Plan: (POS) Anthem Blue Cross and Blue Shield Gold DirectAccess, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1813 - Provider Directory for This Plan: (Compcare Health Serv Ins Co(Anthem BCBS))
Deductible: Individual:
$1,000
: Family:
$2,000 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 |
Gold | 21 30 40 50 60 |
$624.06 $708.31 $797.55 $1114.57 $1693.70 |
$1248.12 $1416.62 $1595.10 $2229.14 $3387.40 |
$1644.40 $1812.90 $1991.38 $2625.42 |
$2040.68 $2209.18 $2387.66 $3021.70 |
$2436.96 $2605.46 $2783.94 $3417.98 |
$1020.34 $1104.59 $1193.83 $1510.85 |
$1416.62 $1500.87 $1590.11 $1907.13 |
$1812.90 $1897.15 $1986.39 $2303.41 |
$396.28 |
ADVERTISEMENT
|
||||||||||
Gundersen Health Plan, Inc.Local: 1-608-775-8092 | Toll Free: 1-855-685-6404 |
||||||||||
Plan: (POS) Platinum $1000 - 0%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-685-6404 - Provider Directory for This Plan: (Gundersen Health Plan, Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 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 |
Platinum | 21 30 40 50 60 |
$450.34 $511.13 $575.53 $804.30 $1222.22 |
$900.68 $1022.26 $1151.06 $1608.60 $2444.44 |
$1186.64 $1308.22 $1437.02 $1894.56 |
$1472.60 $1594.18 $1722.98 $2180.52 |
$1758.56 $1880.14 $2008.94 $2466.48 |
$736.30 $797.09 $861.49 $1090.26 |
$1022.26 $1083.05 $1147.45 $1376.22 |
$1308.22 $1369.01 $1433.41 $1662.18 |
$285.96 |
Plan: (POS) Platinum $500 - 20%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-685-6404 - Provider Directory for This Plan: (Gundersen Health Plan, Inc.)
Deductible: Individual:
$500
: Family:
$1,000 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 |
Platinum | 21 30 40 50 60 |
$447.86 $508.32 $572.36 $799.87 $1215.49 |
$895.72 $1016.64 $1144.72 $1599.74 $2430.98 |
$1180.11 $1301.03 $1429.11 $1884.13 |
$1464.50 $1585.42 $1713.50 $2168.52 |
$1748.89 $1869.81 $1997.89 $2452.91 |
$732.25 $792.71 $856.75 $1084.26 |
$1016.64 $1077.10 $1141.14 $1368.65 |
$1301.03 $1361.49 $1425.53 $1653.04 |
$284.39 |
Plan: (POS) Gold $1500 - 30%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-685-6404 - Provider Directory for This Plan: (Gundersen Health Plan, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 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 |
Gold | 21 30 40 50 60 |
$395.96 $449.41 $506.03 $707.18 $1074.63 |
$791.92 $898.82 $1012.06 $1414.36 $2149.26 |
$1043.35 $1150.25 $1263.49 $1665.79 |
$1294.78 $1401.68 $1514.92 $1917.22 |
$1546.21 $1653.11 $1766.35 $2168.65 |
$647.39 $700.84 $757.46 $958.61 |
$898.82 $952.27 $1008.89 $1210.04 |
$1150.25 $1203.70 $1260.32 $1461.47 |
$251.43 |
Plan: (POS) Gold $3500 - 0%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-685-6404 - Provider Directory for This Plan: (Gundersen Health Plan, Inc.)
Deductible: 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 |
Gold | 21 30 40 50 60 |
$379.22 $430.41 $484.64 $677.28 $1029.20 |
$758.44 $860.82 $969.28 $1354.56 $2058.40 |
$999.24 $1101.62 $1210.08 $1595.36 |
$1240.04 $1342.42 $1450.88 $1836.16 |
$1480.84 $1583.22 $1691.68 $2076.96 |
$620.02 $671.21 $725.44 $918.08 |
$860.82 $912.01 $966.24 $1158.88 |
$1101.62 $1152.81 $1207.04 $1399.68 |
$240.80 |
Plan: (POS) Silver $3500 - 20%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-685-6404 - Provider Directory for This Plan: (Gundersen Health Plan, Inc.)
Deductible: 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 |
$355.24 $403.19 $453.99 $634.45 $964.12 |
$710.48 $806.38 $907.98 $1268.90 $1928.24 |
$936.05 $1031.95 $1133.55 $1494.47 |
$1161.62 $1257.52 $1359.12 $1720.04 |
$1387.19 $1483.09 $1584.69 $1945.61 |
$580.81 $628.76 $679.56 $860.02 |
$806.38 $854.33 $905.13 $1085.59 |
$1031.95 $1079.90 $1130.70 $1311.16 |
$225.57 |
Plan: (POS) Silver $2500 - 50%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-685-6404 - Provider Directory for This Plan: (Gundersen Health Plan, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 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 |
$355.50 $403.49 $454.32 $634.92 $964.82 |
$711.00 $806.98 $908.64 $1269.84 $1929.64 |
$936.74 $1032.72 $1134.38 $1495.58 |
$1162.48 $1258.46 $1360.12 $1721.32 |
$1388.22 $1484.20 $1585.86 $1947.06 |
$581.24 $629.23 $680.06 $860.66 |
$806.98 $854.97 $905.80 $1086.40 |
$1032.72 $1080.71 $1131.54 $1312.14 |
$225.74 |
Plan: (POS) Silver $2500 - 20%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-685-6404 - Provider Directory for This Plan: (Gundersen Health Plan, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 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 |
$366.60 $416.09 $468.51 $654.74 $994.95 |
$733.20 $832.18 $937.02 $1309.48 $1989.90 |
$965.99 $1064.97 $1169.81 $1542.27 |
$1198.78 $1297.76 $1402.60 $1775.06 |
$1431.57 $1530.55 $1635.39 $2007.85 |
$599.39 $648.88 $701.30 $887.53 |
$832.18 $881.67 $934.09 $1120.32 |
$1064.97 $1114.46 $1166.88 $1353.11 |
$232.79 |
Plan: (POS) Bronze $3000 - 50%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-685-6404 - Provider Directory for This Plan: (Gundersen Health Plan, Inc.)
Deductible: Individual:
$3,000
: Family:
$6,000 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 |
$291.89 $331.29 $373.03 $521.31 $792.18 |
$583.78 $662.58 $746.06 $1042.62 $1584.36 |
$769.13 $847.93 $931.41 $1227.97 |
$954.48 $1033.28 $1116.76 $1413.32 |
$1139.83 $1218.63 $1302.11 $1598.67 |
$477.24 $516.64 $558.38 $706.66 |
$662.59 $701.99 $743.73 $892.01 |
$847.94 $887.34 $929.08 $1077.36 |
$185.35 |
Plan: (POS) Bronze $4000 - 30%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-685-6404 - Provider Directory for This Plan: (Gundersen Health Plan, Inc.)
Deductible: 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 |
Bronze | 21 30 40 50 60 |
$297.97 $338.19 $380.80 $532.17 $808.69 |
$595.94 $676.38 $761.60 $1064.34 $1617.38 |
$785.15 $865.59 $950.81 $1253.55 |
$974.36 $1054.80 $1140.02 $1442.76 |
$1163.57 $1244.01 $1329.23 $1631.97 |
$487.18 $527.40 $570.01 $721.38 |
$676.39 $716.61 $759.22 $910.59 |
$865.60 $905.82 $948.43 $1099.80 |
$189.21 |
Plan: (POS) Bronze $6250 - 30%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-685-6404 - Provider Directory for This Plan: (Gundersen Health Plan, Inc.)
Deductible: Individual:
$6,250
: Family:
$12,500 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 |
Bronze | 21 30 40 50 60 |
$313.45 $355.76 $400.58 $559.82 $850.70 |
$626.90 $711.52 $801.16 $1119.64 $1701.40 |
$825.94 $910.56 $1000.20 $1318.68 |
$1024.98 $1109.60 $1199.24 $1517.72 |
$1224.02 $1308.64 $1398.28 $1716.76 |
$512.49 $554.80 $599.62 $758.86 |
$711.53 $753.84 $798.66 $957.90 |
$910.57 $952.88 $997.70 $1156.94 |
$199.04 |
Plan: (POS) Catastrophic $6,850 - 0%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-685-6404 - Provider Directory for This Plan: (Gundersen Health Plan, Inc.)
Deductible: 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 |
$221.92 $251.87 $283.61 $396.34 $602.29 |
$443.84 $503.74 $567.22 $792.68 $1204.58 |
$584.75 $644.65 $708.13 $933.59 |
$725.66 $785.56 $849.04 $1074.50 |
$866.57 $926.47 $989.95 $1215.41 |
$362.83 $392.78 $424.52 $537.25 |
$503.74 $533.69 $565.43 $678.16 |
$644.65 $674.60 $706.34 $819.07 |
$140.91 |
Plan: (POS) Silver HSA $3500 - 0%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-685-6404 - Provider Directory for This Plan: (Gundersen Health Plan, Inc.)
Deductible: 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 |
$334.80 $379.99 $427.87 $597.95 $908.64 |
$669.60 $759.98 $855.74 $1195.90 $1817.28 |
$882.19 $972.57 $1068.33 $1408.49 |
$1094.78 $1185.16 $1280.92 $1621.08 |
$1307.37 $1397.75 $1493.51 $1833.67 |
$547.39 $592.58 $640.46 $810.54 |
$759.98 $805.17 $853.05 $1023.13 |
$972.57 $1017.76 $1065.64 $1235.72 |
$212.59 |
Plan: (POS) Silver HSA $2000 - 50%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-685-6404 - Provider Directory for This Plan: (Gundersen Health Plan, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 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 |
$323.99 $367.72 $414.05 $578.64 $879.30 |
$647.98 $735.44 $828.10 $1157.28 $1758.60 |
$853.71 $941.17 $1033.83 $1363.01 |
$1059.44 $1146.90 $1239.56 $1568.74 |
$1265.17 $1352.63 $1445.29 $1774.47 |
$529.72 $573.45 $619.78 $784.37 |
$735.45 $779.18 $825.51 $990.10 |
$941.18 $984.91 $1031.24 $1195.83 |
$205.73 |
Plan: (POS) Bronze HSA $3250 - 50%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-685-6404 - Provider Directory for This Plan: (Gundersen Health Plan, Inc.)
Deductible: 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 |
Bronze | 21 30 40 50 60 |
$287.34 $326.13 $367.22 $513.18 $779.84 |
$574.68 $652.26 $734.44 $1026.36 $1559.68 |
$757.14 $834.72 $916.90 $1208.82 |
$939.60 $1017.18 $1099.36 $1391.28 |
$1122.06 $1199.64 $1281.82 $1573.74 |
$469.80 $508.59 $549.68 $695.64 |
$652.26 $691.05 $732.14 $878.10 |
$834.72 $873.51 $914.60 $1060.56 |
$182.46 |
Plan: (POS) Bronze HSA $6000 - 0%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-685-6404 - Provider Directory for This Plan: (Gundersen Health Plan, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 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 |
$276.28 $313.57 $353.08 $493.43 $749.82 |
$552.56 $627.14 $706.16 $986.86 $1499.64 |
$727.99 $802.57 $881.59 $1162.29 |
$903.42 $978.00 $1057.02 $1337.72 |
$1078.85 $1153.43 $1232.45 $1513.15 |
$451.71 $489.00 $528.51 $668.86 |
$627.14 $664.43 $703.94 $844.29 |
$802.57 $839.86 $879.37 $1019.72 |
$175.43 |
Plan: (POS) Bronze HSA $5000 - 20%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-685-6404 - Provider Directory for This Plan: (Gundersen Health Plan, Inc.)
Deductible: Individual:
$5,000
: Family:
$10,000 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 |
$267.52 $303.63 $341.89 $477.79 $726.04 |
$535.04 $607.26 $683.78 $955.58 $1452.08 |
$704.91 $777.13 $853.65 $1125.45 |
$874.78 $947.00 $1023.52 $1295.32 |
$1044.65 $1116.87 $1193.39 $1465.19 |
$437.39 $473.50 $511.76 $647.66 |
$607.26 $643.37 $681.63 $817.53 |
$777.13 $813.24 $851.50 $987.40 |
$169.87 |
†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 La Crosse County here.