Obamacare Providers, Plans and 2017 Rates for Milwaukee County
The health insurance rates listed below are for calendar year 2017.
2017 Rates and Providers
(click here for 2014)
(click here for 2015)
(click here for 2016)
This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Brown Deer, WI.
Currently, there are 29 plans offered in Milwaukee County.
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:
- 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 Brown Deer, WI area accept this insurance coverage as within the plan's "network".
‡Source: HealthCare.gov has released sample rates for all counties in those states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Milwaukee County here.
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Children's Community Health PlanLocal: 1-844-201-4672 | Toll Free: 1-844-201-4672 TTY: 1-844-531-4856 |
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Plan: (EPO) Together BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-201-4672 - Provider Directory for This Plan: (Children's Community 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 |
$302.24 $343.03 $386.25 $539.78 $820.24 |
$604.48 $686.06 $772.50 $1079.56 $1640.48 |
$796.39 $877.97 $964.41 $1271.47 |
$988.30 $1069.88 $1156.32 $1463.38 |
$1180.21 $1261.79 $1348.23 $1655.29 |
$494.15 $534.94 $578.16 $731.69 |
$686.06 $726.85 $770.07 $923.60 |
$877.97 $918.76 $961.98 $1115.51 |
$191.91 |
Plan: (EPO) Together Standard SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-201-4672 - Provider Directory for This Plan: (Children's Community Health Plan)
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 |
$366.79 $416.30 $468.74 $655.07 $995.44 |
$733.58 $832.60 $937.48 $1310.14 $1990.88 |
$966.49 $1065.51 $1170.39 $1543.05 |
$1199.40 $1298.42 $1403.30 $1775.96 |
$1432.31 $1531.33 $1636.21 $2008.87 |
$599.70 $649.21 $701.65 $887.98 |
$832.61 $882.12 $934.56 $1120.89 |
$1065.52 $1115.03 $1167.47 $1353.80 |
$232.91 |
Plan: (EPO) Together SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-201-4672 - Provider Directory for This Plan: (Children's Community 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 |
$353.59 $401.31 $451.87 $631.49 $959.61 |
$707.18 $802.62 $903.74 $1262.98 $1919.22 |
$931.70 $1027.14 $1128.26 $1487.50 |
$1156.22 $1251.66 $1352.78 $1712.02 |
$1380.74 $1476.18 $1577.30 $1936.54 |
$578.11 $625.83 $676.39 $856.01 |
$802.63 $850.35 $900.91 $1080.53 |
$1027.15 $1074.87 $1125.43 $1305.05 |
$224.52 |
Plan: (EPO) Together GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-201-4672 - Provider Directory for This Plan: (Children's Community Health Plan)
Deductible: Individual:
$700
: Family:
$1,400 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 |
$455.55 $517.04 $582.18 $813.60 $1236.34 |
$911.10 $1034.08 $1164.36 $1627.20 $2472.68 |
$1200.37 $1323.35 $1453.63 $1916.47 |
$1489.64 $1612.62 $1742.90 $2205.74 |
$1778.91 $1901.89 $2032.17 $2495.01 |
$744.82 $806.31 $871.45 $1102.87 |
$1034.09 $1095.58 $1160.72 $1392.14 |
$1323.36 $1384.85 $1449.99 $1681.41 |
$289.27 |
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Molina Healthcare of Wisconsin, Inc.Local: 1-888-560-2043 | Toll Free: 1-888-560-2043 |
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Plan: (HMO) Molina Marketplace GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-560-2043 - Provider Directory for This Plan: (Molina Healthcare of Wisconsin, Inc.)
Deductible: Individual:
$1,025
: Family:
$2,050 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 |
$378.14 $429.19 $483.27 $675.36 $1026.28 |
$756.28 $858.38 $966.54 $1350.72 $2052.56 |
$996.40 $1098.50 $1206.66 $1590.84 |
$1236.52 $1338.62 $1446.78 $1830.96 |
$1476.64 $1578.74 $1686.90 $2071.08 |
$618.26 $669.31 $723.39 $915.48 |
$858.38 $909.43 $963.51 $1155.60 |
$1098.50 $1149.55 $1203.63 $1395.72 |
$240.12 |
Plan: (HMO) Molina Marketplace SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-560-2043 - Provider Directory for This Plan: (Molina Healthcare of Wisconsin, Inc.)
Deductible: Individual:
$2,400
: Family:
$4,800 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 |
$296.43 $336.44 $378.83 $529.42 $804.50 |
$592.86 $672.88 $757.66 $1058.84 $1609.00 |
$781.09 $861.11 $945.89 $1247.07 |
$969.32 $1049.34 $1134.12 $1435.30 |
$1157.55 $1237.57 $1322.35 $1623.53 |
$484.66 $524.67 $567.06 $717.65 |
$672.89 $712.90 $755.29 $905.88 |
$861.12 $901.13 $943.52 $1094.11 |
$188.23 |
Plan: (HMO) Molina Marketplace BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-560-2043 - Provider Directory for This Plan: (Molina Healthcare of Wisconsin, Inc.)
Deductible: Individual:
$6,650
: Family:
$13,300 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 |
$253.51 $287.74 $323.99 $452.78 $688.04 |
$507.02 $575.48 $647.98 $905.56 $1376.08 |
$668.00 $736.46 $808.96 $1066.54 |
$828.98 $897.44 $969.94 $1227.52 |
$989.96 $1058.42 $1130.92 $1388.50 |
$414.49 $448.72 $484.97 $613.76 |
$575.47 $609.70 $645.95 $774.74 |
$736.45 $770.68 $806.93 $935.72 |
$160.98 |
Plan: (HMO) Molina Marketplace Options SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-560-2043 - Provider Directory for This Plan: (Molina Healthcare of Wisconsin, Inc.)
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 |
$299.19 $339.58 $382.37 $534.36 $812.01 |
$598.38 $679.16 $764.74 $1068.72 $1624.02 |
$788.37 $869.15 $954.73 $1258.71 |
$978.36 $1059.14 $1144.72 $1448.70 |
$1168.35 $1249.13 $1334.71 $1638.69 |
$489.18 $529.57 $572.36 $724.35 |
$679.17 $719.56 $762.35 $914.34 |
$869.16 $909.55 $952.34 $1104.33 |
$189.99 |
Plan: (HMO) Molina Marketplace Options BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-560-2043 - Provider Directory for This Plan: (Molina Healthcare of Wisconsin, Inc.)
Deductible: Individual:
$6,650
: Family:
$13,300 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 |
$260.85 $296.06 $333.36 $465.87 $707.93 |
$521.70 $592.12 $666.72 $931.74 $1415.86 |
$687.34 $757.76 $832.36 $1097.38 |
$852.98 $923.40 $998.00 $1263.02 |
$1018.62 $1089.04 $1163.64 $1428.66 |
$426.49 $461.70 $499.00 $631.51 |
$592.13 $627.34 $664.64 $797.15 |
$757.77 $792.98 $830.28 $962.79 |
$165.64 |
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Network Health PlanLocal: 1-920-720-1400 x1400 | Toll Free: 1-855-275-1400 TTY: 1-800-947-3529 |
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Plan: (HMO) Prestige Silver 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-275-1400 - Provider Directory for This Plan: (Network 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 |
$335.63 $380.94 $428.93 $599.43 $910.89 |
$671.26 $761.88 $857.86 $1198.86 $1821.78 |
$884.39 $975.01 $1070.99 $1411.99 |
$1097.52 $1188.14 $1284.12 $1625.12 |
$1310.65 $1401.27 $1497.25 $1838.25 |
$548.76 $594.07 $642.06 $812.56 |
$761.89 $807.20 $855.19 $1025.69 |
$975.02 $1020.33 $1068.32 $1238.82 |
$213.13 |
Plan: (HMO) Prestige Bronze 20 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-275-1400 - Provider Directory for This Plan: (Network Health Plan)
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 |
$298.03 $338.27 $380.89 $532.29 $808.86 |
$596.06 $676.54 $761.78 $1064.58 $1617.72 |
$785.31 $865.79 $951.03 $1253.83 |
$974.56 $1055.04 $1140.28 $1443.08 |
$1163.81 $1244.29 $1329.53 $1632.33 |
$487.28 $527.52 $570.14 $721.54 |
$676.53 $716.77 $759.39 $910.79 |
$865.78 $906.02 $948.64 $1100.04 |
$189.25 |
Plan: (HMO) Prestige Silver 20 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-275-1400 - Provider Directory for This Plan: (Network Health Plan)
Deductible: Individual:
$2,600
: Family:
$5,200 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 |
$338.02 $383.66 $431.99 $603.71 $917.39 |
$676.04 $767.32 $863.98 $1207.42 $1834.78 |
$890.69 $981.97 $1078.63 $1422.07 |
$1105.34 $1196.62 $1293.28 $1636.72 |
$1319.99 $1411.27 $1507.93 $1851.37 |
$552.67 $598.31 $646.64 $818.36 |
$767.32 $812.96 $861.29 $1033.01 |
$981.97 $1027.61 $1075.94 $1247.66 |
$214.65 |
Plan: (HMO) Prestige Bronze EssentialSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-275-1400 - Provider Directory for This Plan: (Network Health Plan)
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 |
$295.94 $335.89 $378.21 $528.54 $803.17 |
$591.88 $671.78 $756.42 $1057.08 $1606.34 |
$779.80 $859.70 $944.34 $1245.00 |
$967.72 $1047.62 $1132.26 $1432.92 |
$1155.64 $1235.54 $1320.18 $1620.84 |
$483.86 $523.81 $566.13 $716.46 |
$671.78 $711.73 $754.05 $904.38 |
$859.70 $899.65 $941.97 $1092.30 |
$187.92 |
Plan: (HMO) Prestige Bronze StandardSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-275-1400 - Provider Directory for This Plan: (Network Health Plan)
Deductible: Individual:
$6,650
: Family:
$13,300 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 |
$302.52 $343.36 $386.62 $540.30 $821.04 |
$605.04 $686.72 $773.24 $1080.60 $1642.08 |
$797.14 $878.82 $965.34 $1272.70 |
$989.24 $1070.92 $1157.44 $1464.80 |
$1181.34 $1263.02 $1349.54 $1656.90 |
$494.62 $535.46 $578.72 $732.40 |
$686.72 $727.56 $770.82 $924.50 |
$878.82 $919.66 $962.92 $1116.60 |
$192.10 |
Plan: (HMO) Prestige Silver StandardSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-275-1400 - Provider Directory for This Plan: (Network Health Plan)
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 |
$351.98 $399.49 $449.82 $628.63 $955.26 |
$703.96 $798.98 $899.64 $1257.26 $1910.52 |
$927.47 $1022.49 $1123.15 $1480.77 |
$1150.98 $1246.00 $1346.66 $1704.28 |
$1374.49 $1469.51 $1570.17 $1927.79 |
$575.49 $623.00 $673.33 $852.14 |
$799.00 $846.51 $896.84 $1075.65 |
$1022.51 $1070.02 $1120.35 $1299.16 |
$223.51 |
Plan: (HMO) Prestige Silver EssentialSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-275-1400 - Provider Directory for This Plan: (Network Health Plan)
Deductible: Individual:
$2,500
: Family:
$5,000 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 |
$379.88 $431.17 $485.49 $678.47 $1030.99 |
$759.76 $862.34 $970.98 $1356.94 $2061.98 |
$1000.99 $1103.57 $1212.21 $1598.17 |
$1242.22 $1344.80 $1453.44 $1839.40 |
$1483.45 $1586.03 $1694.67 $2080.63 |
$621.11 $672.40 $726.72 $919.70 |
$862.34 $913.63 $967.95 $1160.93 |
$1103.57 $1154.86 $1209.18 $1402.16 |
$241.23 |
Plan: (HMO) Prestige Gold StandardSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-275-1400 - Provider Directory for This Plan: (Network Health Plan)
Deductible: Individual:
$1,250
: Family:
$2,500 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 |
Gold | 21 30 40 50 60 |
$413.21 $469.00 $528.09 $738.00 $1121.45 |
$826.42 $938.00 $1056.18 $1476.00 $2242.90 |
$1088.81 $1200.39 $1318.57 $1738.39 |
$1351.20 $1462.78 $1580.96 $2000.78 |
$1613.59 $1725.17 $1843.35 $2263.17 |
$675.60 $731.39 $790.48 $1000.39 |
$937.99 $993.78 $1052.87 $1262.78 |
$1200.38 $1256.17 $1315.26 $1525.17 |
$262.39 |
Plan: (HMO) Prestige Gold EssentialSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-275-1400 - Provider Directory for This Plan: (Network Health Plan)
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 |
$423.76 $480.97 $541.57 $756.84 $1150.08 |
$847.52 $961.94 $1083.14 $1513.68 $2300.16 |
$1116.61 $1231.03 $1352.23 $1782.77 |
$1385.70 $1500.12 $1621.32 $2051.86 |
$1654.79 $1769.21 $1890.41 $2320.95 |
$692.85 $750.06 $810.66 $1025.93 |
$961.94 $1019.15 $1079.75 $1295.02 |
$1231.03 $1288.24 $1348.84 $1564.11 |
$269.09 |
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Common Ground Healthcare CooperativeLocal: 1-877-514-2442 | Toll Free: 1-877-514-2442 TTY: 1-855-643-5001 |
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Plan: (PPO) Envision Aurora Bellin PPO - Gold 1000/90Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-514-2442 - Provider Directory for This Plan: (Common Ground Healthcare Cooperative)
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 |
$435.05 $493.77 $555.98 $776.98 $1180.69 |
$870.10 $987.54 $1111.96 $1553.96 $2361.38 |
$1146.35 $1263.79 $1388.21 $1830.21 |
$1422.60 $1540.04 $1664.46 $2106.46 |
$1698.85 $1816.29 $1940.71 $2382.71 |
$711.30 $770.02 $832.23 $1053.23 |
$987.55 $1046.27 $1108.48 $1329.48 |
$1263.80 $1322.52 $1384.73 $1605.73 |
$276.25 |
Plan: (PPO) Envision Aurora Bellin PPO - Silver 3800/80Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-514-2442 - Provider Directory for This Plan: (Common Ground Healthcare Cooperative)
Deductible: Individual:
$3,800
: Family:
$7,600 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 |
$347.20 $394.06 $443.70 $620.08 $942.27 |
$694.40 $788.12 $887.40 $1240.16 $1884.54 |
$914.86 $1008.58 $1107.86 $1460.62 |
$1135.32 $1229.04 $1328.32 $1681.08 |
$1355.78 $1449.50 $1548.78 $1901.54 |
$567.66 $614.52 $664.16 $840.54 |
$788.12 $834.98 $884.62 $1061.00 |
$1008.58 $1055.44 $1105.08 $1281.46 |
$220.46 |
Plan: (PPO) Envision Aurora Bellin PPO - Silver 2500/80/Copy35Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-514-2442 - Provider Directory for This Plan: (Common Ground Healthcare Cooperative)
Deductible: Individual:
$2,500
: Family:
$5,000 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 |
$360.30 $408.93 $460.45 $643.48 $977.83 |
$720.60 $817.86 $920.90 $1286.96 $1955.66 |
$949.39 $1046.65 $1149.69 $1515.75 |
$1178.18 $1275.44 $1378.48 $1744.54 |
$1406.97 $1504.23 $1607.27 $1973.33 |
$589.09 $637.72 $689.24 $872.27 |
$817.88 $866.51 $918.03 $1101.06 |
$1046.67 $1095.30 $1146.82 $1329.85 |
$228.79 |
Plan: (PPO) Envision Aurora Bellin PPO - Silver 2400/80Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-514-2442 - Provider Directory for This Plan: (Common Ground Healthcare Cooperative)
Deductible: Individual:
$2,400
: Family:
$4,800 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 |
$359.76 $408.31 $459.76 $642.51 $976.35 |
$719.52 $816.62 $919.52 $1285.02 $1952.70 |
$947.96 $1045.06 $1147.96 $1513.46 |
$1176.40 $1273.50 $1376.40 $1741.90 |
$1404.84 $1501.94 $1604.84 $1970.34 |
$588.20 $636.75 $688.20 $870.95 |
$816.64 $865.19 $916.64 $1099.39 |
$1045.08 $1093.63 $1145.08 $1327.83 |
$228.44 |
Plan: (PPO) Envision Aurora Bellin PPO - Silver 2000/70Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-514-2442 - Provider Directory for This Plan: (Common Ground Healthcare Cooperative)
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 |
$349.37 $396.53 $446.49 $623.96 $948.17 |
$698.74 $793.06 $892.98 $1247.92 $1896.34 |
$920.59 $1014.91 $1114.83 $1469.77 |
$1142.44 $1236.76 $1336.68 $1691.62 |
$1364.29 $1458.61 $1558.53 $1913.47 |
$571.22 $618.38 $668.34 $845.81 |
$793.07 $840.23 $890.19 $1067.66 |
$1014.92 $1062.08 $1112.04 $1289.51 |
$221.85 |
Plan: (PPO) Envision Aurora Bellin PPO - Catastrophic 7150/100Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-514-2442 - Provider Directory for This Plan: (Common Ground Healthcare Cooperative)
Deductible: Individual:
$7,150
: Family:
$14,300 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 |
Catastrophic | 21 30 40 50 60 |
$232.99 $264.44 $297.75 $416.11 $632.31 |
$465.98 $528.88 $595.50 $832.22 $1264.62 |
$613.92 $676.82 $743.44 $980.16 |
$761.86 $824.76 $891.38 $1128.10 |
$909.80 $972.70 $1039.32 $1276.04 |
$380.93 $412.38 $445.69 $564.05 |
$528.87 $560.32 $593.63 $711.99 |
$676.81 $708.26 $741.57 $859.93 |
$147.94 |
Plan: (PPO) Envision Aurora Bellin PPO - Bronze 7150/100Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-514-2442 - Provider Directory for This Plan: (Common Ground Healthcare Cooperative)
Deductible: Individual:
$7,150
: Family:
$14,300 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 |
$284.87 $323.31 $364.05 $508.76 $773.10 |
$569.74 $646.62 $728.10 $1017.52 $1546.20 |
$750.62 $827.50 $908.98 $1198.40 |
$931.50 $1008.38 $1089.86 $1379.28 |
$1112.38 $1189.26 $1270.74 $1560.16 |
$465.75 $504.19 $544.93 $689.64 |
$646.63 $685.07 $725.81 $870.52 |
$827.51 $865.95 $906.69 $1051.40 |
$180.88 |
Plan: (PPO) Envision Aurora Bellin PPO - HSA Silver 3000/80Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-514-2442 - Provider Directory for This Plan: (Common Ground Healthcare Cooperative)
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 |
$359.11 $407.58 $458.93 $641.35 $974.59 |
$718.22 $815.16 $917.86 $1282.70 $1949.18 |
$946.25 $1043.19 $1145.89 $1510.73 |
$1174.28 $1271.22 $1373.92 $1738.76 |
$1402.31 $1499.25 $1601.95 $1966.79 |
$587.14 $635.61 $686.96 $869.38 |
$815.17 $863.64 $914.99 $1097.41 |
$1043.20 $1091.67 $1143.02 $1325.44 |
$228.03 |
Plan: (PPO) Envision Aurora Bellin PPO - HSA Bronze 6500/100Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-514-2442 - Provider Directory for This Plan: (Common Ground Healthcare Cooperative)
Deductible: 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 |
$288.87 $327.85 $369.16 $515.90 $783.95 |
$577.74 $655.70 $738.32 $1031.80 $1567.90 |
$761.16 $839.12 $921.74 $1215.22 |
$944.58 $1022.54 $1105.16 $1398.64 |
$1128.00 $1205.96 $1288.58 $1582.06 |
$472.29 $511.27 $552.58 $699.32 |
$655.71 $694.69 $736.00 $882.74 |
$839.13 $878.11 $919.42 $1066.16 |
$183.42 |
Plan: (PPO) Envision Aurora Bellin PPO - Silver 3500/80Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-514-2442 - Provider Directory for This Plan: (Common Ground Healthcare Cooperative)
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 |
$355.84 $403.87 $454.75 $635.51 $965.72 |
$711.68 $807.74 $909.50 $1271.02 $1931.44 |
$937.63 $1033.69 $1135.45 $1496.97 |
$1163.58 $1259.64 $1361.40 $1722.92 |
$1389.53 $1485.59 $1587.35 $1948.87 |
$581.79 $629.82 $680.70 $861.46 |
$807.74 $855.77 $906.65 $1087.41 |
$1033.69 $1081.72 $1132.60 $1313.36 |
$225.95 |
Plan: (PPO) Envision Aurora Bellin PPO - Silver 5200/80Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-514-2442 - Provider Directory for This Plan: (Common Ground Healthcare Cooperative)
Deductible: Individual:
$5,200
: Family:
$10,400 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 |
$286.59 $325.27 $366.25 $511.83 $777.77 |
$573.18 $650.54 $732.50 $1023.66 $1555.54 |
$755.16 $832.52 $914.48 $1205.64 |
$937.14 $1014.50 $1096.46 $1387.62 |
$1119.12 $1196.48 $1278.44 $1569.60 |
$468.57 $507.25 $548.23 $693.81 |
$650.55 $689.23 $730.21 $875.79 |
$832.53 $871.21 $912.19 $1057.77 |
$181.98 |