The health insurance rates listed below are for calendar year 2018.
2018 Rates and Providers
(click here for 2014)
(click here for 2015)
(click here for 2016)
(click here for 2017)
This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Whitehall, WI.
Obamacare Providers, Plans and 2018 Rates for Trempealeau County
Trempealeau County is in “Rating Area 6” of Wisconsin.
Currently, there are 43 plans offered in 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 Whitehall, WI area accept this insurance coverage as within the plan's "network".
ADVERTISEMENT
|
||||||||||
Medica Health Plans of WisconsinLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 TTY: 1-800-855-2880 |
||||||||||
Plan: (PPO) Engage by Medica Gold Copay PlusSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-592-8211 - Provider Directory for This Plan: (Medica Health Plans of Wisconsin)
Deductible: Individual:
$1,000
: 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 |
$622.40 $706.42 $795.42 $1,111.60 $1,689.18 |
$1,244.80 $1,412.84 $1,590.84 $2,223.20 $3,378.36 |
$1,720.93 $1,888.97 $2,066.97 $2,699.33 |
$2,197.06 $2,365.10 $2,543.10 $3,175.46 |
$2,673.19 $2,841.23 $3,019.23 $3,651.59 |
$1,098.53 $1,182.55 $1,271.55 $1,587.73 |
$1,574.66 $1,658.68 $1,747.68 $2,063.86 |
$2,050.79 $2,134.81 $2,223.81 $2,539.99 |
$476.13 |
ADVERTISEMENT
|
||||||||||
Unity Health Plans Insurance CorporationLocal: 1-608-644-3430 | Toll Free: 1-800-362-3310 TTY: 1-608-643-1421 |
||||||||||
Plan: (HMO) Gundersen Health System (R) Bronze HSA $5000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$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 |
$409.28 $464.53 $523.06 $730.97 $1,110.78 |
$818.56 $929.06 $1,046.12 $1,461.94 $2,221.56 |
$1,131.66 $1,242.16 $1,359.22 $1,775.04 |
$1,444.76 $1,555.26 $1,672.32 $2,088.14 |
$1,757.86 $1,868.36 $1,985.42 $2,401.24 |
$722.38 $777.63 $836.16 $1,044.07 |
$1,035.48 $1,090.73 $1,149.26 $1,357.17 |
$1,348.58 $1,403.83 $1,462.36 $1,670.27 |
$313.10 |
Plan: (HMO) Gundersen Health System (R) Gold Healthy You - PCP Copay $30 with DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$2,900
: Family:
$5,800 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 |
Gold | 21 30 40 50 60 |
$550.48 $624.79 $703.51 $983.15 $1,493.99 |
$1,100.96 $1,249.58 $1,407.02 $1,966.30 $2,987.98 |
$1,522.07 $1,670.69 $1,828.13 $2,387.41 |
$1,943.18 $2,091.80 $2,249.24 $2,808.52 |
$2,364.29 $2,512.91 $2,670.35 $3,229.63 |
$971.59 $1,045.90 $1,124.62 $1,404.26 |
$1,392.70 $1,467.01 $1,545.73 $1,825.37 |
$1,813.81 $1,888.12 $1,966.84 $2,246.48 |
$421.11 |
Plan: (HMO) Gundersen Health System (R) Gold First $500 with DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$3,500
: 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 |
$597.16 $677.77 $763.17 $1,066.52 $1,620.69 |
$1,194.32 $1,355.54 $1,526.34 $2,133.04 $3,241.38 |
$1,651.15 $1,812.37 $1,983.17 $2,589.87 |
$2,107.98 $2,269.20 $2,440.00 $3,046.70 |
$2,564.81 $2,726.03 $2,896.83 $3,503.53 |
$1,053.99 $1,134.60 $1,220.00 $1,523.35 |
$1,510.82 $1,591.43 $1,676.83 $1,980.18 |
$1,967.65 $2,048.26 $2,133.66 $2,437.01 |
$456.83 |
Plan: (HMO) Gundersen Health System (R) Gold Maintenance - PCP Copay $20 with DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$1,700
: Family:
$3,400 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 |
Gold | 21 30 40 50 60 |
$588.37 $667.79 $751.93 $1,050.82 $1,596.82 |
$1,176.74 $1,335.58 $1,503.86 $2,101.64 $3,193.64 |
$1,626.84 $1,785.68 $1,953.96 $2,551.74 |
$2,076.94 $2,235.78 $2,404.06 $3,001.84 |
$2,527.04 $2,685.88 $2,854.16 $3,451.94 |
$1,038.47 $1,117.89 $1,202.03 $1,500.92 |
$1,488.57 $1,567.99 $1,652.13 $1,951.02 |
$1,938.67 $2,018.09 $2,102.23 $2,401.12 |
$450.10 |
Plan: (HMO) Gundersen Health System (R) Bronze Deductible $6500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$6,500
: 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 |
$396.29 $449.79 $506.46 $707.77 $1,075.53 |
$792.58 $899.58 $1,012.92 $1,415.54 $2,151.06 |
$1,095.74 $1,202.74 $1,316.08 $1,718.70 |
$1,398.90 $1,505.90 $1,619.24 $2,021.86 |
$1,702.06 $1,809.06 $1,922.40 $2,325.02 |
$699.45 $752.95 $809.62 $1,010.93 |
$1,002.61 $1,056.11 $1,112.78 $1,314.09 |
$1,305.77 $1,359.27 $1,415.94 $1,617.25 |
$303.16 |
Plan: (HMO) Gundersen Health System (R) Silver 5000 Value - PCP Copay $35 with DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$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 |
Silver | 21 30 40 50 60 |
$538.59 $611.30 $688.31 $961.92 $1,461.73 |
$1,077.18 $1,222.60 $1,376.62 $1,923.84 $2,923.46 |
$1,489.20 $1,634.62 $1,788.64 $2,335.86 |
$1,901.22 $2,046.64 $2,200.66 $2,747.88 |
$2,313.24 $2,458.66 $2,612.68 $3,159.90 |
$950.61 $1,023.32 $1,100.33 $1,373.94 |
$1,362.63 $1,435.34 $1,512.35 $1,785.96 |
$1,774.65 $1,847.36 $1,924.37 $2,197.98 |
$412.02 |
Plan: (HMO) Gundersen Health System (R) Silver 7100 Value - PCP Copay $75 with DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$7,100
: Family:
$14,200 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 |
$527.80 $599.04 $674.52 $942.63 $1,432.42 |
$1,055.60 $1,198.08 $1,349.04 $1,885.26 $2,864.84 |
$1,459.36 $1,601.84 $1,752.80 $2,289.02 |
$1,863.12 $2,005.60 $2,156.56 $2,692.78 |
$2,266.88 $2,409.36 $2,560.32 $3,096.54 |
$931.56 $1,002.80 $1,078.28 $1,346.39 |
$1,335.32 $1,406.56 $1,482.04 $1,750.15 |
$1,739.08 $1,810.32 $1,885.80 $2,153.91 |
$403.76 |
Plan: (HMO) Gundersen Health System (R) Bronze Deductible $6500 with DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$6,500
: 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 |
$412.88 $468.62 $527.66 $737.40 $1,120.55 |
$825.76 $937.24 $1,055.32 $1,474.80 $2,241.10 |
$1,141.61 $1,253.09 $1,371.17 $1,790.65 |
$1,457.46 $1,568.94 $1,687.02 $2,106.50 |
$1,773.31 $1,884.79 $2,002.87 $2,422.35 |
$728.73 $784.47 $843.51 $1,053.25 |
$1,044.58 $1,100.32 $1,159.36 $1,369.10 |
$1,360.43 $1,416.17 $1,475.21 $1,684.95 |
$315.85 |
Plan: (HMO) Gundersen Health System (R) Gold Healthy You - PCP Copay $30Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$2,900
: Family:
$5,800 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 |
Gold | 21 30 40 50 60 |
$528.36 $599.69 $675.24 $943.65 $1,433.97 |
$1,056.72 $1,199.38 $1,350.48 $1,887.30 $2,867.94 |
$1,460.91 $1,603.57 $1,754.67 $2,291.49 |
$1,865.10 $2,007.76 $2,158.86 $2,695.68 |
$2,269.29 $2,411.95 $2,563.05 $3,099.87 |
$932.55 $1,003.88 $1,079.43 $1,347.84 |
$1,336.74 $1,408.07 $1,483.62 $1,752.03 |
$1,740.93 $1,812.26 $1,887.81 $2,156.22 |
$404.19 |
Plan: (HMO) Gundersen Health System (R) Silver 5000 Value - PCP Copay $35Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$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 |
Silver | 21 30 40 50 60 |
$516.95 $586.74 $660.66 $923.27 $1,403.00 |
$1,033.90 $1,173.48 $1,321.32 $1,846.54 $2,806.00 |
$1,429.37 $1,568.95 $1,716.79 $2,242.01 |
$1,824.84 $1,964.42 $2,112.26 $2,637.48 |
$2,220.31 $2,359.89 $2,507.73 $3,032.95 |
$912.42 $982.21 $1,056.13 $1,318.74 |
$1,307.89 $1,377.68 $1,451.60 $1,714.21 |
$1,703.36 $1,773.15 $1,847.07 $2,109.68 |
$395.47 |
Plan: (HMO) Gundersen Health System (R) Silver 7100 Value - PCP Copay $75Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$7,100
: Family:
$14,200 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 |
$506.59 $574.98 $647.42 $904.76 $1,374.88 |
$1,013.18 $1,149.96 $1,294.84 $1,809.52 $2,749.76 |
$1,400.72 $1,537.50 $1,682.38 $2,197.06 |
$1,788.26 $1,925.04 $2,069.92 $2,584.60 |
$2,175.80 $2,312.58 $2,457.46 $2,972.14 |
$894.13 $962.52 $1,034.96 $1,292.30 |
$1,281.67 $1,350.06 $1,422.50 $1,679.84 |
$1,669.21 $1,737.60 $1,810.04 $2,067.38 |
$387.54 |
Plan: (HMO) Gundersen Health System (R) Gold Maintenance - PCP Copay $20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$1,700
: Family:
$3,400 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 |
Gold | 21 30 40 50 60 |
$564.73 $640.96 $721.72 $1,008.60 $1,532.66 |
$1,129.46 $1,281.92 $1,443.44 $2,017.20 $3,065.32 |
$1,561.47 $1,713.93 $1,875.45 $2,449.21 |
$1,993.48 $2,145.94 $2,307.46 $2,881.22 |
$2,425.49 $2,577.95 $2,739.47 $3,313.23 |
$996.74 $1,072.97 $1,153.73 $1,440.61 |
$1,428.75 $1,504.98 $1,585.74 $1,872.62 |
$1,860.76 $1,936.99 $2,017.75 $2,304.63 |
$432.01 |
Plan: (HMO) Gundersen Health System (R) Gold First $500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$3,500
: 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 |
$573.17 $650.54 $732.51 $1,023.68 $1,555.58 |
$1,146.34 $1,301.08 $1,465.02 $2,047.36 $3,111.16 |
$1,584.81 $1,739.55 $1,903.49 $2,485.83 |
$2,023.28 $2,178.02 $2,341.96 $2,924.30 |
$2,461.75 $2,616.49 $2,780.43 $3,362.77 |
$1,011.64 $1,089.01 $1,170.98 $1,462.15 |
$1,450.11 $1,527.48 $1,609.45 $1,900.62 |
$1,888.58 $1,965.95 $2,047.92 $2,339.09 |
$438.47 |
Plan: (HMO) Gundersen Health System (R) Gold Standard - PCP Copay $20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$1,400
: Family:
$2,800 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 |
$575.04 $652.66 $734.89 $1,027.01 $1,560.64 |
$1,150.08 $1,305.32 $1,469.78 $2,054.02 $3,121.28 |
$1,589.98 $1,745.22 $1,909.68 $2,493.92 |
$2,029.88 $2,185.12 $2,349.58 $2,933.82 |
$2,469.78 $2,625.02 $2,789.48 $3,373.72 |
$1,014.94 $1,092.56 $1,174.79 $1,466.91 |
$1,454.84 $1,532.46 $1,614.69 $1,906.81 |
$1,894.74 $1,972.36 $2,054.59 $2,346.71 |
$439.90 |
Plan: (HMO) Gundersen Health System (R) Silver Standard - PCP Copay $30Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$3,500
: 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 |
$515.33 $584.90 $658.59 $920.37 $1,398.60 |
$1,030.66 $1,169.80 $1,317.18 $1,840.74 $2,797.20 |
$1,424.89 $1,564.03 $1,711.41 $2,234.97 |
$1,819.12 $1,958.26 $2,105.64 $2,629.20 |
$2,213.35 $2,352.49 $2,499.87 $3,023.43 |
$909.56 $979.13 $1,052.82 $1,314.60 |
$1,303.79 $1,373.36 $1,447.05 $1,708.83 |
$1,698.02 $1,767.59 $1,841.28 $2,103.06 |
$394.23 |
Plan: (HMO) Gundersen Health System (R) Bronze Standard - PCP Copay $35Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$6,650
: Family:
$13,300 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 |
Expanded Bronze | 21 30 40 50 60 |
$405.06 $459.74 $517.66 $723.43 $1,099.32 |
$810.12 $919.48 $1,035.32 $1,446.86 $2,198.64 |
$1,119.99 $1,229.35 $1,345.19 $1,756.73 |
$1,429.86 $1,539.22 $1,655.06 $2,066.60 |
$1,739.73 $1,849.09 $1,964.93 $2,376.47 |
$714.93 $769.61 $827.53 $1,033.30 |
$1,024.80 $1,079.48 $1,137.40 $1,343.17 |
$1,334.67 $1,389.35 $1,447.27 $1,653.04 |
$309.87 |
Plan: (HMO) Gundersen Health System (R) Bronze Standard HSA $6000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$6,000
: 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 |
Expanded Bronze | 21 30 40 50 60 |
$413.50 $469.32 $528.45 $738.51 $1,122.24 |
$827.00 $938.64 $1,056.90 $1,477.02 $2,244.48 |
$1,143.33 $1,254.97 $1,373.23 $1,793.35 |
$1,459.66 $1,571.30 $1,689.56 $2,109.68 |
$1,775.99 $1,887.63 $2,005.89 $2,426.01 |
$729.83 $785.65 $844.78 $1,054.84 |
$1,046.16 $1,101.98 $1,161.11 $1,371.17 |
$1,362.49 $1,418.31 $1,477.44 $1,687.50 |
$316.33 |
Plan: (HMO) Gundersen Health System (R) Silver HSA $5050Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$5,050
: Family:
$10,100 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 |
Silver | 21 30 40 50 60 |
$528.31 $599.62 $675.17 $943.55 $1,433.81 |
$1,056.62 $1,199.24 $1,350.34 $1,887.10 $2,867.62 |
$1,460.77 $1,603.39 $1,754.49 $2,291.25 |
$1,864.92 $2,007.54 $2,158.64 $2,695.40 |
$2,269.07 $2,411.69 $2,562.79 $3,099.55 |
$932.46 $1,003.77 $1,079.32 $1,347.70 |
$1,336.61 $1,407.92 $1,483.47 $1,751.85 |
$1,740.76 $1,812.07 $1,887.62 $2,156.00 |
$404.15 |
Plan: (HMO) Gundersen Health System (R) Gold HSA $1800Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$1,800
: Family:
$3,600 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 |
$568.79 $645.57 $726.91 $1,015.85 $1,543.68 |
$1,137.58 $1,291.14 $1,453.82 $2,031.70 $3,087.36 |
$1,572.70 $1,726.26 $1,888.94 $2,466.82 |
$2,007.82 $2,161.38 $2,324.06 $2,901.94 |
$2,442.94 $2,596.50 $2,759.18 $3,337.06 |
$1,003.91 $1,080.69 $1,162.03 $1,450.97 |
$1,439.03 $1,515.81 $1,597.15 $1,886.09 |
$1,874.15 $1,950.93 $2,032.27 $2,321.21 |
$435.12 |
Plan: (HMO) Gundersen Health System (R) Silver HSA $3000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$3,000
: Family:
$6,000 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 |
$525.06 $595.94 $671.02 $937.75 $1,425.01 |
$1,050.12 $1,191.88 $1,342.04 $1,875.50 $2,850.02 |
$1,451.79 $1,593.55 $1,743.71 $2,277.17 |
$1,853.46 $1,995.22 $2,145.38 $2,678.84 |
$2,255.13 $2,396.89 $2,547.05 $3,080.51 |
$926.73 $997.61 $1,072.69 $1,339.42 |
$1,328.40 $1,399.28 $1,474.36 $1,741.09 |
$1,730.07 $1,800.95 $1,876.03 $2,142.76 |
$401.67 |
Plan: (HMO) Gundersen Health System (R) Bronze HSA $6550Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$6,550
: Family:
$13,100 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 |
$404.49 $459.09 $516.94 $722.42 $1,097.78 |
$808.98 $918.18 $1,033.88 $1,444.84 $2,195.56 |
$1,118.41 $1,227.61 $1,343.31 $1,754.27 |
$1,427.84 $1,537.04 $1,652.74 $2,063.70 |
$1,737.27 $1,846.47 $1,962.17 $2,373.13 |
$713.92 $768.52 $826.37 $1,031.85 |
$1,023.35 $1,077.95 $1,135.80 $1,341.28 |
$1,332.78 $1,387.38 $1,445.23 $1,650.71 |
$309.43 |
Plan: (HMO) Gundersen Health System (R) CatastrophicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-362-3310 - Provider Directory for This Plan: (Unity Health Plans Insurance Corporation)
Deductible: Individual:
$7,350
: Family:
$14,700 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 |
$289.31 $328.36 $369.73 $516.70 $785.17 |
$578.62 $656.72 $739.46 $1,033.40 $1,570.34 |
$799.94 $878.04 $960.78 $1,254.72 |
$1,021.26 $1,099.36 $1,182.10 $1,476.04 |
$1,242.58 $1,320.68 $1,403.42 $1,697.36 |
$510.63 $549.68 $591.05 $738.02 |
$731.95 $771.00 $812.37 $959.34 |
$953.27 $992.32 $1,033.69 $1,180.66 |
|
ADVERTISEMENT
|
||||||||||
Security Health Plan of Wisconsin, Inc.Local: 1-715-221-9258 x19258 | Toll Free: 1-844-293-9624 TTY: 1-877-727-2232 |
||||||||||
Plan: (EPO) Select $1,500 - 20%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, 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 |
$462.51 $524.94 $591.08 $826.03 $1,255.23 |
$925.02 $1,049.88 $1,182.16 $1,652.06 $2,510.46 |
$1,278.84 $1,403.70 $1,535.98 $2,005.88 |
$1,632.66 $1,757.52 $1,889.80 $2,359.70 |
$1,986.48 $2,111.34 $2,243.62 $2,713.52 |
$816.33 $878.76 $944.90 $1,179.85 |
$1,170.15 $1,232.58 $1,298.72 $1,533.67 |
$1,523.97 $1,586.40 $1,652.54 $1,887.49 |
$353.82 |
Plan: (EPO) Select $3,750 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
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 |
$502.31 $570.11 $641.94 $897.11 $1,363.25 |
$1,004.62 $1,140.22 $1,283.88 $1,794.22 $2,726.50 |
$1,388.88 $1,524.48 $1,668.14 $2,178.48 |
$1,773.14 $1,908.74 $2,052.40 $2,562.74 |
$2,157.40 $2,293.00 $2,436.66 $2,947.00 |
$886.57 $954.37 $1,026.20 $1,281.37 |
$1,270.83 $1,338.63 $1,410.46 $1,665.63 |
$1,655.09 $1,722.89 $1,794.72 $2,049.89 |
$384.26 |
Plan: (EPO) Select $3,000 - 25%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, 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 |
Silver | 21 30 40 50 60 |
$468.61 $531.86 $598.87 $836.92 $1,271.78 |
$937.22 $1,063.72 $1,197.74 $1,673.84 $2,543.56 |
$1,295.70 $1,422.20 $1,556.22 $2,032.32 |
$1,654.18 $1,780.68 $1,914.70 $2,390.80 |
$2,012.66 $2,139.16 $2,273.18 $2,749.28 |
$827.09 $890.34 $957.35 $1,195.40 |
$1,185.57 $1,248.82 $1,315.83 $1,553.88 |
$1,544.05 $1,607.30 $1,674.31 $1,912.36 |
$358.48 |
Plan: (EPO) Select $6,500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
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 |
$305.88 $347.17 $390.91 $546.29 $830.14 |
$611.76 $694.34 $781.82 $1,092.58 $1,660.28 |
$845.75 $928.33 $1,015.81 $1,326.57 |
$1,079.74 $1,162.32 $1,249.80 $1,560.56 |
$1,313.73 $1,396.31 $1,483.79 $1,794.55 |
$539.87 $581.16 $624.90 $780.28 |
$773.86 $815.15 $858.89 $1,014.27 |
$1,007.85 $1,049.14 $1,092.88 $1,248.26 |
$233.99 |
Plan: (EPO) Select $2,500 - 30%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, 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 |
$465.72 $528.58 $595.18 $831.76 $1,263.94 |
$931.44 $1,057.16 $1,190.36 $1,663.52 $2,527.88 |
$1,287.71 $1,413.43 $1,546.63 $2,019.79 |
$1,643.98 $1,769.70 $1,902.90 $2,376.06 |
$2,000.25 $2,125.97 $2,259.17 $2,732.33 |
$821.99 $884.85 $951.45 $1,188.03 |
$1,178.26 $1,241.12 $1,307.72 $1,544.30 |
$1,534.53 $1,597.39 $1,663.99 $1,900.57 |
$356.27 |
Plan: (EPO) Select $6,000 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, 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 |
$320.97 $364.29 $410.19 $573.23 $871.09 |
$641.94 $728.58 $820.38 $1,146.46 $1,742.18 |
$887.47 $974.11 $1,065.91 $1,391.99 |
$1,133.00 $1,219.64 $1,311.44 $1,637.52 |
$1,378.53 $1,465.17 $1,556.97 $1,883.05 |
$566.50 $609.82 $655.72 $818.76 |
$812.03 $855.35 $901.25 $1,064.29 |
$1,057.56 $1,100.88 $1,146.78 $1,309.82 |
$245.53 |
Plan: (EPO) Select $5,500 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
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 |
$327.07 $371.21 $417.98 $584.13 $887.64 |
$654.14 $742.42 $835.96 $1,168.26 $1,775.28 |
$904.34 $992.62 $1,086.16 $1,418.46 |
$1,154.54 $1,242.82 $1,336.36 $1,668.66 |
$1,404.74 $1,493.02 $1,586.56 $1,918.86 |
$577.27 $621.41 $668.18 $834.33 |
$827.47 $871.61 $918.38 $1,084.53 |
$1,077.67 $1,121.81 $1,168.58 $1,334.73 |
$250.20 |
Plan: (EPO) Select ProtectionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$7,350
: Family:
$14,700 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 |
$203.18 $230.60 $259.65 $362.86 $551.40 |
$406.36 $461.20 $519.30 $725.72 $1,102.80 |
$561.78 $616.62 $674.72 $881.14 |
$717.20 $772.04 $830.14 $1,036.56 |
$872.62 $927.46 $985.56 $1,191.98 |
$358.60 $386.02 $415.07 $518.28 |
$514.02 $541.44 $570.49 $673.70 |
$669.44 $696.86 $725.91 $829.12 |
$155.42 |
Plan: (EPO) Select $4,500 - 30%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 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 |
$439.08 $498.35 $561.14 $784.18 $1,191.64 |
$878.16 $996.70 $1,122.28 $1,568.36 $2,383.28 |
$1,214.05 $1,332.59 $1,458.17 $1,904.25 |
$1,549.94 $1,668.48 $1,794.06 $2,240.14 |
$1,885.83 $2,004.37 $2,129.95 $2,576.03 |
$774.97 $834.24 $897.03 $1,120.07 |
$1,110.86 $1,170.13 $1,232.92 $1,455.96 |
$1,446.75 $1,506.02 $1,568.81 $1,791.85 |
$335.89 |
Plan: (EPO) Select $5,750 - 30%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$5,750
: Family:
$11,500 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 |
$432.34 $490.70 $552.52 $772.15 $1,173.35 |
$864.68 $981.40 $1,105.04 $1,544.30 $2,346.70 |
$1,195.41 $1,312.13 $1,435.77 $1,875.03 |
$1,526.14 $1,642.86 $1,766.50 $2,205.76 |
$1,856.87 $1,973.59 $2,097.23 $2,536.49 |
$763.07 $821.43 $883.25 $1,102.88 |
$1,093.80 $1,152.16 $1,213.98 $1,433.61 |
$1,424.53 $1,482.89 $1,544.71 $1,764.34 |
$330.73 |
Plan: (EPO) Select $5,000 - 10%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, 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 |
Silver | 21 30 40 50 60 |
$442.29 $501.99 $565.24 $789.92 $1,200.36 |
$884.58 $1,003.98 $1,130.48 $1,579.84 $2,400.72 |
$1,222.93 $1,342.33 $1,468.83 $1,918.19 |
$1,561.28 $1,680.68 $1,807.18 $2,256.54 |
$1,899.63 $2,019.03 $2,145.53 $2,594.89 |
$780.64 $840.34 $903.59 $1,128.27 |
$1,118.99 $1,178.69 $1,241.94 $1,466.62 |
$1,457.34 $1,517.04 $1,580.29 $1,804.97 |
$338.35 |
Plan: (EPO) Select $7,350Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$7,350
: Family:
$14,700 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 |
$301.71 $342.43 $385.58 $538.84 $818.82 |
$603.42 $684.86 $771.16 $1,077.68 $1,637.64 |
$834.22 $915.66 $1,001.96 $1,308.48 |
$1,065.02 $1,146.46 $1,232.76 $1,539.28 |
$1,295.82 $1,377.26 $1,463.56 $1,770.08 |
$532.51 $573.23 $616.38 $769.64 |
$763.31 $804.03 $847.18 $1,000.44 |
$994.11 $1,034.83 $1,077.98 $1,231.24 |
$230.80 |
Plan: (EPO) Select $2,000 - 20%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, 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 |
Gold | 21 30 40 50 60 |
$416.94 $473.21 $532.83 $744.63 $1,131.54 |
$833.88 $946.42 $1,065.66 $1,489.26 $2,263.08 |
$1,152.83 $1,265.37 $1,384.61 $1,808.21 |
$1,471.78 $1,584.32 $1,703.56 $2,127.16 |
$1,790.73 $1,903.27 $2,022.51 $2,446.11 |
$735.89 $792.16 $851.78 $1,063.58 |
$1,054.84 $1,111.11 $1,170.73 $1,382.53 |
$1,373.79 $1,430.06 $1,489.68 $1,701.48 |
$318.95 |
ADVERTISEMENT
|
||||||||||
Medica Health Plans of WisconsinLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 TTY: 1-800-855-2880 |
||||||||||
Plan: (PPO) Engage by Medica CatastrophicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-592-8211 - Provider Directory for This Plan: (Medica Health Plans of Wisconsin)
Deductible: Individual:
$7,350
: Family:
$14,700 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 |
$280.02 $317.82 $357.86 $500.10 $759.96 |
$560.04 $635.64 $715.72 $1,000.20 $1,519.92 |
$774.25 $849.85 $929.93 $1,214.41 |
$988.46 $1,064.06 $1,144.14 $1,428.62 |
$1,202.67 $1,278.27 $1,358.35 $1,642.83 |
$494.23 $532.03 $572.07 $714.31 |
$708.44 $746.24 $786.28 $928.52 |
$922.65 $960.45 $1,000.49 $1,142.73 |
$214.21 |
ADVERTISEMENT
|
||||||||||
Security Health Plan of Wisconsin, Inc.Local: 1-715-221-9258 x19258 | Toll Free: 1-844-293-9624 TTY: 1-877-727-2232 |
||||||||||
Plan: (EPO) Select $6,000 - 30%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, 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 |
Silver | 21 30 40 50 60 |
$415.97 $472.12 $531.60 $742.91 $1,128.93 |
$831.94 $944.24 $1,063.20 $1,485.82 $2,257.86 |
$1,150.15 $1,262.45 $1,381.41 $1,804.03 |
$1,468.36 $1,580.66 $1,699.62 $2,122.24 |
$1,786.57 $1,898.87 $2,017.83 $2,440.45 |
$734.18 $790.33 $849.81 $1,061.12 |
$1,052.39 $1,108.54 $1,168.02 $1,379.33 |
$1,370.60 $1,426.75 $1,486.23 $1,697.54 |
$318.21 |
ADVERTISEMENT
|
||||||||||
Medica Health Plans of WisconsinLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 TTY: 1-800-855-2880 |
||||||||||
Plan: (PPO) Engage by Medica Gold CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-592-8211 - Provider Directory for This Plan: (Medica Health Plans of Wisconsin)
Deductible: Individual:
$750
: Family:
$2,250 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 |
$549.77 $623.98 $702.60 $981.88 $1,492.06 |
$1,099.54 $1,247.96 $1,405.20 $1,963.76 $2,984.12 |
$1,520.11 $1,668.53 $1,825.77 $2,384.33 |
$1,940.68 $2,089.10 $2,246.34 $2,804.90 |
$2,361.25 $2,509.67 $2,666.91 $3,225.47 |
$970.34 $1,044.55 $1,123.17 $1,402.45 |
$1,390.91 $1,465.12 $1,543.74 $1,823.02 |
$1,811.48 $1,885.69 $1,964.31 $2,243.59 |
$420.57 |
Plan: (PPO) Engage by Medica Silver CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-592-8211 - Provider Directory for This Plan: (Medica Health Plans of Wisconsin)
Deductible: Individual:
$3,500
: Family:
$10,500 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 |
$558.81 $634.24 $714.14 $998.01 $1,516.58 |
$1,117.62 $1,268.48 $1,428.28 $1,996.02 $3,033.16 |
$1,545.10 $1,695.96 $1,855.76 $2,423.50 |
$1,972.58 $2,123.44 $2,283.24 $2,850.98 |
$2,400.06 $2,550.92 $2,710.72 $3,278.46 |
$986.29 $1,061.72 $1,141.62 $1,425.49 |
$1,413.77 $1,489.20 $1,569.10 $1,852.97 |
$1,841.25 $1,916.68 $1,996.58 $2,280.45 |
$427.48 |
Plan: (PPO) Engage by Medica Bronze CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-592-8211 - Provider Directory for This Plan: (Medica Health Plans of Wisconsin)
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 |
$457.78 $519.57 $585.03 $817.58 $1,242.39 |
$915.56 $1,039.14 $1,170.06 $1,635.16 $2,484.78 |
$1,265.75 $1,389.33 $1,520.25 $1,985.35 |
$1,615.94 $1,739.52 $1,870.44 $2,335.54 |
$1,966.13 $2,089.71 $2,220.63 $2,685.73 |
$807.97 $869.76 $935.22 $1,167.77 |
$1,158.16 $1,219.95 $1,285.41 $1,517.96 |
$1,508.35 $1,570.14 $1,635.60 $1,868.15 |
$350.19 |
Plan: (PPO) Engage by Medica Bronze HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-592-8211 - Provider Directory for This Plan: (Medica Health Plans of Wisconsin)
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 |
$436.58 $495.51 $557.94 $779.72 $1,184.86 |
$873.16 $991.02 $1,115.88 $1,559.44 $2,369.72 |
$1,207.14 $1,325.00 $1,449.86 $1,893.42 |
$1,541.12 $1,658.98 $1,783.84 $2,227.40 |
$1,875.10 $1,992.96 $2,117.82 $2,561.38 |
$770.56 $829.49 $891.92 $1,113.70 |
$1,104.54 $1,163.47 $1,225.90 $1,447.68 |
$1,438.52 $1,497.45 $1,559.88 $1,781.66 |
$333.98 |
Plan: (PPO) Engage by Medica Bronze HSA PlusSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-592-8211 - Provider Directory for This Plan: (Medica Health Plans of Wisconsin)
Deductible: Individual:
$2,600
: Family:
$5,200 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 |
Expanded Bronze | 21 30 40 50 60 |
$465.17 $527.96 $594.48 $830.78 $1,262.45 |
$930.34 $1,055.92 $1,188.96 $1,661.56 $2,524.90 |
$1,286.19 $1,411.77 $1,544.81 $2,017.41 |
$1,642.04 $1,767.62 $1,900.66 $2,373.26 |
$1,997.89 $2,123.47 $2,256.51 $2,729.11 |
$821.02 $883.81 $950.33 $1,186.63 |
$1,176.87 $1,239.66 $1,306.18 $1,542.48 |
$1,532.72 $1,595.51 $1,662.03 $1,898.33 |
$355.85 |
‡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 Trempealeau County here.