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Providers for Zip Code 54481

LegalConsumer.com/obamacare

ObamacareByZipCode.com

Obamacare 2018 Marketplace Rates For Portage County, Wisconsin

Wednesday, April 17th, 2024


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 Portage County, Wisconsin.

Obamacare Providers, Plans and 2018 Rates for Portage County

Portage County is in “Rating Area 10” of Wisconsin.

Currently, there are 32 plans offered in Rating Area 10.

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 Stevens Point, WI area accept this insurance coverage as within the plan's "network".
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
Out of Pocket Maximum per year: Individual: $3,500 : Family: $7,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $439.39
$498.69
$561.53
$784.73
$1,192.47		 $878.78
$997.38
$1,123.06
$1,569.46
$2,384.94		 $1,214.90
$1,333.50
$1,459.18
$1,905.58		 $1,551.02
$1,669.62
$1,795.30
$2,241.70		 $1,887.14
$2,005.74
$2,131.42
$2,577.82		 $775.51
$834.81
$897.65
$1,120.85		 $1,111.63
$1,170.93
$1,233.77
$1,456.97		 $1,447.75
$1,507.05
$1,569.89
$1,793.09		 $336.12

Plan: (EPO) Select $5,500 HDHP

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $310.72
$352.65
$397.08
$554.92
$843.25		 $621.44
$705.30
$794.16
$1,109.84
$1,686.50		 $859.13
$942.99
$1,031.85
$1,347.53		 $1,096.82
$1,180.68
$1,269.54
$1,585.22		 $1,334.51
$1,418.37
$1,507.23
$1,822.91		 $548.41
$590.34
$634.77
$792.61		 $786.10
$828.03
$872.46
$1,030.30		 $1,023.79
$1,065.72
$1,110.15
$1,267.99		 $237.69

Plan: (EPO) Select $3,750 HDHP

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: $3,750 : Family: $7,500
Out of Pocket Maximum per year: 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		 $477.20
$541.61
$609.85
$852.26
$1,295.09		 $954.40
$1,083.22
$1,219.70
$1,704.52
$2,590.18		 $1,319.45
$1,448.27
$1,584.75
$2,069.57		 $1,684.50
$1,813.32
$1,949.80
$2,434.62		 $2,049.55
$2,178.37
$2,314.85
$2,799.67		 $842.25
$906.66
$974.90
$1,217.31		 $1,207.30
$1,271.71
$1,339.95
$1,582.36		 $1,572.35
$1,636.76
$1,705.00
$1,947.41		 $365.05

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $445.18
$505.27
$568.93
$795.08
$1,208.20		 $890.36
$1,010.54
$1,137.86
$1,590.16
$2,416.40		 $1,230.92
$1,351.10
$1,478.42
$1,930.72		 $1,571.48
$1,691.66
$1,818.98
$2,271.28		 $1,912.04
$2,032.22
$2,159.54
$2,611.84		 $785.74
$845.83
$909.49
$1,135.64		 $1,126.30
$1,186.39
$1,250.05
$1,476.20		 $1,466.86
$1,526.95
$1,590.61
$1,816.76		 $340.56

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
Out of Pocket Maximum per year: Individual: $7,300 : Family: $14,600

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
Silver 21
30
40
50
60		 $442.44
$502.15
$565.42
$790.18
$1,200.75		 $884.88
$1,004.30
$1,130.84
$1,580.36
$2,401.50		 $1,223.34
$1,342.76
$1,469.30
$1,918.82		 $1,561.80
$1,681.22
$1,807.76
$2,257.28		 $1,900.26
$2,019.68
$2,146.22
$2,595.74		 $780.90
$840.61
$903.88
$1,128.64		 $1,119.36
$1,179.07
$1,242.34
$1,467.10		 $1,457.82
$1,517.53
$1,580.80
$1,805.56		 $338.46

Plan: (EPO) Select $6,000 HDHP

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
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

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		 $304.92
$346.08
$389.68
$544.57
$827.53		 $609.84
$692.16
$779.36
$1,089.14
$1,655.06		 $843.10
$925.42
$1,012.62
$1,322.40		 $1,076.36
$1,158.68
$1,245.88
$1,555.66		 $1,309.62
$1,391.94
$1,479.14
$1,788.92		 $538.18
$579.34
$622.94
$777.83		 $771.44
$812.60
$856.20
$1,011.09		 $1,004.70
$1,045.86
$1,089.46
$1,244.35		 $233.26

Plan: (EPO) Select Protection

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: $7,350 : Family: $14,700
Out of Pocket Maximum per year: 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		 $193.02
$219.07
$246.67
$344.71
$523.83		 $386.04
$438.14
$493.34
$689.42
$1,047.66		 $533.69
$585.79
$640.99
$837.07		 $681.34
$733.44
$788.64
$984.72		 $828.99
$881.09
$936.29
$1,132.37		 $340.67
$366.72
$394.32
$492.36		 $488.32
$514.37
$541.97
$640.01		 $635.97
$662.02
$689.62
$787.66		 $147.65

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
Out of Pocket Maximum per year: 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
Silver 21
30
40
50
60		 $417.13
$473.43
$533.08
$744.98
$1,132.06		 $834.26
$946.86
$1,066.16
$1,489.96
$2,264.12		 $1,153.36
$1,265.96
$1,385.26
$1,809.06		 $1,472.46
$1,585.06
$1,704.36
$2,128.16		 $1,791.56
$1,904.16
$2,023.46
$2,447.26		 $736.23
$792.53
$852.18
$1,064.08		 $1,055.33
$1,111.63
$1,171.28
$1,383.18		 $1,374.43
$1,430.73
$1,490.38
$1,702.28		 $319.10

Plan: (EPO) Select $6,500

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $290.59
$329.81
$371.36
$518.98
$788.64		 $581.18
$659.62
$742.72
$1,037.96
$1,577.28		 $803.47
$881.91
$965.01
$1,260.25		 $1,025.76
$1,104.20
$1,187.30
$1,482.54		 $1,248.05
$1,326.49
$1,409.59
$1,704.83		 $512.88
$552.10
$593.65
$741.27		 $735.17
$774.39
$815.94
$963.56		 $957.46
$996.68
$1,038.23
$1,185.85		 $222.29

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
Out of Pocket Maximum per year: 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
Silver 21
30
40
50
60		 $410.73
$466.16
$524.90
$733.54
$1,114.68		 $821.46
$932.32
$1,049.80
$1,467.08
$2,229.36		 $1,135.66
$1,246.52
$1,364.00
$1,781.28		 $1,449.86
$1,560.72
$1,678.20
$2,095.48		 $1,764.06
$1,874.92
$1,992.40
$2,409.68		 $724.93
$780.36
$839.10
$1,047.74		 $1,039.13
$1,094.56
$1,153.30
$1,361.94		 $1,353.33
$1,408.76
$1,467.50
$1,676.14		 $314.20
ADVERTISEMENT

Aspirus Arise Health Plan of Wisconsin, Inc.

Local: 1-800-332-6290 | Toll Free: 1-800-332-6290

TTY: 1-888-332-0144

Plan: (HMO) HMO Silver 7000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

Deductible: Individual: $7,000 : Family: $14,000
Out of Pocket Maximum per year: Individual: $7,000 : Family: $14,000

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		 $438.76
$497.99
$560.74
$783.63
$1,190.79		 $877.52
$995.98
$1,121.48
$1,567.26
$2,381.58		 $1,213.17
$1,331.63
$1,457.13
$1,902.91		 $1,548.82
$1,667.28
$1,792.78
$2,238.56		 $1,884.47
$2,002.93
$2,128.43
$2,574.21		 $774.41
$833.64
$896.39
$1,119.28		 $1,110.06
$1,169.29
$1,232.04
$1,454.93		 $1,445.71
$1,504.94
$1,567.69
$1,790.58		 $335.65
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 $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
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $420.18
$476.89
$536.98
$750.42
$1,140.34		 $840.36
$953.78
$1,073.96
$1,500.84
$2,280.68		 $1,161.79
$1,275.21
$1,395.39
$1,822.27		 $1,483.22
$1,596.64
$1,716.82
$2,143.70		 $1,804.65
$1,918.07
$2,038.25
$2,465.13		 $741.61
$798.32
$858.41
$1,071.85		 $1,063.04
$1,119.75
$1,179.84
$1,393.28		 $1,384.47
$1,441.18
$1,501.27
$1,714.71		 $321.43

Plan: (EPO) Select $7,350

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: $7,350 : Family: $14,700
Out of Pocket Maximum per year: 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		 $286.63
$325.31
$366.30
$511.90
$777.88		 $573.26
$650.62
$732.60
$1,023.80
$1,555.76		 $792.52
$869.88
$951.86
$1,243.06		 $1,011.78
$1,089.14
$1,171.12
$1,462.32		 $1,231.04
$1,308.40
$1,390.38
$1,681.58		 $505.89
$544.57
$585.56
$731.16		 $725.15
$763.83
$804.82
$950.42		 $944.41
$983.09
$1,024.08
$1,169.68		 $219.26

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
Out of Pocket Maximum per year: Individual: $5,400 : Family: $10,800

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		 $396.09
$449.55
$506.19
$707.40
$1,074.96		 $792.18
$899.10
$1,012.38
$1,414.80
$2,149.92		 $1,095.18
$1,202.10
$1,315.38
$1,717.80		 $1,398.18
$1,505.10
$1,618.38
$2,020.80		 $1,701.18
$1,808.10
$1,921.38
$2,323.80		 $699.09
$752.55
$809.19
$1,010.40		 $1,002.09
$1,055.55
$1,112.19
$1,313.40		 $1,305.09
$1,358.55
$1,415.19
$1,616.40		 $303.00

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
Out of Pocket Maximum per year: Individual: $7,300 : Family: $14,600

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
Silver 21
30
40
50
60		 $395.18
$448.51
$505.02
$705.77
$1,072.48		 $790.36
$897.02
$1,010.04
$1,411.54
$2,144.96		 $1,092.66
$1,199.32
$1,312.34
$1,713.84		 $1,394.96
$1,501.62
$1,614.64
$2,016.14		 $1,697.26
$1,803.92
$1,916.94
$2,318.44		 $697.48
$750.81
$807.32
$1,008.07		 $999.78
$1,053.11
$1,109.62
$1,310.37		 $1,302.08
$1,355.41
$1,411.92
$1,612.67		 $302.30
ADVERTISEMENT

Aspirus Arise Health Plan of Wisconsin, Inc.

Local: 1-800-332-6290 | Toll Free: 1-800-332-6290

TTY: 1-888-332-0144

Plan: (HMO) HMO Gold 2000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $3,850 : Family: $7,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $683.60
$775.89
$873.64
$1,220.91
$1,855.29		 $1,367.20
$1,551.78
$1,747.28
$2,441.82
$3,710.58		 $1,890.15
$2,074.73
$2,270.23
$2,964.77		 $2,413.10
$2,597.68
$2,793.18
$3,487.72		 $2,936.05
$3,120.63
$3,316.13
$4,010.67		 $1,206.55
$1,298.84
$1,396.59
$1,743.86		 $1,729.50
$1,821.79
$1,919.54
$2,266.81		 $2,252.45
$2,344.74
$2,442.49
$2,789.76		 $522.95

Plan: (HMO) HMO Silver 4500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

Deductible: Individual: $4,500 : Family: $9,000
Out of Pocket Maximum per year: 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
Silver 21
30
40
50
60		 $455.67
$517.19
$582.35
$813.83
$1,236.69		 $911.34
$1,034.38
$1,164.70
$1,627.66
$2,473.38		 $1,259.93
$1,382.97
$1,513.29
$1,976.25		 $1,608.52
$1,731.56
$1,861.88
$2,324.84		 $1,957.11
$2,080.15
$2,210.47
$2,673.43		 $804.26
$865.78
$930.94
$1,162.42		 $1,152.85
$1,214.37
$1,279.53
$1,511.01		 $1,501.44
$1,562.96
$1,628.12
$1,859.60		 $348.59

Plan: (HMO) HMO HDHP Bronze 5500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: 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
Bronze 21
30
40
50
60		 $296.94
$337.03
$379.49
$530.33
$805.90		 $593.88
$674.06
$758.98
$1,060.66
$1,611.80		 $821.04
$901.22
$986.14
$1,287.82		 $1,048.20
$1,128.38
$1,213.30
$1,514.98		 $1,275.36
$1,355.54
$1,440.46
$1,742.14		 $524.10
$564.19
$606.65
$757.49		 $751.26
$791.35
$833.81
$984.65		 $978.42
$1,018.51
$1,060.97
$1,211.81		 $227.16

Plan: (HMO) HMO HDHP Silver 2700

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

Deductible: Individual: $2,700 : Family: $5,400
Out of Pocket Maximum per year: 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
Silver 21
30
40
50
60		 $448.82
$509.41
$573.59
$801.59
$1,218.10		 $897.64
$1,018.82
$1,147.18
$1,603.18
$2,436.20		 $1,240.99
$1,362.17
$1,490.53
$1,946.53		 $1,584.34
$1,705.52
$1,833.88
$2,289.88		 $1,927.69
$2,048.87
$2,177.23
$2,633.23		 $792.17
$852.76
$916.94
$1,144.94		 $1,135.52
$1,196.11
$1,260.29
$1,488.29		 $1,478.87
$1,539.46
$1,603.64
$1,831.64		 $343.35

Plan: (HMO) HMO Bronze 7350

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

Deductible: Individual: $7,350 : Family: $14,700
Out of Pocket Maximum per year: 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		 $288.06
$326.95
$368.14
$514.48
$781.79		 $576.12
$653.90
$736.28
$1,028.96
$1,563.58		 $796.49
$874.27
$956.65
$1,249.33		 $1,016.86
$1,094.64
$1,177.02
$1,469.70		 $1,237.23
$1,315.01
$1,397.39
$1,690.07		 $508.43
$547.32
$588.51
$734.85		 $728.80
$767.69
$808.88
$955.22		 $949.17
$988.06
$1,029.25
$1,175.59		 $220.37

Plan: (HMO) HMO Bronze 6250

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

Deductible: Individual: $6,250 : Family: $12,500
Out of Pocket Maximum per year: 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		 $289.54
$328.63
$370.03
$517.12
$785.81		 $579.08
$657.26
$740.06
$1,034.24
$1,571.62		 $800.58
$878.76
$961.56
$1,255.74		 $1,022.08
$1,100.26
$1,183.06
$1,477.24		 $1,243.58
$1,321.76
$1,404.56
$1,698.74		 $511.04
$550.13
$591.53
$738.62		 $732.54
$771.63
$813.03
$960.12		 $954.04
$993.13
$1,034.53
$1,181.62		 $221.50

Plan: (HMO) HMO Catastrophic 7350

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

Deductible: Individual: $7,350 : Family: $14,700
Out of Pocket Maximum per year: 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		 $251.45
$285.40
$321.35
$449.09
$682.44		 $502.90
$570.80
$642.70
$898.18
$1,364.88		 $695.26
$763.16
$835.06
$1,090.54		 $887.62
$955.52
$1,027.42
$1,282.90		 $1,079.98
$1,147.88
$1,219.78
$1,475.26		 $443.81
$477.76
$513.71
$641.45		 $636.17
$670.12
$706.07
$833.81		 $828.53
$862.48
$898.43
$1,026.17		 $192.36

Plan: (HMO) HMO HDHP Bronze 6650

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

Deductible: Individual: $6,650 : Family: $13,300
Out of Pocket Maximum per year: 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
Bronze 21
30
40
50
60		 $293.92
$333.60
$375.63
$524.94
$797.70		 $587.84
$667.20
$751.26
$1,049.88
$1,595.40		 $812.69
$892.05
$976.11
$1,274.73		 $1,037.54
$1,116.90
$1,200.96
$1,499.58		 $1,262.39
$1,341.75
$1,425.81
$1,724.43		 $518.77
$558.45
$600.48
$749.79		 $743.62
$783.30
$825.33
$974.64		 $968.47
$1,008.15
$1,050.18
$1,199.49		 $224.85

Plan: (HMO) HMO HDHP Silver 4000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $453.39
$514.60
$579.43
$809.75
$1,230.50		 $906.78
$1,029.20
$1,158.86
$1,619.50
$2,461.00		 $1,253.62
$1,376.04
$1,505.70
$1,966.34		 $1,600.46
$1,722.88
$1,852.54
$2,313.18		 $1,947.30
$2,069.72
$2,199.38
$2,660.02		 $800.23
$861.44
$926.27
$1,156.59		 $1,147.07
$1,208.28
$1,273.11
$1,503.43		 $1,493.91
$1,555.12
$1,619.95
$1,850.27		 $346.84

Plan: (HMO) Simple Choice HMO Bronze 6650

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

Deductible: Individual: $6,650 : Family: $13,300
Out of Pocket Maximum per year: 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
Expanded Bronze 21
30
40
50
60		 $296.88
$336.96
$379.41
$530.23
$805.73		 $593.76
$673.92
$758.82
$1,060.46
$1,611.46		 $820.87
$901.03
$985.93
$1,287.57		 $1,047.98
$1,128.14
$1,213.04
$1,514.68		 $1,275.09
$1,355.25
$1,440.15
$1,741.79		 $523.99
$564.07
$606.52
$757.34		 $751.10
$791.18
$833.63
$984.45		 $978.21
$1,018.29
$1,060.74
$1,211.56		 $227.11

Plan: (HMO) Simple Choice HMO Silver 3500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: 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
Silver 21
30
40
50
60		 $450.60
$511.43
$575.87
$804.77
$1,222.93		 $901.20
$1,022.86
$1,151.74
$1,609.54
$2,445.86		 $1,245.91
$1,367.57
$1,496.45
$1,954.25		 $1,590.62
$1,712.28
$1,841.16
$2,298.96		 $1,935.33
$2,056.99
$2,185.87
$2,643.67		 $795.31
$856.14
$920.58
$1,149.48		 $1,140.02
$1,200.85
$1,265.29
$1,494.19		 $1,484.73
$1,545.56
$1,610.00
$1,838.90		 $344.71

Plan: (HMO) HMO HDHP Silver 5000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: 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		 $429.93
$487.97
$549.45
$767.85
$1,166.83		 $859.86
$975.94
$1,098.90
$1,535.70
$2,333.66		 $1,188.76
$1,304.84
$1,427.80
$1,864.60		 $1,517.66
$1,633.74
$1,756.70
$2,193.50		 $1,846.56
$1,962.64
$2,085.60
$2,522.40		 $758.83
$816.87
$878.35
$1,096.75		 $1,087.73
$1,145.77
$1,207.25
$1,425.65		 $1,416.63
$1,474.67
$1,536.15
$1,754.55		 $328.90

Plan: (HMO) Simple Choice HMO HDHP Bronze 6000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: 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		 $303.06
$343.97
$387.31
$541.27
$822.50		 $606.12
$687.94
$774.62
$1,082.54
$1,645.00		 $837.96
$919.78
$1,006.46
$1,314.38		 $1,069.80
$1,151.62
$1,238.30
$1,546.22		 $1,301.64
$1,383.46
$1,470.14
$1,778.06		 $534.90
$575.81
$619.15
$773.11		 $766.74
$807.65
$850.99
$1,004.95		 $998.58
$1,039.49
$1,082.83
$1,236.79		 $231.84

Plan: (POS) POS Silver 7000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

Deductible: Individual: $7,000 : Family: $14,000
Out of Pocket Maximum per year: Individual: $7,000 : Family: $14,000

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		 $482.65
$547.81
$616.83
$862.01
$1,309.91		 $965.30
$1,095.62
$1,233.66
$1,724.02
$2,619.82		 $1,334.53
$1,464.85
$1,602.89
$2,093.25		 $1,703.76
$1,834.08
$1,972.12
$2,462.48		 $2,072.99
$2,203.31
$2,341.35
$2,831.71		 $851.88
$917.04
$986.06
$1,231.24		 $1,221.11
$1,286.27
$1,355.29
$1,600.47		 $1,590.34
$1,655.50
$1,724.52
$1,969.70		 $369.23

Plan: (POS) POS Silver 4500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

Deductible: Individual: $4,500 : Family: $9,000
Out of Pocket Maximum per year: 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
Silver 21
30
40
50
60		 $501.29
$568.96
$640.65
$895.30
$1,360.50		 $1,002.58
$1,137.92
$1,281.30
$1,790.60
$2,721.00		 $1,386.07
$1,521.41
$1,664.79
$2,174.09		 $1,769.56
$1,904.90
$2,048.28
$2,557.58		 $2,153.05
$2,288.39
$2,431.77
$2,941.07		 $884.78
$952.45
$1,024.14
$1,278.79		 $1,268.27
$1,335.94
$1,407.63
$1,662.28		 $1,651.76
$1,719.43
$1,791.12
$2,045.77		 $383.49

Plan: (POS) POS HDHP Bronze 5500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: 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
Bronze 21
30
40
50
60		 $326.71
$370.82
$417.54
$583.50
$886.69		 $653.42
$741.64
$835.08
$1,167.00
$1,773.38		 $903.35
$991.57
$1,085.01
$1,416.93		 $1,153.28
$1,241.50
$1,334.94
$1,666.86		 $1,403.21
$1,491.43
$1,584.87
$1,916.79		 $576.64
$620.75
$667.47
$833.43		 $826.57
$870.68
$917.40
$1,083.36		 $1,076.50
$1,120.61
$1,167.33
$1,333.29		 $249.93

Plan: (POS) POS HDHP Silver 2700

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-332-6290 - Provider Directory for This Plan: (Aspirus Arise Health Plan of Wisconsin, Inc.)

Deductible: Individual: $2,700 : Family: $5,400
Out of Pocket Maximum per year: 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
Silver 21
30
40
50
60		 $493.77
$560.43
$631.04
$881.87
$1,340.09		 $987.54
$1,120.86
$1,262.08
$1,763.74
$2,680.18		 $1,365.27
$1,498.59
$1,639.81
$2,141.47		 $1,743.00
$1,876.32
$2,017.54
$2,519.20		 $2,120.73
$2,254.05
$2,395.27
$2,896.93		 $871.50
$938.16
$1,008.77
$1,259.60		 $1,249.23
$1,315.89
$1,386.50
$1,637.33		 $1,626.96
$1,693.62
$1,764.23
$2,015.06		 $377.73

‡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 Portage County here.

 

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