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Providers for Zip Code 54601

Obamacare 2019 Marketplace Rates For La Crosse, WI

Sunday, April 28th, 2024


The health insurance rates listed below are for calendar year 2019.

2019 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

(click here for 2017)

(click here for 2018)

This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for La Crosse, WI.

Obamacare Providers, Plans and 2019 Rates for La Crosse County

La Crosse County is in “Rating Area 6” of Wisconsin.

Currently, there are 25 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 La Crosse, WI area accept this insurance coverage as within the plan's "network".
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Unity Health Plans Insurance Corporation

Local: 1-608-644-3430 | Toll Free: 1-800-362-3310

TTY: 1-800-877-8973

Plan: (HMO) Gundersen Health System (R) Gold Maintenance - Copay $40/$90 with Dental

Summary 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: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$417.58
$473.95
$533.67
$745.80
$1,133.31
$835.16
$947.90
$1,067.34
$1,491.60
$2,266.62
$1,154.61
$1,267.35
$1,386.79
$1,811.05
$1,474.06
$1,586.80
$1,706.24
$2,130.50
$1,793.51
$1,906.25
$2,025.69
$2,449.95
$737.03
$793.40
$853.12
$1,065.25
$1,056.48
$1,112.85
$1,172.57
$1,384.70
$1,375.93
$1,432.30
$1,492.02
$1,704.15
$381.25

Plan: (HMO) Gundersen Health System (R) Silver 5000 - Copay $50/$100 with Dental

Summary 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
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$493.85
$560.51
$631.13
$882.00
$1,340.29
$987.70
$1,121.02
$1,262.26
$1,764.00
$2,680.58
$1,365.49
$1,498.81
$1,640.05
$2,141.79
$1,743.28
$1,876.60
$2,017.84
$2,519.58
$2,121.07
$2,254.39
$2,395.63
$2,897.37
$871.64
$938.30
$1,008.92
$1,259.79
$1,249.43
$1,316.09
$1,386.71
$1,637.58
$1,627.22
$1,693.88
$1,764.50
$2,015.37
$450.88

Plan: (HMO) Gundersen Health System (R) Silver 7900 - Copay $80/$160 with Dental

Summary 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: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$477.76
$542.25
$610.57
$853.27
$1,296.63
$955.52
$1,084.50
$1,221.14
$1,706.54
$2,593.26
$1,321.00
$1,449.98
$1,586.62
$2,072.02
$1,686.48
$1,815.46
$1,952.10
$2,437.50
$2,051.96
$2,180.94
$2,317.58
$2,802.98
$843.24
$907.73
$976.05
$1,218.75
$1,208.72
$1,273.21
$1,341.53
$1,584.23
$1,574.20
$1,638.69
$1,707.01
$1,949.71
$436.19

Plan: (HMO) Gundersen Health System (R) Gold 2000 - Copay $30/$70 with Dental

Summary 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: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$407.49
$462.49
$520.76
$727.76
$1,105.90
$814.98
$924.98
$1,041.52
$1,455.52
$2,211.80
$1,126.70
$1,236.70
$1,353.24
$1,767.24
$1,438.42
$1,548.42
$1,664.96
$2,078.96
$1,750.14
$1,860.14
$1,976.68
$2,390.68
$719.21
$774.21
$832.48
$1,039.48
$1,030.93
$1,085.93
$1,144.20
$1,351.20
$1,342.65
$1,397.65
$1,455.92
$1,662.92
$372.03

Plan: (HMO) Gundersen Health System (R) Silver 4000 - Copay $45/$90 with Dental

Summary 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: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$499.33
$566.73
$638.14
$891.79
$1,355.17
$998.66
$1,133.46
$1,276.28
$1,783.58
$2,710.34
$1,380.64
$1,515.44
$1,658.26
$2,165.56
$1,762.62
$1,897.42
$2,040.24
$2,547.54
$2,144.60
$2,279.40
$2,422.22
$2,929.52
$881.31
$948.71
$1,020.12
$1,273.77
$1,263.29
$1,330.69
$1,402.10
$1,655.75
$1,645.27
$1,712.67
$1,784.08
$2,037.73
$455.88

Plan: (HMO) Gundersen Health System (R) Bronze 7500 - Copay $80/$160 with Dental

Summary 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: $7,500 : Family: $15,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
Expanded Bronze 21
30
40
50
60
$309.58
$351.37
$395.63
$552.90
$840.18
$619.16
$702.74
$791.26
$1,105.80
$1,680.36
$855.98
$939.56
$1,028.08
$1,342.62
$1,092.80
$1,176.38
$1,264.90
$1,579.44
$1,329.62
$1,413.20
$1,501.72
$1,816.26
$546.40
$588.19
$632.45
$789.72
$783.22
$825.01
$869.27
$1,026.54
$1,020.04
$1,061.83
$1,106.09
$1,263.36
$282.64

Plan: (HMO) Gundersen Health System (R) Bronze 7900 - Copay $50/$100 with Dental

Summary 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: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
Bronze 21
30
40
50
60
$301.78
$342.52
$385.67
$538.97
$819.02
$603.56
$685.04
$771.34
$1,077.94
$1,638.04
$834.42
$915.90
$1,002.20
$1,308.80
$1,065.28
$1,146.76
$1,233.06
$1,539.66
$1,296.14
$1,377.62
$1,463.92
$1,770.52
$532.64
$573.38
$616.53
$769.83
$763.50
$804.24
$847.39
$1,000.69
$994.36
$1,035.10
$1,078.25
$1,231.55
$275.52

Plan: (HMO) Gundersen Health System (R) Silver 5000 - Copay $50/$100

Summary 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
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$470.49
$534.00
$601.28
$840.29
$1,276.90
$940.98
$1,068.00
$1,202.56
$1,680.58
$2,553.80
$1,300.90
$1,427.92
$1,562.48
$2,040.50
$1,660.82
$1,787.84
$1,922.40
$2,400.42
$2,020.74
$2,147.76
$2,282.32
$2,760.34
$830.41
$893.92
$961.20
$1,200.21
$1,190.33
$1,253.84
$1,321.12
$1,560.13
$1,550.25
$1,613.76
$1,681.04
$1,920.05
$429.55

Plan: (HMO) Gundersen Health System (R) Silver 7900 - Copay $80/$160

Summary 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: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$455.16
$516.61
$581.69
$812.92
$1,235.30
$910.32
$1,033.22
$1,163.38
$1,625.84
$2,470.60
$1,258.52
$1,381.42
$1,511.58
$1,974.04
$1,606.72
$1,729.62
$1,859.78
$2,322.24
$1,954.92
$2,077.82
$2,207.98
$2,670.44
$803.36
$864.81
$929.89
$1,161.12
$1,151.56
$1,213.01
$1,278.09
$1,509.32
$1,499.76
$1,561.21
$1,626.29
$1,857.52
$415.56

Plan: (HMO) Gundersen Health System (R) Gold Maintenance - Copay $40/$90

Summary 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: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$397.84
$451.54
$508.43
$710.52
$1,079.71
$795.68
$903.08
$1,016.86
$1,421.04
$2,159.42
$1,100.02
$1,207.42
$1,321.20
$1,725.38
$1,404.36
$1,511.76
$1,625.54
$2,029.72
$1,708.70
$1,816.10
$1,929.88
$2,334.06
$702.18
$755.88
$812.77
$1,014.86
$1,006.52
$1,060.22
$1,117.11
$1,319.20
$1,310.86
$1,364.56
$1,421.45
$1,623.54
$363.22

Plan: (HMO) Gundersen Health System (R) Gold 2000 - Copay $30/$70

Summary 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: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$388.22
$440.62
$496.13
$693.34
$1,053.60
$776.44
$881.24
$992.26
$1,386.68
$2,107.20
$1,073.42
$1,178.22
$1,289.24
$1,683.66
$1,370.40
$1,475.20
$1,586.22
$1,980.64
$1,667.38
$1,772.18
$1,883.20
$2,277.62
$685.20
$737.60
$793.11
$990.32
$982.18
$1,034.58
$1,090.09
$1,287.30
$1,279.16
$1,331.56
$1,387.07
$1,584.28
$354.44

Plan: (HMO) Gundersen Health System (R) Silver 4000 - Copay $45/$90

Summary 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: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$475.71
$539.93
$607.96
$849.62
$1,291.07
$951.42
$1,079.86
$1,215.92
$1,699.24
$2,582.14
$1,315.34
$1,443.78
$1,579.84
$2,063.16
$1,679.26
$1,807.70
$1,943.76
$2,427.08
$2,043.18
$2,171.62
$2,307.68
$2,791.00
$839.63
$903.85
$971.88
$1,213.54
$1,203.55
$1,267.77
$1,335.80
$1,577.46
$1,567.47
$1,631.69
$1,699.72
$1,941.38
$434.32

Plan: (HMO) Gundersen Health System (R) Bronze 7500 - Copay $80/$160

Summary 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: $7,500 : Family: $15,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
Expanded Bronze 21
30
40
50
60
$294.94
$334.75
$376.92
$526.75
$800.45
$589.88
$669.50
$753.84
$1,053.50
$1,600.90
$815.50
$895.12
$979.46
$1,279.12
$1,041.12
$1,120.74
$1,205.08
$1,504.74
$1,266.74
$1,346.36
$1,430.70
$1,730.36
$520.56
$560.37
$602.54
$752.37
$746.18
$785.99
$828.16
$977.99
$971.80
$1,011.61
$1,053.78
$1,203.61
$269.27

Plan: (HMO) Gundersen Health System (R) Bronze 7900 - Copay $50/$100

Summary 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: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
Bronze 21
30
40
50
60
$287.51
$326.32
$367.43
$513.48
$780.29
$575.02
$652.64
$734.86
$1,026.96
$1,560.58
$794.96
$872.58
$954.80
$1,246.90
$1,014.90
$1,092.52
$1,174.74
$1,466.84
$1,234.84
$1,312.46
$1,394.68
$1,686.78
$507.45
$546.26
$587.37
$733.42
$727.39
$766.20
$807.31
$953.36
$947.33
$986.14
$1,027.25
$1,173.30
$262.49

Plan: (HMO) Gundersen Health System (R) Silver HSA 5250

Summary 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: $5,250 : Family: $10,500
Out of Pocket Maximum per year: Individual: $5,250 : 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
$487.02
$552.76
$622.40
$869.80
$1,321.75
$974.04
$1,105.52
$1,244.80
$1,739.60
$2,643.50
$1,346.60
$1,478.08
$1,617.36
$2,112.16
$1,719.16
$1,850.64
$1,989.92
$2,484.72
$2,091.72
$2,223.20
$2,362.48
$2,857.28
$859.58
$925.32
$994.96
$1,242.36
$1,232.14
$1,297.88
$1,367.52
$1,614.92
$1,604.70
$1,670.44
$1,740.08
$1,987.48
$444.64

Plan: (HMO) Gundersen Health System (R) Gold HSA 2000

Summary 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: $2,000 : Family: $4,000
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
Gold 21
30
40
50
60
$406.60
$461.49
$519.63
$726.18
$1,103.51
$813.20
$922.98
$1,039.26
$1,452.36
$2,207.02
$1,124.25
$1,234.03
$1,350.31
$1,763.41
$1,435.30
$1,545.08
$1,661.36
$2,074.46
$1,746.35
$1,856.13
$1,972.41
$2,385.51
$717.65
$772.54
$830.68
$1,037.23
$1,028.70
$1,083.59
$1,141.73
$1,348.28
$1,339.75
$1,394.64
$1,452.78
$1,659.33
$371.22

Plan: (HMO) Gundersen Health System (R) Bronze HSA 6750

Summary 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: $6,750 : Family: $13,500
Out of Pocket Maximum per year: Individual: $6,750 : Family: $13,500

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$300.48
$341.04
$384.00
$536.64
$815.48
$600.96
$682.08
$768.00
$1,073.28
$1,630.96
$830.82
$911.94
$997.86
$1,303.14
$1,060.68
$1,141.80
$1,227.72
$1,533.00
$1,290.54
$1,371.66
$1,457.58
$1,762.86
$530.34
$570.90
$613.86
$766.50
$760.20
$800.76
$843.72
$996.36
$990.06
$1,030.62
$1,073.58
$1,226.22
$274.33

Plan: (HMO) Gundersen Health System (R) Catastrophic

Summary 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: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
Catastrophic 21
30
40
50
60
$223.09
$253.20
$285.10
$398.43
$605.46
$446.18
$506.40
$570.20
$796.86
$1,210.92
$616.84
$677.06
$740.86
$967.52
$787.50
$847.72
$911.52
$1,138.18
$958.16
$1,018.38
$1,082.18
$1,308.84
$393.75
$423.86
$455.76
$569.09
$564.41
$594.52
$626.42
$739.75
$735.07
$765.18
$797.08
$910.41
$203.68

Plan: (HMO) Gundersen Health System (R) Gold HSA 3000

Summary 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
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60
$410.93
$466.39
$525.16
$733.90
$1,115.24
$821.86
$932.78
$1,050.32
$1,467.80
$2,230.48
$1,136.21
$1,247.13
$1,364.67
$1,782.15
$1,450.56
$1,561.48
$1,679.02
$2,096.50
$1,764.91
$1,875.83
$1,993.37
$2,410.85
$725.28
$780.74
$839.51
$1,048.25
$1,039.63
$1,095.09
$1,153.86
$1,362.60
$1,353.98
$1,409.44
$1,468.21
$1,676.95
$375.17
ADVERTISEMENT

Medica Health Plans of Wisconsin

Local: 1-888-592-8211 | Toll Free: 1-888-592-8211

TTY: 1-800-947-3529

Plan: (EPO) Engage by Medica Gold Copay

Summary 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
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
Gold 21
30
40
50
60
$543.68
$617.07
$694.81
$971.00
$1,475.53
$1,087.36
$1,234.14
$1,389.62
$1,942.00
$2,951.06
$1,503.27
$1,650.05
$1,805.53
$2,357.91
$1,919.18
$2,065.96
$2,221.44
$2,773.82
$2,335.09
$2,481.87
$2,637.35
$3,189.73
$959.59
$1,032.98
$1,110.72
$1,386.91
$1,375.50
$1,448.89
$1,526.63
$1,802.82
$1,791.41
$1,864.80
$1,942.54
$2,218.73
$496.37

Plan: (EPO) Engage by Medica Silver Copay

Summary 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: $3,700 : Family: $11,100
Out of Pocket Maximum per year: Individual: $7,600 : Family: $15,200

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
$605.77
$687.54
$774.16
$1,081.89
$1,644.03
$1,211.54
$1,375.08
$1,548.32
$2,163.78
$3,288.06
$1,674.95
$1,838.49
$2,011.73
$2,627.19
$2,138.36
$2,301.90
$2,475.14
$3,090.60
$2,601.77
$2,765.31
$2,938.55
$3,554.01
$1,069.18
$1,150.95
$1,237.57
$1,545.30
$1,532.59
$1,614.36
$1,700.98
$2,008.71
$1,996.00
$2,077.77
$2,164.39
$2,472.12
$553.06

Plan: (EPO) Engage by Medica Bronze Copay

Summary 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
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
Bronze 21
30
40
50
60
$446.18
$506.41
$570.21
$796.87
$1,210.92
$892.36
$1,012.82
$1,140.42
$1,593.74
$2,421.84
$1,233.68
$1,354.14
$1,481.74
$1,935.06
$1,575.00
$1,695.46
$1,823.06
$2,276.38
$1,916.32
$2,036.78
$2,164.38
$2,617.70
$787.50
$847.73
$911.53
$1,138.19
$1,128.82
$1,189.05
$1,252.85
$1,479.51
$1,470.14
$1,530.37
$1,594.17
$1,820.83
$407.36

Plan: (EPO) Engage by Medica Bronze HSA

Summary 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: $6,200 : Family: $12,400
Out of Pocket Maximum per year: Individual: $6,750 : Family: $13,500

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$477.23
$541.65
$609.89
$852.32
$1,295.19
$954.46
$1,083.30
$1,219.78
$1,704.64
$2,590.38
$1,319.54
$1,448.38
$1,584.86
$2,069.72
$1,684.62
$1,813.46
$1,949.94
$2,434.80
$2,049.70
$2,178.54
$2,315.02
$2,799.88
$842.31
$906.73
$974.97
$1,217.40
$1,207.39
$1,271.81
$1,340.05
$1,582.48
$1,572.47
$1,636.89
$1,705.13
$1,947.56
$435.71

Plan: (EPO) Engage by Medica Catastrophic

Summary 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: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
Catastrophic 21
30
40
50
60
$279.70
$317.45
$357.44
$499.53
$759.08
$559.40
$634.90
$714.88
$999.06
$1,518.16
$773.36
$848.86
$928.84
$1,213.02
$987.32
$1,062.82
$1,142.80
$1,426.98
$1,201.28
$1,276.78
$1,356.76
$1,640.94
$493.66
$531.41
$571.40
$713.49
$707.62
$745.37
$785.36
$927.45
$921.58
$959.33
$999.32
$1,141.41
$255.36

Plan: (EPO) Engage by Medica Bronze HSA Plus

Summary 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: $3,100 : Family: $6,200
Out of Pocket Maximum per year: Individual: $6,750 : Family: $13,500

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
Expanded Bronze 21
30
40
50
60
$496.50
$563.52
$634.52
$886.74
$1,347.48
$993.00
$1,127.04
$1,269.04
$1,773.48
$2,694.96
$1,372.82
$1,506.86
$1,648.86
$2,153.30
$1,752.64
$1,886.68
$2,028.68
$2,533.12
$2,132.46
$2,266.50
$2,408.50
$2,912.94
$876.32
$943.34
$1,014.34
$1,266.56
$1,256.14
$1,323.16
$1,394.16
$1,646.38
$1,635.96
$1,702.98
$1,773.98
$2,026.20
$453.30

‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for La Crosse County here.

 

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