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Providers for Zip Code 54840

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ObamacareByZipCode.com

Obamacare 2019 Marketplace Rates For Burnett County, Wisconsin

Tuesday, April 16th, 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 Burnett County, Wisconsin.

Obamacare Providers, Plans and 2019 Rates for Burnett County

Burnett County is in “Rating Area 5” of Wisconsin.

Currently, there are 21 plans offered in Rating Area 5.

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 Grantsburg, WI area accept this insurance coverage as within the plan's "network".
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HealthPartners Insurance Company

Local: 1-952-883-5900 | Toll Free: 1-855-813-3887

TTY: 1-952-883-6060

Plan: (PPO) Atlas Individual $1000 w/Copay Gold

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-813-3887 - Provider Directory for This Plan: (HealthPartners Insurance Company)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $7,400 : Family: $14,800

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		 $518.71
$588.74
$662.91
$926.42
$1,407.78		 $1,037.42
$1,177.48
$1,325.82
$1,852.84
$2,815.56		 $1,434.23
$1,574.29
$1,722.63
$2,249.65		 $1,831.04
$1,971.10
$2,119.44
$2,646.46		 $2,227.85
$2,367.91
$2,516.25
$3,043.27		 $915.52
$985.55
$1,059.72
$1,323.23		 $1,312.33
$1,382.36
$1,456.53
$1,720.04		 $1,709.14
$1,779.17
$1,853.34
$2,116.85		 $473.58

Plan: (PPO) Atlas Individual $3000 Plus Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-813-3887 - Provider Directory for This Plan: (HealthPartners Insurance Company)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $7,400 : Family: $14,800

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		 $518.50
$588.50
$662.64
$926.04
$1,407.21		 $1,037.00
$1,177.00
$1,325.28
$1,852.08
$2,814.42		 $1,433.65
$1,573.65
$1,721.93
$2,248.73		 $1,830.30
$1,970.30
$2,118.58
$2,645.38		 $2,226.95
$2,366.95
$2,515.23
$3,042.03		 $915.15
$985.15
$1,059.29
$1,322.69		 $1,311.80
$1,381.80
$1,455.94
$1,719.34		 $1,708.45
$1,778.45
$1,852.59
$2,115.99		 $473.39

Plan: (PPO) Atlas Individual $6000 Plus Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-813-3887 - Provider Directory for This Plan: (HealthPartners Insurance Company)

Deductible: Individual: $6,000 : Family: $12,000
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		 $397.73
$451.42
$508.30
$710.35
$1,079.44		 $795.46
$902.84
$1,016.60
$1,420.70
$2,158.88		 $1,099.72
$1,207.10
$1,320.86
$1,724.96		 $1,403.98
$1,511.36
$1,625.12
$2,029.22		 $1,708.24
$1,815.62
$1,929.38
$2,333.48		 $701.99
$755.68
$812.56
$1,014.61		 $1,006.25
$1,059.94
$1,116.82
$1,318.87		 $1,310.51
$1,364.20
$1,421.08
$1,623.13		 $363.13

Plan: (PPO) Atlas Individual $7900 Catastrophic

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-813-3887 - Provider Directory for This Plan: (HealthPartners Insurance Company)

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		 $288.38
$327.31
$368.55
$515.05
$782.66		 $576.76
$654.62
$737.10
$1,030.10
$1,565.32		 $797.37
$875.23
$957.71
$1,250.71		 $1,017.98
$1,095.84
$1,178.32
$1,471.32		 $1,238.59
$1,316.45
$1,398.93
$1,691.93		 $508.99
$547.92
$589.16
$735.66		 $729.60
$768.53
$809.77
$956.27		 $950.21
$989.14
$1,030.38
$1,176.88		 $263.29

Plan: (PPO) Atlas Individual $3000 HSA Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-813-3887 - Provider Directory for This Plan: (HealthPartners Insurance Company)

Deductible: Individual: $3,000 : Family: $6,000
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
Silver 21
30
40
50
60		 $499.91
$567.40
$638.88
$892.84
$1,356.76		 $999.82
$1,134.80
$1,277.76
$1,785.68
$2,713.52		 $1,382.25
$1,517.23
$1,660.19
$2,168.11		 $1,764.68
$1,899.66
$2,042.62
$2,550.54		 $2,147.11
$2,282.09
$2,425.05
$2,932.97		 $882.34
$949.83
$1,021.31
$1,275.27		 $1,264.77
$1,332.26
$1,403.74
$1,657.70		 $1,647.20
$1,714.69
$1,786.17
$2,040.13		 $456.42

Plan: (PPO) Atlas Individual $6650 HSA Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-813-3887 - Provider Directory for This Plan: (HealthPartners Insurance Company)

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		 $365.18
$414.48
$466.70
$652.21
$991.10		 $730.36
$828.96
$933.40
$1,304.42
$1,982.20		 $1,009.72
$1,108.32
$1,212.76
$1,583.78		 $1,289.08
$1,387.68
$1,492.12
$1,863.14		 $1,568.44
$1,667.04
$1,771.48
$2,142.50		 $644.54
$693.84
$746.06
$931.57		 $923.90
$973.20
$1,025.42
$1,210.93		 $1,203.26
$1,252.56
$1,304.78
$1,490.29		 $333.41
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Security Health Plan of Wisconsin, Inc.

Local: 1-715-221-9258x19258 | Toll Free: 1-844-293-9624

TTY: 1-877-727-2232

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: $6,750 : 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		 $351.11
$398.50
$448.71
$627.07
$952.90		 $702.22
$797.00
$897.42
$1,254.14
$1,905.80		 $970.82
$1,065.60
$1,166.02
$1,522.74		 $1,239.42
$1,334.20
$1,434.62
$1,791.34		 $1,508.02
$1,602.80
$1,703.22
$2,059.94		 $619.71
$667.10
$717.31
$895.67		 $888.31
$935.70
$985.91
$1,164.27		 $1,156.91
$1,204.30
$1,254.51
$1,432.87		 $320.56

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: $7,900 : 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		 $228.93
$259.82
$292.56
$408.85
$621.29		 $457.86
$519.64
$585.12
$817.70
$1,242.58		 $632.98
$694.76
$760.24
$992.82		 $808.10
$869.88
$935.36
$1,167.94		 $983.22
$1,045.00
$1,110.48
$1,343.06		 $404.05
$434.94
$467.68
$583.97		 $579.17
$610.06
$642.80
$759.09		 $754.29
$785.18
$817.92
$934.21		 $209.00

Plan: (EPO) Select $4,800 - 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: $4,800 : Family: $9,600
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		 $468.73
$532.00
$599.03
$837.14
$1,272.12		 $937.46
$1,064.00
$1,198.06
$1,674.28
$2,544.24		 $1,296.03
$1,422.57
$1,556.63
$2,032.85		 $1,654.60
$1,781.14
$1,915.20
$2,391.42		 $2,013.17
$2,139.71
$2,273.77
$2,749.99		 $827.30
$890.57
$957.60
$1,195.71		 $1,185.87
$1,249.14
$1,316.17
$1,554.28		 $1,544.44
$1,607.71
$1,674.74
$1,912.85		 $427.95

Plan: (EPO) Select $7,900

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: $7,900 : 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		 $322.68
$366.22
$412.37
$576.28
$875.71		 $645.36
$732.44
$824.74
$1,152.56
$1,751.42		 $892.20
$979.28
$1,071.58
$1,399.40		 $1,139.04
$1,226.12
$1,318.42
$1,646.24		 $1,385.88
$1,472.96
$1,565.26
$1,893.08		 $569.52
$613.06
$659.21
$823.12		 $816.36
$859.90
$906.05
$1,069.96		 $1,063.20
$1,106.74
$1,152.89
$1,316.80		 $294.59

Plan: (EPO) Select $6,700 - 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: $6,700 : Family: $13,400
Out of Pocket Maximum per year: Individual: $7,800 : Family: $15,600

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		 $455.04
$516.46
$581.53
$812.69
$1,234.96		 $910.08
$1,032.92
$1,163.06
$1,625.38
$2,469.92		 $1,258.18
$1,381.02
$1,511.16
$1,973.48		 $1,606.28
$1,729.12
$1,859.26
$2,321.58		 $1,954.38
$2,077.22
$2,207.36
$2,669.68		 $803.14
$864.56
$929.63
$1,160.79		 $1,151.24
$1,212.66
$1,277.73
$1,508.89		 $1,499.34
$1,560.76
$1,625.83
$1,856.99		 $415.44

Plan: (EPO) Select $3,000 - 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: $3,000 : Family: $6,000
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $450.48
$511.28
$575.70
$804.53
$1,222.57		 $900.96
$1,022.56
$1,151.40
$1,609.06
$2,445.14		 $1,245.57
$1,367.17
$1,496.01
$1,953.67		 $1,590.18
$1,711.78
$1,840.62
$2,298.28		 $1,934.79
$2,056.39
$2,185.23
$2,642.89		 $795.09
$855.89
$920.31
$1,149.14		 $1,139.70
$1,200.50
$1,264.92
$1,493.75		 $1,484.31
$1,545.11
$1,609.53
$1,838.36		 $411.28

Plan: (EPO) Select $4,000 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: $4,000 : Family: $8,000
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
Silver 21
30
40
50
60		 $494.01
$560.69
$631.34
$882.29
$1,340.73		 $988.02
$1,121.38
$1,262.68
$1,764.58
$2,681.46		 $1,365.93
$1,499.29
$1,640.59
$2,142.49		 $1,743.84
$1,877.20
$2,018.50
$2,520.40		 $2,121.75
$2,255.11
$2,396.41
$2,898.31		 $871.92
$938.60
$1,009.25
$1,260.20		 $1,249.83
$1,316.51
$1,387.16
$1,638.11		 $1,627.74
$1,694.42
$1,765.07
$2,016.02		 $451.03

Plan: (EPO) Select $6,750 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: $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		 $349.71
$396.91
$446.92
$624.56
$949.09		 $699.42
$793.82
$893.84
$1,249.12
$1,898.18		 $966.94
$1,061.34
$1,161.36
$1,516.64		 $1,234.46
$1,328.86
$1,428.88
$1,784.16		 $1,501.98
$1,596.38
$1,696.40
$2,051.68		 $617.23
$664.43
$714.44
$892.08		 $884.75
$931.95
$981.96
$1,159.60		 $1,152.27
$1,199.47
$1,249.48
$1,427.12		 $319.28

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: $7,850 : Family: $15,700

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		 $334.96
$380.17
$428.07
$598.23
$909.06		 $669.92
$760.34
$856.14
$1,196.46
$1,818.12		 $926.16
$1,016.58
$1,112.38
$1,452.70		 $1,182.40
$1,272.82
$1,368.62
$1,708.94		 $1,438.64
$1,529.06
$1,624.86
$1,965.18		 $591.20
$636.41
$684.31
$854.47		 $847.44
$892.65
$940.55
$1,110.71		 $1,103.68
$1,148.89
$1,196.79
$1,366.95		 $305.81
ADVERTISEMENT

Medica Health Plans of Wisconsin

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

TTY: 1-800-947-3529

Plan: (EPO) Medica Individual Choice 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		 $478.47
$543.05
$611.47
$854.53
$1,298.54		 $956.94
$1,086.10
$1,222.94
$1,709.06
$2,597.08		 $1,322.96
$1,452.12
$1,588.96
$2,075.08		 $1,688.98
$1,818.14
$1,954.98
$2,441.10		 $2,055.00
$2,184.16
$2,321.00
$2,807.12		 $844.49
$909.07
$977.49
$1,220.55		 $1,210.51
$1,275.09
$1,343.51
$1,586.57		 $1,576.53
$1,641.11
$1,709.53
$1,952.59		 $436.83

Plan: (EPO) Medica Individual Choice 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		 $533.11
$605.07
$681.30
$952.12
$1,446.83		 $1,066.22
$1,210.14
$1,362.60
$1,904.24
$2,893.66		 $1,474.04
$1,617.96
$1,770.42
$2,312.06		 $1,881.86
$2,025.78
$2,178.24
$2,719.88		 $2,289.68
$2,433.60
$2,586.06
$3,127.70		 $940.93
$1,012.89
$1,089.12
$1,359.94		 $1,348.75
$1,420.71
$1,496.94
$1,767.76		 $1,756.57
$1,828.53
$1,904.76
$2,175.58		 $486.72

Plan: (EPO) Medica Individual Choice 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		 $392.68
$445.68
$501.84
$701.31
$1,065.71		 $785.36
$891.36
$1,003.68
$1,402.62
$2,131.42		 $1,085.75
$1,191.75
$1,304.07
$1,703.01		 $1,386.14
$1,492.14
$1,604.46
$2,003.40		 $1,686.53
$1,792.53
$1,904.85
$2,303.79		 $693.07
$746.07
$802.23
$1,001.70		 $993.46
$1,046.46
$1,102.62
$1,302.09		 $1,293.85
$1,346.85
$1,403.01
$1,602.48		 $358.51

Plan: (EPO) Medica Individual Choice Bronze H S A

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		 $420.00
$476.69
$536.75
$750.11
$1,139.86		 $840.00
$953.38
$1,073.50
$1,500.22
$2,279.72		 $1,161.29
$1,274.67
$1,394.79
$1,821.51		 $1,482.58
$1,595.96
$1,716.08
$2,142.80		 $1,803.87
$1,917.25
$2,037.37
$2,464.09		 $741.29
$797.98
$858.04
$1,071.40		 $1,062.58
$1,119.27
$1,179.33
$1,392.69		 $1,383.87
$1,440.56
$1,500.62
$1,713.98		 $383.45

Plan: (EPO) Medica Individual Choice 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		 $246.18
$279.40
$314.60
$439.66
$668.10		 $492.36
$558.80
$629.20
$879.32
$1,336.20		 $680.68
$747.12
$817.52
$1,067.64		 $869.00
$935.44
$1,005.84
$1,255.96		 $1,057.32
$1,123.76
$1,194.16
$1,444.28		 $434.50
$467.72
$502.92
$627.98		 $622.82
$656.04
$691.24
$816.30		 $811.14
$844.36
$879.56
$1,004.62		 $224.75

Plan: (EPO) Medica Individual Choice Bronze H S A 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		 $436.94
$495.92
$558.40
$780.36
$1,185.83		 $873.88
$991.84
$1,116.80
$1,560.72
$2,371.66		 $1,208.13
$1,326.09
$1,451.05
$1,894.97		 $1,542.38
$1,660.34
$1,785.30
$2,229.22		 $1,876.63
$1,994.59
$2,119.55
$2,563.47		 $771.19
$830.17
$892.65
$1,114.61		 $1,105.44
$1,164.42
$1,226.90
$1,448.86		 $1,439.69
$1,498.67
$1,561.15
$1,783.11		 $398.92

‡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 Burnett County here.

 

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