Obamacare 2021 Rates for Jackson County
Obamacare > Rates > Wisconsin > Jackson County
Obamacare > Rates > Wisconsin > Jackson County
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QuartzLocal: 1-608-644-3430 | Toll Free: 1-800-362-3310 | TTY: 1-800-877-8973 |
Toc - Plan #1 Quartz | ||||||||||||||||||||
Silver
(HMO) Quartz One Silver I302 with Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$451,72 $512,70 $577,29 $806,76 $1 225,96 |
$797,28 $858,26 $922,85 $1 152,32 |
$1 142,84 $1 203,82 $1 268,41 $1 497,88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$903,44 $1 025,40 $1 154,58 $1 613,52 $2 451,92 |
$1 249,00 $1 370,96 $1 500,14 $1 959,08 |
$1 594,56 $1 716,52 $1 845,70 $2 304,64 |
Toc - Plan #2 Quartz | ||||||||||||||||||||
Silver
(HMO) Quartz One Silver I303 with Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$434,96 $493,68 $555,87 $776,83 $1 180,47 |
$767,70 $826,42 $888,61 $1 109,57 |
$1 100,44 $1 159,16 $1 221,35 $1 442,31 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$869,92 $987,36 $1 111,74 $1 553,66 $2 360,94 |
$1 202,66 $1 320,10 $1 444,48 $1 886,40 |
$1 535,40 $1 652,84 $1 777,22 $2 219,14 |
Toc - Plan #3 Quartz | ||||||||||||||||||||
Gold
(HMO) Quartz One Gold I402 Maintenance with Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$399,37 $453,28 $510,39 $713,27 $1 083,88 |
$704,88 $758,79 $815,90 $1 018,78 |
$1 010,39 $1 064,30 $1 121,41 $1 324,29 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$798,74 $906,56 $1 020,78 $1 426,54 $2 167,76 |
$1 104,25 $1 212,07 $1 326,29 $1 732,05 |
$1 409,76 $1 517,58 $1 631,80 $2 037,56 |
Toc - Plan #4 Quartz | ||||||||||||||||||||
Gold
(HMO) Quartz One Gold I401 with Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$403,97 $458,50 $516,27 $721,48 $1 096,36 |
$713,00 $767,53 $825,30 $1 030,51 |
$1 022,03 $1 076,56 $1 134,33 $1 339,54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$807,94 $917,00 $1 032,54 $1 442,96 $2 192,72 |
$1 116,97 $1 226,03 $1 341,57 $1 751,99 |
$1 426,00 $1 535,06 $1 650,60 $2 061,02 |
Toc - Plan #5 Quartz | ||||||||||||||||||||
Silver
(HMO) Quartz One Silver I301 with Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$450,89 $511,76 $576,24 $805,29 $1 223,71 |
$795,82 $856,69 $921,17 $1 150,22 |
$1 140,75 $1 201,62 $1 266,10 $1 495,15 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$901,78 $1 023,52 $1 152,48 $1 610,58 $2 447,42 |
$1 246,71 $1 368,45 $1 497,41 $1 955,51 |
$1 591,64 $1 713,38 $1 842,34 $2 300,44 |
Toc - Plan #6 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) Quartz One Bronze I202 with Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$311,58 $353,64 $398,20 $556,48 $845,62 |
$549,94 $592,00 $636,56 $794,84 |
$788,30 $830,36 $874,92 $1 033,20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$623,16 $707,28 $796,40 $1 112,96 $1 691,24 |
$861,52 $945,64 $1 034,76 $1 351,32 |
$1 099,88 $1 184,00 $1 273,12 $1 589,68 |
Toc - Plan #7 Quartz | ||||||||||||||||||||
Gold
(HMO) Quartz One Gold I405 with Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$399,91 $453,90 $511,08 $714,24 $1 085,35 |
$705,84 $759,83 $817,01 $1 020,17 |
$1 011,77 $1 065,76 $1 122,94 $1 326,10 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$799,82 $907,80 $1 022,16 $1 428,48 $2 170,70 |
$1 105,75 $1 213,73 $1 328,09 $1 734,41 |
$1 411,68 $1 519,66 $1 634,02 $2 040,34 |
Toc - Plan #8 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) Quartz One Bronze I201 with Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$312,69 $354,90 $399,62 $558,46 $848,64 |
$551,90 $594,11 $638,83 $797,67 |
$791,11 $833,32 $878,04 $1 036,88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$625,38 $709,80 $799,24 $1 116,92 $1 697,28 |
$864,59 $949,01 $1 038,45 $1 356,13 |
$1 103,80 $1 188,22 $1 277,66 $1 595,34 |
Toc - Plan #9 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) Quartz One Bronze I204 with Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$325,54 $369,49 $416,04 $581,41 $883,51 |
$574,58 $618,53 $665,08 $830,45 |
$823,62 $867,57 $914,12 $1 079,49 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$651,08 $738,98 $832,08 $1 162,82 $1 767,02 |
$900,12 $988,02 $1 081,12 $1 411,86 |
$1 149,16 $1 237,06 $1 330,16 $1 660,90 |
Toc - Plan #10 Quartz | ||||||||||||||||||||
Silver
(HMO) Quartz One Silver I302 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$434,07 $492,66 $554,73 $775,23 $1 178,04 |
$766,13 $824,72 $886,79 $1 107,29 |
$1 098,19 $1 156,78 $1 218,85 $1 439,35 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$868,14 $985,32 $1 109,46 $1 550,46 $2 356,08 |
$1 200,20 $1 317,38 $1 441,52 $1 882,52 |
$1 532,26 $1 649,44 $1 773,58 $2 214,58 |
Toc - Plan #11 Quartz | ||||||||||||||||||||
Silver
(HMO) Quartz One Silver I303 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$417,96 $474,38 $534,15 $746,47 $1 134,33 |
$737,70 $794,12 $853,89 $1 066,21 |
$1 057,44 $1 113,86 $1 173,63 $1 385,95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$835,92 $948,76 $1 068,30 $1 492,94 $2 268,66 |
$1 155,66 $1 268,50 $1 388,04 $1 812,68 |
$1 475,40 $1 588,24 $1 707,78 $2 132,42 |
Toc - Plan #12 Quartz | ||||||||||||||||||||
Gold
(HMO) Quartz One Gold I402 Maintenance |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383,76 $435,56 $490,44 $685,39 $1 041,52 |
$677,33 $729,13 $784,01 $978,96 |
$970,90 $1 022,70 $1 077,58 $1 272,53 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$767,52 $871,12 $980,88 $1 370,78 $2 083,04 |
$1 061,09 $1 164,69 $1 274,45 $1 664,35 |
$1 354,66 $1 458,26 $1 568,02 $1 957,92 |
Toc - Plan #13 Quartz | ||||||||||||||||||||
Gold
(HMO) Quartz One Gold I401 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388,18 $440,58 $496,09 $693,29 $1 053,51 |
$685,14 $737,54 $793,05 $990,25 |
$982,10 $1 034,50 $1 090,01 $1 287,21 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$776,36 $881,16 $992,18 $1 386,58 $2 107,02 |
$1 073,32 $1 178,12 $1 289,14 $1 683,54 |
$1 370,28 $1 475,08 $1 586,10 $1 980,50 |
Toc - Plan #14 Quartz | ||||||||||||||||||||
Silver
(HMO) Quartz One Silver I301 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$433,27 $491,76 $553,71 $773,81 $1 175,88 |
$764,72 $823,21 $885,16 $1 105,26 |
$1 096,17 $1 154,66 $1 216,61 $1 436,71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$866,54 $983,52 $1 107,42 $1 547,62 $2 351,76 |
$1 197,99 $1 314,97 $1 438,87 $1 879,07 |
$1 529,44 $1 646,42 $1 770,32 $2 210,52 |
Toc - Plan #15 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) Quartz One Bronze I202 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$299,40 $339,82 $382,63 $534,73 $812,57 |
$528,44 $568,86 $611,67 $763,77 |
$757,48 $797,90 $840,71 $992,81 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$598,80 $679,64 $765,26 $1 069,46 $1 625,14 |
$827,84 $908,68 $994,30 $1 298,50 |
$1 056,88 $1 137,72 $1 223,34 $1 527,54 |
Toc - Plan #16 Quartz | ||||||||||||||||||||
Gold
(HMO) Quartz One Gold I405 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$384,28 $436,16 $491,11 $686,32 $1 042,93 |
$678,25 $730,13 $785,08 $980,29 |
$972,22 $1 024,10 $1 079,05 $1 274,26 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$768,56 $872,32 $982,22 $1 372,64 $2 085,86 |
$1 062,53 $1 166,29 $1 276,19 $1 666,61 |
$1 356,50 $1 460,26 $1 570,16 $1 960,58 |
Toc - Plan #17 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) Quartz One Bronze I201 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$300,47 $341,03 $384,00 $536,64 $815,47 |
$530,33 $570,89 $613,86 $766,50 |
$760,19 $800,75 $843,72 $996,36 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$600,94 $682,06 $768,00 $1 073,28 $1 630,94 |
$830,80 $911,92 $997,86 $1 303,14 |
$1 060,66 $1 141,78 $1 227,72 $1 533,00 |
Toc - Plan #18 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) Quartz One Bronze I204 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$312,82 $355,04 $399,78 $558,69 $848,98 |
$552,12 $594,34 $639,08 $797,99 |
$791,42 $833,64 $878,38 $1 037,29 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$625,64 $710,08 $799,56 $1 117,38 $1 697,96 |
$864,94 $949,38 $1 038,86 $1 356,68 |
$1 104,24 $1 188,68 $1 278,16 $1 595,98 |
Toc - Plan #19 Quartz | ||||||||||||||||||||
Gold
(HMO) Quartz One Gold I404 HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$404,58 $459,20 $517,05 $722,58 $1 098,03 |
$714,08 $768,70 $826,55 $1 032,08 |
$1 023,58 $1 078,20 $1 136,05 $1 341,58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$809,16 $918,40 $1 034,10 $1 445,16 $2 196,06 |
$1 118,66 $1 227,90 $1 343,60 $1 754,66 |
$1 428,16 $1 537,40 $1 653,10 $2 064,16 |
Toc - Plan #20 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) Quartz One Bronze I203 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$307,76 $349,30 $393,31 $549,65 $835,25 |
$543,19 $584,73 $628,74 $785,08 |
$778,62 $820,16 $864,17 $1 020,51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$615,52 $698,60 $786,62 $1 099,30 $1 670,50 |
$850,95 $934,03 $1 022,05 $1 334,73 |
$1 086,38 $1 169,46 $1 257,48 $1 570,16 |
Toc - Plan #21 Quartz | ||||||||||||||||||||
Catastrophic
(HMO) Quartz One Catastrophic I101 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$224,12 $254,38 $286,42 $400,28 $608,26 |
$395,57 $425,83 $457,87 $571,73 |
$567,02 $597,28 $629,32 $743,18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$448,24 $508,76 $572,84 $800,56 $1 216,52 |
$619,69 $680,21 $744,29 $972,01 |
$791,14 $851,66 $915,74 $1 143,46 |
Toc - Plan #22 Quartz | ||||||||||||||||||||
Silver
(HMO) Quartz One Silver I304 HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$447,73 $508,17 $572,20 $799,64 $1 215,14 |
$790,24 $850,68 $914,71 $1 142,15 |
$1 132,75 $1 193,19 $1 257,22 $1 484,66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$895,46 $1 016,34 $1 144,40 $1 599,28 $2 430,28 |
$1 237,97 $1 358,85 $1 486,91 $1 941,79 |
$1 580,48 $1 701,36 $1 829,42 $2 284,30 |
Toc - Plan #23 Quartz | ||||||||||||||||||||
Gold
(HMO) Quartz One Gold I403 HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$410,54 $465,95 $524,66 $733,21 $1 114,19 |
$724,60 $780,01 $838,72 $1 047,27 |
$1 038,66 $1 094,07 $1 152,78 $1 361,33 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$821,08 $931,90 $1 049,32 $1 466,42 $2 228,38 |
$1 135,14 $1 245,96 $1 363,38 $1 780,48 |
$1 449,20 $1 560,02 $1 677,44 $2 094,54 |
ADVERTISEMENT
Security Health PlanLocal: 1-715-221-9258x19258 | Toll Free: 1-844-293-9624 | TTY: 1-877-727-2232 |
Toc - Plan #24 Security Health Plan | ||||||||||||||||||||
Catastrophic
(EPO) Select Protection |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$240,24 $272,67 $307,02 $429,06 $652,00 |
$424,02 $456,45 $490,80 $612,84 |
$607,80 $640,23 $674,58 $796,62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$480,48 $545,34 $614,04 $858,12 $1 304,00 |
$664,26 $729,12 $797,82 $1 041,90 |
$848,04 $912,90 $981,60 $1 225,68 |
Toc - Plan #25 Security Health Plan | ||||||||||||||||||||
Bronze
(EPO) Select $8,550 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351,23 $398,63 $448,86 $627,28 $953,21 |
$619,91 $667,31 $717,54 $895,96 |
$888,59 $935,99 $986,22 $1 164,64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$702,46 $797,26 $897,72 $1 254,56 $1 906,42 |
$971,14 $1 065,94 $1 166,40 $1 523,24 |
$1 239,82 $1 334,62 $1 435,08 $1 791,92 |
Toc - Plan #26 Security Health Plan | ||||||||||||||||||||
Silver
(EPO) Select $6,950 - 30% |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$532,81 $604,73 $680,92 $951,58 $1 446,02 |
$940,40 $1 012,32 $1 088,51 $1 359,17 |
$1 347,99 $1 419,91 $1 496,10 $1 766,76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 065,62 $1 209,46 $1 361,84 $1 903,16 $2 892,04 |
$1 473,21 $1 617,05 $1 769,43 $2 310,75 |
$1 880,80 $2 024,64 $2 177,02 $2 718,34 |
Toc - Plan #27 Security Health Plan | ||||||||||||||||||||
Silver
(EPO) Select $4,500 HDHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$558,10 $633,43 $713,24 $996,75 $1 514,65 |
$985,04 $1 060,37 $1 140,18 $1 423,69 |
$1 411,98 $1 487,31 $1 567,12 $1 850,63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 116,20 $1 266,86 $1 426,48 $1 993,50 $3 029,30 |
$1 543,14 $1 693,80 $1 853,42 $2 420,44 |
$1 970,08 $2 120,74 $2 280,36 $2 847,38 |
Toc - Plan #28 Security Health Plan | ||||||||||||||||||||
Bronze
(EPO) Select $7,500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356,50 $404,61 $455,59 $636,69 $967,51 |
$629,21 $677,32 $728,30 $909,40 |
$901,92 $950,03 $1 001,01 $1 182,11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$713,00 $809,22 $911,18 $1 273,38 $1 935,02 |
$985,71 $1 081,93 $1 183,89 $1 546,09 |
$1 258,42 $1 354,64 $1 456,60 $1 818,80 |
Toc - Plan #29 Security Health Plan | ||||||||||||||||||||
Silver
(EPO) Select $4,800 - 30% |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$542,29 $615,49 $693,04 $968,52 $1 471,76 |
$957,14 $1 030,34 $1 107,89 $1 383,37 |
$1 371,99 $1 445,19 $1 522,74 $1 798,22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 084,58 $1 230,98 $1 386,08 $1 937,04 $2 943,52 |
$1 499,43 $1 645,83 $1 800,93 $2 351,89 |
$1 914,28 $2 060,68 $2 215,78 $2 766,74 |
Toc - Plan #30 Security Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Select $6,200 HDHP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388,81 $441,29 $496,89 $694,40 $1 055,20 |
$686,24 $738,72 $794,32 $991,83 |
$983,67 $1 036,15 $1 091,75 $1 289,26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$777,62 $882,58 $993,78 $1 388,80 $2 110,40 |
$1 075,05 $1 180,01 $1 291,21 $1 686,23 |
$1 372,48 $1 477,44 $1 588,64 $1 983,66 |
Toc - Plan #31 Security Health Plan | ||||||||||||||||||||
Gold
(EPO) Select $3,500 - 30% |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-293-9624
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$493,12 $559,68 $630,20 $880,70 $1 338,31 |
$870,35 $936,91 $1 007,43 $1 257,93 |
$1 247,58 $1 314,14 $1 384,66 $1 635,16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$986,24 $1 119,36 $1 260,40 $1 761,40 $2 676,62 |
$1 363,47 $1 496,59 $1 637,63 $2 138,63 |
$1 740,70 $1 873,82 $2 014,86 $2 515,86 |
ADVERTISEMENT
MedicaLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-800-947-3529 |
Toc - Plan #32 Medica | ||||||||||||||||||||
Gold
(EPO) Engage by Medica Gold Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$549,97 $624,21 $702,85 $982,24 $1 492,60 |
$970,69 $1 044,93 $1 123,57 $1 402,96 |
$1 391,41 $1 465,65 $1 544,29 $1 823,68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 099,94 $1 248,42 $1 405,70 $1 964,48 $2 985,20 |
$1 520,66 $1 669,14 $1 826,42 $2 385,20 |
$1 941,38 $2 089,86 $2 247,14 $2 805,92 |
Toc - Plan #33 Medica | ||||||||||||||||||||
Silver
(EPO) Engage by Medica Silver Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$549,53 $623,70 $702,28 $981,44 $1 491,39 |
$969,91 $1 044,08 $1 122,66 $1 401,82 |
$1 390,29 $1 464,46 $1 543,04 $1 822,20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 099,06 $1 247,40 $1 404,56 $1 962,88 $2 982,78 |
$1 519,44 $1 667,78 $1 824,94 $2 383,26 |
$1 939,82 $2 088,16 $2 245,32 $2 803,64 |
Toc - Plan #34 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Engage by Medica Bronze Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391,85 $444,74 $500,78 $699,83 $1 063,46 |
$691,61 $744,50 $800,54 $999,59 |
$991,37 $1 044,26 $1 100,30 $1 299,35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783,70 $889,48 $1 001,56 $1 399,66 $2 126,92 |
$1 083,46 $1 189,24 $1 301,32 $1 699,42 |
$1 383,22 $1 489,00 $1 601,08 $1 999,18 |
Toc - Plan #35 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Engage by Medica Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$426,78 $484,38 $545,41 $762,21 $1 158,26 |
$753,26 $810,86 $871,89 $1 088,69 |
$1 079,74 $1 137,34 $1 198,37 $1 415,17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$853,56 $968,76 $1 090,82 $1 524,42 $2 316,52 |
$1 180,04 $1 295,24 $1 417,30 $1 850,90 |
$1 506,52 $1 621,72 $1 743,78 $2 177,38 |
Toc - Plan #36 Medica | ||||||||||||||||||||
Catastrophic
(EPO) Engage by Medica Catastrophic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$246,94 $280,27 $315,58 $441,02 $670,18 |
$435,84 $469,17 $504,48 $629,92 |
$624,74 $658,07 $693,38 $818,82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$493,88 $560,54 $631,16 $882,04 $1 340,36 |
$682,78 $749,44 $820,06 $1 070,94 |
$871,68 $938,34 $1 008,96 $1 259,84 |
Toc - Plan #37 Medica | ||||||||||||||||||||
Silver
(EPO) Engage by Medica Silver Share |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$551,76 $626,24 $705,14 $985,43 $1 497,45 |
$973,85 $1 048,33 $1 127,23 $1 407,52 |
$1 395,94 $1 470,42 $1 549,32 $1 829,61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1 103,52 $1 252,48 $1 410,28 $1 970,86 $2 994,90 |
$1 525,61 $1 674,57 $1 832,37 $2 392,95 |
$1 947,70 $2 096,66 $2 254,46 $2 815,04 |
Toc - Plan #38 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Engage by Medica Bronze Share Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397,88 $451,58 $508,48 $710,59 $1 079,82 |
$702,25 $755,95 $812,85 $1 014,96 |
$1 006,62 $1 060,32 $1 117,22 $1 319,33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795,76 $903,16 $1 016,96 $1 421,18 $2 159,64 |
$1 100,13 $1 207,53 $1 321,33 $1 725,55 |
$1 404,50 $1 511,90 $1 625,70 $2 029,92 |
‡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 Jackson County here.
Jackson County is in “Rating Area 6” of Wisconsin.
Currently, there are 38 plans offered in Rating Area 6.