Obamacare 2021 Rates for Portage County

Obamacare > Rates > Wisconsin > Portage County

Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Portage County, WI.

The health insurance rates listed below are for calendar year 2021.

For information on subsidies to make your coverage affordable, you must take one of the following actions:

  • Contact a licensed health insurance agent
  • Complete an application at Healthcare.gov
  • Contact the provider directly

Obamacare Providers, 36 Plans and 2021 Rates for Portage County, Wisconsin

Below, you’ll find a summary of the 36 plans for Portage County, Wisconsin and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.

You may also be interested in:

Obamacare Rates and Providers for Other Years

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Security Health Plan

Local: 1-715-221-9258x19258 | Toll Free: 1-844-293-9624 | TTY: 1-877-727-2232
Toc - Plan #1 Security Health Plan
Gold

(EPO) SimplyOne $3,500 - 30%

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-293-9624

Annual Out of Pocket Expenses:

Individual Family
$3,500 $7,000 Annual Deductible
$6,500 $13,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$427,28
$484,95
$546,05
$763,10
$1 159,60 		$754,14
$811,81
$872,91
$1 089,96 		$1 081,00
$1 138,67
$1 199,77
$1 416,82 		$1 407,86
$1 465,53
$1 526,63
$1 743,68 		$326,86
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$854,56
$969,90
$1 092,10
$1 526,20
$2 319,20 		$1 181,42
$1 296,76
$1 418,96
$1 853,06 		$1 508,28
$1 623,62
$1 745,82
$2 179,92 		$1 835,14
$1 950,48
$2 072,68
$2 506,78 		$326,86
Toc - Plan #2 Security Health Plan
Silver

(EPO) SimplyOne $4,800 - 30%

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-293-9624

Annual Out of Pocket Expenses:

Individual Family
$4,800 $9,600 Annual Deductible
$7,900 $15,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$470,23
$533,70
$600,94
$839,81
$1 276,17 		$829,95
$893,42
$960,66
$1 199,53 		$1 189,67
$1 253,14
$1 320,38
$1 559,25 		$1 549,39
$1 612,86
$1 680,10
$1 918,97 		$359,72
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$940,46
$1 067,40
$1 201,88
$1 679,62
$2 552,34 		$1 300,18
$1 427,12
$1 561,60
$2 039,34 		$1 659,90
$1 786,84
$1 921,32
$2 399,06 		$2 019,62
$2 146,56
$2 281,04
$2 758,78 		$359,72
Toc - Plan #3 Security Health Plan
Silver

(EPO) SimplyOne $6,950 - 30%

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-293-9624

Annual Out of Pocket Expenses:

Individual Family
$6,950 $13,900 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$461,89
$524,24
$590,29
$824,93
$1 253,55 		$815,23
$877,58
$943,63
$1 178,27 		$1 168,57
$1 230,92
$1 296,97
$1 531,61 		$1 521,91
$1 584,26
$1 650,31
$1 884,95 		$353,34
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$923,78
$1 048,48
$1 180,58
$1 649,86
$2 507,10 		$1 277,12
$1 401,82
$1 533,92
$2 003,20 		$1 630,46
$1 755,16
$1 887,26
$2 356,54 		$1 983,80
$2 108,50
$2 240,60
$2 709,88 		$353,34
Toc - Plan #4 Security Health Plan
Silver

(EPO) SimplyOne $4,500 HDHP

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-293-9624

Annual Out of Pocket Expenses:

Individual Family
$4,500 $9,000 Annual Deductible
$7,000 $14,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$484,01
$549,34
$618,55
$864,43
$1 313,58 		$854,27
$919,60
$988,81
$1 234,69 		$1 224,53
$1 289,86
$1 359,07
$1 604,95 		$1 594,79
$1 660,12
$1 729,33
$1 975,21 		$370,26
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$968,02
$1 098,68
$1 237,10
$1 728,86
$2 627,16 		$1 338,28
$1 468,94
$1 607,36
$2 099,12 		$1 708,54
$1 839,20
$1 977,62
$2 469,38 		$2 078,80
$2 209,46
$2 347,88
$2 839,64 		$370,26
Toc - Plan #5 Security Health Plan
Expanded Bronze

(EPO) SimplyOne $6,200 HDHP

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-293-9624

Annual Out of Pocket Expenses:

Individual Family
$6,200 $12,400 Annual Deductible
$7,000 $14,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$337,21
$382,72
$430,94
$602,24
$915,16 		$595,17
$640,68
$688,90
$860,20 		$853,13
$898,64
$946,86
$1 118,16 		$1 111,09
$1 156,60
$1 204,82
$1 376,12 		$257,96
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$674,42
$765,44
$861,88
$1 204,48
$1 830,32 		$932,38
$1 023,40
$1 119,84
$1 462,44 		$1 190,34
$1 281,36
$1 377,80
$1 720,40 		$1 448,30
$1 539,32
$1 635,76
$1 978,36 		$257,96
Toc - Plan #6 Security Health Plan
Bronze

(EPO) SimplyOne $7,500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-293-9624

Annual Out of Pocket Expenses:

Individual Family
$7,500 $15,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$309,00
$350,71
$394,89
$551,86
$838,60 		$545,38
$587,09
$631,27
$788,24 		$781,76
$823,47
$867,65
$1 024,62 		$1 018,14
$1 059,85
$1 104,03
$1 261,00 		$236,38
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$618,00
$701,42
$789,78
$1 103,72
$1 677,20 		$854,38
$937,80
$1 026,16
$1 340,10 		$1 090,76
$1 174,18
$1 262,54
$1 576,48 		$1 327,14
$1 410,56
$1 498,92
$1 812,86 		$236,38
Toc - Plan #7 Security Health Plan
Bronze

(EPO) SimplyOne $8,550

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-293-9624

Annual Out of Pocket Expenses:

Individual Family
$8,550 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$304,51
$345,61
$389,16
$543,84
$826,42 		$537,46
$578,56
$622,11
$776,79 		$770,41
$811,51
$855,06
$1 009,74 		$1 003,36
$1 044,46
$1 088,01
$1 242,69 		$232,95
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$609,02
$691,22
$778,32
$1 087,68
$1 652,84 		$841,97
$924,17
$1 011,27
$1 320,63 		$1 074,92
$1 157,12
$1 244,22
$1 553,58 		$1 307,87
$1 390,07
$1 477,17
$1 786,53 		$232,95
Toc - Plan #8 Security Health Plan
Catastrophic

(EPO) SimplyOne Protection

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-293-9624

Annual Out of Pocket Expenses:

Individual Family
$8,550 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$208,35
$236,47
$266,26
$372,10
$565,45 		$367,73
$395,85
$425,64
$531,48 		$527,11
$555,23
$585,02
$690,86 		$686,49
$714,61
$744,40
$850,24 		$159,38
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$416,70
$472,94
$532,52
$744,20
$1 130,90 		$576,08
$632,32
$691,90
$903,58 		$735,46
$791,70
$851,28
$1 062,96 		$894,84
$951,08
$1 010,66
$1 222,34 		$159,38

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Molina Healthcare

Local: 1-888-560-2043 | Toll Free: 1-888-560-2043

Toc - Plan #9 Molina Healthcare
Gold

(HMO) Confident Care Gold 1

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-560-2043

Annual Out of Pocket Expenses:

Individual Family
$2,925 $5,850 Annual Deductible
$6,500 $13,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$397,12
$450,73
$507,52
$709,25
$1 077,78 		$700,92
$754,53
$811,32
$1 013,05 		$1 004,72
$1 058,33
$1 115,12
$1 316,85 		$1 308,52
$1 362,13
$1 418,92
$1 620,65 		$303,80
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$794,24
$901,46
$1 015,04
$1 418,50
$2 155,56 		$1 098,04
$1 205,26
$1 318,84
$1 722,30 		$1 401,84
$1 509,06
$1 622,64
$2 026,10 		$1 705,64
$1 812,86
$1 926,44
$2 329,90 		$303,80
Toc - Plan #10 Molina Healthcare
Silver

(HMO) Constant Care Silver 1

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-560-2043

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$350,04
$397,29
$447,35
$625,17
$950,00 		$617,82
$665,07
$715,13
$892,95 		$885,60
$932,85
$982,91
$1 160,73 		$1 153,38
$1 200,63
$1 250,69
$1 428,51 		$267,78
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$700,08
$794,58
$894,70
$1 250,34
$1 900,00 		$967,86
$1 062,36
$1 162,48
$1 518,12 		$1 235,64
$1 330,14
$1 430,26
$1 785,90 		$1 503,42
$1 597,92
$1 698,04
$2 053,68 		$267,78
Toc - Plan #11 Molina Healthcare
Bronze

(HMO) Core Care Bronze 1

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-560-2043

Annual Out of Pocket Expenses:

Individual Family
$6,100 $12,200 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$277,44
$314,89
$354,57
$495,51
$752,97 		$489,68
$527,13
$566,81
$707,75 		$701,92
$739,37
$779,05
$919,99 		$914,16
$951,61
$991,29
$1 132,23 		$212,24
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$554,88
$629,78
$709,14
$991,02
$1 505,94 		$767,12
$842,02
$921,38
$1 203,26 		$979,36
$1 054,26
$1 133,62
$1 415,50 		$1 191,60
$1 266,50
$1 345,86
$1 627,74 		$212,24
Toc - Plan #12 Molina Healthcare
Silver

(HMO) Constant Care Silver 4

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-560-2043

Annual Out of Pocket Expenses:

Individual Family
$7,450 $14,900 Annual Deductible
$7,450 $14,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$346,34
$393,09
$442,62
$618,56
$939,96 		$611,29
$658,04
$707,57
$883,51 		$876,24
$922,99
$972,52
$1 148,46 		$1 141,19
$1 187,94
$1 237,47
$1 413,41 		$264,95
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$692,68
$786,18
$885,24
$1 237,12
$1 879,92 		$957,63
$1 051,13
$1 150,19
$1 502,07 		$1 222,58
$1 316,08
$1 415,14
$1 767,02 		$1 487,53
$1 581,03
$1 680,09
$2 031,97 		$264,95
Toc - Plan #13 Molina Healthcare
Expanded Bronze

(HMO) Core Care Bronze 4

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-560-2043

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$290,62
$329,85
$371,41
$519,04
$788,74 		$512,94
$552,17
$593,73
$741,36 		$735,26
$774,49
$816,05
$963,68 		$957,58
$996,81
$1 038,37
$1 186,00 		$222,32
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$581,24
$659,70
$742,82
$1 038,08
$1 577,48 		$803,56
$882,02
$965,14
$1 260,40 		$1 025,88
$1 104,34
$1 187,46
$1 482,72 		$1 248,20
$1 326,66
$1 409,78
$1 705,04 		$222,32
Toc - Plan #14 Molina Healthcare
Expanded Bronze

(HMO) Core Care Bronze 5

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-560-2043

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$282,56
$320,71
$361,11
$504,66
$766,87 		$498,72
$536,87
$577,27
$720,82 		$714,88
$753,03
$793,43
$936,98 		$931,04
$969,19
$1 009,59
$1 153,14 		$216,16
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$565,12
$641,42
$722,22
$1 009,32
$1 533,74 		$781,28
$857,58
$938,38
$1 225,48 		$997,44
$1 073,74
$1 154,54
$1 441,64 		$1 213,60
$1 289,90
$1 370,70
$1 657,80 		$216,16
Toc - Plan #15 Molina Healthcare
Gold

(HMO) Confident Care Gold 1 + Vision

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-560-2043

Annual Out of Pocket Expenses:

Individual Family
$2,925 $5,850 Annual Deductible
$6,500 $13,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$400,26
$454,29
$511,53
$714,86
$1 086,30 		$706,46
$760,49
$817,73
$1 021,06 		$1 012,66
$1 066,69
$1 123,93
$1 327,26 		$1 318,86
$1 372,89
$1 430,13
$1 633,46 		$306,20
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$800,52
$908,58
$1 023,06
$1 429,72
$2 172,60 		$1 106,72
$1 214,78
$1 329,26
$1 735,92 		$1 412,92
$1 520,98
$1 635,46
$2 042,12 		$1 719,12
$1 827,18
$1 941,66
$2 348,32 		$306,20
Toc - Plan #16 Molina Healthcare
Silver

(HMO) Constant Care Silver 1 + Vision

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-560-2043

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$353,18
$400,86
$451,36
$630,78
$958,53 		$623,36
$671,04
$721,54
$900,96 		$893,54
$941,22
$991,72
$1 171,14 		$1 163,72
$1 211,40
$1 261,90
$1 441,32 		$270,18
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$706,36
$801,72
$902,72
$1 261,56
$1 917,06 		$976,54
$1 071,90
$1 172,90
$1 531,74 		$1 246,72
$1 342,08
$1 443,08
$1 801,92 		$1 516,90
$1 612,26
$1 713,26
$2 072,10 		$270,18
Toc - Plan #17 Molina Healthcare
Bronze

(HMO) Core Care Bronze 1 + Vision

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-560-2043

Annual Out of Pocket Expenses:

Individual Family
$6,100 $12,200 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$280,58
$318,46
$358,58
$501,12
$761,50 		$495,23
$533,11
$573,23
$715,77 		$709,88
$747,76
$787,88
$930,42 		$924,53
$962,41
$1 002,53
$1 145,07 		$214,65
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$561,16
$636,92
$717,16
$1 002,24
$1 523,00 		$775,81
$851,57
$931,81
$1 216,89 		$990,46
$1 066,22
$1 146,46
$1 431,54 		$1 205,11
$1 280,87
$1 361,11
$1 646,19 		$214,65
Toc - Plan #18 Molina Healthcare
Silver

(HMO) Constant Care Silver 2

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-560-2043

Annual Out of Pocket Expenses:

Individual Family
$5,200 $10,400 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$349,66
$396,86
$446,87
$624,49
$948,98 		$617,15
$664,35
$714,36
$891,98 		$884,64
$931,84
$981,85
$1 159,47 		$1 152,13
$1 199,33
$1 249,34
$1 426,96 		$267,49
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$699,32
$793,72
$893,74
$1 248,98
$1 897,96 		$966,81
$1 061,21
$1 161,23
$1 516,47 		$1 234,30
$1 328,70
$1 428,72
$1 783,96 		$1 501,79
$1 596,19
$1 696,21
$2 051,45 		$267,49
Toc - Plan #19 Molina Healthcare
Bronze

(HMO) Core Care Bronze 2

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-560-2043

Annual Out of Pocket Expenses:

Individual Family
$8,000 $16,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$274,99
$312,11
$351,44
$491,13
$746,32 		$485,36
$522,48
$561,81
$701,50 		$695,73
$732,85
$772,18
$911,87 		$906,10
$943,22
$982,55
$1 122,24 		$210,37
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$549,98
$624,22
$702,88
$982,26
$1 492,64 		$760,35
$834,59
$913,25
$1 192,63 		$970,72
$1 044,96
$1 123,62
$1 403,00 		$1 181,09
$1 255,33
$1 333,99
$1 613,37 		$210,37

ADVERTISEMENT

Aspirus Arise

Local: 1-800-332-6290 | Toll Free: 1-800-332-6290 | TTY: 1-888-332-0144
Toc - Plan #20 Aspirus Arise
Silver

(HMO) HMO Silver 7150

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-332-6290

Annual Out of Pocket Expenses:

Individual Family
$7,150 $14,300 Annual Deductible
$7,150 $14,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$410,73
$466,18
$524,91
$733,56
$1 114,72 		$724,94
$780,39
$839,12
$1 047,77 		$1 039,15
$1 094,60
$1 153,33
$1 361,98 		$1 353,36
$1 408,81
$1 467,54
$1 676,19 		$314,21
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$821,46
$932,36
$1 049,82
$1 467,12
$2 229,44 		$1 135,67
$1 246,57
$1 364,03
$1 781,33 		$1 449,88
$1 560,78
$1 678,24
$2 095,54 		$1 764,09
$1 874,99
$1 992,45
$2 409,75 		$314,21
Toc - Plan #21 Aspirus Arise
Silver

(HMO) HMO Silver 5000 with 3 Free PCP Visits

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-332-6290

Annual Out of Pocket Expenses:

Individual Family
$5,000 $10,000 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$427,11
$484,77
$545,85
$762,82
$1 159,18 		$753,85
$811,51
$872,59
$1 089,56 		$1 080,59
$1 138,25
$1 199,33
$1 416,30 		$1 407,33
$1 464,99
$1 526,07
$1 743,04 		$326,74
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$854,22
$969,54
$1 091,70
$1 525,64
$2 318,36 		$1 180,96
$1 296,28
$1 418,44
$1 852,38 		$1 507,70
$1 623,02
$1 745,18
$2 179,12 		$1 834,44
$1 949,76
$2 071,92
$2 505,86 		$326,74
Toc - Plan #22 Aspirus Arise
Expanded Bronze

(HMO) HMO HDHP Bronze 6000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-332-6290

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$6,950 $13,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$288,96
$327,97
$369,29
$516,08
$784,24 		$510,01
$549,02
$590,34
$737,13 		$731,06
$770,07
$811,39
$958,18 		$952,11
$991,12
$1 032,44
$1 179,23 		$221,05
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$577,92
$655,94
$738,58
$1 032,16
$1 568,48 		$798,97
$876,99
$959,63
$1 253,21 		$1 020,02
$1 098,04
$1 180,68
$1 474,26 		$1 241,07
$1 319,09
$1 401,73
$1 695,31 		$221,05
Toc - Plan #23 Aspirus Arise
Silver

(HMO) HMO HDHP Silver 2800

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-332-6290

Annual Out of Pocket Expenses:

Individual Family
$2,800 $5,600 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$421,35
$478,23
$538,49
$752,53
$1 143,54 		$743,68
$800,56
$860,82
$1 074,86 		$1 066,01
$1 122,89
$1 183,15
$1 397,19 		$1 388,34
$1 445,22
$1 505,48
$1 719,52 		$322,33
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$842,70
$956,46
$1 076,98
$1 505,06
$2 287,08 		$1 165,03
$1 278,79
$1 399,31
$1 827,39 		$1 487,36
$1 601,12
$1 721,64
$2 149,72 		$1 809,69
$1 923,45
$2 043,97
$2 472,05 		$322,33
Toc - Plan #24 Aspirus Arise
Bronze

(HMO) HMO Bronze 8550

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-332-6290

Annual Out of Pocket Expenses:

Individual Family
$8,550 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$276,66
$314,01
$353,57
$494,11
$750,86 		$488,30
$525,65
$565,21
$705,75 		$699,94
$737,29
$776,85
$917,39 		$911,58
$948,93
$988,49
$1 129,03 		$211,64
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$553,32
$628,02
$707,14
$988,22
$1 501,72 		$764,96
$839,66
$918,78
$1 199,86 		$976,60
$1 051,30
$1 130,42
$1 411,50 		$1 188,24
$1 262,94
$1 342,06
$1 623,14 		$211,64
Toc - Plan #25 Aspirus Arise
Expanded Bronze

(HMO) HMO Bronze 6500 with 3 Free PCP Visits

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-332-6290

Annual Out of Pocket Expenses:

Individual Family
$6,500 $13,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$287,27
$326,05
$367,13
$513,06
$779,65 		$507,03
$545,81
$586,89
$732,82 		$726,79
$765,57
$806,65
$952,58 		$946,55
$985,33
$1 026,41
$1 172,34 		$219,76
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$574,54
$652,10
$734,26
$1 026,12
$1 559,30 		$794,30
$871,86
$954,02
$1 245,88 		$1 014,06
$1 091,62
$1 173,78
$1 465,64 		$1 233,82
$1 311,38
$1 393,54
$1 685,40 		$219,76
Toc - Plan #26 Aspirus Arise
Gold

(HMO) HMO Gold 2500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-332-6290

Annual Out of Pocket Expenses:

Individual Family
$2,500 $5,000 Annual Deductible
$5,000 $10,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$624,64
$708,97
$798,29
$1 115,61
$1 695,27 		$1 102,49
$1 186,82
$1 276,14
$1 593,46 		$1 580,34
$1 664,67
$1 753,99
$2 071,31 		$2 058,19
$2 142,52
$2 231,84
$2 549,16 		$477,85
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1 249,28
$1 417,94
$1 596,58
$2 231,22
$3 390,54 		$1 727,13
$1 895,79
$2 074,43
$2 709,07 		$2 204,98
$2 373,64
$2 552,28
$3 186,92 		$2 682,83
$2 851,49
$3 030,13
$3 664,77 		$477,85
Toc - Plan #27 Aspirus Arise
Catastrophic

(HMO) HMO Catastrophic 8550 with 3 Free PCP Visits

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-332-6290

Annual Out of Pocket Expenses:

Individual Family
$8,550 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$230,18
$261,25
$294,17
$411,10
$624,71 		$406,27
$437,34
$470,26
$587,19 		$582,36
$613,43
$646,35
$763,28 		$758,45
$789,52
$822,44
$939,37 		$176,09
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$460,36
$522,50
$588,34
$822,20
$1 249,42 		$636,45
$698,59
$764,43
$998,29 		$812,54
$874,68
$940,52
$1 174,38 		$988,63
$1 050,77
$1 116,61
$1 350,47 		$176,09
Toc - Plan #28 Aspirus Arise
Expanded Bronze

(HMO) HMO HDHP Bronze 6900

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-332-6290

Annual Out of Pocket Expenses:

Individual Family
$6,900 $13,800 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$289,37
$328,43
$369,81
$516,81
$785,35 		$510,74
$549,80
$591,18
$738,18 		$732,11
$771,17
$812,55
$959,55 		$953,48
$992,54
$1 033,92
$1 180,92 		$221,37
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$578,74
$656,86
$739,62
$1 033,62
$1 570,70 		$800,11
$878,23
$960,99
$1 254,99 		$1 021,48
$1 099,60
$1 182,36
$1 476,36 		$1 242,85
$1 320,97
$1 403,73
$1 697,73 		$221,37
Toc - Plan #29 Aspirus Arise
Silver

(HMO) HMO HDHP Silver 4500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-332-6290

Annual Out of Pocket Expenses:

Individual Family
$4,500 $9,000 Annual Deductible
$4,500 $9,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$419,89
$476,58
$536,62
$749,92
$1 139,58 		$741,11
$797,80
$857,84
$1 071,14 		$1 062,33
$1 119,02
$1 179,06
$1 392,36 		$1 383,55
$1 440,24
$1 500,28
$1 713,58 		$321,22
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$839,78
$953,16
$1 073,24
$1 499,84
$2 279,16 		$1 161,00
$1 274,38
$1 394,46
$1 821,06 		$1 482,22
$1 595,60
$1 715,68
$2 142,28 		$1 803,44
$1 916,82
$2 036,90
$2 463,50 		$321,22
Toc - Plan #30 Aspirus Arise
Expanded Bronze

(HMO) HMO Bronze 7200

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-332-6290

Annual Out of Pocket Expenses:

Individual Family
$7,200 $14,400 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$281,55
$319,56
$359,82
$502,85
$764,13 		$496,94
$534,95
$575,21
$718,24 		$712,33
$750,34
$790,60
$933,63 		$927,72
$965,73
$1 005,99
$1 149,02 		$215,39
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$563,10
$639,12
$719,64
$1 005,70
$1 528,26 		$778,49
$854,51
$935,03
$1 221,09 		$993,88
$1 069,90
$1 150,42
$1 436,48 		$1 209,27
$1 285,29
$1 365,81
$1 651,87 		$215,39
Toc - Plan #31 Aspirus Arise
Silver

(HMO) HMO Silver 4500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-332-6290

Annual Out of Pocket Expenses:

Individual Family
$4,500 $9,000 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$410,84
$466,30
$525,05
$733,76
$1 115,02 		$725,13
$780,59
$839,34
$1 048,05 		$1 039,42
$1 094,88
$1 153,63
$1 362,34 		$1 353,71
$1 409,17
$1 467,92
$1 676,63 		$314,29
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$821,68
$932,60
$1 050,10
$1 467,52
$2 230,04 		$1 135,97
$1 246,89
$1 364,39
$1 781,81 		$1 450,26
$1 561,18
$1 678,68
$2 096,10 		$1 764,55
$1 875,47
$1 992,97
$2 410,39 		$314,29
Toc - Plan #32 Aspirus Arise
Silver

(HMO) HMO HDHP Silver 5500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-332-6290

Annual Out of Pocket Expenses:

Individual Family
$5,500 $11,000 Annual Deductible
$5,500 $11,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$398,71
$452,54
$509,55
$712,10
$1 082,10 		$703,72
$757,55
$814,56
$1 017,11 		$1 008,73
$1 062,56
$1 119,57
$1 322,12 		$1 313,74
$1 367,57
$1 424,58
$1 627,13 		$305,01
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$797,42
$905,08
$1 019,10
$1 424,20
$2 164,20 		$1 102,43
$1 210,09
$1 324,11
$1 729,21 		$1 407,44
$1 515,10
$1 629,12
$2 034,22 		$1 712,45
$1 820,11
$1 934,13
$2 339,23 		$305,01
Toc - Plan #33 Aspirus Arise
Silver

(POS) POS Silver 7150

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-332-6290

Annual Out of Pocket Expenses:

Individual Family
$7,150 $14,300 Annual Deductible
$7,150 $14,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$451,84
$512,84
$577,45
$806,99
$1 226,29 		$797,50
$858,50
$923,11
$1 152,65 		$1 143,16
$1 204,16
$1 268,77
$1 498,31 		$1 488,82
$1 549,82
$1 614,43
$1 843,97 		$345,66
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$903,68
$1 025,68
$1 154,90
$1 613,98
$2 452,58 		$1 249,34
$1 371,34
$1 500,56
$1 959,64 		$1 595,00
$1 717,00
$1 846,22
$2 305,30 		$1 940,66
$2 062,66
$2 191,88
$2 650,96 		$345,66
Toc - Plan #34 Aspirus Arise
Silver

(POS) POS Silver 5000 with 3 Free PCP Visits

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-332-6290

Annual Out of Pocket Expenses:

Individual Family
$5,000 $10,000 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$469,86
$533,29
$600,48
$839,17
$1 275,20 		$829,30
$892,73
$959,92
$1 198,61 		$1 188,74
$1 252,17
$1 319,36
$1 558,05 		$1 548,18
$1 611,61
$1 678,80
$1 917,49 		$359,44
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$939,72
$1 066,58
$1 200,96
$1 678,34
$2 550,40 		$1 299,16
$1 426,02
$1 560,40
$2 037,78 		$1 658,60
$1 785,46
$1 919,84
$2 397,22 		$2 018,04
$2 144,90
$2 279,28
$2 756,66 		$359,44
Toc - Plan #35 Aspirus Arise
Expanded Bronze

(POS) POS HDHP Bronze 6000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-332-6290

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$6,950 $13,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$317,89
$360,81
$406,26
$567,75
$862,75 		$561,08
$604,00
$649,45
$810,94 		$804,27
$847,19
$892,64
$1 054,13 		$1 047,46
$1 090,38
$1 135,83
$1 297,32 		$243,19
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$635,78
$721,62
$812,52
$1 135,50
$1 725,50 		$878,97
$964,81
$1 055,71
$1 378,69 		$1 122,16
$1 208,00
$1 298,90
$1 621,88 		$1 365,35
$1 451,19
$1 542,09
$1 865,07 		$243,19
Toc - Plan #36 Aspirus Arise
Silver

(POS) POS HDHP Silver 2800

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-332-6290

Annual Out of Pocket Expenses:

Individual Family
$2,800 $5,600 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$463,50
$526,07
$592,35
$827,81
$1 257,94 		$818,08
$880,65
$946,93
$1 182,39 		$1 172,66
$1 235,23
$1 301,51
$1 536,97 		$1 527,24
$1 589,81
$1 656,09
$1 891,55 		$354,58
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$927,00
$1 052,14
$1 184,70
$1 655,62
$2 515,88 		$1 281,58
$1 406,72
$1 539,28
$2 010,20 		$1 636,16
$1 761,30
$1 893,86
$2 364,78 		$1 990,74
$2 115,88
$2 248,44
$2 719,36 		$354,58

‡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.

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

Currently, there are 36 plans offered in Rating Area 10.

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2021 Obamacare Plans for Portage County, WI

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