Obamacare 2022 Rates for Buffalo County
Obamacare > Rates > Wisconsin > Buffalo County
Obamacare > Rates > Wisconsin > Buffalo 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 | ||||||||||||||||||||
Gold
(HMO) Tiered Choice Plus Gold I406 with Dental |
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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 |
$405.08 $459.76 $517.69 $723.46 $1,099.37 |
$714.96 $769.64 $827.57 $1,033.34 |
$1,024.84 $1,079.52 $1,137.45 $1,343.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$810.16 $919.52 $1,035.38 $1,446.92 $2,198.74 |
$1,120.04 $1,229.40 $1,345.26 $1,756.80 |
$1,429.92 $1,539.28 $1,655.14 $2,066.68 |
Toc - Plan #2 Quartz | ||||||||||||||||||||
Gold
(HMO) Tiered Choice Plus Gold I407 Maintenance with Dental |
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Benefits & Coverage
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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 |
$461.91 $524.26 $590.31 $824.96 $1,253.61 |
$815.27 $877.62 $943.67 $1,178.32 |
$1,168.63 $1,230.98 $1,297.03 $1,531.68 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$923.82 $1,048.52 $1,180.62 $1,649.92 $2,507.22 |
$1,277.18 $1,401.88 $1,533.98 $2,003.28 |
$1,630.54 $1,755.24 $1,887.34 $2,356.64 |
Toc - Plan #3 Quartz | ||||||||||||||||||||
Gold
(HMO) Tiered Choice Plus Gold I409 with Dental |
||||||||||||||||||||
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 |
$399.74 $453.70 $510.87 $713.93 $1,084.89 |
$705.54 $759.50 $816.67 $1,019.73 |
$1,011.34 $1,065.30 $1,122.47 $1,325.53 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$799.48 $907.40 $1,021.74 $1,427.86 $2,169.78 |
$1,105.28 $1,213.20 $1,327.54 $1,733.66 |
$1,411.08 $1,519.00 $1,633.34 $2,039.46 |
Toc - Plan #4 Quartz | ||||||||||||||||||||
Silver
(HMO) Tiered Choice Plus Silver I305 with Dental |
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Benefits & Coverage
Plan Brochure
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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 |
$407.75 $462.79 $521.10 $728.24 $1,106.63 |
$719.68 $774.72 $833.03 $1,040.17 |
$1,031.61 $1,086.65 $1,144.96 $1,352.10 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$815.50 $925.58 $1,042.20 $1,456.48 $2,213.26 |
$1,127.43 $1,237.51 $1,354.13 $1,768.41 |
$1,439.36 $1,549.44 $1,666.06 $2,080.34 |
Toc - Plan #5 Quartz | ||||||||||||||||||||
Silver
(HMO) Tiered Choice Plus Silver I306 with Dental |
||||||||||||||||||||
Benefits & Coverage
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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 |
$400.53 $454.60 $511.87 $715.34 $1,087.03 |
$706.93 $761.00 $818.27 $1,021.74 |
$1,013.33 $1,067.40 $1,124.67 $1,328.14 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$801.06 $909.20 $1,023.74 $1,430.68 $2,174.06 |
$1,107.46 $1,215.60 $1,330.14 $1,737.08 |
$1,413.86 $1,522.00 $1,636.54 $2,043.48 |
Toc - Plan #6 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 |
$447.77 $508.22 $572.25 $799.71 $1,215.24 |
$790.31 $850.76 $914.79 $1,142.25 |
$1,132.85 $1,193.30 $1,257.33 $1,484.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$895.54 $1,016.44 $1,144.50 $1,599.42 $2,430.48 |
$1,238.08 $1,358.98 $1,487.04 $1,941.96 |
$1,580.62 $1,701.52 $1,829.58 $2,284.50 |
Toc - Plan #7 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) Quartz One Bronze I201 with Dental |
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Benefits & Coverage
Plan Brochure
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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 |
$344.29 $390.77 $440.00 $614.90 $934.40 |
$607.67 $654.15 $703.38 $878.28 |
$871.05 $917.53 $966.76 $1,141.66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$688.58 $781.54 $880.00 $1,229.80 $1,868.80 |
$951.96 $1,044.92 $1,143.38 $1,493.18 |
$1,215.34 $1,308.30 $1,406.76 $1,756.56 |
Toc - Plan #8 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 |
$340.32 $386.26 $434.92 $607.80 $923.62 |
$600.66 $646.60 $695.26 $868.14 |
$861.00 $906.94 $955.60 $1,128.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$680.64 $772.52 $869.84 $1,215.60 $1,847.24 |
$940.98 $1,032.86 $1,130.18 $1,475.94 |
$1,201.32 $1,293.20 $1,390.52 $1,736.28 |
Toc - Plan #9 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) Quartz One Bronze I204 with Dental |
||||||||||||||||||||
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 |
$360.22 $408.84 $460.35 $643.34 $977.61 |
$635.78 $684.40 $735.91 $918.90 |
$911.34 $959.96 $1,011.47 $1,194.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$720.44 $817.68 $920.70 $1,286.68 $1,955.22 |
$996.00 $1,093.24 $1,196.26 $1,562.24 |
$1,271.56 $1,368.80 $1,471.82 $1,837.80 |
Toc - Plan #10 Quartz | ||||||||||||||||||||
Gold
(HMO) Tiered Choice Plus Gold I406 |
||||||||||||||||||||
Benefits & Coverage
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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 |
$388.10 $440.49 $495.99 $693.14 $1,053.29 |
$684.99 $737.38 $792.88 $990.03 |
$981.88 $1,034.27 $1,089.77 $1,286.92 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$776.20 $880.98 $991.98 $1,386.28 $2,106.58 |
$1,073.09 $1,177.87 $1,288.87 $1,683.17 |
$1,369.98 $1,474.76 $1,585.76 $1,980.06 |
Toc - Plan #11 Quartz | ||||||||||||||||||||
Gold
(HMO) Tiered Choice Plus Gold I407 Maintenance |
||||||||||||||||||||
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 |
$442.55 $502.29 $565.57 $790.38 $1,201.06 |
$781.09 $840.83 $904.11 $1,128.92 |
$1,119.63 $1,179.37 $1,242.65 $1,467.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$885.10 $1,004.58 $1,131.14 $1,580.76 $2,402.12 |
$1,223.64 $1,343.12 $1,469.68 $1,919.30 |
$1,562.18 $1,681.66 $1,808.22 $2,257.84 |
Toc - Plan #12 Quartz | ||||||||||||||||||||
Gold
(HMO) Tiered Choice Plus Gold I409 |
||||||||||||||||||||
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 |
$382.99 $434.69 $489.45 $684.01 $1,039.42 |
$675.97 $727.67 $782.43 $976.99 |
$968.95 $1,020.65 $1,075.41 $1,269.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.98 $869.38 $978.90 $1,368.02 $2,078.84 |
$1,058.96 $1,162.36 $1,271.88 $1,661.00 |
$1,351.94 $1,455.34 $1,564.86 $1,953.98 |
Toc - Plan #13 Quartz | ||||||||||||||||||||
Silver
(HMO) Tiered Choice Plus Silver I305 |
||||||||||||||||||||
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 |
$390.66 $443.39 $499.26 $697.71 $1,060.24 |
$689.51 $742.24 $798.11 $996.56 |
$988.36 $1,041.09 $1,096.96 $1,295.41 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$781.32 $886.78 $998.52 $1,395.42 $2,120.48 |
$1,080.17 $1,185.63 $1,297.37 $1,694.27 |
$1,379.02 $1,484.48 $1,596.22 $1,993.12 |
Toc - Plan #14 Quartz | ||||||||||||||||||||
Silver
(HMO) Tiered Choice Plus Silver I306 |
||||||||||||||||||||
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 |
$383.74 $435.54 $490.42 $685.36 $1,041.47 |
$677.30 $729.10 $783.98 $978.92 |
$970.86 $1,022.66 $1,077.54 $1,272.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$767.48 $871.08 $980.84 $1,370.72 $2,082.94 |
$1,061.04 $1,164.64 $1,274.40 $1,664.28 |
$1,354.60 $1,458.20 $1,567.96 $1,957.84 |
Toc - Plan #15 Quartz | ||||||||||||||||||||
Silver
(HMO) Quartz One Silver I303 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
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|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$429.00 $486.91 $548.26 $766.19 $1,164.30 |
$757.18 $815.09 $876.44 $1,094.37 |
$1,085.36 $1,143.27 $1,204.62 $1,422.55 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$858.00 $973.82 $1,096.52 $1,532.38 $2,328.60 |
$1,186.18 $1,302.00 $1,424.70 $1,860.56 |
$1,514.36 $1,630.18 $1,752.88 $2,188.74 |
Toc - Plan #16 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) Quartz One Bronze I201 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
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|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$329.86 $374.39 $421.56 $589.12 $895.23 |
$582.20 $626.73 $673.90 $841.46 |
$834.54 $879.07 $926.24 $1,093.80 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$659.72 $748.78 $843.12 $1,178.24 $1,790.46 |
$912.06 $1,001.12 $1,095.46 $1,430.58 |
$1,164.40 $1,253.46 $1,347.80 $1,682.92 |
Toc - Plan #17 Quartz | ||||||||||||||||||||
Expanded Bronze
(HMO) Quartz One Bronze I202 |
||||||||||||||||||||
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 |
$326.06 $370.07 $416.69 $582.33 $884.90 |
$575.49 $619.50 $666.12 $831.76 |
$824.92 $868.93 $915.55 $1,081.19 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$652.12 $740.14 $833.38 $1,164.66 $1,769.80 |
$901.55 $989.57 $1,082.81 $1,414.09 |
$1,150.98 $1,239.00 $1,332.24 $1,663.52 |
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 |
$345.12 $391.70 $441.05 $616.37 $936.63 |
$609.13 $655.71 $705.06 $880.38 |
$873.14 $919.72 $969.07 $1,144.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$690.24 $783.40 $882.10 $1,232.74 $1,873.26 |
$954.25 $1,047.41 $1,146.11 $1,496.75 |
$1,218.26 $1,311.42 $1,410.12 $1,760.76 |
Toc - Plan #19 Quartz | ||||||||||||||||||||
Gold
(HMO) Tiered Choice Plus Gold I408 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 |
|||||||||||||||||
21 30 40 50 60 |
$414.49 $470.44 $529.71 $740.26 $1,124.90 |
$731.57 $787.52 $846.79 $1,057.34 |
$1,048.65 $1,104.60 $1,163.87 $1,374.42 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$828.98 $940.88 $1,059.42 $1,480.52 $2,249.80 |
$1,146.06 $1,257.96 $1,376.50 $1,797.60 |
$1,463.14 $1,575.04 $1,693.58 $2,114.68 |
Toc - Plan #20 Quartz | ||||||||||||||||||||
Silver
(HMO) Quartz One Silver I304 HSA |
||||||||||||||||||||
Benefits & Coverage
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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 |
$460.36 $522.50 $588.34 $822.20 $1,249.41 |
$812.53 $874.67 $940.51 $1,174.37 |
$1,164.70 $1,226.84 $1,292.68 $1,526.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$920.72 $1,045.00 $1,176.68 $1,644.40 $2,498.82 |
$1,272.89 $1,397.17 $1,528.85 $1,996.57 |
$1,625.06 $1,749.34 $1,881.02 $2,348.74 |
Toc - Plan #21 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 |
|||||||||||||||||
21 30 40 50 60 |
$343.34 $389.68 $438.78 $613.19 $931.80 |
$605.99 $652.33 $701.43 $875.84 |
$868.64 $914.98 $964.08 $1,138.49 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$686.68 $779.36 $877.56 $1,226.38 $1,863.60 |
$949.33 $1,042.01 $1,140.21 $1,489.03 |
$1,211.98 $1,304.66 $1,402.86 $1,751.68 |
Toc - Plan #22 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 |
|||||||||||||||||
21 30 40 50 60 |
$252.27 $286.32 $322.40 $450.55 $684.65 |
$445.25 $479.30 $515.38 $643.53 |
$638.23 $672.28 $708.36 $836.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$504.54 $572.64 $644.80 $901.10 $1,369.30 |
$697.52 $765.62 $837.78 $1,094.08 |
$890.50 $958.60 $1,030.76 $1,287.06 |
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Security Health PlanLocal: 1-715-221-9258x19258 | Toll Free: 1-844-293-9624 | TTY: 1-877-727-2232 |
Toc - Plan #23 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 |
$219.82 $249.48 $280.91 $392.58 $596.56 |
$387.97 $417.63 $449.06 $560.73 |
$556.12 $585.78 $617.21 $728.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$439.64 $498.96 $561.82 $785.16 $1,193.12 |
$607.79 $667.11 $729.97 $953.31 |
$775.94 $835.26 $898.12 $1,121.46 |
Toc - Plan #24 Security Health Plan | ||||||||||||||||||||
Bronze
(EPO) Select $8,700 |
||||||||||||||||||||
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 |
$321.32 $364.69 $410.63 $573.86 $872.04 |
$567.12 $610.49 $656.43 $819.66 |
$812.92 $856.29 $902.23 $1,065.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$642.64 $729.38 $821.26 $1,147.72 $1,744.08 |
$888.44 $975.18 $1,067.06 $1,393.52 |
$1,134.24 $1,220.98 $1,312.86 $1,639.32 |
Toc - Plan #25 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 |
$443.25 $503.08 $566.46 $791.63 $1,202.95 |
$782.33 $842.16 $905.54 $1,130.71 |
$1,121.41 $1,181.24 $1,244.62 $1,469.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$886.50 $1,006.16 $1,132.92 $1,583.26 $2,405.90 |
$1,225.58 $1,345.24 $1,472.00 $1,922.34 |
$1,564.66 $1,684.32 $1,811.08 $2,261.42 |
Toc - Plan #26 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 |
$492.37 $558.83 $629.23 $879.35 $1,336.26 |
$869.02 $935.48 $1,005.88 $1,256.00 |
$1,245.67 $1,312.13 $1,382.53 $1,632.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$984.74 $1,117.66 $1,258.46 $1,758.70 $2,672.52 |
$1,361.39 $1,494.31 $1,635.11 $2,135.35 |
$1,738.04 $1,870.96 $2,011.76 $2,512.00 |
Toc - Plan #27 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 |
$329.87 $374.39 $421.56 $589.13 $895.24 |
$582.21 $626.73 $673.90 $841.47 |
$834.55 $879.07 $926.24 $1,093.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$659.74 $748.78 $843.12 $1,178.26 $1,790.48 |
$912.08 $1,001.12 $1,095.46 $1,430.60 |
$1,164.42 $1,253.46 $1,347.80 $1,682.94 |
Toc - Plan #28 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 |
$476.86 $541.22 $609.41 $851.65 $1,294.17 |
$841.65 $906.01 $974.20 $1,216.44 |
$1,206.44 $1,270.80 $1,338.99 $1,581.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$953.72 $1,082.44 $1,218.82 $1,703.30 $2,588.34 |
$1,318.51 $1,447.23 $1,583.61 $2,068.09 |
$1,683.30 $1,812.02 $1,948.40 $2,432.88 |
Toc - Plan #29 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 |
$363.34 $412.38 $464.34 $648.91 $986.08 |
$641.29 $690.33 $742.29 $926.86 |
$919.24 $968.28 $1,020.24 $1,204.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$726.68 $824.76 $928.68 $1,297.82 $1,972.16 |
$1,004.63 $1,102.71 $1,206.63 $1,575.77 |
$1,282.58 $1,380.66 $1,484.58 $1,853.72 |
Toc - Plan #30 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 |
$443.52 $503.39 $566.81 $792.11 $1,203.69 |
$782.81 $842.68 $906.10 $1,131.40 |
$1,122.10 $1,181.97 $1,245.39 $1,470.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$887.04 $1,006.78 $1,133.62 $1,584.22 $2,407.38 |
$1,226.33 $1,346.07 $1,472.91 $1,923.51 |
$1,565.62 $1,685.36 $1,812.20 $2,262.80 |
Toc - Plan #31 Security Health Plan | ||||||||||||||||||||
Gold
(EPO) Select $1,500 - 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 |
$479.27 $543.96 $612.49 $855.96 $1,300.71 |
$845.90 $910.59 $979.12 $1,222.59 |
$1,212.53 $1,277.22 $1,345.75 $1,589.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$958.54 $1,087.92 $1,224.98 $1,711.92 $2,601.42 |
$1,325.17 $1,454.55 $1,591.61 $2,078.55 |
$1,691.80 $1,821.18 $1,958.24 $2,445.18 |
Toc - Plan #32 Security Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Select $8,700 Copay |
||||||||||||||||||||
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 |
$336.37 $381.77 $429.87 $600.75 $912.89 |
$593.69 $639.09 $687.19 $858.07 |
$851.01 $896.41 $944.51 $1,115.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$672.74 $763.54 $859.74 $1,201.50 $1,825.78 |
$930.06 $1,020.86 $1,117.06 $1,458.82 |
$1,187.38 $1,278.18 $1,374.38 $1,716.14 |
ADVERTISEMENT
MedicaLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-800-947-3529 |
Toc - Plan #33 Medica | ||||||||||||||||||||
Gold
(EPO) Engage by Medica Gold Copay ($0 Virtual Care + $5 Generic Drugs + Online Wellness) |
||||||||||||||||||||
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 |
$540.56 $613.53 $690.83 $965.43 $1,467.06 |
$954.08 $1,027.05 $1,104.35 $1,378.95 |
$1,367.60 $1,440.57 $1,517.87 $1,792.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,081.12 $1,227.06 $1,381.66 $1,930.86 $2,934.12 |
$1,494.64 $1,640.58 $1,795.18 $2,344.38 |
$1,908.16 $2,054.10 $2,208.70 $2,757.90 |
Toc - Plan #34 Medica | ||||||||||||||||||||
Silver
(EPO) Engage by Medica Silver Copay ($0 Virtual Care + Online Wellness) |
||||||||||||||||||||
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 |
$541.00 $614.02 $691.38 $966.20 $1,468.23 |
$954.85 $1,027.87 $1,105.23 $1,380.05 |
$1,368.70 $1,441.72 $1,519.08 $1,793.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,082.00 $1,228.04 $1,382.76 $1,932.40 $2,936.46 |
$1,495.85 $1,641.89 $1,796.61 $2,346.25 |
$1,909.70 $2,055.74 $2,210.46 $2,760.10 |
Toc - Plan #35 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Engage by Medica Bronze Copay ($0 Virtual Care + Online Wellness) |
||||||||||||||||||||
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 |
$402.48 $456.80 $514.35 $718.80 $1,092.29 |
$710.37 $764.69 $822.24 $1,026.69 |
$1,018.26 $1,072.58 $1,130.13 $1,334.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$804.96 $913.60 $1,028.70 $1,437.60 $2,184.58 |
$1,112.85 $1,221.49 $1,336.59 $1,745.49 |
$1,420.74 $1,529.38 $1,644.48 $2,053.38 |
Toc - Plan #36 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Engage by Medica Bronze HSA ($0 Virtual Care after deductible + Online Wellness) |
||||||||||||||||||||
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 |
$441.65 $501.26 $564.42 $788.77 $1,198.61 |
$779.50 $839.11 $902.27 $1,126.62 |
$1,117.35 $1,176.96 $1,240.12 $1,464.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$883.30 $1,002.52 $1,128.84 $1,577.54 $2,397.22 |
$1,221.15 $1,340.37 $1,466.69 $1,915.39 |
$1,559.00 $1,678.22 $1,804.54 $2,253.24 |
Toc - Plan #37 Medica | ||||||||||||||||||||
Catastrophic
(EPO) Engage by Medica Catastrophic ($0 Virtual Care + Online Wellness) |
||||||||||||||||||||
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 |
$248.79 $282.37 $317.94 $444.32 $675.19 |
$439.11 $472.69 $508.26 $634.64 |
$629.43 $663.01 $698.58 $824.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$497.58 $564.74 $635.88 $888.64 $1,350.38 |
$687.90 $755.06 $826.20 $1,078.96 |
$878.22 $945.38 $1,016.52 $1,269.28 |
Toc - Plan #38 Medica | ||||||||||||||||||||
Silver
(EPO) Engage by Medica Silver Share ($0 Virtual Care + Online Wellness) |
||||||||||||||||||||
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 |
$533.20 $605.17 $681.42 $952.28 $1,447.09 |
$941.09 $1,013.06 $1,089.31 $1,360.17 |
$1,348.98 $1,420.95 $1,497.20 $1,768.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,066.40 $1,210.34 $1,362.84 $1,904.56 $2,894.18 |
$1,474.29 $1,618.23 $1,770.73 $2,312.45 |
$1,882.18 $2,026.12 $2,178.62 $2,720.34 |
Toc - Plan #39 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Engage by Medica Bronze Share Plus ($0 Virtual Care + Online Wellness) |
||||||||||||||||||||
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 |
$404.48 $459.07 $516.91 $722.38 $1,097.72 |
$713.90 $768.49 $826.33 $1,031.80 |
$1,023.32 $1,077.91 $1,135.75 $1,341.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$808.96 $918.14 $1,033.82 $1,444.76 $2,195.44 |
$1,118.38 $1,227.56 $1,343.24 $1,754.18 |
$1,427.80 $1,536.98 $1,652.66 $2,063.60 |
Toc - Plan #40 Medica | ||||||||||||||||||||
Bronze
(EPO) Engage by Medica Bronze Value ($0 Virtual Care + Online Wellness) |
||||||||||||||||||||
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 |
$367.14 $416.69 $469.19 $655.70 $996.40 |
$648.00 $697.55 $750.05 $936.56 |
$928.86 $978.41 $1,030.91 $1,217.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734.28 $833.38 $938.38 $1,311.40 $1,992.80 |
$1,015.14 $1,114.24 $1,219.24 $1,592.26 |
$1,296.00 $1,395.10 $1,500.10 $1,873.12 |
‡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 Buffalo County here.
Buffalo County is in “Rating Area 6” of Wisconsin.
Currently, there are 40 plans offered in Rating Area 6.