Obamacare 2022 Rates for Marquette County
Obamacare > Rates > Wisconsin > Marquette County
Obamacare > Rates > Wisconsin > Marquette County
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HealthPartnersLocal: 1-952-883-5900 | Toll Free: 1-855-813-3887 | TTY: 1-952-883-6060 |
Toc - Plan #1 HealthPartners | ||||||||||||||||||||
Gold
(PPO) Robin Oak $1,800 w/Copay P-S Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-813-3887
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 |
$405.89 $460.69 $518.73 $724.92 $1,101.59 |
$716.40 $771.20 $829.24 $1,035.43 |
$1,026.91 $1,081.71 $1,139.75 $1,345.94 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$811.78 $921.38 $1,037.46 $1,449.84 $2,203.18 |
$1,122.29 $1,231.89 $1,347.97 $1,760.35 |
$1,432.80 $1,542.40 $1,658.48 $2,070.86 |
Toc - Plan #2 HealthPartners | ||||||||||||||||||||
Expanded Bronze
(PPO) Robin Oak $6,250 Plus Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-813-3887
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 |
$299.25 $339.65 $382.44 $534.46 $812.16 |
$528.18 $568.58 $611.37 $763.39 |
$757.11 $797.51 $840.30 $992.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$598.50 $679.30 $764.88 $1,068.92 $1,624.32 |
$827.43 $908.23 $993.81 $1,297.85 |
$1,056.36 $1,137.16 $1,222.74 $1,526.78 |
Toc - Plan #3 HealthPartners | ||||||||||||||||||||
Catastrophic
(PPO) Robin Oak $8,700 Catastrophic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-813-3887
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 |
$227.18 $257.85 $290.34 $405.74 $616.57 |
$400.97 $431.64 $464.13 $579.53 |
$574.76 $605.43 $637.92 $753.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$454.36 $515.70 $580.68 $811.48 $1,233.14 |
$628.15 $689.49 $754.47 $985.27 |
$801.94 $863.28 $928.26 $1,159.06 |
Toc - Plan #4 HealthPartners | ||||||||||||||||||||
Silver
(PPO) Robin Oak $7,500 w/Copay P-S Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-813-3887
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 |
$368.89 $418.69 $471.44 $658.84 $1,001.17 |
$651.09 $700.89 $753.64 $941.04 |
$933.29 $983.09 $1,035.84 $1,223.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$737.78 $837.38 $942.88 $1,317.68 $2,002.34 |
$1,019.98 $1,119.58 $1,225.08 $1,599.88 |
$1,302.18 $1,401.78 $1,507.28 $1,882.08 |
Toc - Plan #5 HealthPartners | ||||||||||||||||||||
Silver
(PPO) Robin Oak $4,500 Plus Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-813-3887
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 |
$364.82 $414.07 $466.24 $651.57 $990.12 |
$643.91 $693.16 $745.33 $930.66 |
$923.00 $972.25 $1,024.42 $1,209.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$729.64 $828.14 $932.48 $1,303.14 $1,980.24 |
$1,008.73 $1,107.23 $1,211.57 $1,582.23 |
$1,287.82 $1,386.32 $1,490.66 $1,861.32 |
Toc - Plan #6 HealthPartners | ||||||||||||||||||||
Expanded Bronze
(PPO) Robin Oak $7,000 HSA Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-813-3887
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 |
$294.86 $334.67 $376.83 $526.62 $800.25 |
$520.43 $560.24 $602.40 $752.19 |
$746.00 $785.81 $827.97 $977.76 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$589.72 $669.34 $753.66 $1,053.24 $1,600.50 |
$815.29 $894.91 $979.23 $1,278.81 |
$1,040.86 $1,120.48 $1,204.80 $1,504.38 |
Toc - Plan #7 HealthPartners | ||||||||||||||||||||
Expanded Bronze
(PPO) Robin Oak $8,000 Plus Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-813-3887
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 |
$296.72 $336.78 $379.21 $529.94 $805.30 |
$523.71 $563.77 $606.20 $756.93 |
$750.70 $790.76 $833.19 $983.92 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$593.44 $673.56 $758.42 $1,059.88 $1,610.60 |
$820.43 $900.55 $985.41 $1,286.87 |
$1,047.42 $1,127.54 $1,212.40 $1,513.86 |
Toc - Plan #8 HealthPartners | ||||||||||||||||||||
Silver
(PPO) Robin Oak $25/$50 P-S Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-813-3887
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 |
$433.71 $492.26 $554.28 $774.61 $1,177.09 |
$765.50 $824.05 $886.07 $1,106.40 |
$1,097.29 $1,155.84 $1,217.86 $1,438.19 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$867.42 $984.52 $1,108.56 $1,549.22 $2,354.18 |
$1,199.21 $1,316.31 $1,440.35 $1,881.01 |
$1,531.00 $1,648.10 $1,772.14 $2,212.80 |
ADVERTISEMENT
QuartzLocal: 1-608-644-3430 | Toll Free: 1-800-362-3310 | TTY: 1-800-877-8973 |
Toc - Plan #9 Quartz | ||||||||||||||||||||
Gold
(HMO) Tiered Choice Plus Gold I406 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 |
$396.78 $450.34 $507.08 $708.64 $1,076.85 |
$700.31 $753.87 $810.61 $1,012.17 |
$1,003.84 $1,057.40 $1,114.14 $1,315.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$793.56 $900.68 $1,014.16 $1,417.28 $2,153.70 |
$1,097.09 $1,204.21 $1,317.69 $1,720.81 |
$1,400.62 $1,507.74 $1,621.22 $2,024.34 |
Toc - Plan #10 Quartz | ||||||||||||||||||||
Gold
(HMO) Tiered Choice Plus Gold I407 Maintenance 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 |
$452.45 $513.52 $578.22 $808.06 $1,227.93 |
$798.57 $859.64 $924.34 $1,154.18 |
$1,144.69 $1,205.76 $1,270.46 $1,500.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$904.90 $1,027.04 $1,156.44 $1,616.12 $2,455.86 |
$1,251.02 $1,373.16 $1,502.56 $1,962.24 |
$1,597.14 $1,719.28 $1,848.68 $2,308.36 |
Toc - Plan #11 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 |
$391.56 $444.41 $500.40 $699.31 $1,062.67 |
$691.10 $743.95 $799.94 $998.85 |
$990.64 $1,043.49 $1,099.48 $1,298.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$783.12 $888.82 $1,000.80 $1,398.62 $2,125.34 |
$1,082.66 $1,188.36 $1,300.34 $1,698.16 |
$1,382.20 $1,487.90 $1,599.88 $1,997.70 |
Toc - Plan #12 Quartz | ||||||||||||||||||||
Silver
(HMO) Tiered Choice Plus Silver I305 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 |
$399.40 $453.31 $510.43 $713.32 $1,083.96 |
$704.94 $758.85 $815.97 $1,018.86 |
$1,010.48 $1,064.39 $1,121.51 $1,324.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$798.80 $906.62 $1,020.86 $1,426.64 $2,167.92 |
$1,104.34 $1,212.16 $1,326.40 $1,732.18 |
$1,409.88 $1,517.70 $1,631.94 $2,037.72 |
Toc - Plan #13 Quartz | ||||||||||||||||||||
Silver
(HMO) Tiered Choice Plus Silver I306 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 |
$392.33 $445.29 $501.39 $700.69 $1,064.77 |
$692.46 $745.42 $801.52 $1,000.82 |
$992.59 $1,045.55 $1,101.65 $1,300.95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$784.66 $890.58 $1,002.78 $1,401.38 $2,129.54 |
$1,084.79 $1,190.71 $1,302.91 $1,701.51 |
$1,384.92 $1,490.84 $1,603.04 $2,001.64 |
Toc - Plan #14 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 |
$438.60 $497.81 $560.53 $783.33 $1,190.35 |
$774.13 $833.34 $896.06 $1,118.86 |
$1,109.66 $1,168.87 $1,231.59 $1,454.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$877.20 $995.62 $1,121.06 $1,566.66 $2,380.70 |
$1,212.73 $1,331.15 $1,456.59 $1,902.19 |
$1,548.26 $1,666.68 $1,792.12 $2,237.72 |
Toc - Plan #15 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 |
$337.24 $382.76 $430.99 $602.30 $915.26 |
$595.23 $640.75 $688.98 $860.29 |
$853.22 $898.74 $946.97 $1,118.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$674.48 $765.52 $861.98 $1,204.60 $1,830.52 |
$932.47 $1,023.51 $1,119.97 $1,462.59 |
$1,190.46 $1,281.50 $1,377.96 $1,720.58 |
Toc - Plan #16 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 |
$333.35 $378.35 $426.01 $595.35 $904.70 |
$588.36 $633.36 $681.02 $850.36 |
$843.37 $888.37 $936.03 $1,105.37 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$666.70 $756.70 $852.02 $1,190.70 $1,809.40 |
$921.71 $1,011.71 $1,107.03 $1,445.71 |
$1,176.72 $1,266.72 $1,362.04 $1,700.72 |
Toc - Plan #17 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 |
$352.84 $400.46 $450.92 $630.16 $957.59 |
$622.76 $670.38 $720.84 $900.08 |
$892.68 $940.30 $990.76 $1,170.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$705.68 $800.92 $901.84 $1,260.32 $1,915.18 |
$975.60 $1,070.84 $1,171.76 $1,530.24 |
$1,245.52 $1,340.76 $1,441.68 $1,800.16 |
Toc - Plan #18 Quartz | ||||||||||||||||||||
Gold
(HMO) Tiered Choice Plus Gold I406 |
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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 |
$380.15 $431.47 $485.83 $678.94 $1,031.72 |
$670.96 $722.28 $776.64 $969.75 |
$961.77 $1,013.09 $1,067.45 $1,260.56 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$760.30 $862.94 $971.66 $1,357.88 $2,063.44 |
$1,051.11 $1,153.75 $1,262.47 $1,648.69 |
$1,341.92 $1,444.56 $1,553.28 $1,939.50 |
Toc - Plan #19 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 |
$433.48 $492.00 $553.98 $774.19 $1,176.46 |
$765.09 $823.61 $885.59 $1,105.80 |
$1,096.70 $1,155.22 $1,217.20 $1,437.41 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$866.96 $984.00 $1,107.96 $1,548.38 $2,352.92 |
$1,198.57 $1,315.61 $1,439.57 $1,879.99 |
$1,530.18 $1,647.22 $1,771.18 $2,211.60 |
Toc - Plan #20 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 |
$375.14 $425.78 $479.43 $670.00 $1,018.13 |
$662.12 $712.76 $766.41 $956.98 |
$949.10 $999.74 $1,053.39 $1,243.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$750.28 $851.56 $958.86 $1,340.00 $2,036.26 |
$1,037.26 $1,138.54 $1,245.84 $1,626.98 |
$1,324.24 $1,425.52 $1,532.82 $1,913.96 |
Toc - Plan #21 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 |
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21 30 40 50 60 |
$382.66 $434.31 $489.03 $683.42 $1,038.52 |
$675.39 $727.04 $781.76 $976.15 |
$968.12 $1,019.77 $1,074.49 $1,268.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$765.32 $868.62 $978.06 $1,366.84 $2,077.04 |
$1,058.05 $1,161.35 $1,270.79 $1,659.57 |
$1,350.78 $1,454.08 $1,563.52 $1,952.30 |
Toc - Plan #22 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 |
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21 30 40 50 60 |
$375.88 $426.62 $480.37 $671.32 $1,020.14 |
$663.43 $714.17 $767.92 $958.87 |
$950.98 $1,001.72 $1,055.47 $1,246.42 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$751.76 $853.24 $960.74 $1,342.64 $2,040.28 |
$1,039.31 $1,140.79 $1,248.29 $1,630.19 |
$1,326.86 $1,428.34 $1,535.84 $1,917.74 |
Toc - Plan #23 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:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$420.22 $476.94 $537.03 $750.50 $1,140.45 |
$741.68 $798.40 $858.49 $1,071.96 |
$1,063.14 $1,119.86 $1,179.95 $1,393.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$840.44 $953.88 $1,074.06 $1,501.00 $2,280.90 |
$1,161.90 $1,275.34 $1,395.52 $1,822.46 |
$1,483.36 $1,596.80 $1,716.98 $2,143.92 |
Toc - Plan #24 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]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$323.11 $366.72 $412.92 $577.06 $876.89 |
$570.28 $613.89 $660.09 $824.23 |
$817.45 $861.06 $907.26 $1,071.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$646.22 $733.44 $825.84 $1,154.12 $1,753.78 |
$893.39 $980.61 $1,073.01 $1,401.29 |
$1,140.56 $1,227.78 $1,320.18 $1,648.46 |
Toc - Plan #25 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]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$319.38 $362.49 $408.16 $570.40 $866.77 |
$563.70 $606.81 $652.48 $814.72 |
$808.02 $851.13 $896.80 $1,059.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$638.76 $724.98 $816.32 $1,140.80 $1,733.54 |
$883.08 $969.30 $1,060.64 $1,385.12 |
$1,127.40 $1,213.62 $1,304.96 $1,629.44 |
Toc - Plan #26 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]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.05 $383.68 $432.02 $603.74 $917.45 |
$596.65 $642.28 $690.62 $862.34 |
$855.25 $900.88 $949.22 $1,120.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$676.10 $767.36 $864.04 $1,207.48 $1,834.90 |
$934.70 $1,025.96 $1,122.64 $1,466.08 |
$1,193.30 $1,284.56 $1,381.24 $1,724.68 |
Toc - Plan #27 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]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406.00 $460.80 $518.86 $725.10 $1,101.86 |
$716.58 $771.38 $829.44 $1,035.68 |
$1,027.16 $1,081.96 $1,140.02 $1,346.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$812.00 $921.60 $1,037.72 $1,450.20 $2,203.72 |
$1,122.58 $1,232.18 $1,348.30 $1,760.78 |
$1,433.16 $1,542.76 $1,658.88 $2,071.36 |
Toc - Plan #28 Quartz | ||||||||||||||||||||
Silver
(HMO) Quartz One Silver I304 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$450.93 $511.80 $576.29 $805.36 $1,223.82 |
$795.89 $856.76 $921.25 $1,150.32 |
$1,140.85 $1,201.72 $1,266.21 $1,495.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$901.86 $1,023.60 $1,152.58 $1,610.72 $2,447.64 |
$1,246.82 $1,368.56 $1,497.54 $1,955.68 |
$1,591.78 $1,713.52 $1,842.50 $2,300.64 |
Toc - Plan #29 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]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336.30 $381.70 $429.79 $600.63 $912.71 |
$593.57 $638.97 $687.06 $857.90 |
$850.84 $896.24 $944.33 $1,115.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$672.60 $763.40 $859.58 $1,201.26 $1,825.42 |
$929.87 $1,020.67 $1,116.85 $1,458.53 |
$1,187.14 $1,277.94 $1,374.12 $1,715.80 |
Toc - Plan #30 Quartz | ||||||||||||||||||||
Catastrophic
(HMO) Quartz One Catastrophic I101 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-362-3310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$247.11 $280.46 $315.79 $441.32 $670.63 |
$436.14 $469.49 $504.82 $630.35 |
$625.17 $658.52 $693.85 $819.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$494.22 $560.92 $631.58 $882.64 $1,341.26 |
$683.25 $749.95 $820.61 $1,071.67 |
$872.28 $938.98 $1,009.64 $1,260.70 |
ADVERTISEMENT
Dean Health PlanLocal: 1-800-279-1302 | Toll Free: 1-800-279-1302 | TTY: 1-800-279-1302 |
Toc - Plan #31 Dean Health Plan | ||||||||||||||||||||
Catastrophic
(HMO) Dean Catastrophic Safety Net |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-279-1302
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$187.77 $213.12 $239.97 $335.36 $509.61 |
$331.41 $356.76 $383.61 $479.00 |
$475.05 $500.40 $527.25 $622.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$375.54 $426.24 $479.94 $670.72 $1,019.22 |
$519.18 $569.88 $623.58 $814.36 |
$662.82 $713.52 $767.22 $958.00 |
Toc - Plan #32 Dean Health Plan | ||||||||||||||||||||
Silver
(HMO) Dean Silver Copay Plus 4800X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-279-1302
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.63 $402.50 $453.22 $633.37 $962.46 |
$625.92 $673.79 $724.51 $904.66 |
$897.21 $945.08 $995.80 $1,175.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$709.26 $805.00 $906.44 $1,266.74 $1,924.92 |
$980.55 $1,076.29 $1,177.73 $1,538.03 |
$1,251.84 $1,347.58 $1,449.02 $1,809.32 |
Toc - Plan #33 Dean Health Plan | ||||||||||||||||||||
Silver
(HMO) Dean Silver Classic 5000X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-279-1302
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344.93 $391.50 $440.82 $616.05 $936.15 |
$608.80 $655.37 $704.69 $879.92 |
$872.67 $919.24 $968.56 $1,143.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$689.86 $783.00 $881.64 $1,232.10 $1,872.30 |
$953.73 $1,046.87 $1,145.51 $1,495.97 |
$1,217.60 $1,310.74 $1,409.38 $1,759.84 |
Toc - Plan #34 Dean Health Plan | ||||||||||||||||||||
Silver
(HMO) Dean Silver Value Copay 5000X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-279-1302
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.01 $408.61 $460.10 $642.98 $977.08 |
$635.42 $684.02 $735.51 $918.39 |
$910.83 $959.43 $1,010.92 $1,193.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$720.02 $817.22 $920.20 $1,285.96 $1,954.16 |
$995.43 $1,092.63 $1,195.61 $1,561.37 |
$1,270.84 $1,368.04 $1,471.02 $1,836.78 |
Toc - Plan #35 Dean Health Plan | ||||||||||||||||||||
Gold
(HMO) Dean Gold Value Copay 3700X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-279-1302
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348.35 $395.38 $445.20 $622.16 $945.43 |
$614.84 $661.87 $711.69 $888.65 |
$881.33 $928.36 $978.18 $1,155.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$696.70 $790.76 $890.40 $1,244.32 $1,890.86 |
$963.19 $1,057.25 $1,156.89 $1,510.81 |
$1,229.68 $1,323.74 $1,423.38 $1,777.30 |
Toc - Plan #36 Dean Health Plan | ||||||||||||||||||||
Bronze
(HMO) Dean Bronze Value Copay 8650X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-279-1302
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$230.30 $261.39 $294.33 $411.32 $625.04 |
$406.48 $437.57 $470.51 $587.50 |
$582.66 $613.75 $646.69 $763.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$460.60 $522.78 $588.66 $822.64 $1,250.08 |
$636.78 $698.96 $764.84 $998.82 |
$812.96 $875.14 $941.02 $1,175.00 |
Toc - Plan #37 Dean Health Plan | ||||||||||||||||||||
Silver
(HMO) Dean Silver HSA-E 4500X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-279-1302
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339.85 $385.73 $434.32 $606.97 $922.35 |
$599.83 $645.71 $694.30 $866.95 |
$859.81 $905.69 $954.28 $1,126.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$679.70 $771.46 $868.64 $1,213.94 $1,844.70 |
$939.68 $1,031.44 $1,128.62 $1,473.92 |
$1,199.66 $1,291.42 $1,388.60 $1,733.90 |
Toc - Plan #38 Dean Health Plan | ||||||||||||||||||||
Gold
(HMO) Dean Gold Copay Plus 1500X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-279-1302
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.65 $401.39 $451.96 $631.62 $959.80 |
$624.19 $671.93 $722.50 $902.16 |
$894.73 $942.47 $993.04 $1,172.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$707.30 $802.78 $903.92 $1,263.24 $1,919.60 |
$977.84 $1,073.32 $1,174.46 $1,533.78 |
$1,248.38 $1,343.86 $1,445.00 $1,804.32 |
Toc - Plan #39 Dean Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Dean Bronze HSA-E 6950X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-279-1302
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$243.24 $276.08 $310.86 $434.43 $660.16 |
$429.32 $462.16 $496.94 $620.51 |
$615.40 $648.24 $683.02 $806.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$486.48 $552.16 $621.72 $868.86 $1,320.32 |
$672.56 $738.24 $807.80 $1,054.94 |
$858.64 $924.32 $993.88 $1,241.02 |
Toc - Plan #40 Dean Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Dean Bronze Copay Plus 8650X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-279-1302
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$238.30 $270.47 $304.55 $425.61 $646.76 |
$420.60 $452.77 $486.85 $607.91 |
$602.90 $635.07 $669.15 $790.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$476.60 $540.94 $609.10 $851.22 $1,293.52 |
$658.90 $723.24 $791.40 $1,033.52 |
$841.20 $905.54 $973.70 $1,215.82 |
ADVERTISEMENT
WPS Health PlanLocal: 1-920-490-6900 | Toll Free: 1-800-332-6249 | TTY: 1-888-332-0144 |
Toc - Plan #41 WPS Health Plan | ||||||||||||||||||||
Bronze
(HMO) WPS HMO Bronze $8,700 | Select Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-332-6249
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$297.16 $337.28 $379.77 $530.73 $806.49 |
$524.49 $564.61 $607.10 $758.06 |
$751.82 $791.94 $834.43 $985.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$594.32 $674.56 $759.54 $1,061.46 $1,612.98 |
$821.65 $901.89 $986.87 $1,288.79 |
$1,048.98 $1,129.22 $1,214.20 $1,516.12 |
Toc - Plan #42 WPS Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) WPS HMO Bronze $6,500 with 3 Free PCP Visits | Select Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-332-6249
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$308.91 $350.61 $394.79 $551.71 $838.38 |
$545.23 $586.93 $631.11 $788.03 |
$781.55 $823.25 $867.43 $1,024.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$617.82 $701.22 $789.58 $1,103.42 $1,676.76 |
$854.14 $937.54 $1,025.90 $1,339.74 |
$1,090.46 $1,173.86 $1,262.22 $1,576.06 |
Toc - Plan #43 WPS Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) WPS HMO Bronze $7,500 | Select Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-332-6249
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$297.93 $338.15 $380.75 $532.10 $808.58 |
$525.85 $566.07 $608.67 $760.02 |
$753.77 $793.99 $836.59 $987.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$595.86 $676.30 $761.50 $1,064.20 $1,617.16 |
$823.78 $904.22 $989.42 $1,292.12 |
$1,051.70 $1,132.14 $1,217.34 $1,520.04 |
Toc - Plan #44 WPS Health Plan | ||||||||||||||||||||
Silver
(HMO) WPS HMO Silver $7,500 | Select Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-332-6249
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.90 $441.40 $497.01 $694.58 $1,055.47 |
$686.41 $738.91 $794.52 $992.09 |
$983.92 $1,036.42 $1,092.03 $1,289.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$777.80 $882.80 $994.02 $1,389.16 $2,110.94 |
$1,075.31 $1,180.31 $1,291.53 $1,686.67 |
$1,372.82 $1,477.82 $1,589.04 $1,984.18 |
Toc - Plan #45 WPS Health Plan | ||||||||||||||||||||
Silver
(HMO) WPS HMO Silver $4,500 | Select Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-332-6249
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.34 $445.31 $501.41 $700.72 $1,064.81 |
$692.48 $745.45 $801.55 $1,000.86 |
$992.62 $1,045.59 $1,101.69 $1,301.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$784.68 $890.62 $1,002.82 $1,401.44 $2,129.62 |
$1,084.82 $1,190.76 $1,302.96 $1,701.58 |
$1,384.96 $1,490.90 $1,603.10 $2,001.72 |
Toc - Plan #46 WPS Health Plan | ||||||||||||||||||||
Silver
(HMO) WPS HMO Silver $5,000 | Select Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-332-6249
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406.58 $461.47 $519.61 $726.15 $1,103.46 |
$717.61 $772.50 $830.64 $1,037.18 |
$1,028.64 $1,083.53 $1,141.67 $1,348.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$813.16 $922.94 $1,039.22 $1,452.30 $2,206.92 |
$1,124.19 $1,233.97 $1,350.25 $1,763.33 |
$1,435.22 $1,545.00 $1,661.28 $2,074.36 |
Toc - Plan #47 WPS Health Plan | ||||||||||||||||||||
Gold
(HMO) WPS HMO Gold $3,000 | Select Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-332-6249
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$531.89 $603.70 $679.76 $949.96 $1,443.55 |
$938.79 $1,010.60 $1,086.66 $1,356.86 |
$1,345.69 $1,417.50 $1,493.56 $1,763.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,063.78 $1,207.40 $1,359.52 $1,899.92 $2,887.10 |
$1,470.68 $1,614.30 $1,766.42 $2,306.82 |
$1,877.58 $2,021.20 $2,173.32 $2,713.72 |
Toc - Plan #48 WPS Health Plan | ||||||||||||||||||||
Catastrophic
(HMO) WPS HMO Catastrophic $8,700 with 3 Free PCP Visits | Select Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-332-6249
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$258.35 $293.23 $330.17 $461.41 $701.16 |
$455.99 $490.87 $527.81 $659.05 |
$653.63 $688.51 $725.45 $856.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$516.70 $586.46 $660.34 $922.82 $1,402.32 |
$714.34 $784.10 $857.98 $1,120.46 |
$911.98 $981.74 $1,055.62 $1,318.10 |
Toc - Plan #49 WPS Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) WPS HMO HDHP Bronze $7,050 | Select Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-332-6249
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.54 $351.33 $395.59 $552.84 $840.09 |
$546.34 $588.13 $632.39 $789.64 |
$783.14 $824.93 $869.19 $1,026.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$619.08 $702.66 $791.18 $1,105.68 $1,680.18 |
$855.88 $939.46 $1,027.98 $1,342.48 |
$1,092.68 $1,176.26 $1,264.78 $1,579.28 |
Toc - Plan #50 WPS Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) WPS HMO HDHP Bronze $6,830 | Select Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-332-6249
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316.25 $358.94 $404.17 $564.82 $858.30 |
$558.18 $600.87 $646.10 $806.75 |
$800.11 $842.80 $888.03 $1,048.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$632.50 $717.88 $808.34 $1,129.64 $1,716.60 |
$874.43 $959.81 $1,050.27 $1,371.57 |
$1,116.36 $1,201.74 $1,292.20 $1,613.50 |
Toc - Plan #51 WPS Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) WPS HMO HDHP Bronze $6,000 | Select Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-332-6249
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.25 $352.13 $396.50 $554.11 $842.02 |
$547.59 $589.47 $633.84 $791.45 |
$784.93 $826.81 $871.18 $1,028.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$620.50 $704.26 $793.00 $1,108.22 $1,684.04 |
$857.84 $941.60 $1,030.34 $1,345.56 |
$1,095.18 $1,178.94 $1,267.68 $1,582.90 |
Toc - Plan #52 WPS Health Plan | ||||||||||||||||||||
Silver
(HMO) WPS HMO HDHP Silver $4,500 | Select Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-332-6249
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.15 $448.50 $505.00 $705.74 $1,072.44 |
$697.44 $750.79 $807.29 $1,008.03 |
$999.73 $1,053.08 $1,109.58 $1,310.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790.30 $897.00 $1,010.00 $1,411.48 $2,144.88 |
$1,092.59 $1,199.29 $1,312.29 $1,713.77 |
$1,394.88 $1,501.58 $1,614.58 $2,016.06 |
Toc - Plan #53 WPS Health Plan | ||||||||||||||||||||
Silver
(HMO) WPS HMO HDHP Silver $5,250 | Select Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-332-6249
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.90 $451.62 $508.52 $710.65 $1,079.90 |
$702.29 $756.01 $812.91 $1,015.04 |
$1,006.68 $1,060.40 $1,117.30 $1,319.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795.80 $903.24 $1,017.04 $1,421.30 $2,159.80 |
$1,100.19 $1,207.63 $1,321.43 $1,725.69 |
$1,404.58 $1,512.02 $1,625.82 $2,030.08 |
Toc - Plan #54 WPS Health Plan | ||||||||||||||||||||
Silver
(HMO) WPS HMO HDHP Silver $6,125 | Select Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-332-6249
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$379.58 $430.82 $485.10 $677.93 $1,030.18 |
$669.96 $721.20 $775.48 $968.31 |
$960.34 $1,011.58 $1,065.86 $1,258.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$759.16 $861.64 $970.20 $1,355.86 $2,060.36 |
$1,049.54 $1,152.02 $1,260.58 $1,646.24 |
$1,339.92 $1,442.40 $1,550.96 $1,936.62 |
Toc - Plan #55 WPS Health Plan | ||||||||||||||||||||
Bronze
(POS) WPS POS Bronze $8,700 | Select Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-332-6249
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.85 $360.76 $406.21 $567.68 $862.64 |
$561.01 $603.92 $649.37 $810.84 |
$804.17 $847.08 $892.53 $1,054.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$635.70 $721.52 $812.42 $1,135.36 $1,725.28 |
$878.86 $964.68 $1,055.58 $1,378.52 |
$1,122.02 $1,207.84 $1,298.74 $1,621.68 |
Toc - Plan #56 WPS Health Plan | ||||||||||||||||||||
Expanded Bronze
(POS) WPS POS HDHP Bronze $6,000 | Select Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-332-6249
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.82 $376.62 $424.07 $592.63 $900.56 |
$585.66 $630.46 $677.91 $846.47 |
$839.50 $884.30 $931.75 $1,100.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$663.64 $753.24 $848.14 $1,185.26 $1,801.12 |
$917.48 $1,007.08 $1,101.98 $1,439.10 |
$1,171.32 $1,260.92 $1,355.82 $1,692.94 |
ADVERTISEMENT
Aspirus Health PlanLocal: 1-866-631-4611 | Toll Free: 1-866-631-4611 | TTY: 1-866-631-8597 |
Toc - Plan #57 Aspirus Health Plan | ||||||||||||||||||||
Silver
(HMO) HMO Silver 7500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-631-4611
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.38 $449.90 $506.58 $707.94 $1,075.79 |
$699.61 $753.13 $809.81 $1,011.17 |
$1,002.84 $1,056.36 $1,113.04 $1,314.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792.76 $899.80 $1,013.16 $1,415.88 $2,151.58 |
$1,095.99 $1,203.03 $1,316.39 $1,719.11 |
$1,399.22 $1,506.26 $1,619.62 $2,022.34 |
Toc - Plan #58 Aspirus Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) HMO HDHP Bronze 6000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-631-4611
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289.25 $328.29 $369.66 $516.59 $785.02 |
$510.52 $549.56 $590.93 $737.86 |
$731.79 $770.83 $812.20 $959.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$578.50 $656.58 $739.32 $1,033.18 $1,570.04 |
$799.77 $877.85 $960.59 $1,254.45 |
$1,021.04 $1,099.12 $1,181.86 $1,475.72 |
Toc - Plan #59 Aspirus Health Plan | ||||||||||||||||||||
Bronze
(HMO) HMO Bronze 8700 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-631-4611
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$269.35 $305.71 $344.23 $481.06 $731.02 |
$475.40 $511.76 $550.28 $687.11 |
$681.45 $717.81 $756.33 $893.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$538.70 $611.42 $688.46 $962.12 $1,462.04 |
$744.75 $817.47 $894.51 $1,168.17 |
$950.80 $1,023.52 $1,100.56 $1,374.22 |
Toc - Plan #60 Aspirus Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) HMO Bronze 6500 with 3 Free PCP visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-631-4611
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$286.19 $324.82 $365.75 $511.13 $776.71 |
$505.12 $543.75 $584.68 $730.06 |
$724.05 $762.68 $803.61 $948.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$572.38 $649.64 $731.50 $1,022.26 $1,553.42 |
$791.31 $868.57 $950.43 $1,241.19 |
$1,010.24 $1,087.50 $1,169.36 $1,460.12 |
Toc - Plan #61 Aspirus Health Plan | ||||||||||||||||||||
Gold
(HMO) HMO Gold 2750 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-631-4611
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359.65 $408.21 $459.64 $642.34 $976.10 |
$634.78 $683.34 $734.77 $917.47 |
$909.91 $958.47 $1,009.90 $1,192.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$719.30 $816.42 $919.28 $1,284.68 $1,952.20 |
$994.43 $1,091.55 $1,194.41 $1,559.81 |
$1,269.56 $1,366.68 $1,469.54 $1,834.94 |
Toc - Plan #62 Aspirus Health Plan | ||||||||||||||||||||
Catastrophic
(HMO) HMO Catastrophic 8700 with 3 Free PCP visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-631-4611
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$195.90 $222.34 $250.35 $349.87 $531.66 |
$345.76 $372.20 $400.21 $499.73 |
$495.62 $522.06 $550.07 $649.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$391.80 $444.68 $500.70 $699.74 $1,063.32 |
$541.66 $594.54 $650.56 $849.60 |
$691.52 $744.40 $800.42 $999.46 |
Toc - Plan #63 Aspirus Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) HMO HDHP Bronze 6900 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-631-4611
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$288.10 $326.99 $368.19 $514.54 $781.90 |
$508.50 $547.39 $588.59 $734.94 |
$728.90 $767.79 $808.99 $955.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$576.20 $653.98 $736.38 $1,029.08 $1,563.80 |
$796.60 $874.38 $956.78 $1,249.48 |
$1,017.00 $1,094.78 $1,177.18 $1,469.88 |
Toc - Plan #64 Aspirus Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) HMO Bronze 7500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-631-4611
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$276.63 $313.97 $353.53 $494.05 $750.76 |
$488.25 $525.59 $565.15 $705.67 |
$699.87 $737.21 $776.77 $917.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$553.26 $627.94 $707.06 $988.10 $1,501.52 |
$764.88 $839.56 $918.68 $1,199.72 |
$976.50 $1,051.18 $1,130.30 $1,411.34 |
Toc - Plan #65 Aspirus Health Plan | ||||||||||||||||||||
Silver
(HMO) HMO Silver 4800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-631-4611
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406.33 $461.19 $519.29 $725.71 $1,102.79 |
$717.17 $772.03 $830.13 $1,036.55 |
$1,028.01 $1,082.87 $1,140.97 $1,347.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$812.66 $922.38 $1,038.58 $1,451.42 $2,205.58 |
$1,123.50 $1,233.22 $1,349.42 $1,762.26 |
$1,434.34 $1,544.06 $1,660.26 $2,073.10 |
Toc - Plan #66 Aspirus Health Plan | ||||||||||||||||||||
Silver
(HMO) HMO HDHP Silver 5900 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-631-4611
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.11 $441.64 $497.28 $694.95 $1,056.04 |
$686.78 $739.31 $794.95 $992.62 |
$984.45 $1,036.98 $1,092.62 $1,290.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$778.22 $883.28 $994.56 $1,389.90 $2,112.08 |
$1,075.89 $1,180.95 $1,292.23 $1,687.57 |
$1,373.56 $1,478.62 $1,589.90 $1,985.24 |
Toc - Plan #67 Aspirus Health Plan | ||||||||||||||||||||
Silver
(POS) POS Silver 7500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-631-4611
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$452.63 $513.73 $578.46 $808.39 $1,228.43 |
$798.89 $859.99 $924.72 $1,154.65 |
$1,145.15 $1,206.25 $1,270.98 $1,500.91 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$905.26 $1,027.46 $1,156.92 $1,616.78 $2,456.86 |
$1,251.52 $1,373.72 $1,503.18 $1,963.04 |
$1,597.78 $1,719.98 $1,849.44 $2,309.30 |
Toc - Plan #68 Aspirus Health Plan | ||||||||||||||||||||
Expanded Bronze
(POS) POS HDHP Bronze 6000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-631-4611
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 |
$318.33 $361.30 $406.82 $568.53 $863.94 |
$561.85 $604.82 $650.34 $812.05 |
$805.37 $848.34 $893.86 $1,055.57 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$636.66 $722.60 $813.64 $1,137.06 $1,727.88 |
$880.18 $966.12 $1,057.16 $1,380.58 |
$1,123.70 $1,209.64 $1,300.68 $1,624.10 |
‡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 Marquette County here.
Marquette County is in “Rating Area 15” of Wisconsin.
Currently, there are 68 plans offered in Rating Area 15.