Obamacare Providers, Plans and 2017 Rates for Sawyer County
The health insurance rates listed below are for calendar year 2017.
2017 Rates and Providers
(click here for 2014)
(click here for 2015)
(click here for 2016)
This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Hayward, WI.
Currently, there are 29 plans offered in Sawyer County.
Below, you’ll find a summary of plans and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must complete an application at HealthCare.gov or contact the provider directly.
The table below shows premiums for the following scenarios:
- Individual
- Couple
- Couple with 1 2 or 3 children
- Individual with 1 2 or 3 children
- A child alone
Each scenario is covered for age
- Age 21, 30, 40, 50
- Age 60 (Individual and Couple only)
For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:
- a summary of plan benefits and costs,
- a plan brochure, and
- a "Provider Directory" -- where you can find out which doctors and hospitals in the Hayward, WI area accept this insurance coverage as within the plan's "network".
‡Source: HealthCare.gov has released sample rates for all counties in those states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Sawyer County here.
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Security Health Plan of Wisconsin, Inc.Local: 1-715-221-9258 x19258 | Toll Free: 1-844-293-9624 TTY: 1-877-727-2232 |
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Plan: (HMO) Classic $5,500 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$351.09 $398.47 $448.67 $627.02 $952.82 |
$702.18 $796.94 $897.34 $1254.04 $1905.64 |
$925.11 $1019.87 $1120.27 $1476.97 |
$1148.04 $1242.80 $1343.20 $1699.90 |
$1370.97 $1465.73 $1566.13 $1922.83 |
$574.02 $621.40 $671.60 $849.95 |
$796.95 $844.33 $894.53 $1072.88 |
$1019.88 $1067.26 $1117.46 $1295.81 |
$222.93 |
Plan: (HMO) Classic $1,500 - 20%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$486.06 $551.67 $621.17 $868.09 $1319.15 |
$972.12 $1103.34 $1242.34 $1736.18 $2638.30 |
$1280.76 $1411.98 $1550.98 $2044.82 |
$1589.40 $1720.62 $1859.62 $2353.46 |
$1898.04 $2029.26 $2168.26 $2662.10 |
$794.70 $860.31 $929.81 $1176.73 |
$1103.34 $1168.95 $1238.45 $1485.37 |
$1411.98 $1477.59 $1547.09 $1794.01 |
$308.64 |
Plan: (HMO) Classic $3,750 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$3,750
: Family:
$7,500 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$428.46 $486.29 $547.56 $765.21 $1162.81 |
$856.92 $972.58 $1095.12 $1530.42 $2325.62 |
$1128.98 $1244.64 $1367.18 $1802.48 |
$1401.04 $1516.70 $1639.24 $2074.54 |
$1673.10 $1788.76 $1911.30 $2346.60 |
$700.52 $758.35 $819.62 $1037.27 |
$972.58 $1030.41 $1091.68 $1309.33 |
$1244.64 $1302.47 $1363.74 $1581.39 |
$272.06 |
Plan: (HMO) Classic $2,500 - 20%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$402.89 $457.27 $514.89 $719.55 $1093.43 |
$805.78 $914.54 $1029.78 $1439.10 $2186.86 |
$1061.61 $1170.37 $1285.61 $1694.93 |
$1317.44 $1426.20 $1541.44 $1950.76 |
$1573.27 $1682.03 $1797.27 $2206.59 |
$658.72 $713.10 $770.72 $975.38 |
$914.55 $968.93 $1026.55 $1231.21 |
$1170.38 $1224.76 $1282.38 $1487.04 |
$255.83 |
Plan: (HMO) Classic $2,000 - 30%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$402.21 $456.50 $514.02 $718.33 $1091.58 |
$804.42 $913.00 $1028.04 $1436.66 $2183.16 |
$1059.82 $1168.40 $1283.44 $1692.06 |
$1315.22 $1423.80 $1538.84 $1947.46 |
$1570.62 $1679.20 $1794.24 $2202.86 |
$657.61 $711.90 $769.42 $973.73 |
$913.01 $967.30 $1024.82 $1229.13 |
$1168.41 $1222.70 $1280.22 $1484.53 |
$255.40 |
Plan: (HMO) Classic $6,000 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$340.86 $386.86 $435.61 $608.76 $925.07 |
$681.72 $773.72 $871.22 $1217.52 $1850.14 |
$898.16 $990.16 $1087.66 $1433.96 |
$1114.60 $1206.60 $1304.10 $1650.40 |
$1331.04 $1423.04 $1520.54 $1866.84 |
$557.30 $603.30 $652.05 $825.20 |
$773.74 $819.74 $868.49 $1041.64 |
$990.18 $1036.18 $1084.93 $1258.08 |
$216.44 |
Plan: (HMO) Classic ProtectionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$7,150
: Family:
$14,300 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$231.79 $263.07 $296.21 $413.96 $629.05 |
$463.58 $526.14 $592.42 $827.92 $1258.10 |
$610.76 $673.32 $739.60 $975.10 |
$757.94 $820.50 $886.78 $1122.28 |
$905.12 $967.68 $1033.96 $1269.46 |
$378.97 $410.25 $443.39 $561.14 |
$526.15 $557.43 $590.57 $708.32 |
$673.33 $704.61 $737.75 $855.50 |
$147.18 |
Plan: (HMO) Classic $4,500 - 30%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$399.15 $453.02 $510.09 $712.86 $1083.25 |
$798.30 $906.04 $1020.18 $1425.72 $2166.50 |
$1051.75 $1159.49 $1273.63 $1679.17 |
$1305.20 $1412.94 $1527.08 $1932.62 |
$1558.65 $1666.39 $1780.53 $2186.07 |
$652.60 $706.47 $763.54 $966.31 |
$906.05 $959.92 $1016.99 $1219.76 |
$1159.50 $1213.37 $1270.44 $1473.21 |
$253.45 |
Plan: (HMO) Classic $6,500 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$6,500
: Family:
$13,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$326.20 $370.23 $416.88 $582.58 $885.29 |
$652.40 $740.46 $833.76 $1165.16 $1770.58 |
$859.53 $947.59 $1040.89 $1372.29 |
$1066.66 $1154.72 $1248.02 $1579.42 |
$1273.79 $1361.85 $1455.15 $1786.55 |
$533.33 $577.36 $624.01 $789.71 |
$740.46 $784.49 $831.14 $996.84 |
$947.59 $991.62 $1038.27 $1203.97 |
$207.13 |
Plan: (HMO) Classic $7,150Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$7,150
: Family:
$14,300 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$315.98 $358.62 $403.81 $564.32 $857.54 |
$631.96 $717.24 $807.62 $1128.64 $1715.08 |
$832.60 $917.88 $1008.26 $1329.28 |
$1033.24 $1118.52 $1208.90 $1529.92 |
$1233.88 $1319.16 $1409.54 $1730.56 |
$516.62 $559.26 $604.45 $764.96 |
$717.26 $759.90 $805.09 $965.60 |
$917.90 $960.54 $1005.73 $1166.24 |
$200.64 |
Plan: (HMO) Classic $5,500 - 30%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$384.49 $436.38 $491.36 $686.68 $1043.48 |
$768.98 $872.76 $982.72 $1373.36 $2086.96 |
$1013.12 $1116.90 $1226.86 $1617.50 |
$1257.26 $1361.04 $1471.00 $1861.64 |
$1501.40 $1605.18 $1715.14 $2105.78 |
$628.63 $680.52 $735.50 $930.82 |
$872.77 $924.66 $979.64 $1174.96 |
$1116.91 $1168.80 $1223.78 $1419.10 |
$244.14 |
Plan: (EPO) Select $1,500 - 20%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$397.10 $450.70 $507.48 $709.20 $1077.70 |
$794.20 $901.40 $1014.96 $1418.40 $2155.40 |
$1046.35 $1153.55 $1267.11 $1670.55 |
$1298.50 $1405.70 $1519.26 $1922.70 |
$1550.65 $1657.85 $1771.41 $2174.85 |
$649.25 $702.85 $759.63 $961.35 |
$901.40 $955.00 $1011.78 $1213.50 |
$1153.55 $1207.15 $1263.93 $1465.65 |
$252.15 |
Plan: (EPO) Select $3,750 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$3,750
: Family:
$7,500 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$350.06 $397.31 $447.37 $625.19 $950.04 |
$700.12 $794.62 $894.74 $1250.38 $1900.08 |
$922.40 $1016.90 $1117.02 $1472.66 |
$1144.68 $1239.18 $1339.30 $1694.94 |
$1366.96 $1461.46 $1561.58 $1917.22 |
$572.34 $619.59 $669.65 $847.47 |
$794.62 $841.87 $891.93 $1069.75 |
$1016.90 $1064.15 $1114.21 $1292.03 |
$222.28 |
Plan: (EPO) Select $2,500 - 20%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$329.27 $373.71 $420.80 $588.06 $893.61 |
$658.54 $747.42 $841.60 $1176.12 $1787.22 |
$867.62 $956.50 $1050.68 $1385.20 |
$1076.70 $1165.58 $1259.76 $1594.28 |
$1285.78 $1374.66 $1468.84 $1803.36 |
$538.35 $582.79 $629.88 $797.14 |
$747.43 $791.87 $838.96 $1006.22 |
$956.51 $1000.95 $1048.04 $1215.30 |
$209.08 |
Plan: (EPO) Select $2,000 - 30%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$328.59 $372.94 $419.92 $586.84 $891.76 |
$657.18 $745.88 $839.84 $1173.68 $1783.52 |
$865.83 $954.53 $1048.49 $1382.33 |
$1074.48 $1163.18 $1257.14 $1590.98 |
$1283.13 $1371.83 $1465.79 $1799.63 |
$537.24 $581.59 $628.57 $795.49 |
$745.89 $790.24 $837.22 $1004.14 |
$954.54 $998.89 $1045.87 $1212.79 |
$208.65 |
Plan: (EPO) Select $6,000 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$278.48 $316.07 $355.89 $497.36 $755.78 |
$556.96 $632.14 $711.78 $994.72 $1511.56 |
$733.79 $808.97 $888.61 $1171.55 |
$910.62 $985.80 $1065.44 $1348.38 |
$1087.45 $1162.63 $1242.27 $1525.21 |
$455.31 $492.90 $532.72 $674.19 |
$632.14 $669.73 $709.55 $851.02 |
$808.97 $846.56 $886.38 $1027.85 |
$176.83 |
Plan: (EPO) Select $5,500 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$287.01 $325.74 $366.78 $512.57 $778.91 |
$574.02 $651.48 $733.56 $1025.14 $1557.82 |
$756.26 $833.72 $915.80 $1207.38 |
$938.50 $1015.96 $1098.04 $1389.62 |
$1120.74 $1198.20 $1280.28 $1571.86 |
$469.25 $507.98 $549.02 $694.81 |
$651.49 $690.22 $731.26 $877.05 |
$833.73 $872.46 $913.50 $1059.29 |
$182.24 |
Plan: (EPO) Select ProtectionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$7,150
: Family:
$14,300 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$189.18 $214.71 $241.76 $337.86 $513.41 |
$378.36 $429.42 $483.52 $675.72 $1026.82 |
$498.48 $549.54 $603.64 $795.84 |
$618.60 $669.66 $723.76 $915.96 |
$738.72 $789.78 $843.88 $1036.08 |
$309.30 $334.83 $361.88 $457.98 |
$429.42 $454.95 $482.00 $578.10 |
$549.54 $575.07 $602.12 $698.22 |
$120.12 |
Plan: (EPO) Select $4,500 - 30%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$326.20 $370.23 $416.88 $582.58 $885.29 |
$652.40 $740.46 $833.76 $1165.16 $1770.58 |
$859.53 $947.59 $1040.89 $1372.29 |
$1066.66 $1154.72 $1248.02 $1579.42 |
$1273.79 $1361.85 $1455.15 $1786.55 |
$533.33 $577.36 $624.01 $789.71 |
$740.46 $784.49 $831.14 $996.84 |
$947.59 $991.62 $1038.27 $1203.97 |
$207.13 |
Plan: (EPO) Select $6,500 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$6,500
: Family:
$13,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$266.55 $302.53 $340.64 $476.05 $723.40 |
$533.10 $605.06 $681.28 $952.10 $1446.80 |
$702.36 $774.32 $850.54 $1121.36 |
$871.62 $943.58 $1019.80 $1290.62 |
$1040.88 $1112.84 $1189.06 $1459.88 |
$435.81 $471.79 $509.90 $645.31 |
$605.07 $641.05 $679.16 $814.57 |
$774.33 $810.31 $848.42 $983.83 |
$169.26 |
Plan: (EPO) Select $7,150Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$7,150
: Family:
$14,300 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$258.37 $293.24 $330.19 $461.44 $701.20 |
$516.74 $586.48 $660.38 $922.88 $1402.40 |
$680.80 $750.54 $824.44 $1086.94 |
$844.86 $914.60 $988.50 $1251.00 |
$1008.92 $1078.66 $1152.56 $1415.06 |
$422.43 $457.30 $494.25 $625.50 |
$586.49 $621.36 $658.31 $789.56 |
$750.55 $785.42 $822.37 $953.62 |
$164.06 |
Plan: (EPO) Select $5,500 - 30%Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-293-9624 - Provider Directory for This Plan: (Security Health Plan of Wisconsin, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$314.27 $356.69 $401.63 $561.27 $852.91 |
$628.54 $713.38 $803.26 $1122.54 $1705.82 |
$828.10 $912.94 $1002.82 $1322.10 |
$1027.66 $1112.50 $1202.38 $1521.66 |
$1227.22 $1312.06 $1401.94 $1721.22 |
$513.83 $556.25 $601.19 $760.83 |
$713.39 $755.81 $800.75 $960.39 |
$912.95 $955.37 $1000.31 $1159.95 |
$199.56 |
ADVERTISEMENT
|
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Medica Health Plans of WisconsinLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 TTY: 1-800-855-2880 |
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Plan: (PPO) Medica Individual Choice Gold CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-592-8211 - Provider Directory for This Plan: (Medica Health Plans of Wisconsin)
Deductible: Individual:
$300
: Family:
$900 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$443.29 $503.12 $566.51 $791.70 $1203.06 |
$886.58 $1006.24 $1133.02 $1583.40 $2406.12 |
$1168.06 $1287.72 $1414.50 $1864.88 |
$1449.54 $1569.20 $1695.98 $2146.36 |
$1731.02 $1850.68 $1977.46 $2427.84 |
$724.77 $784.60 $847.99 $1073.18 |
$1006.25 $1066.08 $1129.47 $1354.66 |
$1287.73 $1347.56 $1410.95 $1636.14 |
$281.48 |
Plan: (PPO) Medica Individual Choice Silver CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-592-8211 - Provider Directory for This Plan: (Medica Health Plans of Wisconsin)
Deductible: Individual:
$2,600
: Family:
$7,800 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$387.13 $439.38 $494.73 $691.39 $1050.63 |
$774.26 $878.76 $989.46 $1382.78 $2101.26 |
$1020.08 $1124.58 $1235.28 $1628.60 |
$1265.90 $1370.40 $1481.10 $1874.42 |
$1511.72 $1616.22 $1726.92 $2120.24 |
$632.95 $685.20 $740.55 $937.21 |
$878.77 $931.02 $986.37 $1183.03 |
$1124.59 $1176.84 $1232.19 $1428.85 |
$245.82 |
Plan: (PPO) Medica Individual Choice Bronze CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-592-8211 - Provider Directory for This Plan: (Medica Health Plans of Wisconsin)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$343.51 $389.87 $438.99 $613.49 $932.25 |
$687.02 $779.74 $877.98 $1226.98 $1864.50 |
$905.14 $997.86 $1096.10 $1445.10 |
$1123.26 $1215.98 $1314.22 $1663.22 |
$1341.38 $1434.10 $1532.34 $1881.34 |
$561.63 $607.99 $657.11 $831.61 |
$779.75 $826.11 $875.23 $1049.73 |
$997.87 $1044.23 $1093.35 $1267.85 |
$218.12 |
Plan: (PPO) Medica Individual Choice Silver H S ASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-592-8211 - Provider Directory for This Plan: (Medica Health Plans of Wisconsin)
Deductible: Individual:
$1,300
: Family:
$3,900 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$380.70 $432.08 $486.52 $679.91 $1033.19 |
$761.40 $864.16 $973.04 $1359.82 $2066.38 |
$1003.14 $1105.90 $1214.78 $1601.56 |
$1244.88 $1347.64 $1456.52 $1843.30 |
$1486.62 $1589.38 $1698.26 $2085.04 |
$622.44 $673.82 $728.26 $921.65 |
$864.18 $915.56 $970.00 $1163.39 |
$1105.92 $1157.30 $1211.74 $1405.13 |
$241.74 |
Plan: (PPO) Medica Individual Choice Bronze H S ASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-592-8211 - Provider Directory for This Plan: (Medica Health Plans of Wisconsin)
Deductible: Individual:
$6,400
: Family:
$12,800 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$330.92 $375.58 $422.90 $591.00 $898.08 |
$661.84 $751.16 $845.80 $1182.00 $1796.16 |
$871.97 $961.29 $1055.93 $1392.13 |
$1082.10 $1171.42 $1266.06 $1602.26 |
$1292.23 $1381.55 $1476.19 $1812.39 |
$541.05 $585.71 $633.03 $801.13 |
$751.18 $795.84 $843.16 $1011.26 |
$961.31 $1005.97 $1053.29 $1221.39 |
$210.13 |
Plan: (PPO) Medica Individual Choice CatastrophicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-592-8211 - Provider Directory for This Plan: (Medica Health Plans of Wisconsin)
Deductible: Individual:
$7,150
: Family:
$14,300 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$212.61 $241.30 $271.70 $379.70 $576.99 |
$425.22 $482.60 $543.40 $759.40 $1153.98 |
$560.22 $617.60 $678.40 $894.40 |
$695.22 $752.60 $813.40 $1029.40 |
$830.22 $887.60 $948.40 $1164.40 |
$347.61 $376.30 $406.70 $514.70 |
$482.61 $511.30 $541.70 $649.70 |
$617.61 $646.30 $676.70 $784.70 |
$135.00 |
Plan: (PPO) Medica Individual Choice Gold Copay PlusSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-592-8211 - Provider Directory for This Plan: (Medica Health Plans of Wisconsin)
Deductible: Individual:
$1,000
: Family:
$3,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$480.88 $545.79 $614.55 $858.83 $1305.08 |
$961.76 $1091.58 $1229.10 $1717.66 $2610.16 |
$1267.11 $1396.93 $1534.45 $2023.01 |
$1572.46 $1702.28 $1839.80 $2328.36 |
$1877.81 $2007.63 $2145.15 $2633.71 |
$786.23 $851.14 $919.90 $1164.18 |
$1091.58 $1156.49 $1225.25 $1469.53 |
$1396.93 $1461.84 $1530.60 $1774.88 |
$305.35 |