Atlas $1,300 Gold
Gold · PPO · HealthPartners · Wisconsin
At age 40 it costs between $669.63 and $748.59 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 20173WI0130020 |
|---|---|
| Insurer | HealthPartners |
| Metal level | Gold |
| Plan type | PPO |
| Deductible (individual) | $1,300 |
| Deductible (family) | $2,600 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,600 |
| Family maximum | $17,200 |
| Primary care visit | $15 |
| Specialist visit | $35 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $25 |
| Preferred brand drugs | 20% Coinsurance after deductible |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 99.90% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-855-813-3887 · TTY 1-952-883-6060 |
Where it is sold, and what it costs there
5 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Pierce County | $523.97 | $594.71 | $669.63 | $935.81 | $1,422.05 |
| Polk County | $523.97 | $594.71 | $669.63 | $935.81 | $1,422.05 |
| Saint Croix County | $523.97 | $594.71 | $669.63 | $935.81 | $1,422.05 |
| Burnett County | $585.75 | $664.83 | $748.59 | $1,046.15 | $1,589.73 |
| Douglas County | $585.75 | $664.83 | $748.59 | $1,046.15 | $1,589.73 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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When this plan’s price or benefits change.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.