NE WI Select $3,800 HSA Silver
Silver · PPO · HealthPartners · Wisconsin
At age 40 it costs $563.70 a month before any subsidy.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $3,800 | $8,000 | 20% Coinsurance after deductible | 20% Coinsurance after deductible |
| up to 150% of the federal poverty level | $200 | $3,100 | 5% Coinsurance after deductible | 5% Coinsurance after deductible |
| 150% to 200% | $1,300 | $3,350 | 5% Coinsurance after deductible | 5% Coinsurance after deductible |
| 200% to 250% | $3,000 | $7,800 | 15% Coinsurance after deductible | 15% Coinsurance after deductible |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 20173WI0130037 |
|---|---|
| Insurer | HealthPartners |
| Metal level | Silver |
| Plan type | PPO |
| Deductible (individual) | $3,800 |
| Deductible (family) | $7,600 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,000 |
| Family maximum | $16,000 |
| Primary care visit | 20% Coinsurance after deductible |
| Specialist visit | 20% Coinsurance after deductible |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | 20% Coinsurance after deductible |
| 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
10 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 |
|---|---|---|---|---|---|
| Brown County | $441.08 | $500.63 | $563.70 | $787.77 | $1,197.09 |
| Florence County | $441.08 | $500.63 | $563.70 | $787.77 | $1,197.09 |
| Kewaunee County | $441.08 | $500.63 | $563.70 | $787.77 | $1,197.09 |
| Menominee County | $441.08 | $500.63 | $563.70 | $787.77 | $1,197.09 |
| Oconto County | $441.08 | $500.63 | $563.70 | $787.77 | $1,197.09 |
| Outagamie County | $441.08 | $500.63 | $563.70 | $787.77 | $1,197.09 |
| Shawano County | $441.08 | $500.63 | $563.70 | $787.77 | $1,197.09 |
| Waupaca County | $441.08 | $500.63 | $563.70 | $787.77 | $1,197.09 |
| Waushara County | $441.08 | $500.63 | $563.70 | $787.77 | $1,197.09 |
| Winnebago County | $441.08 | $500.63 | $563.70 | $787.77 | $1,197.09 |
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.