QHP Index

QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) $4,000 DED

Gold · HMO · Quartz · Wisconsin

At age 40 it costs between $635.49 and $773.74 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 ID37833WI0380268
InsurerQuartz
Metal levelGold
Plan typeHMO
Deductible (individual)$4,000
Deductible (family)$8,000
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$8,000
Family maximum$16,000
Primary care visit$35
Specialist visit$80
Emergency room$600
Inpatient stay30% Coinsurance after deductible
Generic drugs$5
Preferred brand drugs$50
Specialty drugs60% Coinsurance after deductible
Adult dental includedYes
Child dental includedYes
Share of premium buying essential health benefits96.46%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-800-362-3310 · TTY 1-800-877-8973

Where it is sold, and what it costs there

4 counties. The premium is the price before any tax credit; what you pay depends on your income.

CountyAt 21At 30At 40At 50At 60
Dane County $497.26$564.39 $635.49$888.10 $1,349.55
Columbia County $560.67$636.35 $716.53$1,001.34 $1,521.64
Green County $560.67$636.35 $716.53$1,001.34 $1,521.64
Dodge County $605.44$687.17 $773.74$1,081.30 $1,643.15

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.