QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DED
Gold · HMO · Quartz · Wisconsin
At age 40 it costs $684.98 a month before any subsidy.
What CMS publishes about it
| Plan ID | 37833WI0510305 |
|---|---|
| Insurer | Quartz |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $700 |
| Deductible (family) | $1,400 |
| Drug deductible | $0 |
| Most you could pay in a year | $9,300 |
| Family maximum | $18,600 |
| Primary care visit | $40 |
| Specialist visit | $80 |
| Emergency room | $550 |
| Inpatient stay | $2,500 Copay per Day |
| Generic drugs | $5 |
| Preferred brand drugs | $50 |
| Specialty drugs | 60% |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 99.71% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-800-362-3310 · TTY 1-800-877-8973 |
Where it is sold, and what it costs there
2 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 |
|---|---|---|---|---|---|
| La Crosse County | $535.98 | $608.34 | $684.98 | $957.26 | $1,454.65 |
| Trempealeau County | $535.98 | $608.34 | $684.98 | $957.26 | $1,454.65 |
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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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.