QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD $4,000 DED
Gold · HMO · Quartz · Wisconsin
At age 40 it costs between $708.79 and $888.47 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 | 37833WI0510318 |
|---|---|
| Insurer | Quartz |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $4,000 |
| Deductible (family) | $8,000 |
| Drug deductible | Included 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 stay | 30% Coinsurance after deductible |
| Generic drugs | $5 |
| Preferred brand drugs | $50 |
| Specialty drugs | 60% Coinsurance after deductible |
| 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
6 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 |
|---|---|---|---|---|---|
| Buffalo County | $554.62 | $629.49 | $708.79 | $990.54 | $1,505.22 |
| Jackson County | $554.62 | $629.49 | $708.79 | $990.54 | $1,505.22 |
| Monroe County | $554.62 | $629.49 | $708.79 | $990.54 | $1,505.22 |
| Crawford County | $577.06 | $654.96 | $737.48 | $1,030.63 | $1,566.14 |
| Vernon County | $577.06 | $654.96 | $737.48 | $1,030.63 | $1,566.14 |
| Pepin County | $695.21 | $789.06 | $888.47 | $1,241.64 | $1,886.79 |
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.