SimplyOne $3,500 - 30%
Gold · EPO · Security Health Plan · Wisconsin
At age 40 it costs between $695.53 and $739.46 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 | 38166WI0270001 |
|---|---|
| Insurer | Security Health Plan |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $3,500 |
| Deductible (family) | $7,000 |
| Drug deductible | $0 |
| Most you could pay in a year | $7,900 |
| Family maximum | $15,800 |
| Primary care visit | $20 |
| Specialist visit | $80 |
| Emergency room | 30% Coinsurance after deductible |
| Inpatient stay | 30% Coinsurance after deductible |
| Generic drugs | No Charge |
| Preferred brand drugs | $45 |
| Specialty drugs | 40% |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-844-293-9624 · TTY 1-800-947-3529 |
Where it is sold, and what it costs there
13 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 |
|---|---|---|---|---|---|
| Florence County | $544.24 | $617.71 | $695.53 | $972 | $1,477.05 |
| Forest County | $544.24 | $617.71 | $695.53 | $972 | $1,477.05 |
| Langlade County | $544.24 | $617.71 | $695.53 | $972 | $1,477.05 |
| Menominee County | $544.24 | $617.71 | $695.53 | $972 | $1,477.05 |
| Oneida County | $544.24 | $617.71 | $695.53 | $972 | $1,477.05 |
| Vilas County | $544.24 | $617.71 | $695.53 | $972 | $1,477.05 |
| Lincoln County | $549.97 | $624.21 | $702.85 | $982.23 | $1,492.60 |
| Marathon County | $549.97 | $624.21 | $702.85 | $982.23 | $1,492.60 |
| Portage County | $549.97 | $624.21 | $702.85 | $982.23 | $1,492.60 |
| Wood County | $549.97 | $624.21 | $702.85 | $982.23 | $1,492.60 |
| Clark County | $578.62 | $656.72 | $739.46 | $1,033.39 | $1,570.34 |
| Price County | $578.62 | $656.72 | $739.46 | $1,033.39 | $1,570.34 |
| Taylor County | $578.62 | $656.72 | $739.46 | $1,033.39 | $1,570.34 |
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.