SimplyOne $4,000 - 50%
Silver · EPO · Security Health Plan · Wisconsin
At age 40 it costs between $646.17 and $686.98 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
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 | $4,000 | $8,650 | $25 | $15 |
| up to 150% of the federal poverty level | $250 | $900 | $15 | $5 |
| 150% to 200% | $1,000 | $2,700 | $15 | $5 |
| 200% to 250% | $3,000 | $6,850 | $25 | $15 |
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 | 38166WI0270030 |
|---|---|
| Insurer | Security Health Plan |
| Metal level | Silver |
| Plan type | EPO |
| Deductible (individual) | $4,000 |
| Deductible (family) | $8,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,650 |
| Family maximum | $17,300 |
| Primary care visit | $25 |
| Specialist visit | $125 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $125 |
| Specialty drugs | 50% Coinsurance after deductible |
| 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 | $505.62 | $573.87 | $646.17 | $903.02 | $1,372.22 |
| Forest County | $505.62 | $573.87 | $646.17 | $903.02 | $1,372.22 |
| Langlade County | $505.62 | $573.87 | $646.17 | $903.02 | $1,372.22 |
| Menominee County | $505.62 | $573.87 | $646.17 | $903.02 | $1,372.22 |
| Oneida County | $505.62 | $573.87 | $646.17 | $903.02 | $1,372.22 |
| Vilas County | $505.62 | $573.87 | $646.17 | $903.02 | $1,372.22 |
| Lincoln County | $510.94 | $579.91 | $652.97 | $912.52 | $1,386.66 |
| Marathon County | $510.94 | $579.91 | $652.97 | $912.52 | $1,386.66 |
| Portage County | $510.94 | $579.91 | $652.97 | $912.52 | $1,386.66 |
| Wood County | $510.94 | $579.91 | $652.97 | $912.52 | $1,386.66 |
| Clark County | $537.55 | $610.11 | $686.98 | $960.05 | $1,458.89 |
| Price County | $537.55 | $610.11 | $686.98 | $960.05 | $1,458.89 |
| Taylor County | $537.55 | $610.11 | $686.98 | $960.05 | $1,458.89 |
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.