Premier $2,000 - 25%
Gold · HMO · Security Health Plan · Wisconsin
At age 40 it costs between $1,039.96 and $1,171.32 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 | 38166WI0310001 |
|---|---|
| Insurer | Security Health Plan |
| Metal level | Gold |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| 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
32 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 |
|---|---|---|---|---|---|
| Adams County | $813.75 | $923.60 | $1,039.96 | $1,453.34 | $2,208.49 |
| Florence County | $813.75 | $923.60 | $1,039.96 | $1,453.34 | $2,208.49 |
| Forest County | $813.75 | $923.60 | $1,039.96 | $1,453.34 | $2,208.49 |
| Iron County | $813.75 | $923.60 | $1,039.96 | $1,453.34 | $2,208.49 |
| Juneau County | $813.75 | $923.60 | $1,039.96 | $1,453.34 | $2,208.49 |
| Langlade County | $813.75 | $923.60 | $1,039.96 | $1,453.34 | $2,208.49 |
| Menominee County | $813.75 | $923.60 | $1,039.96 | $1,453.34 | $2,208.49 |
| Oneida County | $813.75 | $923.60 | $1,039.96 | $1,453.34 | $2,208.49 |
| Shawano County | $813.75 | $923.60 | $1,039.96 | $1,453.34 | $2,208.49 |
| Vilas County | $813.75 | $923.60 | $1,039.96 | $1,453.34 | $2,208.49 |
| Lincoln County | $822.32 | $933.32 | $1,050.91 | $1,468.64 | $2,231.74 |
| Marathon County | $822.32 | $933.32 | $1,050.91 | $1,468.64 | $2,231.74 |
| Portage County | $822.32 | $933.32 | $1,050.91 | $1,468.64 | $2,231.74 |
| Wood County | $822.32 | $933.32 | $1,050.91 | $1,468.64 | $2,231.74 |
| Barron County | $865.15 | $981.93 | $1,105.64 | $1,545.13 | $2,347.98 |
| Chippewa County | $865.15 | $981.93 | $1,105.64 | $1,545.13 | $2,347.98 |
| Clark County | $865.15 | $981.93 | $1,105.64 | $1,545.13 | $2,347.98 |
| Dunn County | $865.15 | $981.93 | $1,105.64 | $1,545.13 | $2,347.98 |
| Eau Claire County | $865.15 | $981.93 | $1,105.64 | $1,545.13 | $2,347.98 |
| Pepin County | $865.15 | $981.93 | $1,105.64 | $1,545.13 | $2,347.98 |
| Price County | $865.15 | $981.93 | $1,105.64 | $1,545.13 | $2,347.98 |
| Rusk County | $865.15 | $981.93 | $1,105.64 | $1,545.13 | $2,347.98 |
| Taylor County | $865.15 | $981.93 | $1,105.64 | $1,545.13 | $2,347.98 |
| Ashland County | $916.54 | $1,040.26 | $1,171.32 | $1,636.92 | $2,487.46 |
| Bayfield County | $916.54 | $1,040.26 | $1,171.32 | $1,636.92 | $2,487.46 |
| Buffalo County | $916.54 | $1,040.26 | $1,171.32 | $1,636.92 | $2,487.46 |
| Burnett County | $916.54 | $1,040.26 | $1,171.32 | $1,636.92 | $2,487.46 |
| Douglas County | $916.54 | $1,040.26 | $1,171.32 | $1,636.92 | $2,487.46 |
| Jackson County | $916.54 | $1,040.26 | $1,171.32 | $1,636.92 | $2,487.46 |
| Sawyer County | $916.54 | $1,040.26 | $1,171.32 | $1,636.92 | $2,487.46 |
| Trempealeau County | $916.54 | $1,040.26 | $1,171.32 | $1,636.92 | $2,487.46 |
| Washburn County | $916.54 | $1,040.26 | $1,171.32 | $1,636.92 | $2,487.46 |
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.