Dean Gold Standard
Gold · HMO · Dean Health Plan · Wisconsin
At age 40 it costs between $629.96 and $702.03 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 | 38345WI0010162 |
|---|---|
| Insurer | Dean 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 | 1-877-394-9080 · TTY 1-877-394-9080 |
Where it is sold, and what it costs there
20 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 | $492.93 | $559.47 | $629.96 | $880.36 | $1,337.80 |
| Dane County | $492.93 | $559.47 | $629.96 | $880.36 | $1,337.80 |
| Green Lake County | $492.93 | $559.47 | $629.96 | $880.36 | $1,337.80 |
| Juneau County | $492.93 | $559.47 | $629.96 | $880.36 | $1,337.80 |
| Marquette County | $492.93 | $559.47 | $629.96 | $880.36 | $1,337.80 |
| Richland County | $492.93 | $559.47 | $629.96 | $880.36 | $1,337.80 |
| Sauk County | $492.93 | $559.47 | $629.96 | $880.36 | $1,337.80 |
| Columbia County | $498.92 | $566.27 | $637.62 | $891.07 | $1,354.06 |
| Green County | $498.92 | $566.27 | $637.62 | $891.07 | $1,354.06 |
| Jefferson County | $498.92 | $566.27 | $637.62 | $891.07 | $1,354.06 |
| Rock County | $498.92 | $566.27 | $637.62 | $891.07 | $1,354.06 |
| Walworth County | $498.92 | $566.27 | $637.62 | $891.07 | $1,354.06 |
| Dodge County | $517.85 | $587.76 | $661.81 | $924.88 | $1,405.45 |
| Fond du Lac County | $517.85 | $587.76 | $661.81 | $924.88 | $1,405.45 |
| Crawford County | $526.36 | $597.42 | $672.69 | $940.08 | $1,428.54 |
| Grant County | $526.36 | $597.42 | $672.69 | $940.08 | $1,428.54 |
| Iowa County | $526.36 | $597.42 | $672.69 | $940.08 | $1,428.54 |
| Lafayette County | $526.36 | $597.42 | $672.69 | $940.08 | $1,428.54 |
| Vernon County | $526.36 | $597.42 | $672.69 | $940.08 | $1,428.54 |
| Waukesha County | $549.32 | $623.48 | $702.03 | $981.09 | $1,490.86 |
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.