Dean Gold Share
Gold · HMO · Dean Health Plan · Wisconsin
At age 40 it costs between $607.58 and $677.09 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 | 38345WI0010184 |
|---|---|
| Insurer | Dean Health Plan |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $2,500 |
| Deductible (family) | $5,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $5,900 |
| Family maximum | $11,800 |
| Primary care visit | $30 |
| Specialist visit | $90 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $80 |
| Specialty drugs | 60% 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 | 1-877-394-9080 · 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 | $475.41 | $539.59 | $607.58 | $849.09 | $1,290.27 |
| Dane County | $475.41 | $539.59 | $607.58 | $849.09 | $1,290.27 |
| Green Lake County | $475.41 | $539.59 | $607.58 | $849.09 | $1,290.27 |
| Juneau County | $475.41 | $539.59 | $607.58 | $849.09 | $1,290.27 |
| Marquette County | $475.41 | $539.59 | $607.58 | $849.09 | $1,290.27 |
| Richland County | $475.41 | $539.59 | $607.58 | $849.09 | $1,290.27 |
| Sauk County | $475.41 | $539.59 | $607.58 | $849.09 | $1,290.27 |
| Columbia County | $481.19 | $546.15 | $614.96 | $859.41 | $1,305.96 |
| Green County | $481.19 | $546.15 | $614.96 | $859.41 | $1,305.96 |
| Jefferson County | $481.19 | $546.15 | $614.96 | $859.41 | $1,305.96 |
| Rock County | $481.19 | $546.15 | $614.96 | $859.41 | $1,305.96 |
| Walworth County | $481.19 | $546.15 | $614.96 | $859.41 | $1,305.96 |
| Dodge County | $499.45 | $566.88 | $638.30 | $892.02 | $1,355.52 |
| Fond du Lac County | $499.45 | $566.88 | $638.30 | $892.02 | $1,355.52 |
| Crawford County | $507.66 | $576.20 | $648.79 | $906.68 | $1,377.79 |
| Grant County | $507.66 | $576.20 | $648.79 | $906.68 | $1,377.79 |
| Iowa County | $507.66 | $576.20 | $648.79 | $906.68 | $1,377.79 |
| Lafayette County | $507.66 | $576.20 | $648.79 | $906.68 | $1,377.79 |
| Vernon County | $507.66 | $576.20 | $648.79 | $906.68 | $1,377.79 |
| Waukesha County | $529.81 | $601.33 | $677.09 | $946.24 | $1,437.90 |
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.