QHP Index

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

Expanded Bronze · HMO · UnitedHealthcare · Wisconsin

At age 40 it costs between $536.92 and $556.41 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 ID80180WI0100019
InsurerUnitedHealthcare
Metal levelExpanded Bronze
Plan typeHMO
Deductible (individual)$0
Deductible (family)$0
Drug deductible$3,000
Most you could pay in a year$10,600
Family maximum$21,200
Primary care visit$40
Specialist visit$150
Emergency room$2,500
Inpatient stay$3,000 Copay per Day
Generic drugs$20
Preferred brand drugs$150 Copay after deductible
Specialty drugs50% Coinsurance after deductible
Adult dental includedNo
Child dental includedYes
Share of premium buying essential health benefits100.00%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-866-569-3468 · TTY 1-866-569-3468

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.

CountyAt 21At 30At 40At 50At 60
Walworth County $420.13$476.85 $536.92$750.35 $1,140.23
Kenosha County $426.34$483.89 $544.86$761.43 $1,157.07
Racine County $426.34$483.89 $544.86$761.43 $1,157.07
Brown County $426.71$484.32 $545.33$762.10 $1,158.09
Door County $426.71$484.32 $545.33$762.10 $1,158.09
Kewaunee County $426.71$484.32 $545.33$762.10 $1,158.09
Manitowoc County $426.71$484.32 $545.33$762.10 $1,158.09
Marinette County $426.71$484.32 $545.33$762.10 $1,158.09
Ozaukee County $428.02$485.80 $547.01$764.45 $1,161.65
Washington County $428.02$485.80 $547.01$764.45 $1,161.65
Waukesha County $428.02$485.80 $547.01$764.45 $1,161.65
Sheboygan County $434.43$493.07 $555.20$775.89 $1,179.04
Milwaukee County $435.38$494.15 $556.41$777.58 $1,181.61

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.