HMO Gold 2700
Gold · HMO · Aspirus Health Plan · Wisconsin
At age 40 it costs between $622.21 and $774.76 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 | 86584WI0010007 |
|---|---|
| Insurer | Aspirus Health Plan |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $2,700 |
| Deductible (family) | $5,400 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,000 |
| Family maximum | $14,000 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 30% Coinsurance after deductible |
| Inpatient stay | 30% 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 | 1-866-631-4611 · TTY 1-866-631-5404 |
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 | $486.86 | $552.59 | $622.21 | $869.53 | $1,321.34 |
| Juneau County | $486.86 | $552.59 | $622.21 | $869.53 | $1,321.34 |
| Marquette County | $486.86 | $552.59 | $622.21 | $869.53 | $1,321.34 |
| Sauk County | $486.86 | $552.59 | $622.21 | $869.53 | $1,321.34 |
| Columbia County | $487.41 | $553.21 | $622.91 | $870.52 | $1,322.84 |
| Waushara County | $487.41 | $553.21 | $622.91 | $870.52 | $1,322.84 |
| Lincoln County | $524.56 | $595.37 | $670.38 | $936.85 | $1,423.64 |
| Marathon County | $524.56 | $595.37 | $670.38 | $936.85 | $1,423.64 |
| Portage County | $524.56 | $595.37 | $670.38 | $936.85 | $1,423.64 |
| Wood County | $524.56 | $595.37 | $670.38 | $936.85 | $1,423.64 |
| Shawano County | $535.65 | $607.96 | $684.55 | $956.66 | $1,453.74 |
| Florence County | $595.53 | $675.92 | $761.08 | $1,063.60 | $1,616.25 |
| Forest County | $595.53 | $675.92 | $761.08 | $1,063.60 | $1,616.25 |
| Iron County | $595.53 | $675.92 | $761.08 | $1,063.60 | $1,616.25 |
| Langlade County | $595.53 | $675.92 | $761.08 | $1,063.60 | $1,616.25 |
| Oneida County | $595.53 | $675.92 | $761.08 | $1,063.60 | $1,616.25 |
| Vilas County | $595.53 | $675.92 | $761.08 | $1,063.60 | $1,616.25 |
| Clark County | $606.23 | $688.07 | $774.76 | $1,082.73 | $1,645.31 |
| Price County | $606.23 | $688.07 | $774.76 | $1,082.73 | $1,645.31 |
| Taylor County | $606.23 | $688.07 | $774.76 | $1,082.73 | $1,645.31 |
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.