HMO Catastrophic 10600 with 3 free PCP visits
Catastrophic · HMO · Aspirus Health Plan · Wisconsin
At age 40 it costs between $360.13 and $448.43 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 | 86584WI0010008 |
|---|---|
| Insurer | Aspirus Health Plan |
| Metal level | Catastrophic |
| Plan type | HMO |
| Deductible (individual) | $10,600 |
| Deductible (family) | $21,200 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,600 |
| Family maximum | $21,200 |
| Primary care visit | No Charge after Deductible |
| Specialist visit | No Charge after Deductible |
| Emergency room | No Charge after Deductible |
| Inpatient stay | No Charge after Deductible |
| Generic drugs | No Charge after Deductible |
| Preferred brand drugs | No Charge after Deductible |
| Specialty drugs | No Charge 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 | 1-866-631-4611 · 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 | $281.80 | $319.83 | $360.13 | $503.28 | $764.78 |
| Juneau County | $281.80 | $319.83 | $360.13 | $503.28 | $764.78 |
| Marquette County | $281.80 | $319.83 | $360.13 | $503.28 | $764.78 |
| Sauk County | $281.80 | $319.83 | $360.13 | $503.28 | $764.78 |
| Columbia County | $282.12 | $320.20 | $360.54 | $503.85 | $765.65 |
| Waushara County | $282.12 | $320.20 | $360.54 | $503.85 | $765.65 |
| Lincoln County | $303.61 | $344.60 | $388.01 | $542.25 | $823.99 |
| Marathon County | $303.61 | $344.60 | $388.01 | $542.25 | $823.99 |
| Portage County | $303.61 | $344.60 | $388.01 | $542.25 | $823.99 |
| Wood County | $303.61 | $344.60 | $388.01 | $542.25 | $823.99 |
| Shawano County | $310.03 | $351.88 | $396.22 | $553.71 | $841.42 |
| Florence County | $344.69 | $391.22 | $440.51 | $615.61 | $935.48 |
| Forest County | $344.69 | $391.22 | $440.51 | $615.61 | $935.48 |
| Iron County | $344.69 | $391.22 | $440.51 | $615.61 | $935.48 |
| Langlade County | $344.69 | $391.22 | $440.51 | $615.61 | $935.48 |
| Oneida County | $344.69 | $391.22 | $440.51 | $615.61 | $935.48 |
| Vilas County | $344.69 | $391.22 | $440.51 | $615.61 | $935.48 |
| Clark County | $350.89 | $398.25 | $448.43 | $626.68 | $952.30 |
| Price County | $350.89 | $398.25 | $448.43 | $626.68 | $952.30 |
| Taylor County | $350.89 | $398.25 | $448.43 | $626.68 | $952.30 |
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.