HMO Bronze 7500
Expanded Bronze · HMO · Aspirus Health Plan · Wisconsin
At age 40 it costs between $467 and $581.50 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 | 86584WI0010011 |
|---|---|
| Insurer | Aspirus Health Plan |
| Metal level | Expanded Bronze |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $7,500 |
| Deductible (family) | $15,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,000 |
| Family maximum | $20,000 |
| Primary care visit | $50 |
| Specialist visit | $100 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $25 |
| Preferred brand drugs | $50 Copay after deductible |
| Specialty drugs | $500 Copay 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 | $365.42 | $414.75 | $467 | $652.63 | $991.74 |
| Juneau County | $365.42 | $414.75 | $467 | $652.63 | $991.74 |
| Marquette County | $365.42 | $414.75 | $467 | $652.63 | $991.74 |
| Sauk County | $365.42 | $414.75 | $467 | $652.63 | $991.74 |
| Columbia County | $365.83 | $415.22 | $467.53 | $653.37 | $992.86 |
| Waushara County | $365.83 | $415.22 | $467.53 | $653.37 | $992.86 |
| Lincoln County | $393.71 | $446.86 | $503.16 | $703.16 | $1,068.52 |
| Marathon County | $393.71 | $446.86 | $503.16 | $703.16 | $1,068.52 |
| Portage County | $393.71 | $446.86 | $503.16 | $703.16 | $1,068.52 |
| Wood County | $393.71 | $446.86 | $503.16 | $703.16 | $1,068.52 |
| Shawano County | $402.04 | $456.31 | $513.80 | $718.03 | $1,091.12 |
| Florence County | $446.98 | $507.32 | $571.23 | $798.30 | $1,213.09 |
| Forest County | $446.98 | $507.32 | $571.23 | $798.30 | $1,213.09 |
| Iron County | $446.98 | $507.32 | $571.23 | $798.30 | $1,213.09 |
| Langlade County | $446.98 | $507.32 | $571.23 | $798.30 | $1,213.09 |
| Oneida County | $446.98 | $507.32 | $571.23 | $798.30 | $1,213.09 |
| Vilas County | $446.98 | $507.32 | $571.23 | $798.30 | $1,213.09 |
| Clark County | $455.01 | $516.44 | $581.50 | $812.65 | $1,234.90 |
| Price County | $455.01 | $516.44 | $581.50 | $812.65 | $1,234.90 |
| Taylor County | $455.01 | $516.44 | $581.50 | $812.65 | $1,234.90 |
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.