HMO Bronze $0 Medical Deductible
Expanded Bronze · HMO · Aspirus Health Plan · Wisconsin
At age 40 it costs between $514.38 and $640.49 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 | 86584WI0010016 |
|---|---|
| Insurer | Aspirus Health Plan |
| Metal level | Expanded Bronze |
| Plan type | HMO |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | $1,500 |
| Most you could pay in a year | $10,600 |
| Family maximum | $21,200 |
| Primary care visit | $35 |
| Specialist visit | $200 |
| Emergency room | $3,000 |
| Inpatient stay | $1,500 Copay per Day |
| Generic drugs | $35 |
| Preferred brand drugs | $125 |
| Specialty drugs | 50% 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 | 1-866-631-4611 · 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 | $402.49 | $456.82 | $514.38 | $718.84 | $1,092.35 |
| Juneau County | $402.49 | $456.82 | $514.38 | $718.84 | $1,092.35 |
| Marquette County | $402.49 | $456.82 | $514.38 | $718.84 | $1,092.35 |
| Sauk County | $402.49 | $456.82 | $514.38 | $718.84 | $1,092.35 |
| Columbia County | $402.95 | $457.34 | $514.96 | $719.66 | $1,093.59 |
| Waushara County | $402.95 | $457.34 | $514.96 | $719.66 | $1,093.59 |
| Lincoln County | $433.65 | $492.19 | $554.20 | $774.49 | $1,176.92 |
| Marathon County | $433.65 | $492.19 | $554.20 | $774.49 | $1,176.92 |
| Portage County | $433.65 | $492.19 | $554.20 | $774.49 | $1,176.92 |
| Wood County | $433.65 | $492.19 | $554.20 | $774.49 | $1,176.92 |
| Shawano County | $442.82 | $502.60 | $565.92 | $790.87 | $1,201.80 |
| Florence County | $492.32 | $558.78 | $629.18 | $879.28 | $1,336.15 |
| Forest County | $492.32 | $558.78 | $629.18 | $879.28 | $1,336.15 |
| Iron County | $492.32 | $558.78 | $629.18 | $879.28 | $1,336.15 |
| Langlade County | $492.32 | $558.78 | $629.18 | $879.28 | $1,336.15 |
| Oneida County | $492.32 | $558.78 | $629.18 | $879.28 | $1,336.15 |
| Vilas County | $492.32 | $558.78 | $629.18 | $879.28 | $1,336.15 |
| Clark County | $501.17 | $568.83 | $640.49 | $895.09 | $1,360.17 |
| Price County | $501.17 | $568.83 | $640.49 | $895.09 | $1,360.17 |
| Taylor County | $501.17 | $568.83 | $640.49 | $895.09 | $1,360.17 |
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.