CareSource (Common Ground Healthcare) Gold Standard $2000
Gold · EPO · CareSource (Common Ground Healthcare) · Wisconsin
At age 40 it costs between $623.41 and $810.10 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 | 87416WI0030043 |
|---|---|
| Insurer | CareSource (Common Ground Healthcare) |
| Metal level | Gold |
| Plan type | EPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% 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 | 1-877-514-2442 · TTY 1-844-472-2442 |
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.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Brown County | $487.80 | $553.65 | $623.41 | $871.21 | $1,323.88 |
| Door County | $487.80 | $553.65 | $623.41 | $871.21 | $1,323.88 |
| Kewaunee County | $487.80 | $553.65 | $623.41 | $871.21 | $1,323.88 |
| Manitowoc County | $487.80 | $553.65 | $623.41 | $871.21 | $1,323.88 |
| Marinette County | $487.80 | $553.65 | $623.41 | $871.21 | $1,323.88 |
| Oconto County | $487.80 | $553.65 | $623.41 | $871.21 | $1,323.88 |
| Shawano County | $487.80 | $553.65 | $623.41 | $871.21 | $1,323.88 |
| Ozaukee County | $518.63 | $588.65 | $662.81 | $926.28 | $1,407.57 |
| Washington County | $518.63 | $588.65 | $662.81 | $926.28 | $1,407.57 |
| Waukesha County | $518.63 | $588.65 | $662.81 | $926.28 | $1,407.57 |
| Jefferson County | $623.27 | $707.41 | $796.54 | $1,113.16 | $1,691.55 |
| Walworth County | $623.27 | $707.41 | $796.54 | $1,113.16 | $1,691.55 |
| Green Lake County | $633.88 | $719.46 | $810.10 | $1,132.12 | $1,720.36 |
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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When this plan’s price or benefits change.
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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.