QHP Index

Better Together HMO Gold 1500 Ded/8000 MOOP with Vision

Gold · HMO · Group Health Cooperative-SCW · Wisconsin

At age 40 it costs $531.28 a month before any subsidy.

What CMS publishes about it

Plan ID94529WI0240063
InsurerGroup Health Cooperative-SCW
Metal levelGold
Plan typeHMO
Deductible (individual)$1,500
Deductible (family)$3,000
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$8,000
Family maximum$16,000
Primary care visit$10
Specialist visit$125
Emergency room$625
Inpatient stay30% Coinsurance after deductible
Generic drugs$10
Preferred brand drugs$70
Specialty drugs50%
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits100.00%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-855-344-2729 · TTY 1-608-828-4815

Where it is sold, and what it costs there

1 county. The premium is the price before any tax credit; what you pay depends on your income.

CountyAt 21At 30At 40At 50At 60
Dane County $415.72$471.83 $531.28$742.46 $1,128.24

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.