Benefits & Coverage

Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Dean Health Plan
Metal Level
Silver
Plan Type
HMO
Deductible
$3500
Out-of-Pocket Maximum
$6250
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $222.08
Deductible
Individual: $3500
Family: $7000
In-Network Out-of-Pocket Limit
Individual: $6250
Family: $12500
Is this plan Health Savings Account (HSA) eligible?
No
How can I find a doctor in this plan's network?
Plan Type
HMO

Health Services Options

Service
In Network
Out of Network
Primary care physician office visit
$30 Copay
Specialist
$60 Copay
Hospital facility fee
10% Coinsurance after deductible
Emergency Room
10% Coinsurance after deductible

Drug Services

Generic Drugs
Coverage: $10 Copay
Specialty Drugs
Coverage: 50% Coinsurance
What drugs are covered in the formulary?

Mental Health or Substance Abuse Services

Service
In Network
Out of Network

Maternity Services

Service
In Network
Out of Network

Coverage Options Summary

Included Benefits
  • Non-preferred brand drugs

What To Know

  • This is an ACA (Obamacare) compliant health plan.
  • This plan is eligible for a tax credit subsidy

Physician Directory

List of doctors that accepts Dean Copay Plus 3500X Obamacare Plan in Wisconsin

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