Benefits & Coverage

Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
CGHC
Metal Level
Bronze
Plan Type
PPO
Deductible
$5800
Out-of-Pocket Maximum
$5800
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $186.2
Deductible
Individual: $5800
Family: $11600
In-Network Out-of-Pocket Limit
Individual: $5800
Family: $11600
Is this plan Health Savings Account (HSA) eligible?
No
How can I find a doctor in this plan's network?
Plan Type
PPO

Health Services Options

Service
In Network
Out of Network
Primary care physician office visit
$30 Copay
Specialist
No Charge after Deductible
Hospital facility fee
No Charge after Deductible
Emergency Room
No Charge after Deductible

Drug Services

Generic Drugs
Coverage: No Charge after Deductible
Specialty Drugs
Coverage: No Charge after Deductible
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 Empower - Bronze 5800/100 Obamacare Plan in Wisconsin

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Community Q&A

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