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Better Together HMO Bronze No Medical Ded/10600 MOOP HSA

Group Health Cooperative of South Central Wisconsin
by Group Health Cooperative of South Central Wisconsin
2026 health insurance plan
Monthly Premium

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BronzeHMOHSA eligibleSubsidy
Deductible · ind / family $0 / $0
Max out-of-pocket · ind / family $10,600 / $21,200
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Estimated yearly cost

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Coverage details

Deductible · individual $0 /yr
Deductible · family $0 /yr
Max out-of-pocket · individual $10,600 /yr
Max out-of-pocket · family $21,200 /yr
Includes child dental No
Includes adult dental No

Benefit details and out-of-pocket costs

Doctor visits

Preventive care & screenings No charge
Primary care visit $35 Copay
Specialist visit $155 Copay

Hospital & emergency

Emergency room $1,500 Copay
Inpatient facility 50% Coinsurance
Inpatient physician 50% Coinsurance

Prescription drugs

Tier 1 · Generic $35 Copay
Tier 2 · Preferred brand $170 Copay
Tier 3 · Non-preferred brand 50% Coinsurance after deductible
Tier 4 · Specialty 50% Coinsurance after deductible
Drug deductible · ind / family $3,000 / $6000
Drug max out-of-pocket · ind / family Included in Medical

Plan documents & tools

* Figures shown are only for in-network medical costs.

** Please check with the insurance company if copay and coinsurance rates are before or after the deductible.

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