Sold outside the marketplace. This plan is bought directly from the insurer, so it is not eligible for a premium tax credit. If your income qualifies you for savings, a marketplace plan at the same price will usually cost you less.

Better Together HMO Bronze No Medical Ded/10600 MOOP HSA

Group Health Cooperative-SCW · 2026 plan year

Expanded BronzeHSA eligible
Ind. medical deductible
$0
Rx deductible (separate)
$3,000
Family deductible
$0
Ind. OOP max
$10,600
Family OOP max
$21,200

This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.

More Group Health Cooperative-SCW plans in WI

Monthly premiums by age

Rating Area 2

AgeIndividual
Under 15$287
21$375
30$425
40$479
50$669
60$1,017
64 and over$1,124

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$35.00

Specialist

BenefitIn-network
Specialist Visit$155.00

Hospital

BenefitIn-network
Emergency Room Services$1,500.00
Inpatient Hospital Services (e.g., Hospital Stay)50.00%
Outpatient Surgery Physician/Surgical Services50.00%
Urgent Care Centers or Facilities$70.00

Pharmacy

BenefitIn-network
Generic Drugs$35.00
Non-Preferred Brand Drugs50.00% Coinsurance after deductible
Preferred Brand Drugs$170.00
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services50.00%
Mental/Behavioral Health Outpatient Services$35.00

Other

BenefitIn-network
Dialysis50.00%
Durable Medical Equipment20.00%
Emergency Transportation/Ambulance50.00%
Eye Glasses for ChildrenNo charge
Private-Duty NursingNot covered
Prosthetic Devices20.00%
Pulmonary Rehabilitation Therapy$155.00
Radiation50.00%
Reconstructive Surgery50.00%
Diabetes EducationNo charge
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental50.00%
AcupunctureNot covered
Allergy TestingNot covered
Bariatric SurgeryNot covered
Basic Dental Care - AdultNot covered
Basic Dental Care - ChildNot covered
Cardiac Rehabilitation$155.00
Chemotherapy50.00%
Chiropractic Care$35.00
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care50.00%
Dental Check-Up for ChildrenNot covered
Gender Affirming Care50.00%
Habilitation Services$155.00
Hearing Aids20.00%
Home Health Care Services50.00%
Hospice Services50.00%
Imaging (CT/PET Scans, MRIs)$1,000.00
Infertility TreatmentNot covered
Infusion Therapy50.00%
Inpatient Physician and Surgical Services50.00%
Laboratory Outpatient and Professional Services$65.00
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - ChildNot covered
Nutritional CounselingNot covered
Orthodontia - AdultNot covered
Orthodontia - ChildNot covered
Other Practitioner Office Visit (Nurse, Physician Assistant)$35.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$1,500.00
Outpatient Rehabilitation Services$155.00
Post-Cochlear Implant Aural Rehabilitation Therapy$155.00
Prenatal and Postnatal CareNo charge
Rehabilitative Occupational and Rehabilitative Physical Therapy$155.00
Rehabilitative Speech Therapy$155.00
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Routine Eye Exam for ChildrenNo charge
Routine Foot CareNot covered
Skilled Nursing Facility50.00%
Substance Abuse Disorder Inpatient Services50.00%
Substance Abuse Disorder Outpatient Services$35.00
Transplant50.00%
Treatment for Temporomandibular Joint Disorders50.00%
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$65.00

Service area

This plan covers 1 geographic area.

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