QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $10,150 DED

Quartz · 2026 plan year

Expanded BronzeHSA eligible

Ind. deductible: $10,150
Family deductible: $20,300
Ind. OOP max: $10,600
Family OOP max: $21,200

Compare with other Expanded Bronze plans in WI

Side by side: deductibles, out-of-pocket limits and copays.

MercyCare Bronze 10,000 (1 Free PCP Visit)MercyCare Health Plans · Deductible $10,000 · Out-of-pocket max $10,000
HMO Bronze 10000Aspirus Health Plan · Deductible $10,000 · Out-of-pocket max $10,000
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)UnitedHealthcare · Deductible $10,600 · Out-of-pocket max $10,600

Compare 4 plans Browse all Expanded Bronze plans in WI

Other cost-sharing reduction variants for this plan:

Limited Cost Sharing Plan Variation Standard Bronze Off Exchange Plan Zero Cost Sharing Plan Variation

More Quartz plans in WI

QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) STANDARD EASY PRICING QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $0 MEDICAL DED

Monthly premiums by age

Rating Area 6 — the lowest-priced of the 3 areas this plan covers. Premiums differ by area.

Age	Individual	Individual + tobacco
Under 15	$302	$302
21	$395	$434
30	$448	$493
40	$504	$555
50	$705	$775
60	$1,071	$1,178
64 and over	$1,184	$1,302

Live premium estimate

Benefits & cost sharing

Primary Care

Benefit	In-network
Preventive Care/Screening/Immunization	No charge
Primary Care Visit to Treat an Injury or Illness	50.00% Coinsurance after deductible

Specialist

Benefit	In-network
Specialist Visit	50.00% Coinsurance after deductible

Hospital

Benefit	In-network
Emergency Room Services	50.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	50.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	50.00% Coinsurance after deductible
Urgent Care Centers or Facilities	50.00% Coinsurance after deductible

Pharmacy

Benefit	In-network
Generic Drugs	$15.00
Non-Preferred Brand Drugs	50.00% Coinsurance after deductible
Preferred Brand Drugs	$250.00
Specialty Drugs	50.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	50.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	50.00% Coinsurance after deductible

Other

Benefit	In-network
Dental Anesthesia	50.00% Coinsurance after deductible
Dental Check-Up for Children	Not covered
Diabetes Care Management	50.00% Coinsurance after deductible
Abortion for Which Public Funding is Prohibited	Not covered
Accidental Dental	50.00% Coinsurance after deductible
Acupuncture	Not covered
Allergy Testing	Not covered
Bariatric Surgery	Not covered
Basic Dental Care - Adult	Not covered
Basic Dental Care - Child	Not covered
Chemotherapy	50.00% Coinsurance after deductible
Chiropractic Care	50.00% Coinsurance after deductible
Clinical Trials	50.00% Coinsurance after deductible
Cosmetic Surgery	Not covered
Delivery and All Inpatient Services for Maternity Care	50.00% Coinsurance after deductible
Diabetes Education	50.00% Coinsurance after deductible
Dialysis	50.00% Coinsurance after deductible
Durable Medical Equipment	50.00%
Emergency Transportation/Ambulance	50.00% Coinsurance after deductible
Eye Glasses for Children	50.00%
Gender Affirming Care	50.00% Coinsurance after deductible
Habilitation Services	50.00% Coinsurance after deductible
Hearing Aids	50.00%
Home Health Care Services	50.00% Coinsurance after deductible
Hospice Services	50.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	50.00% Coinsurance after deductible
Infertility Treatment	Not covered
Infusion Therapy	50.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	50.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	50.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home Care	Not covered
Major Dental Care - Adult	Not covered
Major Dental Care - Child	Not covered
Nutritional Counseling	50.00% Coinsurance after deductible
Orthodontia - Adult	Not covered
Orthodontia - Child	Not covered
Other Practitioner Office Visit (Nurse, Physician Assistant)	50.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	50.00% Coinsurance after deductible
Outpatient Rehabilitation Services	50.00% Coinsurance after deductible
Prenatal and Postnatal Care	50.00% Coinsurance after deductible
Private-Duty Nursing	Not covered
Prosthetic Devices	50.00%
Radiation	50.00% Coinsurance after deductible
Reconstructive Surgery	50.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	50.00% Coinsurance after deductible
Rehabilitative Speech Therapy	50.00% Coinsurance after deductible
Routine Dental Services (Adult)	Not covered
Routine Eye Exam (Adult)	Not covered
Routine Eye Exam for Children	50.00% Coinsurance after deductible
Routine Foot Care	50.00% Coinsurance after deductible
Skilled Nursing Facility	50.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	50.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	50.00% Coinsurance after deductible
Transplant	50.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	50.00% Coinsurance after deductible
Virtual Visit	No charge
Weight Loss Programs	Not covered
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	50.00% Coinsurance after deductible