Better Together HMO Platinum 250 Ded/4500 MOOP
Group Health Cooperative-SCW · 2027 plan year
Platinum
- Ind. medical deductible
- $250
- Rx deductible (separate)
- $0
- Family deductible
- $500
- Ind. OOP max
- $4,500
- Family OOP max
- $9,000
This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.
Compare with other Platinum plans in WI
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
Monthly premiums by age
Rating Area 2
| Age | Individual |
|---|---|
| Under 15 | $413 |
| 21 | $540 |
| 30 | $612 |
| 40 | $690 |
| 50 | $964 |
| 60 | $1,464 |
| 64 and over | $1,619 |
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 | $15.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $30.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $700.00 |
| Inpatient Hospital Services (e.g., Hospital Stay) | 45.00% Coinsurance after deductible |
| Outpatient Surgery Physician/Surgical Services | 45.00% Coinsurance after deductible |
| Urgent Care Centers or Facilities | $30.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $20.00 |
| Non-Preferred Brand Drugs | 30.00% |
| Preferred Brand Drugs | $40.00 |
| Specialty Drugs | 40.00% |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | 45.00% Coinsurance after deductible |
| Mental/Behavioral Health Outpatient Services | $15.00 |
Other
| Benefit | In-network |
|---|---|
| Abortion for Which Public Funding is Prohibited | Not covered |
| Accidental Dental | 45.00% 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 |
| Cardiac Rehabilitation | 45.00% Coinsurance after deductible |
| Chemotherapy | 45.00% Coinsurance after deductible |
| Chiropractic Care | $15.00 |
| Cosmetic Surgery | Not covered |
| Delivery and All Inpatient Services for Maternity Care | 45.00% Coinsurance after deductible |
| Dental Check-Up for Children | Not covered |
| Diabetes Education | No charge |
| Dialysis | 45.00% Coinsurance after deductible |
| Durable Medical Equipment | 20.00% |
| Emergency Transportation/Ambulance | 45.00% Coinsurance after deductible |
| Eye Glasses for Children | No charge |
| Gender Affirming Care | 45.00% Coinsurance after deductible |
| Habilitation Services | 45.00% Coinsurance after deductible |
| Hearing Aids | 20.00% |
| Home Health Care Services | 45.00% Coinsurance after deductible |
| Hospice Services | 45.00% Coinsurance after deductible |
| Imaging (CT/PET Scans, MRIs) | 45.00% Coinsurance after deductible |
| Infertility Treatment | Not covered |
| Infusion Therapy | 45.00% Coinsurance after deductible |
| Inpatient Physician and Surgical Services | 45.00% Coinsurance after deductible |
| Laboratory Outpatient and Professional Services | 45.00% 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 | Not covered |
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | Not covered |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $15.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 45.00% Coinsurance after deductible |
| Outpatient Rehabilitation Services | 45.00% Coinsurance after deductible |
| Post-Cochlear Implant Aural Rehabilitation Therapy | 45.00% Coinsurance after deductible |
| Prenatal and Postnatal Care | No charge |
| Private-Duty Nursing | Not covered |
| Prosthetic Devices | 20.00% |
| Pulmonary Rehabilitation Therapy | 45.00% Coinsurance after deductible |
| Radiation | 45.00% Coinsurance after deductible |
| Reconstructive Surgery | 45.00% Coinsurance after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | 45.00% Coinsurance after deductible |
| Rehabilitative Speech Therapy | 45.00% Coinsurance after deductible |
| Routine Dental Services (Adult) | Not covered |
| Routine Eye Exam (Adult) | Not covered |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | Not covered |
| Skilled Nursing Facility | 45.00% Coinsurance after deductible |
| Substance Abuse Disorder Inpatient Services | 45.00% Coinsurance after deductible |
| Substance Abuse Disorder Outpatient Services | $15.00 |
| Transplant | 45.00% Coinsurance after deductible |
| Treatment for Temporomandibular Joint Disorders | 45.00% Coinsurance after deductible |
| Weight Loss Programs | Not covered |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | 45.00% Coinsurance after deductible |
Plan rules
Service area
This plan covers 1 geographic area.
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