CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded
CareSource (Common Ground Healthcare) · 2026 plan year
Expanded BronzeHSA eligible
- Ind. medical deductible
- $0
- Rx deductible (separate)
- $2,500
- Family deductible
- $0
- Ind. OOP max
- $9,500
- Family OOP max
- $19,000
This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.
Compare with other Expanded Bronze plans in WI
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
More CareSource (Common Ground Healthcare) plans in WI
Monthly premiums by age
Rating Area 16 — the lowest-priced of the 4 areas this plan covers. Premiums differ by area.
| Age | Individual |
|---|---|
| Under 15 | $280 |
| 21 | $367 |
| 30 | $416 |
| 40 | $469 |
| 50 | $655 |
| 60 | $995 |
| 64 and over | $1,100 |
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 | $55.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $130.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $1,850.00 |
| Inpatient Hospital Services (e.g., Hospital Stay) | $1500.00 Copay per Day |
| Outpatient Surgery Physician/Surgical Services | $200.00 |
| Urgent Care Centers or Facilities | $200.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $35.00 |
| Non-Preferred Brand Drugs | 50.00% Coinsurance after deductible |
| Preferred Brand Drugs | $140.00 |
| Specialty Drugs | 50.00% Coinsurance after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $1500.00 Copay per Day |
| Mental/Behavioral Health Outpatient Services | $55.00 |
Other
| Benefit | In-network |
|---|---|
| Abortion for Which Public Funding is Prohibited | Not covered |
| Accidental Dental | 50.00% |
| 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% |
| Chiropractic Care | $55.00 |
| Cosmetic Surgery | Not covered |
| Delivery and All Inpatient Services for Maternity Care | 50.00% |
| Dental Check-Up for Children | Not covered |
| Diabetes Education | 50.00% |
| Dialysis | 50.00% |
| Durable Medical Equipment | 50.00% |
| Emergency Transportation/Ambulance | 50.00% |
| Eye Glasses for Children | 50.00% |
| Habilitation Services | $100.00 |
| Hearing Aids | 50.00% |
| Home Health Care Services | 50.00% |
| Hospice Services | 50.00% |
| Imaging (CT/PET Scans, MRIs) | $1,075.00 |
| Infertility Treatment | Not covered |
| Infusion Therapy | 50.00% |
| Inpatient Physician and Surgical Services | 50.00% |
| Laboratory Outpatient and Professional Services | $75.00 |
| Long-Term/Custodial Nursing Home Care | Not covered |
| Major Dental Care - Adult | Not covered |
| Major Dental Care - Child | Not covered |
| Nutritional Counseling | 50.00% |
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | Not covered |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $55.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $200.00 |
| Outpatient Rehabilitation Services | $100.00 |
| Prenatal and Postnatal Care | 50.00% |
| Private-Duty Nursing | Not covered |
| Prosthetic Devices | 50.00% |
| Radiation | 50.00% |
| Reconstructive Surgery | 50.00% |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $100.00 |
| Rehabilitative Speech Therapy | $100.00 |
| 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 | $1500.00 Copay per Day |
| Substance Abuse Disorder Inpatient Services | $1500.00 Copay per Day |
| Substance Abuse Disorder Outpatient Services | $55.00 |
| Transplant | 50.00% |
| Treatment for Temporomandibular Joint Disorders | 50.00% |
| Weight Loss Programs | Not covered |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $150.00 |
Plan rules
Service area
This plan covers 13 geographic areas.
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