SilverPPO

NE WI Select $3,150 Plus Silver

HealthPartners

Starting at

$584

/month before subsidy

Key facts

NE WI Select $3,150 Plus Silver is a 2026 Silver PPO health insurance plan from HealthPartners, sold on the ACA Marketplace in Wisconsin under plan ID 20173WI0130033. The monthly premium starts at $584 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $3,150 ($6,300 for a family), and the individual out-of-pocket maximum is $9,700 ($19,400 for a family). After the deductible, coinsurance is 20% for covered in-network care. The plan is not HSA-eligible.

Plan ID
20173WI0130033
Plan year
2026
State
Wisconsin
Metal level
Silver
Plan type
PPO
HSA-eligible
No

Individual Deductible

$3,150

Family: $6,300

Out-of-Pocket Max

$9,700

Family: $19,400

Coinsurance

20%

You pay after deductible

Network Type

PPO

WIN003

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care Visit$25.00 Copay with deductible
Specialist Visit$25.00 Copay with deductible
Urgent Care$25.00 Copay with deductible
Emergency Room20.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$25.00
Brand Name Drugs30.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible
CMS Quality Rating
The federal government's star rating for this plan, based on clinical data and member surveys — the same rating shown on HealthCare.gov.
4.0overall
Medical care

How well doctors manage and coordinate care

Member experience

Member-survey satisfaction with the plan

Plan administration

Customer service, billing, and access to information

What you'd typically pay
Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$5,020

your estimated cost

Deductible
$3,150
Copays
$0
Coinsurance
$1,800

Managing type 2 diabetes

A year of routine care

$2,420

your estimated cost

Deductible
$1,700
Copays
$700
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,830

your estimated cost

Deductible
$2,800
Copays
$30
Coinsurance
$0
Is your medication or doctor covered?
Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.
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Who This Plan Is Best For

This Silver PPO plan offers a balanced approach between monthly premiums and out-of-pocket costs, making it a popular choice for many families.

Consider this plan if you:

  • Visit the doctor a few times per year
  • Take regular prescription medications
  • Want moderate protection against high medical bills
  • May qualify for Cost-Sharing Reductions (CSR) to lower deductibles

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,392/month

Annual Premium

$7,008

OOP Maximum

$9,700

💡 What this means:

With a $3,150 deductible, you pay 100% of costs until you've spent that much. After that, you pay 20% (coinsurance) until you hit $9,700 total. Then insurance covers everything else for the year.

More plans from HealthPartners in Wisconsin

View all Marketplace plans in Wisconsin

Frequently asked questions about NE WI Select $3,150 Plus Silver

How much does NE WI Select $3,150 Plus Silver cost per month?

NE WI Select $3,150 Plus Silver from HealthPartners starts at $584 per month before any subsidy in Wisconsin. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.

What is the deductible for NE WI Select $3,150 Plus Silver?

The individual medical deductible is $3,150, and the family deductible is $6,300. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.

What is the out-of-pocket maximum for NE WI Select $3,150 Plus Silver?

The most you would pay in a year for covered in-network care is $9,700 for an individual and $19,400 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is NE WI Select $3,150 Plus Silver HSA-eligible?

No. NE WI Select $3,150 Plus Silver is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.

What type of network does NE WI Select $3,150 Plus Silver use?

NE WI Select $3,150 Plus Silver is a PPO plan. PPO plans let you see specialists without a referral and use out-of-network providers (at higher cost), offering the most flexibility.

Understand what you'd actually pay

Important Notice

Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.