Expanded_bronzeEPOHSA Eligible

SimplyOne $7,500

Security Health Plan

Starting at

$530

/month before subsidy

Key facts

SimplyOne $7,500 is a 2026 Expanded_bronze EPO health insurance plan from Security Health Plan, sold on the ACA Marketplace in Wisconsin under plan ID 38166WI0270013. The monthly premium starts at $530 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $7,500 ($15,000 for a family), and the individual out-of-pocket maximum is $10,000 ($20,000 for a family). After the deductible, coinsurance is 50% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID
38166WI0270013
Plan year
2026
State
Wisconsin
Metal level
Expanded_bronze
Plan type
EPO
HSA-eligible
Yes

Individual Deductible

$7,500

Family: $15,000

Out-of-Pocket Max

$10,000

Family: $20,000

Coinsurance

50%

You pay after deductible

Network Type

EPO

WIN006

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

Medical Services

Primary Care Visit$50.00
Specialist Visit$100.00
Urgent Care$75.00
Emergency Room50.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$25.00
Brand Name Drugs$100.00 Copay after deductible
Specialty Drugs$500.00 Copay 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

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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Official Plan Documents
Published by Security Health Plan. These are the authoritative source for coverage details.
Who This Plan Is Best For

Review the plan details above to determine if this plan fits your healthcare needs and budget.

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

$1,363/month

Annual Premium

$6,360

OOP Maximum

$10,000

💡 What this means:

With a $7,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $10,000 total. Then insurance covers everything else for the year.

More plans from Security Health Plan in Wisconsin

View all Marketplace plans in Wisconsin

Frequently asked questions about SimplyOne $7,500

How much does SimplyOne $7,500 cost per month?

SimplyOne $7,500 from Security Health Plan starts at $530 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 SimplyOne $7,500?

The individual medical deductible is $7,500, and the family deductible is $15,000. 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 SimplyOne $7,500?

The most you would pay in a year for covered in-network care is $10,000 for an individual and $20,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is SimplyOne $7,500 HSA-eligible?

Yes. SimplyOne $7,500 is a qualified high-deductible health plan, so you can pair it with a Health Savings Account (HSA) and pay for eligible medical expenses with pre-tax dollars.

What type of network does SimplyOne $7,500 use?

SimplyOne $7,500 is a EPO plan. EPO plans cover in-network care only (except emergencies) and usually do not require referrals to see specialists.

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.