BronzePOSHSA Eligible

POS Bronze 8500

Aspirus Health Plan

Starting at

$523

/month before subsidy

Key facts

POS Bronze 8500 is a 2026 Bronze POS health insurance plan from Aspirus Health Plan, sold on the ACA Marketplace in Wisconsin under plan ID 86584WI0020003. The monthly premium starts at $523 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $8,500 ($17,000 for a family), and the individual out-of-pocket maximum is $9,500 ($19,000 for a family). After the deductible, coinsurance is 30% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID
86584WI0020003
Plan year
2026
State
Wisconsin
Metal level
Bronze
Plan type
POS
HSA-eligible
Yes

Individual Deductible

$8,500

Family: $17,000

Out-of-Pocket Max

$9,500

Family: $19,000

Coinsurance

30%

You pay after deductible

Network Type

POS

WIN001

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

Medical Services

Primary Care Visit30.00% Coinsurance after deductible
Specialist Visit30.00% Coinsurance after deductible
Urgent Care30.00% Coinsurance after deductible
Emergency Room30.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs30.00% Coinsurance after deductible
Brand Name Drugs30.00% Coinsurance after deductible
Specialty Drugs30.00% Coinsurance after deductible
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

$9,560

your estimated cost

Deductible
$8,500
Copays
$0
Coinsurance
$1,000

Managing type 2 diabetes

A year of routine care

$5,420

your estimated cost

Deductible
$5,400
Copays
$0
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,800

your estimated cost

Deductible
$2,800
Copays
$0
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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Official Plan Documents
Published by Aspirus Health Plan. These are the authoritative source for coverage details.
Who This Plan Is Best For

This Bronze POS plan is ideal for healthy individuals who want the lowest monthly premium and can handle higher out-of-pocket costs if they need care.

Consider this plan if you:

  • Rarely visit the doctor beyond annual checkups
  • Have savings to cover the $8,500 deductible if needed
  • Primarily need coverage for unexpected emergencies
  • Want to minimize monthly healthcare expenses

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

$1,315/month

Annual Premium

$6,276

OOP Maximum

$9,500

💡 What this means:

With a $8,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 30% (coinsurance) until you hit $9,500 total. Then insurance covers everything else for the year.

More plans from Aspirus Health Plan in Wisconsin

View all Marketplace plans in Wisconsin

Frequently asked questions about POS Bronze 8500

How much does POS Bronze 8500 cost per month?

POS Bronze 8500 from Aspirus Health Plan starts at $523 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 POS Bronze 8500?

The individual medical deductible is $8,500, and the family deductible is $17,000. 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 POS Bronze 8500?

The most you would pay in a year for covered in-network care is $9,500 for an individual and $19,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is POS Bronze 8500 HSA-eligible?

Yes. POS Bronze 8500 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 POS Bronze 8500 use?

POS Bronze 8500 is a POS plan. POS plans blend HMO and PPO features: you pick a primary care provider and can go out of network at a higher cost.

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.