CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam
Starting at
$547
/month before subsidy
CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam is a 2026 Silver EPO health insurance plan from CareSource (Common Ground Healthcare), sold on the ACA Marketplace in Wisconsin under plan ID 87416WI0060012. The monthly premium starts at $547 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $4,700 ($9,400 for a family), and the individual out-of-pocket maximum is $10,600 ($21,200 for a family). After the deductible, coinsurance is 30% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 87416WI0060012
- Plan year
- 2026
- State
- Wisconsin
- Metal level
- Silver
- Plan type
- EPO
- HSA-eligible
- No
Individual Deductible
$4,700
Family: $9,400
Out-of-Pocket Max
$10,600
Family: $21,200
Coinsurance
30%
You pay after deductible
Network Type
EPO
WIN001
Medical Services
Prescription Drugs
- Medical care
- Member experience
- Plan administration
How well doctors manage and coordinate care
Member-survey satisfaction with the plan
Customer service, billing, and access to information
Having a baby
Normal delivery
$6,460
your estimated cost
- Deductible
- $4,700
- Copays
- $100
- Coinsurance
- $1,600
Managing type 2 diabetes
A year of routine care
$1,920
your estimated cost
- Deductible
- $900
- Copays
- $1,000
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$2,700
your estimated cost
- Deductible
- $2,100
- Copays
- $600
- Coinsurance
- $0
Enter your ZIP code first to search nearby doctors.
This Silver EPO 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.
If you max out this year
$1,430/month
Annual Premium
$6,564
OOP Maximum
$10,600
💡 What this means:
With a $4,700 deductible, you pay 100% of costs until you've spent that much. After that, you pay 30% (coinsurance) until you hit $10,600 total. Then insurance covers everything else for the year.
More plans from CareSource (Common Ground Healthcare) in Wisconsin
- CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Dedfrom $469/mo
- CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Examfrom $470/mo
- CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay)from $448/mo
- CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Examfrom $449/mo
- CareSource (Common Ground Healthcare) Bronze Standard $7500from $448/mo
- CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Examfrom $449/mo
- CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Dedfrom $546/mo
- CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Dedfrom $541/mo
Frequently asked questions about CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam
How much does CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam cost per month?
CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam from CareSource (Common Ground Healthcare) starts at $547 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 CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam?
The individual medical deductible is $4,700, and the family deductible is $9,400. 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 CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam?
The most you would pay in a year for covered in-network care is $10,600 for an individual and $21,200 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam HSA-eligible?
No. CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam 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 CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam use?
CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam 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
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
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.