Expanded_bronzeHMOHSA Eligible

Better Together HMO Bronze No Medical Ded/10600 MOOP HSA

Group Health Cooperative-SCW

Starting at

$479

/month before subsidy

Key facts

Better Together HMO Bronze No Medical Ded/10600 MOOP HSA is a 2026 Expanded_bronze HMO health insurance plan from Group Health Cooperative-SCW, sold on the ACA Marketplace in Wisconsin under plan ID 94529WI0240083. The monthly premium starts at $479 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $0, and the individual out-of-pocket maximum is $10,600 ($21,200 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
94529WI0240083
Plan year
2026
State
Wisconsin
Metal level
Expanded_bronze
Plan type
HMO
HSA-eligible
Yes

Individual Deductible

$0

Family: $0

Out-of-Pocket Max

$10,600

Family: $21,200

Coinsurance

50%

You pay after deductible

Network Type

HMO

WIN002

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

Medical Services

Primary Care Visit$35.00
Specialist Visit$155.00
Urgent Care$70.00
Emergency Room$1,500.00

Prescription Drugs

Generic Drugs$35.00
Brand Name Drugs50.00% 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

$4,520

your estimated cost

Deductible
$0
Copays
$240
Coinsurance
$4,230

Managing type 2 diabetes

A year of routine care

$2,380

your estimated cost

Deductible
$0
Copays
$1,740
Coinsurance
$620

A simple fracture

ER visit + follow-up

$2,880

your estimated cost

Deductible
$0
Copays
$2,350
Coinsurance
$520
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.
Check a medication
Check a doctor

Enter your ZIP code first to search nearby doctors.

Official Plan Documents
Published by Group Health Cooperative-SCW. 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

$1,362/month

Annual Premium

$5,748

OOP Maximum

$10,600

💡 What this means:

With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $10,600 total. Then insurance covers everything else for the year.

More plans from Group Health Cooperative-SCW in Wisconsin

View all Marketplace plans in Wisconsin

Frequently asked questions about Better Together HMO Bronze No Medical Ded/10600 MOOP HSA

How much does Better Together HMO Bronze No Medical Ded/10600 MOOP HSA cost per month?

Better Together HMO Bronze No Medical Ded/10600 MOOP HSA from Group Health Cooperative-SCW starts at $479 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 Better Together HMO Bronze No Medical Ded/10600 MOOP HSA?

The individual medical deductible is $0. 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 Better Together HMO Bronze No Medical Ded/10600 MOOP HSA?

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 Better Together HMO Bronze No Medical Ded/10600 MOOP HSA HSA-eligible?

Yes. Better Together HMO Bronze No Medical Ded/10600 MOOP HSA 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 Better Together HMO Bronze No Medical Ded/10600 MOOP HSA use?

Better Together HMO Bronze No Medical Ded/10600 MOOP HSA is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.

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.