[{"id":"37833WI0380318","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) $4,000 DED","issuer":"Quartz","metal":"Gold","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[59650,62513,67703,76233,106535,161890],"deductible":"$4,000","drug_deductible":"Included in Medical","moop":"$8,000","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1G263831801/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Non-Standard-Formulary.pdf","source_row":92354},{"id":"37833WI0380319","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE (DENTAL & VISION) $700 DED","issuer":"Quartz","metal":"Gold","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[63642,66697,72233,81334,113664,172724],"deductible":"$700","drug_deductible":"$0","moop":"$9,300","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1G263831901/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Non-Standard-Formulary.pdf","source_row":92355},{"id":"37833WI0380320","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) STANDARD EASY PRICING","issuer":"Quartz","metal":"Gold","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[64520,67617,73230,82456,115232,175106],"deductible":"$2,000","drug_deductible":"Included in Medical","moop":"$8,200","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1G263832001/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Standard-Formulary.pdf","source_row":92356},{"id":"37833WI0380321","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $8,000 DED","issuer":"Quartz","metal":"Silver","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[59199,62040,67190,75656,105729,160665],"deductible":"$8,000","drug_deductible":"Included in Medical","moop":"$9,900","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1S263832101/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Non-Standard-Formulary.pdf","source_row":92357},{"id":"37833WI0380323","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) STANDARD EASY PRICING","issuer":"Quartz","metal":"Silver","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[60700,63613,68893,77573,108409,164737],"deductible":"$6,000","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1S263832301/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Standard-Formulary.pdf","source_row":92358},{"id":"37833WI0380325","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $0 MEDICAL DED","issuer":"Quartz","metal":"Expanded Bronze","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[47793,50087,54245,61079,85358,129710],"deductible":"$0","drug_deductible":"$2,250","moop":"$10,400","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1B263832501/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Non-Standard-Formulary.pdf","source_row":92359},{"id":"37833WI0380326","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) STANDARD EASY PRICING","issuer":"Quartz","metal":"Expanded Bronze","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[46278,48499,52525,59143,82652,125597],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$10,000","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1B263832601/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Standard-Formulary.pdf","source_row":92360},{"id":"37833WI0380340","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $10,150 DED","issuer":"Quartz","metal":"Expanded Bronze","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[42446,44483,48176,54245,75808,115197],"deductible":"$10,150","drug_deductible":"Included in Medical","moop":"$10,600","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1B263834001/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Non-Standard-Formulary.pdf","source_row":92361},{"id":"37833WI0380343","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $9,000 DED","issuer":"Quartz","metal":"Silver","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[59316,62162,67323,75805,105937,160982],"deductible":"$9,000","drug_deductible":"Included in Medical","moop":"$10,250","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1S263834301/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Non-Standard-Formulary.pdf","source_row":92362},{"id":"37833WI0510318","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD $4,000 DED","issuer":"Quartz","metal":"Gold","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[57706,60476,65496,73748,103063,156614],"deductible":"$4,000","drug_deductible":"Included in Medical","moop":"$8,000","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1G265131801/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Non-Standard-Formulary.pdf","source_row":92363},{"id":"37833WI0510319","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE $700 DED","issuer":"Quartz","metal":"Gold","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[61568,64523,69879,78684,109960,167095],"deductible":"$700","drug_deductible":"$0","moop":"$9,300","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1G265131901/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Non-Standard-Formulary.pdf","source_row":92364},{"id":"37833WI0510320","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD STANDARD EASY PRICING","issuer":"Quartz","metal":"Gold","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[62418,65413,70843,79769,111477,169400],"deductible":"$2,000","drug_deductible":"Included in Medical","moop":"$8,200","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1G265132001/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Standard-Formulary.pdf","source_row":92365},{"id":"37833WI0510321","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $8,000 DED","issuer":"Quartz","metal":"Silver","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[57270,60018,65001,73190,102283,155429],"deductible":"$8,000","drug_deductible":"Included in Medical","moop":"$9,900","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1S265132101/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Non-Standard-Formulary.pdf","source_row":92366},{"id":"37833WI0510323","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER STANDARD EASY PRICING","issuer":"Quartz","metal":"Silver","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[58721,61540,66648,75045,104876,159369],"deductible":"$6,000","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1S265132301/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Standard-Formulary.pdf","source_row":92367},{"id":"37833WI0510325","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED","issuer":"Quartz","metal":"Expanded Bronze","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[46236,48455,52477,59089,82576,125483],"deductible":"$0","drug_deductible":"$2,250","moop":"$10,400","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1B265132501/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Non-Standard-Formulary.pdf","source_row":92368},{"id":"37833WI0510326","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE STANDARD EASY PRICING","issuer":"Quartz","metal":"Expanded Bronze","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[44770,46918,50813,57215,79958,121504],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$10,000","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1B265132601/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Standard-Formulary.pdf","source_row":92369},{"id":"37833WI0510340","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $10,150 DED","issuer":"Quartz","metal":"Expanded Bronze","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[41063,43033,46606,52478,73337,111443],"deductible":"$10,150","drug_deductible":"Included in Medical","moop":"$10,600","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1B265134001/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Non-Standard-Formulary.pdf","source_row":92370},{"id":"37833WI0510343","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $9,000 DED","issuer":"Quartz","metal":"Silver","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[57383,60137,65129,73335,102485,155736],"deductible":"$9,000","drug_deductible":"Included in Medical","moop":"$10,250","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1S265134301/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Non-Standard-Formulary.pdf","source_row":92371},{"id":"37833WI0540089","name":"QUARTZ ONE ACHIEVE W/GUNDERSEN CATASTROPHIC $10,600 DED","issuer":"Quartz","metal":"Catastrophic","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[43102,45171,48921,55084,76980,116979],"deductible":"$10,600","drug_deductible":"Included in Medical","moop":"$10,600","network":"https://quartzbenefits.com/join-quartz/individual-and-family-plans/wisconsin-individual-plans/","sbc":"https://apps.quartzbenefits.com/sbc/Document.aspx?i=Q1C265408901/view.pdf","formulary":"https://quartzbenefits.com/wp-content/uploads/docs/members/pharmacy/2026/2026-Individual-Family-Non-Standard-Formulary.pdf","source_row":92372},{"id":"38345WI0010158","name":"Dean Gold HSA","issuer":"Dean Health Plan","metal":"Gold","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[53821,56404,61087,68783,96124,146070],"deductible":"$3,400","drug_deductible":"Included in Medical","moop":"$4,400","network":"https://www.DeanCare.com/SearchDeanNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0010158-01&uid=FFM.pdf","formulary":"https://www.DeanCare.com/WIDrugList-2026","source_row":92373},{"id":"38345WI0010162","name":"Dean Gold Standard","issuer":"Dean Health Plan","metal":"Gold","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[52636,55163,59742,67269,94008,142854],"deductible":"$2,000","drug_deductible":"Included in Medical","moop":"$8,200","network":"https://www.DeanCare.com/SearchDeanNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0010162-01&uid=FFM.pdf","formulary":"https://www.DeanCare.com/WIDrugList-2026","source_row":92374},{"id":"38345WI0010163","name":"Dean Silver Standard","issuer":"Dean Health Plan","metal":"Silver","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[52670,55198,59781,67313,94069,142947],"deductible":"$6,000","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://www.DeanCare.com/SearchDeanNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0010163-01&uid=FFM.pdf","formulary":"https://www.DeanCare.com/WIDrugList-2026","source_row":92375},{"id":"38345WI0010164","name":"Dean Expanded Bronze Standard","issuer":"Dean Health Plan","metal":"Expanded Bronze","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[37283,39072,42316,47648,66587,101186],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$10,000","network":"https://www.DeanCare.com/SearchDeanNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0010164-01&uid=FFM.pdf","formulary":"https://www.DeanCare.com/WIDrugList-2026","source_row":92376},{"id":"38345WI0010182","name":"Dean Silver $0 Copay PCP Visits","issuer":"Dean Health Plan","metal":"Silver","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[50347,52763,57143,64343,89919,136641],"deductible":"$3,500","drug_deductible":"Included in Medical","moop":"$10,450","network":"https://www.DeanCare.com/SearchDeanNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0010182-01&uid=FFM.pdf","formulary":"https://www.DeanCare.com/WIDrugList-2026","source_row":92377},{"id":"38345WI0010183","name":"Dean Bronze $0 Copay PCP Visits","issuer":"Dean Health Plan","metal":"Expanded Bronze","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[34844,36517,39548,44531,62232,94568],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$10,600","network":"https://www.DeanCare.com/SearchDeanNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0010183-01&uid=FFM.pdf","formulary":"https://www.DeanCare.com/WIDrugList-2026","source_row":92378},{"id":"38345WI0010184","name":"Dean Gold Share","issuer":"Dean Health Plan","metal":"Gold","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[50766,53203,57620,64879,90668,137779],"deductible":"$2,500","drug_deductible":"Included in Medical","moop":"$5,900","network":"https://www.DeanCare.com/SearchDeanNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0010184-01&uid=FFM.pdf","formulary":"https://www.DeanCare.com/WIDrugList-2026","source_row":92379},{"id":"38345WI0010185","name":"Dean Silver Share","issuer":"Dean Health Plan","metal":"Silver","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[51476,53947,58425,65786,91936,139705],"deductible":"$3,525","drug_deductible":"Included in Medical","moop":"$8,850","network":"https://www.DeanCare.com/SearchDeanNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0010185-01&uid=FFM.pdf","formulary":"https://www.DeanCare.com/WIDrugList-2026","source_row":92380},{"id":"38345WI0010186","name":"Dean Bronze Share","issuer":"Dean Health Plan","metal":"Expanded Bronze","type":"HMO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[31694,33215,35972,40505,56605,86017],"deductible":"$8,000","drug_deductible":"Included in Medical","moop":"$10,600","network":"https://www.DeanCare.com/SearchDeanNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0010186-01&uid=FFM.pdf","formulary":"https://www.DeanCare.com/WIDrugList-2026","source_row":92381},{"id":"57845WI0050011","name":"Engage by Medica Bronze HSA","issuer":"Medica","metal":"Expanded Bronze","type":"EPO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[50235,52647,57017,64201,89720,136339],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$8,500","network":"https://www.Medica.com/SearchEngageNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-57845WI0050011-01&uid=FFM.pdf","formulary":"https://www.Medica.com/WIDrugList-2026","source_row":92382},{"id":"57845WI0050027","name":"Engage by Medica Silver Share","issuer":"Medica","metal":"Silver","type":"EPO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[63937,67006,72569,81712,114192,173525],"deductible":"$3,525","drug_deductible":"Included in Medical","moop":"$8,850","network":"https://www.Medica.com/SearchEngageNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-57845WI0050027-01&uid=FFM.pdf","formulary":"https://www.Medica.com/WIDrugList-2026","source_row":92383},{"id":"57845WI0050029","name":"Engage by Medica Bronze Share","issuer":"Medica","metal":"Expanded Bronze","type":"EPO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[45226,47397,51331,57799,80774,122743],"deductible":"$8,000","drug_deductible":"Included in Medical","moop":"$10,600","network":"https://www.Medica.com/SearchEngageNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-57845WI0050029-01&uid=FFM.pdf","formulary":"https://www.Medica.com/WIDrugList-2026","source_row":92384},{"id":"57845WI0050055","name":"Engage by Medica Gold Standard","issuer":"Medica","metal":"Gold","type":"EPO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[64478,67573,73182,82403,115158,174993],"deductible":"$2,000","drug_deductible":"Included in Medical","moop":"$8,200","network":"https://www.Medica.com/SearchEngageNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-57845WI0050055-01&uid=FFM.pdf","formulary":"https://www.Medica.com/WIDrugList-2026","source_row":92385},{"id":"57845WI0050057","name":"Engage by Medica Silver Standard","issuer":"Medica","metal":"Silver","type":"EPO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[64098,67175,72751,81917,114479,173962],"deductible":"$6,000","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://www.Medica.com/SearchEngageNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-57845WI0050057-01&uid=FFM.pdf","formulary":"https://www.Medica.com/WIDrugList-2026","source_row":92386},{"id":"57845WI0050073","name":"Engage by Medica Expanded Bronze Standard","issuer":"Medica","metal":"Expanded Bronze","type":"EPO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[49115,51472,55745,62769,87719,133298],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$10,000","network":"https://www.Medica.com/SearchEngageNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-57845WI0050073-01&uid=FFM.pdf","formulary":"https://www.Medica.com/WIDrugList-2026","source_row":92387},{"id":"57845WI0050074","name":"Engage by Medica Gold $0 Copay PCP Visits","issuer":"Medica","metal":"Gold","type":"EPO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[62437,65434,70866,79794,111512,169453],"deductible":"$1,500","drug_deductible":"Included in Medical","moop":"$8,800","network":"https://www.Medica.com/SearchEngageNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-57845WI0050074-01&uid=FFM.pdf","formulary":"https://www.Medica.com/WIDrugList-2026","source_row":92388},{"id":"57845WI0050075","name":"Engage by Medica Silver $0 Copay PCP Visits","issuer":"Medica","metal":"Silver","type":"EPO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[62559,65562,71005,79951,111731,169785],"deductible":"$3,500","drug_deductible":"Included in Medical","moop":"$10,450","network":"https://www.Medica.com/SearchEngageNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-57845WI0050075-01&uid=FFM.pdf","formulary":"https://www.Medica.com/WIDrugList-2026","source_row":92389},{"id":"57845WI0050076","name":"Engage by Medica Gold Share","issuer":"Medica","metal":"Gold","type":"EPO","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[63737,66797,72342,81456,113835,172983],"deductible":"$2,500","drug_deductible":"Included in Medical","moop":"$5,900","network":"https://www.Medica.com/SearchEngageNetwork-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-57845WI0050076-01&uid=FFM.pdf","formulary":"https://www.Medica.com/WIDrugList-2026","source_row":92390},{"id":"79475WI0560001","name":"Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Expanded Bronze","type":"POS","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[50466,52888,57279,64496,90132,136965],"deductible":"$0","drug_deductible":"$2,900","moop":"$10,600","network":"https://www.anthem.com/find-care/?alphaprefix=DGH","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemHeartHealthyBronzePreferredBroad0MedDed0VirtualPCP0SelectDrugsIncentives/8XXV/English/DG166708945715.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":92391},{"id":"79475WI0560002","name":"Anthem Bronze Preferred/Broad HSA (+ Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Expanded Bronze","type":"POS","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[47590,49874,54015,60820,84996,129159],"deductible":"$8,450","drug_deductible":"Included in Medical","moop":"$8,450","network":"https://www.anthem.com/find-care/?alphaprefix=DGH","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemBronzePreferredBroadHSAIncentives/8XYW/English/DG166708945337.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":92392},{"id":"79475WI0560003","name":"Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Expanded Bronze","type":"POS","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[47067,49326,53421,60152,84062,127740],"deductible":"$5,000","drug_deductible":"Included in Medical","moop":"$10,600","network":"https://www.anthem.com/find-care/?alphaprefix=DGH","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemBronzePreferredBroad50003FreePCPVisits0SelectDrugsIncentives/8Y1D/English/DG166708944871.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":92393},{"id":"79475WI0560004","name":"Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Silver","type":"POS","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[63462,66508,72029,81104,113343,172236],"deductible":"$5,500","drug_deductible":"Included in Medical","moop":"$9,200","network":"https://www.anthem.com/find-care/?alphaprefix=DGH","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemSilverPreferredBroad55000VirtualPCP0SelectDrugsIncentives/8XXY/English/DG166708945957.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":92394},{"id":"79475WI0560005","name":"Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Gold","type":"POS","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[72849,76346,82684,93101,130108,197712],"deductible":"$1,000","drug_deductible":"Included in Medical","moop":"$7,200","network":"https://www.anthem.com/find-care/?alphaprefix=DGH","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemGoldPreferredBroad10000VirtualPCP0SelectDrugsIncentives/8Y11/English/DG166708945717.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":92395},{"id":"79475WI0560006","name":"Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Expanded Bronze","type":"POS","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[47666,49954,54101,60917,85131,129366],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$10,000","network":"https://www.anthem.com/find-care/?alphaprefix=DGH","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemBronzePreferredBroadStandard0VirtualPCP0SelectDrugsIncentives/8XY3/English/DG166708945897.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":92396},{"id":"79475WI0560007","name":"Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Silver","type":"POS","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[63413,66457,71974,81042,113256,172103],"deductible":"$6,000","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://www.anthem.com/find-care/?alphaprefix=DGH","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemSilverPreferredBroadStandard0VirtualPCP0SelectDrugsIncentives/8Y1S/English/DG166708945899.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":92397},{"id":"79475WI0560008","name":"Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Gold","type":"POS","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[72854,76351,82689,93107,130117,197726],"deductible":"$2,000","drug_deductible":"Included in Medical","moop":"$8,200","network":"https://www.anthem.com/find-care/?alphaprefix=DGH","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemGoldPreferredBroadStandard0VirtualPCP0SelectDrugsIncentives/8Y07/English/DG166708944868.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":92398},{"id":"79475WI0560009","name":"Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Silver","type":"POS","rating_area":"Rating Area 7","child_only":"Allows Adult and Child-Only","premiums":[63426,66470,71989,81058,113279,172138],"deductible":"$4,000","drug_deductible":"Included in Medical","moop":"$9,400","network":"https://www.anthem.com/find-care/?alphaprefix=DGH","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemSilverPreferredBroad40000PCPVisits0SelectDrugsIncentives/8Y2M/English/DG166708945962.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":92399}]