[{"id":"20173WI0130001","name":"Oak $1,300 Gold","issuer":"HealthPartners","metal":"Gold","type":"PPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[57008,59744,64704,72856,101816,154720],"deductible":"$1,300","drug_deductible":"Included in Medical","moop":"$8,600","network":"https://www.healthpartners.com/oak","sbc":"https://www.healthpartners.com/content/dam/plan/sbc/hp/2026/ir626.pdf","formulary":"https://www.healthpartners.com/preferredrx","source_row":93448},{"id":"20173WI0130011","name":"Oak $2,000 Standard Gold","issuer":"HealthPartners","metal":"Gold","type":"PPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[55994,58682,63553,71560,100005,151968],"deductible":"$2,000","drug_deductible":"Included in Medical","moop":"$8,200","network":"https://www.healthpartners.com/oak","sbc":"https://www.healthpartners.com/content/dam/plan/sbc/hp/2026/ir642.pdf","formulary":"https://www.healthpartners.com/preferredrx","source_row":93449},{"id":"20173WI0130033","name":"NE WI Select $3,150 Plus Silver","issuer":"HealthPartners","metal":"Silver","type":"PPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[45721,47916,51893,58431,81658,124087],"deductible":"$3,150","drug_deductible":"Included in Medical","moop":"$9,700","network":"https://www.healthpartners.com/newiselectind","sbc":"https://www.healthpartners.com/content/dam/plan/sbc/hp/2026/ir660.pdf","formulary":"https://www.healthpartners.com/preferredrx","source_row":93450},{"id":"20173WI0130034","name":"NE WI Select $6,000 Standard Silver","issuer":"HealthPartners","metal":"Silver","type":"PPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[46455,48685,52726,59369,82969,126079],"deductible":"$6,000","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://www.healthpartners.com/newiselectind","sbc":"https://www.healthpartners.com/content/dam/plan/sbc/hp/2026/ir666.pdf","formulary":"https://www.healthpartners.com/preferredrx","source_row":93451},{"id":"20173WI0130035","name":"NE WI Select $6,800 Plus Bronze HSA","issuer":"HealthPartners","metal":"Expanded Bronze","type":"PPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[34235,35878,38857,43752,61144,92914],"deductible":"$6,800","drug_deductible":"Included in Medical","moop":"$10,600","network":"https://www.healthpartners.com/newiselectind","sbc":"https://www.healthpartners.com/content/dam/plan/sbc/hp/2026/ir688.pdf","formulary":"https://www.healthpartners.com/preferredrx","source_row":93452},{"id":"20173WI0130036","name":"NE WI Select $7,500 Standard Bronze HSA","issuer":"HealthPartners","metal":"Expanded Bronze","type":"PPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[35416,37116,40197,45262,63253,96119],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$10,000","network":"https://www.healthpartners.com/newiselectind","sbc":"https://www.healthpartners.com/content/dam/plan/sbc/hp/2026/ir691.pdf","formulary":"https://www.healthpartners.com/preferredrx","source_row":93453},{"id":"20173WI0130037","name":"NE WI Select $3,800 HSA Silver","issuer":"HealthPartners","metal":"Silver","type":"PPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[44108,46225,50063,56370,78777,119709],"deductible":"$3,800","drug_deductible":"Included in Medical","moop":"$8,000","network":"https://www.healthpartners.com/newiselectind","sbc":"https://www.healthpartners.com/content/dam/plan/sbc/hp/2026/ir678.pdf","formulary":"https://www.healthpartners.com/preferredrx","source_row":93454},{"id":"20173WI0130038","name":"NE WI Select $8,400 HSA Bronze","issuer":"HealthPartners","metal":"Expanded Bronze","type":"PPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[33693,35310,38242,43060,60176,91443],"deductible":"$8,400","drug_deductible":"Included in Medical","moop":"$8,400","network":"https://www.healthpartners.com/newiselectind","sbc":"https://www.healthpartners.com/content/dam/plan/sbc/hp/2026/ir684.pdf","formulary":"https://www.healthpartners.com/preferredrx","source_row":93455},{"id":"38345WI0240009","name":"Prevea360 Bronze HSA","issuer":"Dean Health Plan","metal":"Expanded Bronze","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[39939,41856,45330,51042,71330,108394],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$8,500","network":"https://www.Prevea360.com/SearchPrevea360Network-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0240009-01&uid=FFM.pdf","formulary":"https://www.Prevea360.com/WIDrugList-2026","source_row":93456},{"id":"38345WI0240011","name":"Prevea360 Gold HSA","issuer":"Dean Health Plan","metal":"Gold","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[55494,58158,62986,70922,99113,150611],"deductible":"$3,400","drug_deductible":"Included in Medical","moop":"$4,400","network":"https://www.Prevea360.com/SearchPrevea360Network-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0240011-01&uid=FFM.pdf","formulary":"https://www.Prevea360.com/WIDrugList-2026","source_row":93457},{"id":"38345WI0240015","name":"Prevea360 Gold Standard","issuer":"Dean Health Plan","metal":"Gold","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[54273,56878,61599,69360,96931,147296],"deductible":"$2,000","drug_deductible":"Included in Medical","moop":"$8,200","network":"https://www.Prevea360.com/SearchPrevea360Network-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0240015-01&uid=FFM.pdf","formulary":"https://www.Prevea360.com/WIDrugList-2026","source_row":93458},{"id":"38345WI0240016","name":"Prevea360 Silver Standard","issuer":"Dean Health Plan","metal":"Silver","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[54308,56915,61639,69405,96994,147392],"deductible":"$6,000","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://www.Prevea360.com/SearchPrevea360Network-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0240016-01&uid=FFM.pdf","formulary":"https://www.Prevea360.com/WIDrugList-2026","source_row":93459},{"id":"38345WI0240017","name":"Prevea360 Expanded Bronze Standard","issuer":"Dean Health Plan","metal":"Expanded Bronze","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[38442,40287,43632,49129,68658,104332],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$10,000","network":"https://www.Prevea360.com/SearchPrevea360Network-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0240017-01&uid=FFM.pdf","formulary":"https://www.Prevea360.com/WIDrugList-2026","source_row":93460},{"id":"38345WI0240019","name":"Prevea360 Silver $0 Copay PCP Visits","issuer":"Dean Health Plan","metal":"Silver","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[51912,54404,58920,66343,92715,140889],"deductible":"$3,500","drug_deductible":"Included in Medical","moop":"$10,450","network":"https://www.Prevea360.com/SearchPrevea360Network-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0240019-01&uid=FFM.pdf","formulary":"https://www.Prevea360.com/WIDrugList-2026","source_row":93461},{"id":"38345WI0240020","name":"Prevea360 Gold Share","issuer":"Dean Health Plan","metal":"Gold","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[52345,54857,59411,66896,93487,142063],"deductible":"$2,500","drug_deductible":"Included in Medical","moop":"$5,900","network":"https://www.Prevea360.com/SearchPrevea360Network-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0240020-01&uid=FFM.pdf","formulary":"https://www.Prevea360.com/WIDrugList-2026","source_row":93462},{"id":"38345WI0240021","name":"Prevea360 Silver Share","issuer":"Dean Health Plan","metal":"Silver","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[53076,55624,60242,67832,94794,144049],"deductible":"$3,525","drug_deductible":"Included in Medical","moop":"$8,850","network":"https://www.Prevea360.com/SearchPrevea360Network-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0240021-01&uid=FFM.pdf","formulary":"https://www.Prevea360.com/WIDrugList-2026","source_row":93463},{"id":"38345WI0240022","name":"Prevea360 Bronze Share","issuer":"Dean Health Plan","metal":"Expanded Bronze","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[32679,34248,37091,41764,58365,88691],"deductible":"$8,000","drug_deductible":"Included in Medical","moop":"$10,600","network":"https://www.Prevea360.com/SearchPrevea360Network-2026","sbc":"https://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=2026-38345WI0240022-01&uid=FFM.pdf","formulary":"https://www.Prevea360.com/WIDrugList-2026","source_row":93464},{"id":"79475WI0550042","name":"Anthem Bronze Pathway/Lean HSA (+ Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Expanded Bronze","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[36546,38300,41480,46706,65271,99186],"deductible":"$8,450","drug_deductible":"Included in Medical","moop":"$8,450","network":"https://www.anthem.com/find-care/?alphaprefix=X9P","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemBronzePathwayLeanHSAIncentives/8Y1L/English/DG166708945380.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":93465},{"id":"79475WI0550044","name":"Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Silver","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[48707,51045,55282,62248,86991,132191],"deductible":"$4,000","drug_deductible":"Included in Medical","moop":"$9,400","network":"https://www.anthem.com/find-care/?alphaprefix=X9P","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemSilverPathwayLean40000PCPVisits0SelectDrugsIncentives/8XZB/English/DG166708945289.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":93466},{"id":"79475WI0550046","name":"Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Gold","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[55942,58627,63494,71494,99912,151827],"deductible":"$1,000","drug_deductible":"Included in Medical","moop":"$7,200","network":"https://www.anthem.com/find-care/?alphaprefix=X9P","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemGoldPathwayLean10000VirtualPCP0SelectDrugsIncentives/8Y2N/English/DG166708945336.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":93467},{"id":"79475WI0550048","name":"Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Expanded Bronze","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[38756,40616,43988,49530,69218,105184],"deductible":"$0","drug_deductible":"$2,900","moop":"$10,600","network":"https://www.anthem.com/find-care/?alphaprefix=X9P","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemHeartHealthyBronzePathwayLean0MedDed0VirtualPCP0SelectDrugsIncentives/8XZ2/English/DG166708945959.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":93468},{"id":"79475WI0550050","name":"Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Silver","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[48736,51075,55315,62285,87042,132270],"deductible":"$5,500","drug_deductible":"Included in Medical","moop":"$9,200","network":"https://www.anthem.com/find-care/?alphaprefix=X9P","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemSilverPathwayLean55000VirtualPCP0SelectDrugsIncentives/8Y1T/English/DG166708944863.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":93469},{"id":"79475WI0550052","name":"Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Expanded Bronze","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[36603,38360,41544,46779,65373,99341],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$10,000","network":"https://www.anthem.com/find-care/?alphaprefix=X9P","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemBronzePathwayLeanStandard0VirtualPCP0SelectDrugsIncentives/8XZJ/English/DG166708945719.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":93470},{"id":"79475WI0550054","name":"Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Expanded Bronze","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[36143,37878,41022,46191,64551,98092],"deductible":"$5,000","drug_deductible":"Included in Medical","moop":"$10,600","network":"https://www.anthem.com/find-care/?alphaprefix=X9P","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemBronzePathwayLean50003FreePCPVisits0SelectDrugsIncentives/8XY4/English/DG166708946329.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":93471},{"id":"79475WI0550056","name":"Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Gold","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[55946,58631,63499,71499,99920,151837],"deductible":"$2,000","drug_deductible":"Included in Medical","moop":"$8,200","network":"https://www.anthem.com/find-care/?alphaprefix=X9P","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemGoldPathwayLeanStandard0VirtualPCP0SelectDrugsIncentives/8Y0K/English/DG166708945924.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":93472},{"id":"79475WI0550058","name":"Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)","issuer":"Anthem Blue Cross and Blue Shield","metal":"Silver","type":"HMO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[48695,51032,55269,62232,86969,132158],"deductible":"$6,000","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://www.anthem.com/find-care/?alphaprefix=X9P","sbc":"https://sbc.anthem.com/dpsdeeplink/deepLink/AnthemSilverPathwayLeanStandard0VirtualPCP0SelectDrugsIncentives/8XXU/English/DG166708945901.pdf","formulary":"https://www.anthem.com/WISelectdrugtier4even","source_row":93473},{"id":"87416WI0030003","name":"CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded","issuer":"CareSource (Common Ground Healthcare)","metal":"Expanded Bronze","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[36660,38420,41609,46852,65475,99496],"deductible":"$0","drug_deductible":"$2,500","moop":"$9,500","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-$0Ded-Bronze-ONEx-Basic-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93474},{"id":"87416WI0030005","name":"CareSource (Common Ground Healthcare) Gold $0 Ded","issuer":"CareSource (Common Ground Healthcare)","metal":"Gold","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[53250,55806,60438,68053,95104,144520],"deductible":"$0","drug_deductible":"Included in Medical","moop":"$9,000","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-$0Ded-Gold-ONEx-Basic-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93475},{"id":"87416WI0030017","name":"CareSource (Common Ground Healthcare) Gold $3300","issuer":"CareSource (Common Ground Healthcare)","metal":"Gold","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[48301,50620,54822,61729,86266,131089],"deductible":"$3,300","drug_deductible":"Included in Medical","moop":"$8,500","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-Standard-Gold-ONEx-Basic-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93476},{"id":"87416WI0030023","name":"CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded","issuer":"CareSource (Common Ground Healthcare)","metal":"Silver","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[42732,44783,48501,54612,76320,115975],"deductible":"$4,700","drug_deductible":"$5,000","moop":"$10,600","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-Standard-Silver-ONEx-Basic-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93477},{"id":"87416WI0030027","name":"CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay)","issuer":"CareSource (Common Ground Healthcare)","metal":"Expanded Bronze","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[35053,36735,39785,44797,62604,95133],"deductible":"$9,600","drug_deductible":"Included in Medical","moop":"$9,600","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-LowPrem-Bronze-ONEx-Basic-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93478},{"id":"87416WI0030041","name":"CareSource (Common Ground Healthcare) Bronze Standard $7500","issuer":"CareSource (Common Ground Healthcare)","metal":"Expanded Bronze","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[35036,36718,39766,44776,62575,95088],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$10,000","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-Federal-Bronze-ONEx-Basic-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93479},{"id":"87416WI0030042","name":"CareSource (Common Ground Healthcare) Silver Standard $6000","issuer":"CareSource (Common Ground Healthcare)","metal":"Silver","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[42884,44942,48673,54805,76590,116386],"deductible":"$6,000","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-Federal-Silver-ONEx-Basic-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93480},{"id":"87416WI0030043","name":"CareSource (Common Ground Healthcare) Gold Standard $2000","issuer":"CareSource (Common Ground Healthcare)","metal":"Gold","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[48780,51121,55365,62341,87121,132388],"deductible":"$2,000","drug_deductible":"Included in Medical","moop":"$8,200","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-Federal-Gold-ONEx-Basic-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93481},{"id":"87416WI0030047","name":"CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded","issuer":"CareSource (Common Ground Healthcare)","metal":"Silver","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[42336,44368,48051,54105,75611,114899],"deductible":"$5,000","drug_deductible":"$6,000","moop":"$10,600","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-LowPrem-Silver-ONEx-Basic-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93482},{"id":"87416WI0060001","name":"CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam","issuer":"CareSource (Common Ground Healthcare)","metal":"Gold","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[48866,51211,55463,62450,87274,132621],"deductible":"$2,000","drug_deductible":"Included in Medical","moop":"$8,200","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-Federal-Gold-ONEx-V-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93483},{"id":"87416WI0060002","name":"CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam","issuer":"CareSource (Common Ground Healthcare)","metal":"Silver","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[42970,45032,48770,54915,76744,116619],"deductible":"$6,000","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-Federal-Silver-ONEx-V-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93484},{"id":"87416WI0060003","name":"CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam","issuer":"CareSource (Common Ground Healthcare)","metal":"Expanded Bronze","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[35122,36808,39864,44886,62728,95321],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$10,000","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-Federal-Bronze-ONEx-V-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93485},{"id":"87416WI0060006","name":"CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam","issuer":"CareSource (Common Ground Healthcare)","metal":"Gold","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[48387,50710,54919,61839,86419,131322],"deductible":"$3,300","drug_deductible":"Included in Medical","moop":"$8,500","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-Standard-Gold-ONEx-V-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93486},{"id":"87416WI0060011","name":"CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam","issuer":"CareSource (Common Ground Healthcare)","metal":"Silver","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[42421,44458,48148,54215,75765,115132],"deductible":"$5,000","drug_deductible":"$6,000","moop":"$10,600","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-LowPrem-Silver-ONEx-V-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93487},{"id":"87416WI0060012","name":"CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam","issuer":"CareSource (Common Ground Healthcare)","metal":"Silver","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[42818,44873,48598,54721,76473,116208],"deductible":"$4,700","drug_deductible":"$5,000","moop":"$10,600","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-Standard-Silver-ONEx-V-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93488},{"id":"87416WI0060015","name":"CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam","issuer":"CareSource (Common Ground Healthcare)","metal":"Expanded Bronze","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[35139,36825,39882,44907,62757,95366],"deductible":"$9,600","drug_deductible":"Included in Medical","moop":"$9,600","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-LowPrem-Bronze-ONEx-V-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93489},{"id":"87416WI0060023","name":"CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam","issuer":"CareSource (Common Ground Healthcare)","metal":"Expanded Bronze","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[36746,38510,41707,46962,65629,99729],"deductible":"$0","drug_deductible":"$2,500","moop":"$9,500","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-$0Ded-Bronze-ONEx-V-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93490},{"id":"87416WI0060025","name":"CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam","issuer":"CareSource (Common Ground Healthcare)","metal":"Gold","type":"EPO","rating_area":"Rating Area 16","child_only":"Allows Adult and Child-Only","premiums":[53335,55895,60535,68162,95256,144750],"deductible":"$0","drug_deductible":"Included in Medical","moop":"$9,000","network":"https://findadoctor.caresource.com/doctors?programs=WI-Exchange","sbc":"https://www.caresource.com/documents/Marketplace-2026-WI-$0Ded-Gold-ONEx-V-sum.pdf","formulary":"https://www.caresource.com/documents/Marketplace-2026-WI-formulary.pdf","source_row":93491}]