Form Number: et-2107prtg
Health Plan | With Dental Individual / Family |
Without Dental Individual / Family |
---|---|---|
Access Plan by Dean | $1,049.36 / 2,590.48 | $1,018.20 / 2,512.58 |
Aspirus Health Plan | $690.16 / 1,692.46 | $659.00 / 1,614.56 |
Common Ground Healthcare Cooperative | $708.66 / 1,738.72 | $677.50 / 1,660.82 |
Dean Health Plan | $573.22 / 1,400.12 | $542.06 / 1,322.22 |
Dean Health Plan - Prevea360 East | $664.24 / 1,627.66 | $633.08 / 1,549.76 |
Dean Health Plan - Prevea360 West and Mayo Clinic Health System | $737.58 / 1,811.02 | $706.42 / 1,733.12 |
GHC of Eau Claire Greater Wisconsin | $677.72 / 1,661.36 | $646.56 / 1,583.46 |
GHC of Eau Claire River Region | $766.36 / 1,882.96 | $735.20 / 1,805.06 |
GHC of South Central Wisconsin | $573.28 / 1,400.26 | $542.12 / 1,322.36 |
HealthPartners Health Plan Southeast | $697.38 / 1,710.52 | $666.22 / 1,632.62 |
HealthPartners Health Plan West | $680.54 / 1,668.42 | $649.38 / 1,590.52 |
Medical Associates Health Plan | $588.00 / 1,437.06 | $556.84 / 1,359.16 |
MercyCare Health Plan | $496.38 / 1,208.02 | $465.22 / 1,130.12 |
Network Health | $726.64 / 1,738.66 | $695.48 / 1,705.76 |
Quartz Central | $680.86 / 1,669.22 | $649.70 / 1,591.32 |
Quartz - UW Health | $589.20 / 1,440.06 | $558.04 / 1,362.16 |
Quartz West | $661.92 / 1,621.86 | $630.76 / 1,543.96 |
Robin with HealthPartners Health Plan | $746.00 / 1,832.06 | $714.84 / 1,754.16 |
Security Health Plan | $725.98 / 1,782.02 | $694.82 / 1,704.12 |
State Maintenance Plan (SMP) by Dean Health Plan | $811.06 / 1,994.74 | $779.90 / 1,916.84 |