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