We're here to help make Prevea360 Health Plan coverage as clear and understandable as possible because we know insurance can be confusing. The important part is that you continue to get the coverage and care you need.
Also referred to as the Exchange, Marketplace is a website (healthcare.gov) where individuals can compare plans and purchase health insurance. Marketplace plans are great for individuals and families that are eligible for discounts or financial subsidies. These discounts may include:
Tax credits lower the monthly premium you pay for health coverage and are more available than ever due to the 2021 American Rescue Plan act. Depending on your household income level, these credits can pay for a considerable amount of your premium. You can use your tax credit on most Marketplace plans.
| Household size | Percentage of Federal Poverty level | ||
|---|---|---|---|
| 100% | 250% | 400% | |
| 1 person | $14,580 | $36,450 | $58,320 |
| 2 people | $19,720 | $49,300 | $78,880 |
| 3 people | $24,860 | $62,150 | $99,440 |
| 4 people | $30,000 | $75,000 | $120,000 |
| Coverage information | May qualify for cost-sharing reductions and advanced premium tax credits | May qualify for cost-sharing reductions and advanced premium tax credits | May qualify for advanced premium tax credits |
We have health plans to fit your lifestyle and budget. Whether you’re looking for a lower-premium plan, to limit your overall out-of-pocket, or even just for a catastrophic safety net plan, we’re here for you.
You don’t like surprise bills? This may be the plan for you. The Copay Plus plans feature:
You keep yourself healthy with regular visits to your PCP. Our Copay PCP plans keep your premiums low, and offer you the best value for your regular PCP visits and generic prescription drugs.
You’re a saver and prefer to take advantage of a Health Savings Account (HSA) to cover your medical bills. We have excellent choices for you! Combine a high-deductible health plan (HDHP) with an HSA for more financial freedom and flexibility.
Safety Net Plans or Catastrophic Plans are available for those who:
Our Safety Net Plan offers a high deductible and three free office visits. Remember that government price breaks are not available with the Safety Net Plan.
Simplify your shopping experience with standard plans. Standard plans make it easy to shop across all of the important services you need. Our standard plans are offered at every network type, metal tier, and in every service area that we offer coverage.
Our plans not only offer the 10 essential health benefits, but $0 preventive services and additional benefits to put your health and wellness first:
All Individual & family plans are divided into metal categories. These categories show how you and your plan share costs. No matter which category your plan falls in, the quality of care does not change.
Bronze plans are best if you do not typically need to see your doctor or use your prescription coverage very often. The monthly premium payment will be lower, but when you do need care, your out-of-pocket costs will be higher.
Silver plans have your out-of-pocket costs and your monthly premiums more evenly balanced. These plans are beneficial if you may use your health care for more than just preventive care.
Gold plans are ideal and cost-efficient if you anticipate going to your provider or pharmacy frequently. These plans will have a higher monthly premium payment, but your out-of-pocket costs will be lower.
Outside open enrollment, you can enroll in new coverage or make changes to your existing policy if you have a certain life event that qualifies you for a special enrollment period.
We offer individual and family plan coverage in Brown, Door, Kewaunee, Manitowoc, Oconto and Sheboygan counties.
