Individual & family plans

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.

Marketplace plans

Plan resources

Also referred to as the Exchange, Marketplace is a website ( 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  

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.

Cost sharing reductions

  • Lower the amount you pay on health care services. 
  • Cost-sharing reduction is only available on silver plans. There are three levels of cost sharing reduction based on income brackets:
    • 100–150 percent of FPL
    • 151–200 percent of FPL
    • 201–250 percent of FPL

2023 plan year Federal Poverty Level guidelines

Household size
Percentage of Federal Poverty level

1 person$14,580
2 people$19,720
3 people
4 people
Coverage informationMay 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 

Plan options

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:

  • Low copays for office visits and many prescription drugs
  • Affordable deductible and coinsurance options
  • An easy way to build a relationship with a provider

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.

  • Affordable primary care and generic drug copays to cover your health concerns and maintenance
  • Affordable deductible and coinsurance options
  • An easy way to maintain or build your relationship with your provider
  • Lower monthly premium savings

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:

  • Under the age 30
  • Meet income guidelines
  • Are comfortable with their health status ​

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.

Learn more about our plans

Our plans not only offer the 10 essential health benefits, but $0 preventive services and additional benefits to put your health and wellness first:

Metal tiers

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.

Special enrollment information

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. 

View special enrollment details

Questions? We're here to help!

View our health plan 101 page for more information.

Individual & Family Plan Service Area Map

We offer individual and family plan coverage in Brown, Door, Kewaunee, Manitowoc, Oconto and Sheboygan counties.