Wisconsin health plan · 2027

Better Together HMO Platinum 750 Ded/3750 MOOP with Vision · 94529WI0240022

Group Health of South Central Wisconsin offers this marketplace plan (Plan ID 94529WI0240022). Use the modules below to compare premiums, coverage structure, provider access, and formulary context against alternative options in the same market.

Telehealth Data pending HSA eligible Check with issuer Dental Not listed Vision Not listed

2027 cost summary

Key premiums & cost sharing

Rates mirror the latest CMS import (Tue, 28 Jul 2026 05:48 GMT). Personalize costs with your ZIP, age, and subsidies in the plan finder.

Monthly premium

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Before subsidies

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Deductible

N/A

N/A

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Max out-of-pocket

N/A

N/A

Review MOOP rules

Office visits

Primary care See benefits
Specialist See benefits

Drug tiers

Generic See drug coverage
Preferred brand See drug coverage

View formulary tiers

Issuer profile See benefits
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Enrollment guidance

Stay on top of 2027 ACA deadlines

Open Enrollment window

Marketplace enrollment for 2027 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Wisconsin). Submit changes before the deadline to avoid a coverage gap.

  • Enroll by Dec 15 for Jan 1 starts.
  • Finalize plan switches before the window closes.

Special Enrollment Periods

You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).

  • Report the event within 60 days.
  • Keep documentation handy for Healthcare.gov or your state exchange.

CSR & subsidy reminders

Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.

  • Enter accurate income to maximize Advanced Premium Tax Credits.
  • Silver-tier CSR plans lower deductibles for households ≤250% FPL.

Thinking about switching?

Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.

  • Match provider networks so ongoing care isn’t disrupted.
  • Confirm prescriptions stay on-formulary or budget for tier changes.

Premium snapshot

Plan identifiers & filings

Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.

Plan ID 94529WI0240022
Coverage year 2027
State Wisconsin
Issuer Group Health of South Central Wisconsin
Last plan update Mon, 03 Aug 2026 00:00 GMT
Last HealthPorta import Tue, 28 Jul 2026 05:48 GMT

Network stats

Provider access snapshot

Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 28 Jul 2026 05:48 GMT).

All providers in Wisconsin N/A
PCPs in Wisconsin N/A
Telehealth support Data pending
Nationwide providers N/A
Providers Wisconsin All US states
All N/A N/A
PCP N/A N/A
Allergy N/A N/A
OB/GYN N/A N/A
Dentists N/A N/A

Drug coverage overview

4,451 drugs tracked

Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.

Tier Covered drugs
NON-PREFERRED-GENERIC 2,565
NON-PREFERRED-BRAND 876
SPECIALTY-DRUGS 660
MEDICAL-SERVICE-DRUGS 350
Prior authorization Drugs
Required 886
Not Required 3,565
Step therapy Drugs
Required 87
Not Required 4,364
Quantity limits Drugs
Has Limit 1,048
No Limit 3,403

Customer highlights

What stands out for members

  • Issuer: Group Health of South Central Wisconsin · Plan ID 94529WI0240022 · 2027 filing.
  • Use the cards on this page to explore network stats, drug coverage, and cost-sharing details.
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Copay & coinsurance

Pharmacy cost sharing by tier

Drug tier Pharmacy type Copay amount Copay option Coinsurance rate Coinsurance option Mail order

Questions & answers

Frequently asked questions

How do I choose the right ACA plan in Wisconsin?

Better Together HMO Platinum 750 Ded/3750 MOOP with Vision (94529WI0240022) is a marketplace plan from Group Health of South Central Wisconsin in Wisconsin for the 2027 coverage year.

Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.

Does Better Together HMO Platinum 750 Ded/3750 MOOP with Vision support telehealth or virtual urgent care?

The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.

Is Better Together HMO Platinum 750 Ded/3750 MOOP with Vision HSA-eligible and does it include dental or vision coverage?

HSA eligibility is not published; check the Summary of Benefits or ask the issuer.

Dental coverage is not listed for this plan.

Vision coverage is not listed for this plan.

Does Better Together HMO Platinum 750 Ded/3750 MOOP with Vision support mail-order prescriptions?

Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.

How do I enroll in or manage payments for Better Together HMO Platinum 750 Ded/3750 MOOP with Vision?

Use HealthPorta to shortlist plans, then finish enrollment through Healthcare.gov or your state-based marketplace.

Disclaimer: Based on the Tue, 28 Jul 2026 05:48 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
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