Wisconsin health plan · 2027

Gold EPO $0 Ded $35 PCP · 87416WI0030005

Common Ground Healthcare Cooperative offers this marketplace plan (Plan ID 87416WI0030005). Use the modules below to compare premiums, coverage structure, provider access, and formulary context against alternative options in the same market.

Issuer: Common Ground Healthcare Cooperative
Telehealth Data pending HSA eligible Check with issuer Dental Not listed Vision Not listed
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2027 cost summary

Key premiums & cost sharing

Rates mirror the latest CMS import (Tue, 13 Oct 2026 06:03 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

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Office visits

Primary care See benefits
Specialist See benefits

Drug tiers

Generic See drug coverage
Preferred brand See drug coverage

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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 87416WI0030005
Coverage year 2027
State Wisconsin
Issuer Common Ground Healthcare Cooperative
Formulary document Download formulary
Marketing materials View marketing kit
Last plan update Tue, 14 Jul 2026 00:00 GMT
Last HealthPorta import Tue, 13 Oct 2026 06:03 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, 13 Oct 2026 06:03 GMT).

All providers in Wisconsin 15489
PCPs in Wisconsin 1956
Telehealth support Data pending
Nationwide providers 22184
15,489 doctors statewide 1,956 PCPs 61 OB/GYN

Provider network(s)

  • PREFERRED
Providers Wisconsin All US states
All 15489 22184
PCP 1956 2903
Allergy 4 4
OB/GYN 61 87
Dentists 16 19

Drug coverage overview

3,694 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-NON-PREFERRED-BRAND 2,480
ZERO-COST-SHARE-PREVENTIVE-DRUGS 383
PREFERRED-GENERIC-PREFERRED-BRAND-SPECIALTY-DRUGS 322
NON-PREFERRED-BRAND 305
GENERIC 103
SPECIALTY-DRUGS 101
Prior authorization Drugs
Required 676
Not Required 3,018
Step therapy Drugs
Required 226
Not Required 3,468
Quantity limits Drugs
Has Limit 1,213
No Limit 2,481

Customer highlights

What stands out for members

  • Issuer: Common Ground Healthcare Cooperative · Plan ID 87416WI0030005 · 2027 filing.
  • Download the latest formulary directly from the issuer here.
  • Review marketing brochures and SBC PDFs via the issuer marketing repository.
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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?

Gold EPO $0 Ded $35 PCP (87416WI0030005) is a marketplace plan from Common Ground Healthcare Cooperative 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 Gold EPO $0 Ded $35 PCP 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 Gold EPO $0 Ded $35 PCP 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 Gold EPO $0 Ded $35 PCP support mail-order prescriptions?

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

Disclaimer: Based on the Tue, 13 Oct 2026 06:03 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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