Common Ground Healthcare Cooperative offers this marketplace plan (Plan ID 87416WI0030042). Use the modules below to compare premiums, coverage structure, provider access, and formulary context against alternative options in the same market.
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.
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.
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 Wisconsin15489
PCPs in Wisconsin1956
Telehealth supportData pending
Nationwide providers22184
15,489 doctors statewide1,956 PCPs61 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 87416WI0030042 · 2027 filing.
Download the latest formulary directly from the issuer here.
Silver Standard EPO 6400 $40 PCP (87416WI0030042) 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 Silver Standard EPO 6400 $40 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 Silver Standard EPO 6400 $40 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 Silver Standard EPO 6400 $40 PCP 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 Silver Standard EPO 6400 $40 PCP?
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.
