2024 Plan Information

Individual & Family Point-of-Service (POS)

Aspirus Health Plan believes in giving you all the information you need to make a sound decision. Whether you are choosing a plan and need to see the fine details, requesting information on behalf of a family member, or filing a claim, we are your resource. The plan options below will connect to your insurance plan documents.

What you will find in the charts

Certificate/Contract – This is the legal contract between you and Aspirus Health Plan. It includes the details about your insurance plan.

Plan Summary – High level chart that shows the deductible, coinsurance, out-of-pocket and much more for all plan offerings.

Summary of Benefits (SBC) – An easy-to-read version of your plan that can be used to compare plans. The Certificate/Contract and Plan Summary will give a “detailed version” of same information.

Questions? Contact member services at 866.631.5404

2024 Off-Marketplace

Point-of-Service (POS) plans

Plan Name Summary of Benefits (SBC) Plan Summary Contract
POS Silver 5900 86584WI0020001-00.pdf 29986 AHP Individual Plan Summary HMO POS.pdf 86584WI0020001-00 2024 POS Silver 5900.pdf
POS HDHP Bronze 6250 86584WI0020003-00.pdf 29986 AHP Individual Plan Summary HMO POS.pdf 86584WI0020003-00 2024 POS HDHP Bronze 6250.pdf
POS Bronze 7500 86584WI0020005-00.pdf 29986 AHP Individual Plan Summary HMO POS.pdf 86584WI0020005-00 2024 POS Bronze 7500.pdf

2024 On-Marketplace

Point-of-Service (POS) plans

Plan Name Summary of Benefits (SBC) Plan Summary Contract
POS HDHP Bronze 6250 86584WI0020003-01.pdf 29987 AHP Individual Plan Summary Gold and Bronze.pdf 86584WI0020003-00 2024 POS HDHP Bronze 6250.pdf
POS Bronze 0 CSR Zero 86584WI0020003-02.pdf 29987 AHP Individual Plan Summary Gold and Bronze.pdf 86584WI0020003-02 2024 Tribal POS Bronze 0 CSR Zero.pdf
POS Bronze 6250 CSR Ltd 86584WI0020003-03.pdf 29987 AHP Individual Plan Summary Gold and Bronze.pdf 86584WI0020003-03 2024 Tribal POS Bronze 6250 CSR Ltd.pdf
POS Bronze 7500 86584WI0020005-01.pdf 29987 AHP Individual Plan Summary Gold and Bronze.pdf 86584WI0020005-00 2024 POS Bronze 7500.pdf
POS Bronze 0 CSR Zero 86584WI0020005-02.pdf 29987 AHP Individual Plan Summary Gold and Bronze.pdf 86584WI0020005-02 2024 Tribal POS Bronze 0 CSR Zero.pdf
POS Bronze 7500 CSR Limited 86584WI0020005-03.pdf 29987 AHP Individual Plan Summary Gold and Bronze.pdf 86584WI0020005-03 2024 Tribal POS Bronze 7500 CSR Ltd.pdf

(Eligibility for plans -02 through -06 are determined by the Marketplace)

Point-of-Service (POS) plans - Cost Sharing

Plan Name Summary of Benefits (SBC) Plan Summary Contract
POS Silver 5900 86584WI0020001-01.pdf 29988 AHP Individual Plan Summary Silver.pdf 86584WI0020001-00 2024 POS Silver 5900.pdf
POS Silver 0 CSR Zero 86584WI0020001-02.pdf 29988 AHP Individual Plan Summary Silver.pdf 86584WI0020001-02 2024 Tribal POS Silver 0 CSR Zero.pdf
POS Silver 5900 CSR Ltd 86584WI0020001-03.pdf 29988 AHP Individual Plan Summary Silver.pdf 86584WI0020001-03 2024 Tribal POS Silver 5900 CSR Ltd.pdf
POS Silver 5700 CSR 73 86584WI0020001-04.pdf 29988 AHP Individual Plan Summary Silver.pdf 86584WI0020001-04 2024 POS Silver 5700 CSR 73.pdf
POS Silver 700 CSR 87 86584WI0020001-05.pdf 29988 AHP Individual Plan Summary Silver.pdf 86584WI0020001-05 2024 POS Silver 700 CSR 87.pdf
POS Silver 0 CSR 94 86584WI0020001-06.pdf 29988 AHP Individual Plan Summary Silver.pdf 86584WI0020001-06 2024 POS Silver 0 CSR 94.pdf

(Eligibility for plans -02 through -06 are determined by the Marketplace)