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.
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.
| Plan Name | Summary of Benefits (SBC) | Plan Summary | Contracts Coming Soon |
|---|---|---|---|
| HMO Silver 6600 | 86584WI0010001-00 | 29986 AHP Individual Plan Summary HMO POS | 86584WI0010001-00 2027 |
| HMO Gold 2700 | 86584WI0010007-00 | 29986 AHP Individual Plan Summary HMO POS | 86584WI0010007-00 2027 |
| HMO Bronze 7500 | 86584WI0010011-00 | 29986 AHP Individual Plan Summary HMO POS | 86584WI0010011-00 2027 |
| HMO Silver 6400 | 86584WI0010012-00 | 29986 AHP Individual Plan Summary HMO POS | 86584WI0010012-00 2027 |
| HMO Gold 2500 | 86584WI0010015-00 | 29986 AHP Individual Plan Summary HMO POS | 86584WI0010015-00 2027 |
| HMO HDHP Bronze 11750 | 86584WI0010009-00 | 29986 AHP Individual Plan Summary HMO POS | 86584WI0010009-00 2027 |
| HMO HDHP Silver 5900 | 86584WI0010013-00 | 29986 AHP Individual Plan Summary HMO POS | 86584WI0010013-00 2027 |
| HMO Catastrophic 12000 with 3 free PCP visits | 86584WI0010008-00 | 29986 AHP Individual Plan Summary HMO POS | 86584WI0010008-00 2027 |
| HMO Bronze $0 Medical Deductible | 86584WI0010016-00 | 29986 AHP Individual Plan Summary HMO POS | 86584WI0010016-00 2027 |
| HMO Bronze 11750 | 86584WI0010009-01 | 29987 AHP Individual Plan Summary Gold and Bronze | 86584WI0010009-00 2027 |
| HMO Bronze 0 CSR Zero | 86584WI0010009-02 | 29987 AHP Individual Plan Summary Gold and Bronze | 86584WI0010009-02 2027 |
| HMO Bronze 11750 CSR Ltd | 86584WI0010009-03 | 29987 AHP Individual Plan Summary Gold and Bronze | 86584WI0010009-03 2027 |
| HMO Bronze $0 Medical Deductible | 86584WI0010016-01 | 29987 AHP Individual Plan Summary Gold and Bronze | 86584WI0010016-00 2027 |
| HMO Bronze 0 CSR Zero | 86584WI0010016-02 | 29987 AHP Individual Plan Summary Gold and Bronze | 86584WI0010016-02 2027 |
| HMO Bronze $0 Medical Deductible CSR Limited | 86584WI0010016-03 | 29987 AHP Individual Plan Summary Gold and Bronze | 86584WI0010016-03 2027 |
| HMO Catastrophic 12000 with 3 free PCP | 86584WI0010008-01 | 29987 AHP Individual Plan Summary Gold and Bronze | 86584WI0010008-00 2027 |
(Eligibility for plans -02 through -06 are determined by the Marketplace)
| HMO HDHP Silver 5900 | 86584WI0010013-01 | 29988 AHP Individual Plan Summary Silver | 86584WI0010013-00 2027 |
| HMO Silver 0 CSR Zero | 86584WI0010013-02 | 29988 AHP Individual Plan Summary Silver | 86584WI0010013-02 2027 |
| HMO Silver 5900 CSR Ltd | 86584WI0010013-03 | 29988 AHP Individual Plan Summary Silver | 86584WI0010013-03 2027 |
| HMO HDHP Silver 5100 CSR 73 | 86584WI0010013-04 | 29988 AHP Individual Plan Summary Silver | 86584WI0010013-04 2027 |
| HMO Silver 1900 CSR 87 | 86584WI0010013-05 | 29988 AHP Individual Plan Summary Silver | 86584WI0010013-05 2027 |
| HMO Silver 1050 CSR 94 | 86584WI0010013-06 | 29988 AHP Individual Plan Summary Silver | 86584WI0010013-06 2027 |
(Eligibility for plans -02 through -06 are determined by the Marketplace)