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Available Health Plans for Individuals and Families

Everyone has different insurance needs. That’s why Network Health offers a variety of plans to ensure you have the quality coverage you need at an affordable cost. View available plans now.

All Network Health’s Prestige plans are available on the health insurance exchange, which is also known as the Marketplace. These plans are HMO (Health Maintenance Organization) which means you’ll have to use our high-quality network of doctors, hospitals, clinics and specialists for services to be covered. This includes labs and services your doctor may refer, so you’ll want to ensure all providers you use are in-network.

As you review our plans, remember that you may qualify for a subsidy from the government. If you have questions, call us at 844-635-1322, Monday-Friday from 8 a.m. to 5 p.m. 

2025 Extra Benefits

Vision and dental benefits vary with plan. See view plan details for more information.

  • $0 preventive care services
  • $0 annual vision exam through EyeMed
  • Two routine dental exams, two cleanings and one bitewing x-ray annually, through DentaQuest
  • $0 virtual doctor visits (for some plans, deductible must be met first)
  • Patient Assurance Program ($25 preferred insulin before deductible)
  • Momentum health rewards program
  • Access to health management services programs
  • Superior, local service

 

          Get a Personalized Quote           

Individual and Family Service Area

Network Health’s Prestige plans for individuals and families are available in nine counties.

  • Northeast Counties
    • Calumet
    • Outagamie
    • Winnebago
  • Southeast Counties
    • Kenosha
    • Milwaukee
    • Ozaukee
    • Racine
    • Washington
    • Waukesha
2023 IFP Service Area Map

2025 Coverage

Open enrollment starts November 1, 2024.

Enroll by December 15, 2024, for coverage that starts January 1, 2025. Open enrollment ends January 15, 2025.

View our 2025 plan options below.

Bronze Plans

This is a standard plan that offers an affordable monthly premium. The coinsurance is 50 percent.

  • $7,500 Individual/ $15,000 Family Deductible
  • $9,200 Individual/ $18,400 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage
  • Also available without Dental and Vision for a lower monthly premium

View Plan Details

This plan offers a low monthly premium and great coverage. Your first three primary care doctor visits are $0 and then just $55 per visit after that. The coinsurance is 50 percent.

  • $7,750 Individual/ $15,500 Family Deductible
  • $9,100 Individual/ $18,200 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage
  • Also available without Dental and Vision for a lower monthly premium

View Plan Details

In addition to a low monthly premium and quality coverage, this plan offers 20 percent coinsurance. This plan, as displayed here, may be combined with a health savings account (HSA).

  • $6,500 Individual/ $13,000 Family Deductible
  • $7,500 Individual/ $15,000 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage
  • Also available without Dental and Vision for a lower monthly premium

View Plan Details

This plan has no deductible and has reasonable copayments for common medical services. 

  • $0 Individual/ $0 Family Deductible
  • $9,100 Individual/ $18,200 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage
  • Also available without Dental and Vision for a lower monthly premium

View Plan Details

Bronze Plans

This is a standard plan that offers an affordable monthly premium. The coinsurance is 50 percent.

  • $7,500 Individual/ $15,000 Family Deductible
  • $9,200 Individual/ $18,400 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage
  • Also available without Dental and Vision for a lower monthly premium
View Plan Details

This plan offers a low monthly premium and great coverage. Your first three primary care doctor visits are $0 and then just $55 per visit after that. The coinsurance is 50 percent.

  • $7,750 Individual/ $15,500 Family Deductible
  • $9,100 Individual/ $18,200 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage
  • Also available without Dental and Vision for a lower monthly premium
View Plan Details

In addition to a low monthly premium and quality coverage, this plan offers 20 percent coinsurance. This plan, as displayed here, may be combined with a health savings account (HSA).

  • $6,500 Individual/ $13,000 Family Deductible
  • $7,500 Individual/ $15,000 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage
  • Also available without Dental and Vision for a lower monthly premium
View Plan Details

This plan has no deductible and has reasonable copayments for common medical services. 

  • $0 Individual/ $0 Family Deductible
  • $9,100 Individual/ $18,200 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage
  • Also available without Dental and Vision for a lower monthly premium
View Plan Details

Silver Plans

This plan offers a deductible and coinsurance midway between the Bronze and Gold plans.

  • $5,000 Individual/ $10,000 Family Deductible
  • $8,000 Individual/ $16,000 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

View Plan Details

This plan has a reasonable deductible and low copayments for common medical services. Your first three primary care doctor visits are $0 and then just $25 per visit after that.

  • $4,600 Individual/ $9,200 Family Deductible
  • $9,100 Individual/ $18,200 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage
  • Also available without Dental and Vision for a lower monthly premium

View Plan Details

Silver Plans

This plan offers a deductible and coinsurance midway between the Bronze and Gold plans.

  • $5,000 Individual/ $10,000 Family Deductible
  • $8,000 Individual/ $16,000 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage
View Plan Details

This plan has a reasonable deductible and low copayments for common medical services. Your first three primary care doctor visits are $0 and then just $25 per visit after that.

  • $4,600 Individual/ $9,200 Family Deductible
  • $9,100 Individual/ $18,200 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage
  • Also available without Dental and Vision for a lower monthly premium
View Plan Details

Gold Plans

This is Network Health’s lowest cost gold-level plan. After you meet your deductible, you’ll pay 25 percent coinsurance for most medical services.

  • $1,500 Individual/ $3,000 Family Deductible
  • $7,800 Individual/ $15,600 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

View Plan Details

This plan offers a low deductible and low copayments for common medical services. Your first three primary care doctor visits are $0 and then just $20 per visit after that.

  • $1,750 Individual/ $3,500 Family Deductible
  • $8,950 Individual/ $17,900 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage
  • Also available without Dental and Vision for a lower monthly premium

View Plan Details

This plan offers broad coverage with the lowest deductible of all our gold-level plans. It also has the lowest out-of-pocket maximum.

  • $1,000 Individual/ $2,000 Family Deductible
  • $4,300 Individual/ $8,600 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage
  • Also available without Dental and Vision for a lower monthly premium

View Plan Details

Gold Plans

This is Network Health’s lowest cost gold-level plan. After you meet your deductible, you’ll pay 25 percent coinsurance for most medical services.

  • $1,500 Individual/ $3,000 Family Deductible
  • $7,800 Individual/ $15,600 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage
View Plan Details

This plan offers a low deductible and low copayments for common medical services. Your first three primary care doctor visits are $0 and then just $20 per visit after that.

  • $1,750 Individual/ $3,500 Family Deductible
  • $8,950 Individual/ $17,900 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage
  • Also available without Dental and Vision for a lower monthly premium
View Plan Details

This plan offers broad coverage with the lowest deductible of all our gold-level plans. It also has the lowest out-of-pocket maximum.

  • $1,000 Individual/ $2,000 Family Deductible
  • $4,300 Individual/ $8,600 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage
  • Also available without Dental and Vision for a lower monthly premium
View Plan Details