Arise

Arise | ThedaCare 2600 HDHP Featuring the AboutHealth Network

  • ThedaCare 2600 HDHP Featuring the AboutHealth Network is an Obamacare health insurance plan offered by Arise that is available for individuals and families.

  • This plan is a POS, meaning you will require a primary care physician to manage your care like in an HMO, but you will have more flexibility than in an HMO to go out-of-network. (Learn more about POS plans.)

  • This plan is a Silver metal level plan, which generally has a mid-level monthly cost and deductible (and co-pay), and provides middle-of-the-road insurance coverage for people who occasionally use their health care benefits (doctors, prescription drugs, etc.).

  • Deductible amount of $2,600. A deductible is the amount of healthcare costs you will pay on your own each year before the insurance company.

  • Max out-of-pocket of $4,000, which is the most you will pay in a plan year outside of premiums, out-of-network providers and non-essential health benefits.


Ways to Enroll or Learn More

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Plan Summary

Monthly Cost

Plan Name:
ThedaCare 2600 HDHP Featuring the AboutHealth Network

Plan ID:
84670WI1270032

Plan Type:
POS

Deductible:
$2,600

Maximum Out-of-Pocket:
$4,000

Summary of Benefits:

Provider Information:

Who is this plan for?

This plan with a moderate monthly cost is great for individuals and families who occasionally visit the doctor or use prescription drugs. The moderate deductible on this plan means you will pay a fair amount of money out of pocket for medical care and prescriptions before your insurance kicks in.

HealthCare.com is a privately-held internet start-up for healthcare consumers. We’re not the government website.

Highlights


Emergency Room:
20% Coinsurance after deductible

Retail Drugs:
20% Coinsurance after deductible

Generic Drugs:
20% Coinsurance after deductible

Overview


Plan Type:
POS

Metal Level:
Silver

Health Spending Account:
Yes

Primary Care Office Visit:
20% Coinsurance after deductible

Specialist Office Visit:
20% Coinsurance after deductible

Out of Network Coverage:
Yes

Out of Country Coverage:
Yes

Coverage Details

Preventive Care

Periodic Health Exam
In Network:
No Charge

Out of Network:
Not Covered
Well Baby Care
In Network:
No Charge

Out of Network:
Not Covered

Inpatient

Hospital Services
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Physician Fee
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Skilled Nursing Facility
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Mental Health
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Substance Abuse
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Home Healthcare
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible

Outpatient

Surgery
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
X-ray and Diagnostics
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Labs
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Facility Fee
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Mental Health
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Substance Abuse
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Rehabilitation Services
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible

Maternity/Pregnancy

Pre & Postnatal Care
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Labor and Delivery Inpatient Services
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible

Dental

Accidental Care
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible

Vision

Eye Exam (Child)
In Network:
No Charge

Out of Network:
Not Covered
Glasses (Child)
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible

Additional Coverage

Chiropractic Care
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Habilitation Services
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Rehabilitation Services (Speech)
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Rehabilitation Services (Occupational Therapy)
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Hospice Service
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Diabetes Care Management
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Durable Medical Equipment
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Hearing Aids
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Nutritional Consuleling
In Network:
No Charge

Out of Network:
Not Covered
Reconstructive Surgery
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible

Doctor Visits

Primary Care Visit
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Specialist Visit
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Other Practitioner Office Visit
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Preventative Care / Screening / Immunization
In Network:
No Charge

Out of Network:
Not Covered

Emergency Room and Urgent Care

Emergency Room Services
In Network:
20% Coinsurance after deductible

Out of Network:
20% Coinsurance after deductible
Urgent Care Services
In Network:
20% Coinsurance after deductible

Out of Network:
20% Coinsurance after deductible
Ambulance/Transportation Services
In Network:
20% Coinsurance after deductible

Out of Network:
20% Coinsurance after deductible

Drugs

Generic Prescription
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Retail Brand Drugs
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Non Retail Brand Drugs
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Specialty Drugs
In Network:
20% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible

Additional Plan Information

Summary Of Benefits:

Provider Information:

HealthCare.com is a privately owned website, and monthly costs shown above are estimates only. Your monthly premium may change based on the data provided, outside fees, optional benefits or if other factors take effect before your coverage start date. Note that insurance companies reserve the right to change your premium rate and the policy terms at any time. Effective date, benefit amounts and other conditions may apply at the discretion of the insurance carrier you select. Depending on your state of residence, this website may not display all plans available by state. The Obamacare Tax Subsidy Calculator amounts are estimates only and the actual amount of subsidy eligibility may differ. Access to your physician depends on network selected, and networks can change without notice. Contact your health insurance company to confirm your healthcare provider is still available in the network you select.

Arise WPS Health Plan Rates shown are preliminary and subject to change. Final rates are always determined by the health insurance company or, if the policy is purchased through healthcare.gov, by the Health Insurance Marketplace. Please note: The rates shown are for your requested effective date. Your effective date is subject to approval by WPS Health Plan, Inc. (d/b/a Arise Health Plan). If the actual effective date of your policy is different from your requested effective date, the cost of your policy may differ from the rates above. This difference may be due to rate increases and/or one or more family members having a birthday between the requested effective date and the actual effective date.

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