Individual QHP Plan Details

Your Quote : Zip Code: 54622: County: Buffalo: People Covered: Primary(34), Spouse(32), Child 1(15), Child 2(13)

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Primary care doctor visit
Pediatrics
General	$400

QHP Details
Metal	Bronze

Additional Document
Plan Brochure
SBC

Enrollment for 2017 coverage is now closed, however you can still submit Your enrollment application if you have a Qualifying Life Event.

Zip Code

County

Coverage Effective Date

Qualifying Event

Event Date

Individual	Tobacco User	Gender	Date of Birth	Action	Included in Coverage	Is Primary
Self	No	Female	10/10/1970	Edit	No	No
Spouse	No	Male	10/10/1970	Edit	No	No
Child 1	No	Male	12/01/2000	Edit	No	No
Child 2	No	Female	10/11/2004	Edit	No	No

Requested Effective Date

Zip Code

County

Individual	Tobacco User	Gender	Date of Birth	Included in Coverage	Is Primary	Action
select	select	select	select	No	No	Remove
select	select	select	select	No	No	Remove
select	select	select	select	No	No	Remove
select	select	select	select	No	No	Remove

Enrollment for 2018 coverage is now active, you can submit your enrollment on or before 12/31/2017

Requested Effective Date

Zip Code

County

Individual	Tobacco User	Gender	Date of Birth	Included in Coverage	Is Primary	Action
Select Individual	select	select	select	No	No	Remove
Select Individual	select	select	select	No	No	Remove
Select Individual	select	select	select	No	No	Remove
Select Individual	select	select	select	No	No	Remove