Home Health insurance Individual & family Wisconsin Robin Select Robin Select plan information

This is all the “fine print” about the insurance plans we offer.

If you’re looking for information that’s easy to read, the column labeled “Summary of Benefits and Coverage" is your best bet. These are also called SBCs. Use this document if you’re looking for detailed information about your plan. Plus, all SBCs are legally required to include the same information, so it’s easy to compare plans.

Here’s what you’ll find in the other documents:

  • Contract: This is the legal contract between you and HealthPartners. It includes all the details about your insurance plan.
  • Benefit charts: Use these charts to find the exact, legal terms of everything your plan covers.
  • Amendments and pediatric dental: Some insurance plans have dental benefits that only apply to people younger than 19. Those benefits are explained here. This also shows you if things have changed with your plans.

Questions about your plan? We’re here to help. Call Member Services at 800-883-2177.

View the statement of nondiscrimination for health plan members.

Plan name Contract Benefit charts Amendments/pediatric dental Summary of Benefits and Coverage
Robin Select $7000 w/Copay P-S Silver MGC-200.6-WI-IND-RS-OMK-23 BCH-200.6-WI-IND-IR115-23 PMD-200.6-WI-IND-PED-80P-23 Robin Select $7000 w/Copay P-S Silver
Robin Select $4750 Plus Silver MGC-200.6-WI-IND-RS-OMK-23 BCH-200.6-WI-IND-IR116-23 PMD-200.6-WI-IND-PED-80-23 Robin Select $4750 Plus Silver
Robin Select $6250 Plus Bronze MGC-200.6-WI-IND-RS-OMK-23 BCH-200.6-WI-IND-IR117-23 PMD-200.6-WI-IND-PED-80P70-23 Robin Select $6250 Plus Bronze
Robin Select $7500 w/Copay P-S Bronze MGC-200.6-WI-IND-RS-OMK-23 BCH-200.6-WI-IND-IR118-23 PMD-200.6-WI-IND-PED-80P50-23 Robin Select $7500 w/Copay P-S Bronze
Robin Select $9100 Catastrophic MGC-200.6-WI-IND-RS-OMK-23 BCH-200.6-WI-IND-IR121-23 PMD-200.6-WI-IND-PED-100-23 Robin Select $9100 Catastrophic
Robin Select $3500 HSA Silver MGC-200.6-WI-IND-RS-OMK-23 BCH-200.6-WI-IND-IR119-23 PMD-200.6-WI-IND-PED-100P80-23 Robin Select $3500 HSA Silver
Robin Select $7500 HSA Bronze MGC-200.6-WI-IND-RS-OMK-23 BCH-200.6-WI-IND-IR120-23 PMD-200.6-WI-IND-PED-100P-23 Robin Select $7500 HSA Bronze
Plan name Contract Benefit charts Summary of Benefits and Coverage
Robin Select $3800 Plus Silver MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR660-23 Robin Select $3800 Plus Silver
Robin Select Zero Cost Share Silver (IR661) MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR661-23 Robin Select Zero Cost Share Silver (IR661)
Robin Select $3800 Plus Limited Cost Share Silver MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR662-23 Robin Select $3800 Plus Limited Cost Share Silver
Robin Select $50 Cost Share Reduction Silver MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR663-23 Robin Select $50 Cost Share Reduction Silver
Robin Select $850 Cost Share Reduction Silver MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR664-23 Robin Select $850 Cost Share Reduction Silver
Robin Select $3300 Cost Share Reduction Silver MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR665-23 Robin Select $3300 Cost Share Reduction Silver
Robin Select $5800 w/Copay P-S Silver MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR666-23 Robin Select $5800 w/Copay P-S Silver
Robin Select Zero Cost Share Silver (IR667) MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR667-23 Robin Select Zero Cost Share Silver (IR667)
Robin Select $5800 w/Copay P-S Limited Cost Share Silver MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR668-23 Robin Select $5800 w/Copay P-S Limited Cost Share Silver
Robin Select $0 w/Copay P-S Cost Share Reduction Silver MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR669-23 Robin Select $0 w/Copay P-S Cost Share Reduction Silver
Robin Select $800 w/Copay P-S Cost Share Reduction Silver MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR670-23 Robin Select $800 w/Copay P-S Cost Share Reduction Silver
Robin Select $5700 w/Copay P-S Cost Share Reduction Silver MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR671-23 Robin Select $5700 w/Copay P-S Cost Share Reduction Silver
Robin Select $6250 Plus Bronze MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR672-23 Robin Select $6250 Plus Bronze
Robin Select Zero Cost Share Bronze (IR673) MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR673-23 Robin Select Zero Cost Share Bronze (IR673)
Robin Select $6250 Plus Limited Cost Share Bronze MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR674-23 Robin Select $6250 Plus Limited Cost Share Bronze
Robin Select $7500 w/Copay P-S Bronze MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR675-23 Robin Select $7500 w/Copay P-S Bronze
Robin Select Zero Cost Share Bronze (IR676) MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR676-23 Robin Select Zero Cost Share Bronze (IR676)
Robin Select $7500 w/Copay P-S Limited Cost Share Bronze MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR677-23 Robin Select $7500 w/Copay P-S Limited Cost Share Bronze
Robin Select $9100 Catastrophic MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR687-23 Robin Select $9100 Catastrophic
Robin Select $3500 HSA Silver MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR678-23 Robin Select $3500 HSA Silver
Robin Select Zero Cost Share Silver (IR679) MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR679-23 Robin Select Zero Cost Share Silver (IR679)
Robin Select $3500 HSA Limited Cost Share Silver MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR680-23 Robin Select $3500 HSA Limited Cost Share Silver
Robin Select $200 Cost Share Reduction Silver MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR681-23 Robin Select $200 Cost Share Reduction Silver
Robin Select $1050 Cost Share Reduction Silver MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR682-23 Robin Select $1050 Cost Share Reduction Silver
Robin Select $2750 Cost Share Reduction Silver MGC-200.6-WI-IND-RS-MK-23

BCH-200.6-WI-IND-IR683-23

Robin Select $2750 Cost Share Reduction Silver
Robin Select $7500 HSA Bronze MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR684-23 Robin Select $7500 HSA Bronze
Robin Select Zero Cost Share Bronze (IR685) MGC-200.6-WI-IND-RS-MK-23 BCH-200.6-WI-IND-IR685-23 Robin Select Zero Cost Share Bronze (IR685)
Robin Select $7500 HSA Limited Cost Share Bronze

MGC-200.6-WI-IND-RS-MK-23

BCH-200.6-WI-IND-IR686-23 Robin Select $7500 HSA Limited Cost Share Bronze