Find all the documents and details for your plan
The documents below provide up-to-date details about your plan:
- Summary of Benefits and Coverage (SBC) – Your SBC gives you general information about your plan, such as what’s covered, your out-of-pocket limits, prescription drug coverage, where to find in-network providers and more. This document is often the easiest-to-read summary of your plan.
- Your legal contract with HealthPartners – Your contract contains all of the details about your insurance plan, including terms and conditions of your plan, your rights and responsibilities, and more.
- Benefit chart – Your benefit chart includes the exact legal definition of coverage-related terms used in your plan documents. It also contains complete and comprehensive information about what your plan does and doesn’t cover.
- Pediatric dental amendment – Some of our plans have dental benefits that only apply to people younger than 19. Those benefits are explained in this amendment.
2025 Wisconsin plan documents
Atlas plans
Robin Oak plans
Plan name | Summary of Benefits and Coverage | Contract | Benefit charts |
|---|---|---|---|
| Robin Oak $1,000 Gold | |||
| Robin Oak $1,500 Standard Gold |
Plan name | Summary of Benefits and Coverage | Contract | Benefit charts |
|---|---|---|---|
| Robin Oak $1,000 Gold | |||
| Robin Oak Zero Cost Share Gold (IR602) | |||
| Robin Oak $1,000 Limited Cost Share Gold | |||
| Robin Oak $1,500 Standard Gold | |||
| Robin Oak Zero Cost Share Gold (IR643) | |||
| Robin Oak $1,500 Standard Limited Cost Share Gold |
Robin Select plans
Plan name | Summary of Benefits and Coverage | Contract | Benefit charts |
|---|---|---|---|
| Robin Select $2,800 Plus Silver | |||
| Robin Select $3,600 Plus Silver | |||
| Robin Select $5,000 Standard Silver | |||
| Robin Select $6,500 Plus Bronze | |||
| Robin Select $7,500 Standard Bronze | |||
| Robin Select $9,200 Catastrophic | |||
| Robin Select $3,500 HSA Silver | |||
| Robin Select $8,200 HSA Bronze |