2026 plan year · Wisconsin
2026 health insurance plans in Marathon County, WI
46 Marketplace plans from 4 insurers. Premiums below are full monthly prices before tax credits. Use the age columns to see how price changes with age.
- $631benchmark silver (age 40)
- $486cheapest bronze (age 40)
- 4insurers
- +17.7%benchmark change vs. 2025
Insurer changes from 2025
- Leaving: Molina Healthcare. See what to do if your insurer leaves.
Bronze plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| HMO Bronze 10000 Aspirus Health Plan · HMO | $380 | $486 | $1,033 | $10,000 | $10,000 | No Charge after Deductible |
| SimplyOne $9,500 Security Health Plan · EPO | $419 | $535 | $1,137 | $9,500 | $9,500 | No Charge after Deductible |
| POS Bronze 8500 Aspirus Health Plan · POS | $441 | $564 | $1,198 | $8,500 | $9,500 | 30% Coinsurance after deductible |
Expanded Bronze plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| HMO Bronze 7500 Aspirus Health Plan · HMO | $394 | $503 | $1,069 | $7,500 | $10,000 | $50 |
| SimplyOne $7,500 Security Health Plan · EPO | $419 | $536 | $1,137 | $7,500 | $10,000 | $50 |
| HMO Bronze $0 Medical Deductible Aspirus Health Plan · HMO | $434 | $554 | $1,177 | $0 | $10,600 | $35 |
| SimplyOne $7,500 HDHP Security Health Plan · EPO | $441 | $563 | $1,196 | $7,500 | $8,500 | 30% Coinsurance after deductible |
| POS Bronze 7500 Aspirus Health Plan · POS | $446 | $570 | $1,211 | $7,500 | $10,000 | $50 |
| Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · POS | $462 | $590 | $1,254 | $5,000 | $10,600 | 40% Coinsurance after deductible |
| Anthem Bronze Preferred/Broad HSA (+ Incentives) Anthem Blue Cross and Blue Shield · POS | $467 | $597 | $1,268 | $8,450 | $8,450 | No Charge after Deductible |
| Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · POS | $468 | $598 | $1,270 | $7,500 | $10,000 | $50 |
| Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) Anthem Blue Cross and Blue Shield · POS | $495 | $633 | $1,344 | $0 | $10,600 | $30 |
| Medica Individual Choice Bronze Share Medica · EPO | $522 | $667 | $1,415 | $8,000 | $10,600 | $50 |
| Medica Individual Choice Expanded Bronze Standard Medica · EPO | $566 | $724 | $1,537 | $7,500 | $10,000 | $50 |
| Premier $7,500 Security Health Plan · HMO | $577 | $737 | $1,565 | $7,500 | $10,000 | $50 |
| Medica Individual Choice Bronze HSA Medica · EPO | $579 | $740 | $1,572 | $7,500 | $8,500 | 20% Coinsurance after deductible |
| Premier $7,500 HDHP Security Health Plan · HMO | $606 | $775 | $1,646 | $7,500 | $8,500 | 30% Coinsurance after deductible |
Silver plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| HMO Silver 6000 Aspirus Health Plan · HMO | $488 | $623 | $1,324 | $6,000 | $8,900 | $40 |
| HMO Silver 6600 Aspirus Health Plan · HMO | $494 | $631 | $1,341 | $6,600 | $8,600 | $40 |
| SimplyOne $6,000 - 40% Security Health Plan · EPO | $500 | $639 | $1,358 | $6,000 | $8,900 | $40 |
| HMO HDHP Silver 5900 Aspirus Health Plan · HMO | $510 | $652 | $1,384 | $5,900 | $5,900 | No Charge after Deductible |
| SimplyOne $4,000 - 50% Security Health Plan · EPO | $511 | $653 | $1,387 | $4,000 | $8,650 | $25 |
| SimplyOne $5,000 HDHP Security Health Plan · EPO | $542 | $692 | $1,471 | $5,000 | $6,500 | $10 Copay after deductible |
| POS Silver 6000 Aspirus Health Plan · POS | $552 | $706 | $1,499 | $6,000 | $8,900 | $40 |
| Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · POS | $622 | $795 | $1,689 | $6,000 | $8,900 | $40 |
| Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · POS | $623 | $796 | $1,690 | $4,000 | $9,400 | No Charge |
| Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · POS | $623 | $796 | $1,691 | $5,500 | $9,200 | $15 |
| Premier $6,000 - 40% Security Health Plan · HMO | $688 | $880 | $1,868 | $6,000 | $8,900 | $40 |
| Premier $4,000 - 50% Security Health Plan · HMO | $703 | $898 | $1,908 | $4,000 | $8,650 | $25 |
| Medica Individual Choice Silver $0 Copay PCP Visits Medica · EPO | $721 | $922 | $1,958 | $3,500 | $10,450 | No Charge |
| Medica Individual Choice Silver Share Medica · EPO | $737 | $942 | $2,001 | $3,525 | $8,850 | $30 |
| Medica Individual Choice Silver Standard Medica · EPO | $739 | $945 | $2,006 | $6,000 | $8,900 | $40 |
| Premier $5,000 HDHP Security Health Plan · HMO | $746 | $953 | $2,023 | $5,000 | $6,500 | $10 Copay after deductible |
Gold plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| HMO Gold 2700 Aspirus Health Plan · HMO | $525 | $670 | $1,424 | $2,700 | $7,000 | $30 |
| HMO Gold 2000 Aspirus Health Plan · HMO | $528 | $675 | $1,434 | $2,000 | $8,200 | $30 |
| SimplyOne $3,500 - 30% Security Health Plan · EPO | $550 | $703 | $1,493 | $3,500 | $7,900 | $20 |
| SimplyOne $2,000 - 25% Security Health Plan · EPO | $598 | $764 | $1,622 | $2,000 | $8,200 | $30 |
| Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · POS | $715 | $914 | $1,941 | $1,000 | $7,200 | $30 |
| Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · POS | $715 | $914 | $1,941 | $2,000 | $8,200 | $30 |
| Medica Individual Choice Gold $0 Copay PCP Visits Medica · EPO | $720 | $920 | $1,954 | $1,500 | $8,800 | No Charge |
| Medica Individual Choice Gold Share Medica · EPO | $735 | $939 | $1,995 | $2,500 | $5,900 | $30 |
| Medica Individual Choice Gold Standard Medica · EPO | $744 | $950 | $2,018 | $2,000 | $8,200 | $30 |
| Premier $3,500 - 30% Security Health Plan · HMO | $757 | $967 | $2,054 | $3,500 | $7,900 | $20 |
| Premier $2,000 - 25% Security Health Plan · HMO | $822 | $1,051 | $2,232 | $2,000 | $8,200 | $30 |
Catastrophic plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| HMO Catastrophic 10600 with 3 free PCP visits Aspirus Health Plan · HMO | $304 | $388 | $824 | $10,600 | $10,600 | No Charge after Deductible |
| SimplyOne Protection Security Health Plan · EPO | $393 | $502 | $1,067 | $10,600 | $10,600 | No Charge |
Care quality in Marathon County
Marketplace plans use networks. Check that the hospitals and doctors you'd want are in network, and how they're rated.
Turning 65?
Marketplace plans are for people who aren't on Medicare. See Medicare Advantage plans in Marathon County.
Frequently asked questions
How many Marketplace health plans are available in Marathon County, WI for 2026?
46 plans from 4 insurers: Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Medica, Security Health Plan.
What is the benchmark silver plan premium in Marathon County, WI?
For 2026, the second-lowest-cost silver plan costs $631 a month for a 40-year-old before tax credits, up 17.7% from 2025. Tax credits are calculated from this plan, so most people who qualify pay much less.
What is the cheapest health plan in Marathon County, WI?
The lowest bronze premium for a 40-year-old is $486 a month before tax credits. Bronze plans have low premiums but high deductibles.
Did any insurers leave Marathon County, WI?
Molina Healthcare offered plans here in 2025 but doesn't for 2026. If you had one of their plans, you'll need to pick a new plan during open enrollment, or you may be moved to a similar plan automatically.