2026 plan year · Wisconsin
2026 health insurance plans in Outagamie County, WI
30 Marketplace plans from 3 insurers. Premiums below are full monthly prices before tax credits. Use the age columns to see how price changes with age.
- $543benchmark silver (age 40)
- $397cheapest bronze (age 40)
- 3insurers
- +24%benchmark change vs. 2025
Insurer changes from 2025
- Leaving: Chorus Community Health Plans, Common Ground Healthcare Cooperative, Molina Healthcare, Quartz. See what to do if your insurer leaves.
Expanded Bronze plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Prestige Bronze Essential + 3 Free PCP Visits Network Health · HMO | $311 | $397 | $843 | $7,750 | $9,500 | $55 |
| Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits Network Health · HMO | $314 | $401 | $852 | $7,750 | $9,500 | $55 |
| Prestige Bronze Plus Network Health · HMO | $324 | $414 | $878 | $7,500 | $10,000 | $50 |
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · HMO | $333 | $425 | $902 | $5,000 | $10,600 | 40% Coinsurance after deductible |
| Prestige Bronze $0 Medical Deductible Network Health · HMO | $336 | $429 | $912 | $0 | $9,200 | $45 |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) Anthem Blue Cross and Blue Shield · HMO | $336 | $430 | $912 | $8,450 | $8,450 | No Charge after Deductible |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · HMO | $337 | $430 | $914 | $7,500 | $10,000 | $50 |
| NE WI Select $8,400 HSA Bronze HealthPartners · PPO | $337 | $431 | $914 | $8,400 | $8,400 | No Charge after Deductible |
| Prestige Bronze $0 Medical Deductible + Dental +Vision Network Health · HMO | $339 | $434 | $921 | $0 | $9,200 | $45 |
| NE WI Select $6,800 Plus Bronze HSA HealthPartners · PPO | $342 | $438 | $929 | $6,800 | $10,600 | $30 Copay with deductible and 30% Coinsurance after deductible |
| NE WI Select $7,500 Standard Bronze HSA HealthPartners · PPO | $354 | $453 | $961 | $7,500 | $10,000 | $50 |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) Anthem Blue Cross and Blue Shield · HMO | $357 | $456 | $968 | $0 | $10,600 | $30 |
Silver plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Prestige Silver Network Health · HMO | $411 | $526 | $1,116 | $6,000 | $8,900 | $40 |
| Prestige Silver Essential + 3 Free PCP Visits Network Health · HMO | $425 | $543 | $1,153 | $4,600 | $9,100 | $25 |
| Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits Network Health · HMO | $429 | $549 | $1,165 | $4,600 | $9,100 | $25 |
| NE WI Select $3,800 HSA Silver HealthPartners · PPO | $441 | $564 | $1,197 | $3,800 | $8,000 | 20% Coinsurance after deductible |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · HMO | $448 | $573 | $1,216 | $6,000 | $8,900 | $40 |
| Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · HMO | $448 | $573 | $1,216 | $4,000 | $9,400 | No Charge |
| Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · HMO | $448 | $573 | $1,217 | $5,500 | $9,200 | $15 |
| NE WI Select $3,150 Plus Silver HealthPartners · PPO | $457 | $584 | $1,241 | $3,150 | $9,700 | $25 Copay with deductible and 20% Coinsurance after deductible |
| NE WI Select $6,000 Standard Silver HealthPartners · PPO | $465 | $594 | $1,261 | $6,000 | $8,900 | $40 |
Gold plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Prestige Gold Network Health · HMO | $429 | $548 | $1,164 | $2,000 | $8,200 | $30 |
| Prestige Gold Essential + 3Free PCP Visits Network Health · HMO | $429 | $549 | $1,166 | $1,750 | $8,950 | $20 |
| Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits Network Health · HMO | $434 | $555 | $1,178 | $1,750 | $8,950 | $20 |
| Prestige Gold 50 + 1 Free PCP Visit Network Health · HMO | $458 | $585 | $1,243 | $1,000 | $4,300 | 50% Coinsurance after deductible |
| Prestige Gold 50 + Dental + Vision+ 1 Free PCP Visit Network Health · HMO | $463 | $591 | $1,256 | $1,000 | $4,300 | 50% Coinsurance after deductible |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · HMO | $515 | $658 | $1,397 | $1,000 | $7,200 | $30 |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · HMO | $515 | $658 | $1,397 | $2,000 | $8,200 | $30 |
| Oak $2,000 Standard Gold HealthPartners · PPO | $560 | $716 | $1,520 | $2,000 | $8,200 | $30 |
| Oak $1,300 Gold HealthPartners · PPO | $570 | $729 | $1,547 | $1,300 | $8,600 | $15 |
Care quality in Outagamie 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 Outagamie County.
Frequently asked questions
How many Marketplace health plans are available in Outagamie County, WI for 2026?
30 plans from 3 insurers: Anthem Blue Cross and Blue Shield, HealthPartners, Network Health.
What is the benchmark silver plan premium in Outagamie County, WI?
For 2026, the second-lowest-cost silver plan costs $543 a month for a 40-year-old before tax credits, up 24% from 2025. Tax credits are calculated from this plan, so most people who qualify pay much less.
What is the cheapest health plan in Outagamie County, WI?
The lowest bronze premium for a 40-year-old is $397 a month before tax credits. Bronze plans have low premiums but high deductibles.
Did any insurers leave Outagamie County, WI?
Chorus Community Health Plans, Common Ground Healthcare Cooperative, Molina Healthcare, Quartz offered plans here in 2025 but don'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.