2026 plan year · Wisconsin
2026 health insurance plans in Ozaukee County, WI
53 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.
- $576benchmark silver (age 40)
- $447cheapest bronze (age 40)
- 4insurers
- +29.4%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.
- New here: CareSource (Common Ground Healthcare).
Bronze plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) UnitedHealthcare · HMO | $392 | $501 | $1,063 | $10,600 | $10,600 | No Charge after Deductible |
Expanded Bronze plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · HMO | $349 | $447 | $948 | $5,000 | $10,600 | 40% Coinsurance after deductible |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) Anthem Blue Cross and Blue Shield · HMO | $353 | $452 | $959 | $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 | $354 | $452 | $961 | $7,500 | $10,000 | $50 |
| CareSource (Common Ground Healthcare) Bronze Standard $7500 CareSource (Common Ground Healthcare) · EPO | $373 | $476 | $1,011 | $7,500 | $10,000 | $50 |
| CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) CareSource (Common Ground Healthcare) · EPO | $373 | $476 | $1,011 | $9,600 | $9,600 | $45 |
| CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam CareSource (Common Ground Healthcare) · EPO | $373 | $477 | $1,013 | $7,500 | $10,000 | $50 |
| CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam CareSource (Common Ground Healthcare) · EPO | $374 | $477 | $1,014 | $9,600 | $9,600 | $45 |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) Anthem Blue Cross and Blue Shield · HMO | $375 | $479 | $1,017 | $0 | $10,600 | $30 |
| Prestige Bronze Essential + 3 Free PCP Visits Network Health · HMO | $383 | $490 | $1,040 | $7,750 | $9,500 | $55 |
| Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits Network Health · HMO | $387 | $495 | $1,051 | $7,750 | $9,500 | $55 |
| CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded CareSource (Common Ground Healthcare) · EPO | $390 | $498 | $1,058 | $0 | $9,500 | $55 |
| CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam CareSource (Common Ground Healthcare) · EPO | $391 | $499 | $1,060 | $0 | $9,500 | $55 |
| Prestige Bronze Plus Network Health · HMO | $399 | $510 | $1,084 | $7,500 | $10,000 | $50 |
| UHC Bronze Standard (No Referrals) UnitedHealthcare · HMO | $409 | $523 | $1,111 | $7,500 | $10,000 | $50 |
| Prestige Bronze $0 Medical Deductible Network Health · HMO | $415 | $530 | $1,125 | $0 | $9,200 | $45 |
| Prestige Bronze $0 Medical Deductible + Dental + Vision Network Health · HMO | $419 | $535 | $1,137 | $0 | $9,200 | $45 |
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) UnitedHealthcare · HMO | $428 | $547 | $1,162 | $0 | $10,600 | $40 |
| UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) UnitedHealthcare · HMO | $440 | $563 | $1,195 | $0 | $10,600 | $40 |
Silver plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded CareSource (Common Ground Healthcare) · EPO | $450 | $575 | $1,222 | $5,000 | $10,600 | $35 |
| CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam CareSource (Common Ground Healthcare) · EPO | $451 | $576 | $1,224 | $5,000 | $10,600 | $35 |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded CareSource (Common Ground Healthcare) · EPO | $454 | $581 | $1,233 | $4,700 | $10,600 | $55 |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam CareSource (Common Ground Healthcare) · EPO | $455 | $582 | $1,236 | $4,700 | $10,600 | $55 |
| CareSource (Common Ground Healthcare) Silver Standard $6000 CareSource (Common Ground Healthcare) · EPO | $456 | $583 | $1,237 | $6,000 | $8,900 | $40 |
| CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam CareSource (Common Ground Healthcare) · EPO | $457 | $584 | $1,240 | $6,000 | $8,900 | $40 |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · HMO | $471 | $602 | $1,278 | $6,000 | $8,900 | $40 |
| Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · HMO | $471 | $602 | $1,278 | $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 | $471 | $602 | $1,279 | $5,500 | $9,200 | $15 |
| Prestige Silver Network Health · HMO | $508 | $649 | $1,377 | $6,000 | $8,900 | $40 |
| UHC Silver Standard (No Referrals) UnitedHealthcare · HMO | $510 | $652 | $1,385 | $6,000 | $8,900 | $40 |
| UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) UnitedHealthcare · HMO | $511 | $652 | $1,385 | $4,000 | $8,750 | $40 |
| UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) UnitedHealthcare · HMO | $517 | $660 | $1,402 | $3,500 | $9,800 | $35 |
| UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals) UnitedHealthcare · HMO | $523 | $668 | $1,419 | $4,000 | $8,750 | $40 |
| Prestige Silver Essential + 3 Free PCP Visits Network Health · HMO | $524 | $670 | $1,423 | $4,600 | $9,100 | $25 |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) UnitedHealthcare · HMO | $529 | $676 | $1,435 | $3,500 | $9,800 | $35 |
| Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits Network Health · HMO | $530 | $677 | $1,438 | $4,600 | $9,100 | $25 |
Gold plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| CareSource (Common Ground Healthcare) Gold $3300 CareSource (Common Ground Healthcare) · EPO | $514 | $656 | $1,394 | $3,300 | $8,500 | $20 |
| CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam CareSource (Common Ground Healthcare) · EPO | $514 | $657 | $1,396 | $3,300 | $8,500 | $20 |
| CareSource (Common Ground Healthcare) Gold Standard $2000 CareSource (Common Ground Healthcare) · EPO | $519 | $663 | $1,408 | $2,000 | $8,200 | $30 |
| CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam CareSource (Common Ground Healthcare) · EPO | $520 | $664 | $1,410 | $2,000 | $8,200 | $30 |
| Prestige Gold Network Health · HMO | $529 | $676 | $1,436 | $2,000 | $8,200 | $30 |
| Prestige Gold Essential + 3Free PCP Visits Network Health · HMO | $530 | $677 | $1,438 | $1,750 | $8,950 | $20 |
| Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits Network Health · HMO | $535 | $684 | $1,453 | $1,750 | $8,950 | $20 |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · HMO | $541 | $691 | $1,468 | $1,000 | $7,200 | $30 |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · HMO | $541 | $691 | $1,468 | $2,000 | $8,200 | $30 |
| UHC Gold Standard (No Referrals) UnitedHealthcare · HMO | $559 | $714 | $1,516 | $2,000 | $8,200 | $30 |
| UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) UnitedHealthcare · HMO | $563 | $719 | $1,527 | $1,500 | $7,000 | $25 |
| Prestige Gold 50 + 1 Free PCP Visit Network Health · HMO | $565 | $722 | $1,534 | $1,000 | $4,300 | 50% Coinsurance after deductible |
| CareSource (Common Ground Healthcare) Gold $0 Ded CareSource (Common Ground Healthcare) · EPO | $566 | $724 | $1,537 | $0 | $9,000 | $35 |
| CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam CareSource (Common Ground Healthcare) · EPO | $567 | $725 | $1,539 | $0 | $9,000 | $35 |
| Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit Network Health · HMO | $571 | $730 | $1,550 | $1,000 | $4,300 | 50% Coinsurance after deductible |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) UnitedHealthcare · HMO | $575 | $734 | $1,559 | $0 | $8,500 | $20 |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) UnitedHealthcare · HMO | $575 | $735 | $1,561 | $1,500 | $7,000 | $25 |
Care quality in Ozaukee 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 Ozaukee County.
Frequently asked questions
How many Marketplace health plans are available in Ozaukee County, WI for 2026?
53 plans from 4 insurers: Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health, UnitedHealthcare.
What is the benchmark silver plan premium in Ozaukee County, WI?
For 2026, the second-lowest-cost silver plan costs $576 a month for a 40-year-old before tax credits, up 29.4% from 2025. Tax credits are calculated from this plan, so most people who qualify pay much less.
What is the cheapest health plan in Ozaukee County, WI?
The lowest bronze premium for a 40-year-old is $447 a month before tax credits. Bronze plans have low premiums but high deductibles.
Did any insurers leave Ozaukee 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.