2026 plan year · Wisconsin
2026 health insurance plans in Shawano County, WI
54 Marketplace plans from 5 insurers. Premiums below are full monthly prices before tax credits. Use the age columns to see how price changes with age.
- $542benchmark silver (age 40)
- $431cheapest bronze (age 40)
- 5insurers
- +13.9%benchmark change vs. 2025
Insurer changes from 2025
- Leaving: 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 |
|---|---|---|---|---|---|---|
| HMO Bronze 10000 Aspirus Health Plan · HMO | $389 | $497 | $1,054 | $10,000 | $10,000 | No Charge after Deductible |
| POS Bronze 8500 Aspirus Health Plan · POS | $451 | $576 | $1,223 | $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 |
|---|---|---|---|---|---|---|
| NE WI Select $8,400 HSA Bronze HealthPartners · PPO | $337 | $431 | $914 | $8,400 | $8,400 | No Charge after Deductible |
| 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 |
| CareSource (Common Ground Healthcare) Bronze Standard $7500 CareSource (Common Ground Healthcare) · EPO | $350 | $448 | $951 | $7,500 | $10,000 | $50 |
| CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) CareSource (Common Ground Healthcare) · EPO | $351 | $448 | $951 | $9,600 | $9,600 | $45 |
| CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam CareSource (Common Ground Healthcare) · EPO | $351 | $449 | $953 | $7,500 | $10,000 | $50 |
| CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam CareSource (Common Ground Healthcare) · EPO | $351 | $449 | $954 | $9,600 | $9,600 | $45 |
| NE WI Select $7,500 Standard Bronze HSA HealthPartners · PPO | $354 | $453 | $961 | $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 | $361 | $462 | $981 | $5,000 | $10,600 | 40% Coinsurance after deductible |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) Anthem Blue Cross and Blue Shield · HMO | $365 | $467 | $992 | $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 | $366 | $468 | $993 | $7,500 | $10,000 | $50 |
| CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded CareSource (Common Ground Healthcare) · EPO | $367 | $469 | $995 | $0 | $9,500 | $55 |
| CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam CareSource (Common Ground Healthcare) · EPO | $367 | $470 | $997 | $0 | $9,500 | $55 |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) Anthem Blue Cross and Blue Shield · HMO | $388 | $495 | $1,052 | $0 | $10,600 | $30 |
| HMO Bronze 7500 Aspirus Health Plan · HMO | $402 | $514 | $1,091 | $7,500 | $10,000 | $50 |
| HMO Bronze $0 Medical Deductible Aspirus Health Plan · HMO | $443 | $566 | $1,202 | $0 | $10,600 | $35 |
| POS Bronze 7500 Aspirus Health Plan · POS | $456 | $582 | $1,237 | $7,500 | $10,000 | $50 |
| Premier $7,500 Security Health Plan · HMO | $571 | $729 | $1,549 | $7,500 | $10,000 | $50 |
| Premier $7,500 HDHP Security Health Plan · HMO | $600 | $767 | $1,629 | $7,500 | $8,500 | 30% Coinsurance after deductible |
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 | $423 | $541 | $1,149 | $5,000 | $10,600 | $35 |
| CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam CareSource (Common Ground Healthcare) · EPO | $424 | $542 | $1,151 | $5,000 | $10,600 | $35 |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded CareSource (Common Ground Healthcare) · EPO | $427 | $546 | $1,160 | $4,700 | $10,600 | $55 |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam CareSource (Common Ground Healthcare) · EPO | $428 | $547 | $1,162 | $4,700 | $10,600 | $55 |
| CareSource (Common Ground Healthcare) Silver Standard $6000 CareSource (Common Ground Healthcare) · EPO | $429 | $548 | $1,164 | $6,000 | $8,900 | $40 |
| CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam CareSource (Common Ground Healthcare) · EPO | $430 | $549 | $1,166 | $6,000 | $8,900 | $40 |
| NE WI Select $3,800 HSA Silver HealthPartners · PPO | $441 | $564 | $1,197 | $3,800 | $8,000 | 20% Coinsurance after deductible |
| 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 |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · HMO | $487 | $622 | $1,322 | $6,000 | $8,900 | $40 |
| Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · HMO | $487 | $622 | $1,322 | $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 | $487 | $623 | $1,323 | $5,500 | $9,200 | $15 |
| HMO Silver 6000 Aspirus Health Plan · HMO | $498 | $636 | $1,352 | $6,000 | $8,900 | $40 |
| HMO Silver 6600 Aspirus Health Plan · HMO | $504 | $645 | $1,369 | $6,600 | $8,600 | $40 |
| HMO HDHP Silver 5900 Aspirus Health Plan · HMO | $521 | $666 | $1,413 | $5,900 | $5,900 | No Charge after Deductible |
| POS Silver 6000 Aspirus Health Plan · POS | $564 | $721 | $1,530 | $6,000 | $8,900 | $40 |
| Premier $6,000 - 40% Security Health Plan · HMO | $681 | $870 | $1,848 | $6,000 | $8,900 | $40 |
| Premier $4,000 - 50% Security Health Plan · HMO | $696 | $889 | $1,888 | $4,000 | $8,650 | $25 |
| Premier $5,000 HDHP Security Health Plan · HMO | $738 | $943 | $2,002 | $5,000 | $6,500 | $10 Copay after deductible |
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 | $483 | $617 | $1,311 | $3,300 | $8,500 | $20 |
| CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam CareSource (Common Ground Healthcare) · EPO | $484 | $618 | $1,313 | $3,300 | $8,500 | $20 |
| CareSource (Common Ground Healthcare) Gold Standard $2000 CareSource (Common Ground Healthcare) · EPO | $488 | $623 | $1,324 | $2,000 | $8,200 | $30 |
| CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam CareSource (Common Ground Healthcare) · EPO | $489 | $625 | $1,326 | $2,000 | $8,200 | $30 |
| CareSource (Common Ground Healthcare) Gold $0 Ded CareSource (Common Ground Healthcare) · EPO | $533 | $681 | $1,445 | $0 | $9,000 | $35 |
| CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam CareSource (Common Ground Healthcare) · EPO | $533 | $682 | $1,448 | $0 | $9,000 | $35 |
| HMO Gold 2700 Aspirus Health Plan · HMO | $536 | $685 | $1,454 | $2,700 | $7,000 | $30 |
| HMO Gold 2000 Aspirus Health Plan · HMO | $540 | $689 | $1,464 | $2,000 | $8,200 | $30 |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · HMO | $559 | $715 | $1,518 | $1,000 | $7,200 | $30 |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · HMO | $559 | $715 | $1,518 | $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 |
| Premier $3,500 - 30% Security Health Plan · HMO | $749 | $957 | $2,032 | $3,500 | $7,900 | $20 |
| Premier $2,000 - 25% Security Health Plan · HMO | $814 | $1,040 | $2,208 | $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 | $310 | $396 | $841 | $10,600 | $10,600 | No Charge after Deductible |
Care quality in Shawano 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 Shawano County.
Frequently asked questions
How many Marketplace health plans are available in Shawano County, WI for 2026?
54 plans from 5 insurers: Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Security Health Plan.
What is the benchmark silver plan premium in Shawano County, WI?
For 2026, the second-lowest-cost silver plan costs $542 a month for a 40-year-old before tax credits, up 13.9% from 2025. Tax credits are calculated from this plan, so most people who qualify pay much less.
What is the cheapest health plan in Shawano County, WI?
The lowest bronze premium for a 40-year-old is $431 a month before tax credits. Bronze plans have low premiums but high deductibles.
Did any insurers leave Shawano County, WI?
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.