2026 plan year · Wisconsin
2026 health insurance plans in Waushara County, WI
42 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.
- $543benchmark silver (age 40)
- $397cheapest bronze (age 40)
- 4insurers
- +12.6%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: Network Health.
Bronze plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| HMO Bronze 10000 Aspirus Health Plan · HMO | $354 | $452 | $959 | $10,000 | $10,000 | No Charge after Deductible |
| POS Bronze 8500 Aspirus Health Plan · POS | $410 | $524 | $1,113 | $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 |
|---|---|---|---|---|---|---|
| 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 |
| Prestige Bronze $0 Medical Deductible Network Health · HMO | $336 | $429 | $912 | $0 | $9,200 | $45 |
| 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 |
| HMO Bronze 7500 Aspirus Health Plan · HMO | $366 | $468 | $993 | $7,500 | $10,000 | $50 |
| HMO Bronze $0 Medical Deductible Aspirus Health Plan · HMO | $403 | $515 | $1,094 | $0 | $10,600 | $35 |
| POS Bronze 7500 Aspirus Health Plan · POS | $415 | $530 | $1,125 | $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 |
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 |
| HMO Silver 6000 Aspirus Health Plan · HMO | $453 | $579 | $1,230 | $6,000 | $8,900 | $40 |
| 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 |
| HMO Silver 6600 Aspirus Health Plan · HMO | $459 | $587 | $1,246 | $6,600 | $8,600 | $40 |
| NE WI Select $6,000 Standard Silver HealthPartners · PPO | $465 | $594 | $1,261 | $6,000 | $8,900 | $40 |
| HMO HDHP Silver 5900 Aspirus Health Plan · HMO | $474 | $606 | $1,286 | $5,900 | $5,900 | No Charge after Deductible |
| POS Silver 6000 Aspirus Health Plan · POS | $513 | $656 | $1,392 | $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 | $1,689 | $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 | $1,690 | $5,500 | $9,200 | $15 |
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 |
| HMO Gold 2700 Aspirus Health Plan · HMO | $487 | $623 | $1,323 | $2,700 | $7,000 | $30 |
| HMO Gold 2000 Aspirus Health Plan · HMO | $491 | $627 | $1,332 | $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 |
| Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · POS | $715 | $914 | $1,940 | $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 |
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 | $282 | $361 | $766 | $10,600 | $10,600 | No Charge after Deductible |
Care quality in Waushara 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 Waushara County.
Frequently asked questions
How many Marketplace health plans are available in Waushara County, WI for 2026?
42 plans from 4 insurers: Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Network Health.
What is the benchmark silver plan premium in Waushara County, WI?
For 2026, the second-lowest-cost silver plan costs $543 a month for a 40-year-old before tax credits, up 12.6% from 2025. Tax credits are calculated from this plan, so most people who qualify pay much less.
What is the cheapest health plan in Waushara 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 Waushara 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.