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Marketplace health plans in Ozaukee County, WI — 2026
What agents look up before working a county's individual market: plans by metal level, insurers, the benchmark silver premium, the lowest bronze premium, deductible and out-of-pocket floors, the population under 65, and what changed since last year.
In 2026, Ozaukee County, Wisconsin has 53 Marketplace health plans from 4 insurers: 19 bronze, 17 silver, 17 gold. The benchmark silver plan (second-lowest-cost silver, age 40, before subsidies) is $576.42 per month; the lowest bronze premium is $446.60.
What changed vs 2025
- Benchmark silver premium up $130.90 a month (+29.4%) from 2025
- 45 fewer plans than 2025
- Insurers entered: CareSource (Common Ground Healthcare)
- Insurers exited: Chorus Community Health Plans, Common Ground Healthcare Cooperative, Molina Healthcare, Quartz
- Lowest bronze premium up $85.56 a month
Market snapshot
- Residents under 65
- 72,861
- Insurers
- 4
- Plans by metal level
- 19 bronze, 17 silver, 17 gold
- Benchmark silver premium, age 40, before subsidies
- $576.42/mo
- Lowest bronze premium, age 40, before subsidies
- $446.60/mo
- Lowest gold premium, age 40, before subsidies
- $656.31/mo
- Lowest silver deductible
- $3,500
- Lowest out-of-pocket maximum
- $4,300
Insurers in the county
- CareSource (Common Ground Healthcare) — 18 plans (Bronze, Silver, Gold)
- Network Health — 13 plans (Bronze, Silver, Gold)
- UnitedHealthcare — 13 plans (Bronze, Silver, Gold)
- Anthem Blue Cross and Blue Shield — 9 plans (Bronze, Silver, Gold)
Lowest age-40 premium per metal level, before subsidies
| Metal level | Plan | Insurer | Plan type | Monthly premium, age 40 | Deductible | Out-of-pocket maximum | Plans at this level |
|---|
| Bronze | Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) (79475WI0550013) | Anthem Blue Cross and Blue Shield | HMO | $446.60 | $5,000 | $10,600 | 19 |
|---|
| Silver | CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded (87416WI0030047) | CareSource (Common Ground Healthcare) | EPO | $575.25 | $5,000 | $10,600 | 17 |
|---|
| Gold | CareSource (Common Ground Healthcare) Gold $3300 (87416WI0030017) | CareSource (Common Ground Healthcare) | EPO | $656.31 | $3,300 | $8,500 | 17 |
|---|
One plan per metal level shown, of 53 plans in the county.
Benchmark silver premium by age
The benchmark plan (CareSource (Common Ground Healthcare)) at each age, individual, non-tobacco, before any premium tax credit.
| Age 21 | Age 27 | Age 30 | Age 40 | Age 50 | Age 60 |
|---|
| $451.03 | $472.68 | $511.92 | $576.42 | $805.54 | $1,224.09 |
Nearby counties
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About this data
Premiums are individual, non-tobacco, age 40, before any premium tax credit, from the CMS QHP Landscape Individual Market Medical file for plan year 2026; population: U.S. Census Bureau ACS 5-year 2024.
This page summarizes publicly available CMS data. It does not recommend plans and is not an application. To check subsidy eligibility and enroll, use HealthCare.gov or talk to a licensed agent. HealthCare.gov plan preview.