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Marketplace health plans in Sheboygan 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, Sheboygan County, Wisconsin has 31 Marketplace health plans from 3 insurers: 11 bronze, 11 silver, 9 gold. The benchmark silver plan (second-lowest-cost silver, age 40, before subsidies) is $572.66 per month; the lowest bronze premium is $405.65.
What changed vs 2025
- Benchmark silver premium up $90.38 a month (+18.7%) from 2025
- 55 fewer plans than 2025
- Insurers exited: Chorus Community Health Plans, Common Ground Healthcare Cooperative, Molina Healthcare, Quartz
- Lowest bronze premium up $16.42 a month
Market snapshot
- Residents under 65
- 94,866
- Insurers
- 3
- Plans by metal level
- 11 bronze, 11 silver, 9 gold
- Benchmark silver premium, age 40, before subsidies
- $572.66/mo
- Lowest bronze premium, age 40, before subsidies
- $405.65/mo
- Lowest gold premium, age 40, before subsidies
- $649.76/mo
- Lowest silver deductible
- $3,500
- Lowest out-of-pocket maximum
- $4,400
Insurers in the county
- UnitedHealthcare — 13 plans (Bronze, Silver, Gold)
- Anthem Blue Cross and Blue Shield — 9 plans (Bronze, Silver, Gold)
- Dean Health Plan — 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 | Prevea360 Bronze Share (38345WI0240022) | Dean Health Plan | HMO | $405.65 | $8,000 | $10,600 | 11 |
|---|
| Silver | Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (79475WI0550035) | Anthem Blue Cross and Blue Shield | HMO | $572.54 | $6,000 | $8,900 | 11 |
|---|
| Gold | Prevea360 Gold Share (38345WI0240020) | Dean Health Plan | HMO | $649.76 | $2,500 | $5,900 | 9 |
|---|
One plan per metal level shown, of 31 plans in the county.
Benchmark silver premium by age
The benchmark plan (Anthem Blue Cross and Blue Shield) at each age, individual, non-tobacco, before any premium tax credit.
| Age 21 | Age 27 | Age 30 | Age 40 | Age 50 | Age 60 |
|---|
| $448.09 | $469.60 | $508.58 | $572.66 | $800.29 | $1,216.12 |
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.