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Marketplace health plans in Waushara 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, Waushara County, Wisconsin has 42 Marketplace health plans from 4 insurers: 17 bronze, 13 silver, 11 gold, 1 catastrophic. The benchmark silver plan (second-lowest-cost silver, age 40, before subsidies) is $543.15 per month; the lowest bronze premium is $396.98.
What changed vs 2025
- Benchmark silver premium up $60.87 a month (+12.6%) from 2025
- 32 fewer plans than 2025
- Insurers entered: Network Health
- Insurers exited: Common Ground Healthcare Cooperative, Molina Healthcare, Quartz
- Lowest bronze premium up $20.39 a month
Market snapshot
- Residents under 65
- 18,356
- Insurers
- 4
- Plans by metal level
- 17 bronze, 13 silver, 11 gold, 1 catastrophic
- Benchmark silver premium, age 40, before subsidies
- $543.15/mo
- Lowest bronze premium, age 40, before subsidies
- $396.98/mo
- Lowest gold premium, age 40, before subsidies
- $548.14/mo
- Lowest silver deductible
- $3,150
- Lowest out-of-pocket maximum
- $4,300
Insurers in the county
- Network Health — 13 plans (Bronze, Silver, Gold)
- Aspirus Health Plan — 12 plans (Catastrophic, Bronze, Silver, Gold)
- Anthem Blue Cross and Blue Shield — 9 plans (Bronze, Silver, Gold)
- HealthPartners — 8 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 |
|---|
| Catastrophic | HMO Catastrophic 10600 with 3 free PCP visits (86584WI0010008) | Aspirus Health Plan | HMO | $360.54 | $10,600 | $10,600 | 1 |
|---|
| Bronze | Prestige Bronze Essential + 3 Free PCP Visits (81413WI0480008) | Network Health | HMO | $396.98 | $7,750 | $9,500 | 17 |
|---|
| Silver | Prestige Silver (81413WI0480003) | Network Health | HMO | $525.67 | $6,000 | $8,900 | 13 |
|---|
| Gold | Prestige Gold (81413WI0480004) | Network Health | HMO | $548.14 | $2,000 | $8,200 | 11 |
|---|
One plan per metal level shown, of 42 plans in the county.
Benchmark silver premium by age
The benchmark plan (Network Health) at each age, individual, non-tobacco, before any premium tax credit.
| Age 21 | Age 27 | Age 30 | Age 40 | Age 50 | Age 60 |
|---|
| $425 | $445.40 | $482.37 | $543.15 | $759.04 | $1,153.43 |
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.