Health Insurance in Madison, WI

Compare plans, costs, and local provider networks in Madison for 2026.

Health Insurance Carriers in Madison, WI

Residents of Madison can compare plans from: Common Ground Healthcare Cooperative, Dean Health Plan, Security Health Plan, Medica, WPS Health Insurance, Quartz Health Plan. The leading carrier in the Madison area is Dean Health Plan. Plan availability varies by ZIP code — always check your specific address for available options.

Madison is home to UW Health, the integrated academic health system of the University of Wisconsin. Dean Health Plan, now part of SSM Health, has historically been the dominant local insurer and integrates with SSM Health facilities.

2026 Plan Data for Residents in Madison

Here is what is actually filed and for sale in Dane County for 2026.

  • Madison sits in Dane County, where 3 carrier(s) have filed 49 plans for 2026: Dean, Group Health Cooperative-SCW, Quartz.
  • Plan types available to Madison residents: EPO, HMO.
  • One of the lower-cost Silver options is Dean Focus Silver $0 Copay PCP Visits from Dean — $560/month at age 40 with a $3,500 deductible and No Charge primary care.

Source: CMS Plan Year 2026 Qualified Health Plan Landscape file. Full-price filed rates before premium tax credits; not a quote or an offer of coverage. Verify current rates at enrollment.

Local Hospitals in Madison, WI

Major hospital facilities in the Madison area:

  • UW Health University Hospital (UW–Madison)
  • SSM Health St. Mary's Hospital (Madison)
  • Meriter Hospital (UnityPoint Health)

Confirm your preferred hospital is in-network before enrolling. Network status varies by plan.

Urgent Care in Madison

  • UW Health Express Clinic Madison
  • SSM Health Express Care
  • UrgentMed Madison

Subsidies and Medicaid in Madison

ACA premium tax credits are available for Madison residents with income between 100% and 400% FPL (~$15,650–$62,600 for a single adult in 2026). Contact a licensed broker to determine your eligibility based on your household size and income.

Madison Health Insurance Market Profile

  • Population: 269K
  • County: Dane County
  • Median Household Income: $68,000 (~435% of the 2026 FPL)
  • Marketplace: healthcare.gov

See what’s available in Madison, WI

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