Short answer: For plan year 2026, Wisconsin has 12 marketplace carriers offering 2,651 plan options across its 72 counties and 16 rating areas. The typical county has 3 carriers to choose from (up to 5), which makes it a moderately competitive market. Full-price premiums for a 40-year-old run from about $353 to $1,171 per month before subsidies, with a median around $652. Most enrollees pay far less after premium tax credits. (Figures from CMS plan year 2026 marketplace data; reviewed July 2026 by Daniel Griffin, NPN #22052447.)
Who Actually Sells Marketplace Plans in Wisconsin
Carrier availability in Wisconsin is decided county by county, not statewide. A carrier with a big statewide reputation may not file plans where you live, and that single fact drives more of your real options than any national comparison chart. Here is how the 12 carriers in Wisconsin actually cover the state's 72 counties for 2026:
| Carrier | Counties served | Share of state |
|---|---|---|
| Anthem Blue Cross and Blue Shield | 53 | 74% |
| Security Health Plan | 33 | 46% |
| Dean Health Plan | 25 | 35% |
| Medica | 24 | 33% |
| Aspirus Health Plan | 20 | 28% |
| HealthPartners | 15 | 21% |
| UnitedHealthcare | 13 | 18% |
| CareSource (Common Ground Healthcare) | 13 | 18% |
Single-carrier counties: 1 of Wisconsin's 72 counties have only one marketplace carrier (Fond du Lac). If you live in one, your plan choice is limited to that carrier's lineup, and network verification matters more than shopping on price alone.
Lowest-Cost Wisconsin Plan in Each Metal Tier (Age 40)
These are the lowest-premium plans available somewhere in Wisconsin at each metal level, with the deductible and out-of-pocket maximum that come with them. Premiums shown are full price before subsidies for a 40-year-old; your actual cost depends on your rating area, age, household, and income.
| Tier | Plan | Carrier | Type | Premium (age 40) | Deductible | OOP max |
|---|---|---|---|---|---|---|
| Catastrophic | HMO Catastrophic 10600 with 3 free PCP visits | Aspirus Health Plan | HMO | $360 | $10,600 | $10,600 |
| Expanded Bronze | Dean Focus Bronze Share | Dean Health Plan | EPO | $353 | $8,000 | $10,600 |
| Bronze | MercyCare Bronze 10,000 (1 Free PCP Visit) | MercyCare Health Plans | HMO | $388 | $10,000 | $10,000 |
| Silver | Prestige Silver | Network Health | HMO | $526 | $6,000 | $8,900 |
| Gold | Better Together HMO Gold 1500 Ded/8000 MOOP with Vision | Group Health Cooperative-SCW | HMO | $531 | $1,500 | $8,000 |
| Platinum | Better Together HMO Platinum No Ded/3300 MOOP | Group Health Cooperative-SCW | HMO | $608 | $0 | $3,300 |
Reading this table: notice how the premium and the deductible move in opposite directions. A Bronze plan wins on monthly cost and loses badly if you actually use care. The right tier depends on your expected utilization and, critically, whether your income qualifies you for cost-sharing reductions — which only attach to Silver plans.
What Age Does to a Wisconsin Premium
The ACA lets insurers charge a 64-year-old up to three times what they charge a 21-year-old for the same plan. That age curve, not your health, is the biggest driver of your sticker price. Using Wisconsin's lowest-cost Silver plan as the reference point:
| Age | Full-price monthly premium |
|---|---|
| Age 21 | $411 |
| Age 27 | $431 |
| Age 30 | $467 |
| Age 40 | $526 |
| Age 50 | $735 |
| Age 60 | $1,116 |
This is exactly why subsidies matter more as you get older: the same income at 60 buys a much larger premium tax credit than at 30, because the credit is calculated against the benchmark plan's cost in your area.
Plan Types and Metal Levels Available in Wisconsin
Plan types: HMO (1,364 plans), EPO (765 plans), POS (402 plans), PPO (120 plans). Plan type governs out-of-network access — HMO and EPO plans typically cover out-of-network care only in an emergency, while PPO and POS designs cover it at higher cost sharing. If keeping a specific hospital or specialist matters to you, that decision comes before price.
Metal levels: Silver (901), Expanded Bronze (858), Gold (736), Bronze (91), Catastrophic (62), Platinum (3). Not every tier is offered in every county, so the mix above is statewide availability rather than a guarantee for your ZIP code.
Before enrolling in any Wisconsin plan, confirm your hospital and physicians participate in that specific plan's network — not just the carrier's. See how to verify a hospital is in-network.
Subsidies Change These Numbers Completely
Every premium on this page is the unsubsidized sticker price. Premium tax credits are based on household income relative to the federal poverty level and on the benchmark Silver plan in your rating area — which is why two people with identical income in different Wisconsin counties can receive different credits. If your income falls in the subsidy range, your net premium can be a small fraction of the figures above. If you're self-employed, the calculation runs on your net income after business deductions, which is the single most common place people misestimate and overpay. See how ACA subsidies work and the subsidy estimator.
I'm licensed in Wisconsin, and running these numbers against your income, your ZIP code's rating area, and the doctors you actually use is free — carriers pay the commission and your premium is identical with or without an advisor.
Frequently Asked Questions
How many health insurance companies offer marketplace plans in Wisconsin?
For plan year 2026, 12 carriers offer ACA marketplace plans somewhere in Wisconsin, across 2,651 total plan options in 72 counties. Availability is local, not statewide: the typical county has 3 carrier(s) available and the most competitive has 5. The broadest carrier is Anthem Blue Cross and Blue Shield, available in 53 of 72 counties.
How much does health insurance cost per month in Wisconsin in 2026?
Before subsidies, monthly premiums for a 40-year-old in Wisconsin range from roughly $353 to $1,171, with a median near $652, based on CMS plan year 2026 marketplace data. The lowest-cost Silver option starts around $526 at age 40. Premium tax credits are income-based and frequently reduce the net cost dramatically, so the sticker price is rarely what a subsidized enrollee actually pays.
What is the cheapest health insurance plan in Wisconsin?
The lowest-premium plan in Wisconsin for a 40-year-old is Dean Focus Bronze Share at about $353 per month, but cheapest premium is rarely cheapest overall. Bronze plans carry the highest deductibles, and if your income qualifies you for cost-sharing reductions, a Silver plan usually delivers far better value than Bronze despite the higher premium.
Do Wisconsin marketplace plans cover pre-existing conditions?
Yes. Every ACA marketplace plan in Wisconsin must cover pre-existing conditions with no waiting period and no health underwriting, and must include the ten essential health benefits. Carriers cannot deny you or charge more because of health history. Premiums vary only by age, ZIP code rating area, household size, and tobacco use.
What plan types are available in Wisconsin?
Wisconsin's 2026 marketplace includes HMO (1,364 plans), EPO (765 plans), POS (402 plans), PPO (120 plans). Plan type determines out-of-network access: HMO and EPO plans generally cover out-of-network care only in emergencies, while PPO and POS plans cover it at higher cost sharing. If you need a specific hospital or specialist, verify the network before enrolling rather than choosing on premium alone.
When can I enroll in a Wisconsin marketplace plan?
Open Enrollment runs November 1 through January 15. Outside that window you need a qualifying life event — losing coverage, moving, marriage, a new baby, or certain income changes — which opens a 60-day Special Enrollment Period. Medicaid enrollment is year-round for those who qualify.