ACA plans available
28
Plan year
2026 data Public-data reference. official source
Oneida, Wisconsin Health Insurance
Open-data reference.
28 ACA plans from 2 issuers — Plan year 2026
Oneida, Wisconsin offers 28 ACA marketplace plans from 2 issuers for plan year 2026. Bronze plans start at $434/mo and Silver plans start at $519/mo (age 27, before subsidies). Use the tables below to compare premiums, deductibles, and issuers across all metal tiers.
$626
Avg Silver Premium/mo
$530
Benchmark Premium/mo
+20.3%
Year-over-Year Change
$6,089
Avg Deductible
What the Numbers Say About Oneida
Oneida, Wisconsin has 28 ACA marketplace plans offered by 2 issuers for plan year 2026. The average Silver-tier premium comes in at $626/mo for a 27-year-old non-tobacco user, with the lowest Silver at $519 and the highest at $773. Bronze plans start at $434/mo — useful for healthy enrollees who want catastrophic protection with the lowest monthly outlay.
The benchmark (second-lowest Silver) premium is $530/mo, the figure the IRS uses to calculate your Advance Premium Tax Credit. Enrollees whose expected income-based contribution falls below this amount receive a subsidy for the difference. Across all plans, the average annual deductible is $6,089 and the average out-of-pocket maximum is $8,771 — numbers that matter more than the sticker premium once you actually use care. Year-over-year, average premiums in Oneida shifted by +20.3%, a signal of how local issuer pricing and risk-pool dynamics are trending.
Issuer count is one of the strongest predictors of affordability: with 2 issuers active in Oneida, consumers have some competitive choice, though narrower than the most competitive counties. This page is informational only and is not insurance, medical, or tax advice — verify your eligibility, network coverage, and final pricing at HealthCare.gov before enrolling. Source: CMS Marketplace PUF, plan year 2026.
Premiums by Metal Level
Bronze
3 plans$471/mo avg
$434 — $525
Silver
10 plans$626/mo avg
$519 — $773
Gold
6 plans$680/mo avg
$570 — $853
Catastrophic plan available: avg $384/mo (2 plans) — only for individuals under 30 or with a hardship exemption.
Benchmark Premium & Subsidies
The benchmark premium (2nd-lowest Silver plan) in Oneida is $530/mo for a 27-year-old. This is the amount used to calculate your premium tax credit. If your expected contribution (based on income) is less than the benchmark, you receive a subsidy for the difference. The higher the benchmark, the larger the potential subsidy.
Issuers in market
2
Some competition
Benchmark Silver
$530 /mo
Sets your subsidy ceiling
Avg deductible
$6,089
Across all metal tiers
Oneida ACA plans by premium and deductible
Each marker is the Oneida average for one metal tier (and the local Bronze low / Silver high extremes where data is available). The dashed line marks the federal out-of-pocket-maximum ceiling.
Source: CMS Marketplace PUF for Oneida, plan year 2026. Bronze = catastrophic-only zone (high deductible). Gold/Platinum = premium-heavy zone (low deductible).
Issuers in Oneida
| Issuer | Plans | Avg Premium (Age 27) |
|---|---|---|
| Security Health Plan | 16 | $601/mo |
| Aspirus Health Plan | 12 | $545/mo |
All Plans in Oneida
| Plan Name | Metal | Type | Premium (27) | Premium (40) | Deductible | OOP Max |
|---|---|---|---|---|---|---|
| HMO Catastrophic 10600 with 3 free PCP visits Aspirus Health Plan | Catastrophic | HMO | $361.23 | $440.51 | $10,600 | $10,600 |
| SimplyOne Protection Security Health Plan | Catastrophic | EPO | $407.74 | $497.23 | $10,600 | $10,600 |
| SimplyOne $9,500 Security Health Plan | Bronze | EPO | $434.48 | $529.83 | $9,500 | $9,500 |
| HMO Bronze 10000 Aspirus Health Plan | Bronze | HMO | $452.68 | $552.02 | $10,000 | $10,000 |
| POS Bronze 8500 Aspirus Health Plan | Bronze | POS | $525.00 | $640.21 | $8,500 | $9,500 |
| SimplyOne $7,500 Security Health Plan | Expanded Bronze | EPO | $434.60 | $529.98 | $7,500 | $10,000 |
| SimplyOne $7,500 HDHP Security Health Plan | Expanded Bronze | EPO | $457.06 | $557.37 | $7,500 | $8,500 |
| HMO Bronze 7500 Aspirus Health Plan | Expanded Bronze | HMO | $468.43 | $571.23 | $7,500 | $10,000 |
| HMO Bronze $0 Medical Deductible Aspirus Health Plan | Expanded Bronze | HMO | $515.95 | $629.18 | $0 | $10,600 |
| POS Bronze 7500 Aspirus Health Plan | Expanded Bronze | POS | $530.92 | $647.44 | $7,500 | $10,000 |
| Premier $7,500 Security Health Plan | Expanded Bronze | HMO | $597.99 | $729.22 | $7,500 | $10,000 |
| Premier $7,500 HDHP Security Health Plan | Expanded Bronze | HMO | $628.89 | $766.91 | $7,500 | $8,500 |
| SimplyOne $6,000 - 40% Security Health Plan | Silver | EPO | $518.73 | $632.58 | $6,000 | $8,900 |
| SimplyOne $4,000 - 50% Security Health Plan | Silver | EPO | $529.88 | $646.17 | $4,000 | $8,650 |
| SimplyOne $5,000 HDHP Security Health Plan | Silver | EPO | $561.93 | $685.25 | $5,000 | $6,500 |
| HMO Silver 6000 Aspirus Health Plan | Silver | HMO | $580.27 | $707.62 | $6,000 | $8,900 |
| HMO Silver 6600 Aspirus Health Plan | Silver | HMO | $587.75 | $716.74 | $6,600 | $8,600 |
| HMO HDHP Silver 5900 Aspirus Health Plan | Silver | HMO | $606.75 | $739.91 | $5,900 | $5,900 |
| POS Silver 6000 Aspirus Health Plan | Silver | POS | $656.95 | $801.13 | $6,000 | $8,900 |
| Premier $6,000 - 40% Security Health Plan | Silver | HMO | $713.75 | $870.40 | $6,000 | $8,900 |
| Premier $4,000 - 50% Security Health Plan | Silver | HMO | $729.09 | $889.10 | $4,000 | $8,650 |
| Premier $5,000 HDHP Security Health Plan | Silver | HMO | $773.19 | $942.87 | $5,000 | $6,500 |
| SimplyOne $3,500 - 30% Security Health Plan | Gold | EPO | $570.36 | $695.53 | $3,500 | $7,900 |
| SimplyOne $2,000 - 25% Security Health Plan | Gold | EPO | $619.79 | $755.81 | $2,000 | $8,200 |
| HMO Gold 2700 Aspirus Health Plan | Gold | HMO | $624.11 | $761.08 | $2,700 | $7,000 |
| HMO Gold 2000 Aspirus Health Plan | Gold | HMO | $628.61 | $766.57 | $2,000 | $8,200 |
| Premier $3,500 - 30% Security Health Plan | Gold | HMO | $784.79 | $957.02 | $3,500 | $7,900 |
| Premier $2,000 - 25% Security Health Plan | Gold | HMO | $852.80 | $1,039.96 | $2,000 | $8,200 |
Silver Premium Trend (2022-2026)
| Year | Avg Premium | Min | Max | Plans | Issuers |
|---|---|---|---|---|---|
| 2022 | $436/mo | $371 | $564 | 12 | 3 |
| 2023 | $499/mo | $434 | $623 | 15 | 4 |
| 2024 | $502/mo | $413 | $596 | 16 | 4 |
| 2025 | $534/mo | $429 | $645 | 12 | 3 |
| 2026 | $626/mo | $519 | $773 | 10 | 2 |
Health Insurance Guides
Choosing a Metal Level
Bronze vs Silver vs Gold vs Platinum — which tier fits your needs and budget
Understanding ACA Subsidies
How premium tax credits work and how to estimate your subsidy amount
Related Health & Cost Data
Find Doctors
PlainDoctor — Healthcare providers in Wisconsin
Hospital Quality Ratings
PlainHospital — CMS star ratings and safety scores
Medicare Plans
PlainMedicare — Medicare Advantage and Part D data
Community Health Data
PlainHealth — CDC community health indicators
Health Access Metrics
PlainHealthAccess — Uninsured rates and provider shortages
Cost of Living
PlainCost — BEA regional price parities
Homeowners Insurance
PlainInsure — Treasury FIO premiums
Frequently Asked Questions
How many ACA plans are available in Oneida, WI?
There are 28 ACA marketplace plans available in Oneida from 2 insurance issuers for plan year 2026.
What is the cheapest health insurance plan in Oneida?
The lowest-premium plan in Oneida starts at $434/mo (Bronze tier, age 27). Silver plans start at $519/mo. Actual premiums vary by age and may be reduced by premium tax credits.
What is the benchmark premium for Oneida?
The benchmark (second-lowest Silver) premium in Oneida is $530/mo for a 27-year-old. This amount determines how much premium tax credit subsidy you may be eligible for.
How have premiums changed in Oneida?
Average premiums in Oneida changed by +20.3% year-over-year. Premium trends are tracked from 2022 to 2026 across all metal levels.
What is the average deductible and out-of-pocket maximum in Oneida?
The average annual deductible across all plans in Oneida is $6,089, and the average out-of-pocket maximum is $8,771. Bronze plans generally have higher deductibles but lower premiums, while Gold and Platinum plans have lower deductibles but higher monthly costs.
Which insurance companies offer plans in Oneida?
There are 2 insurance issuers offering ACA marketplace plans in Oneida, including Security Health Plan, Aspirus Health Plan. Competition among issuers affects plan variety and pricing. More issuers generally mean more choices and potentially lower premiums.
Disclaimer: This page is for informational purposes only and does not constitute insurance or financial advice. Premiums shown are for a 27-year-old non-tobacco user unless otherwise noted. Your actual premium depends on age, location, tobacco use, and subsidy eligibility. Visit HealthCare.gov for official enrollment. Source: CMS Marketplace PUF, PY2026.
Read our methodology — how this data is sourced, computed, and verified.
All federal data sources used on this page
- U.S. Census Bureau ACS — demographic + housing + income data. census.gov/programs-surveys/acs
- BLS Occupational Employment and Wage Statistics (OEWS) — wage + employment by occupation. bls.gov/oes
- BEA Regional Economic Accounts — GDP + personal income by state/metro. bea.gov/data/regional
- U.S. Census Bureau County Business Patterns — establishment + employment by industry. census.gov/cbp
- IRS Statistics of Income (SOI) — tax-return aggregate data. irs.gov/statistics
- data.gov — U.S. federal open-data portal — discovery layer for additional federal sources. data.gov
Related
Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainHealthPlan Editorial
