2026 data Public-data reference. official source

Saint Croix, Wisconsin Health Insurance

Open-data reference.

29 ACA plans from 3 issuers — Plan year 2026

Saint Croix, Wisconsin offers 29 ACA marketplace plans from 3 issuers for plan year 2026. Silver plans start at $494/mo (age 27, before subsidies). Use the tables below to compare premiums, deductibles, and issuers across all metal tiers.

$566
Avg Silver Premium/mo
$511
Benchmark Premium/mo
+25.3%
Year-over-Year Change
$4,851
Avg Deductible

What the Numbers Say About Saint Croix

Saint Croix, Wisconsin has 29 ACA marketplace plans offered by 3 issuers for plan year 2026. The average Silver-tier premium comes in at $566/mo for a 27-year-old non-tobacco user, with the lowest Silver at $494 and the highest at $683.

The benchmark (second-lowest Silver) premium is $511/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 $4,851 and the average out-of-pocket maximum is $9,043 — numbers that matter more than the sticker premium once you actually use care. Year-over-year, average premiums in Saint Croix shifted by +25.3%, a signal of how local issuer pricing and risk-pool dynamics are trending.

Issuer count is one of the strongest predictors of affordability: with 3 issuers active in Saint Croix, 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

Silver

10 plans
$566/mo avg
$494 — $683

Gold

8 plans
$594/mo avg
$510 — $784

Benchmark Premium & Subsidies

The benchmark premium (2nd-lowest Silver plan) in Saint Croix is $511/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.

ACA plans available

29

Plan year

Issuers in market

3

Some competition

Benchmark Silver

$511 /mo

Sets your subsidy ceiling

Avg deductible

$4,851

Across all metal tiers

Saint Croix ACA plans by premium and deductible

Each marker is the Saint Croix 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 Saint Croix, plan year 2026. Bronze = catastrophic-only zone (high deductible). Gold/Platinum = premium-heavy zone (low deductible).

No data to plot
Source: CMS Marketplace PUF for Saint Croix, plan year 2026. Bronze = catastrophic-only zone (high deductible). Gold/Platinum = premium-heavy zone (low deductible).

Issuers in Saint Croix

Issuer Plans Avg Premium (Age 27)
Medica 12 $481/mo
Anthem Blue Cross and Blue Shield 9 $633/mo
HealthPartners 8 $471/mo

All Plans in Saint Croix

Plan Name Metal Type Premium (27) Premium (40) Deductible OOP Max
Engage by Medica Bronze Share
Medica
Expanded Bronze EPO $369.67 $450.80 $8,000 $10,600
Atlas $8,400 HSA Bronze
HealthPartners
Expanded Bronze PPO $377.36 $460.18 $8,400 $8,400
Atlas $6,800 Plus Bronze HSA
HealthPartners
Expanded Bronze PPO $381.58 $465.32 $6,800 $10,600
Atlas $7,500 Standard Bronze HSA
HealthPartners
Expanded Bronze PPO $396.71 $483.77 $7,500 $10,000
Engage by Medica Expanded Bronze Standard
Medica
Expanded Bronze EPO $401.46 $489.56 $7,500 $10,000
Medica Individual Choice Expanded Bronze Standard
Medica
Expanded Bronze EPO $405.81 $494.87 $7,500 $10,000
Engage by Medica Bronze HSA
Medica
Expanded Bronze EPO $410.61 $500.73 $7,500 $8,500
Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield
Expanded Bronze POS $506.79 $618.02 $5,000 $10,600
Anthem Bronze Preferred/Broad HSA (+ Incentives)
Anthem Blue Cross and Blue Shield
Expanded Bronze POS $512.42 $624.88 $8,450 $8,450
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield
Expanded Bronze POS $513.24 $625.87 $7,500 $10,000
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)
Anthem Blue Cross and Blue Shield
Expanded Bronze POS $543.39 $662.64 $0 $10,600
Atlas $3,800 HSA Silver
HealthPartners
Silver PPO $494.01 $602.42 $3,800 $8,000
Engage by Medica Silver $0 Copay PCP Visits
Medica
Silver EPO $511.35 $623.57 $3,500 $10,450
Atlas $3,050 Plus Silver
HealthPartners
Silver PPO $512.21 $624.62 $3,050 $9,700
Atlas $6,000 Standard Silver
HealthPartners
Silver PPO $520.28 $634.46 $6,000 $8,900
Engage by Medica Silver Share
Medica
Silver EPO $522.61 $637.30 $3,525 $8,850
Engage by Medica Silver Standard
Medica
Silver EPO $523.93 $638.91 $6,000 $8,900
Medica Individual Choice Silver Standard
Medica
Silver EPO $529.61 $645.84 $6,000 $8,900
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield
Silver POS $682.79 $832.64 $6,000 $8,900
Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield
Silver POS $682.94 $832.82 $4,000 $9,400
Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield
Silver POS $683.32 $833.28 $5,500 $9,200
Engage by Medica Gold $0 Copay PCP Visits
Medica
Gold EPO $510.35 $622.35 $1,500 $8,800
Engage by Medica Gold Share
Medica
Gold EPO $520.98 $635.31 $2,500 $5,900
Engage by Medica Gold Standard
Medica
Gold EPO $527.03 $642.70 $2,000 $8,200
Medica Individual Choice Gold Standard
Medica
Gold EPO $532.75 $649.67 $2,000 $8,200
Atlas $2,000 Standard Gold
HealthPartners
Gold PPO $539.35 $657.72 $2,000 $8,200
Atlas $1,300 Gold
HealthPartners
Gold PPO $549.12 $669.63 $1,300 $8,600
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield
Gold POS $784.41 $956.56 $1,000 $7,200
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield
Gold POS $784.45 $956.61 $2,000 $8,200

Silver Premium Trend (2022-2026)

Year Avg Premium Min Max Plans Issuers
2022 $415/mo $374 $435 8 2
2023 $431/mo $409 $464 12 3
2024 $461/mo $424 $516 12 3
2025 $496/mo $445 $586 10 3
2026 $566/mo $494 $683 10 3

Health Insurance Guides

Related Health & Cost Data

Frequently Asked Questions

How many ACA plans are available in Saint Croix, WI?

There are 29 ACA marketplace plans available in Saint Croix from 3 insurance issuers for plan year 2026.

What is the cheapest health insurance plan in Saint Croix?

Silver plans in Saint Croix start at $494/mo (age 27). Actual premiums vary by age and may be reduced by premium tax credits.

What is the benchmark premium for Saint Croix?

The benchmark (second-lowest Silver) premium in Saint Croix is $511/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 Saint Croix?

Average premiums in Saint Croix changed by +25.3% 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 Saint Croix?

The average annual deductible across all plans in Saint Croix is $4,851, and the average out-of-pocket maximum is $9,043. 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 Saint Croix?

There are 3 insurance issuers offering ACA marketplace plans in Saint Croix, including Medica, Anthem Blue Cross and Blue Shield, HealthPartners. 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.

All federal data sources used on this page

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Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainHealthPlan Editorial

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