ACA plans available
46
Plan year
2026 data Public-data reference. official source
Walworth, Wisconsin Health Insurance
Open-data reference.
46 ACA plans from 4 issuers — Plan year 2026
Walworth, Wisconsin offers 46 ACA marketplace plans from 4 issuers for plan year 2026. Bronze plans start at $318/mo and Silver plans start at $445/mo (age 27, before subsidies). Use the tables below to compare premiums, deductibles, and issuers across all metal tiers.
$528
Avg Silver Premium/mo
$448
Benchmark Premium/mo
+28.4%
Year-over-Year Change
$5,067
Avg Deductible
What the Numbers Say About Walworth
Walworth, Wisconsin has 46 ACA marketplace plans offered by 4 issuers for plan year 2026. The average Silver-tier premium comes in at $528/mo for a 27-year-old non-tobacco user, with the lowest Silver at $445 and the highest at $575. Bronze plans start at $318/mo — useful for healthy enrollees who want catastrophic protection with the lowest monthly outlay.
The benchmark (second-lowest Silver) premium is $448/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 $5,067 and the average out-of-pocket maximum is $9,102 — numbers that matter more than the sticker premium once you actually use care. Year-over-year, average premiums in Walworth shifted by +28.4%, a signal of how local issuer pricing and risk-pool dynamics are trending.
Issuer count is one of the strongest predictors of affordability: with 4 issuers active in Walworth, consumers have meaningful competition to pressure premiums lower. 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
2 plans$361/mo avg
$318 — $403
Silver
17 plans$528/mo avg
$445 — $575
Gold
14 plans$599/mo avg
$456 — $714
Benchmark Premium & Subsidies
The benchmark premium (2nd-lowest Silver plan) in Walworth is $448/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
4
Competitive market
Benchmark Silver
$448 /mo
Sets your subsidy ceiling
Avg deductible
$5,067
Across all metal tiers
Walworth ACA plans by premium and deductible
Each marker is the Walworth 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 Walworth, plan year 2026. Bronze = catastrophic-only zone (high deductible). Gold/Platinum = premium-heavy zone (low deductible).
Issuers in Walworth
| Issuer | Plans | Avg Premium (Age 27) |
|---|---|---|
| CareSource (Common Ground Healthcare) | 18 | $573/mo |
| UnitedHealthcare | 13 | $517/mo |
| Dean Health Plan | 9 | $459/mo |
| MercyCare Health Plans | 6 | $411/mo |
All Plans in Walworth
| Plan Name | Metal | Type | Premium (27) | Premium (40) | Deductible | OOP Max |
|---|---|---|---|---|---|---|
| MercyCare Bronze 10,000 (1 Free PCP Visit) MercyCare Health Plans | Bronze | HMO | $318.22 | $388.05 | $10,000 | $10,000 |
| UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) UnitedHealthcare | Bronze | HMO | $402.96 | $491.40 | $10,600 | $10,600 |
| Dean Bronze Share Dean Health Plan | Expanded Bronze | HMO | $314.83 | $383.93 | $8,000 | $10,600 |
| MercyCare Bronze Standard Expanded MercyCare Health Plans | Expanded Bronze | HMO | $345.91 | $421.82 | $7,500 | $10,000 |
| Dean Bronze $0 Copay PCP Visits Dean Health Plan | Expanded Bronze | HMO | $346.13 | $422.09 | $7,500 | $10,600 |
| Dean Expanded Bronze Standard Dean Health Plan | Expanded Bronze | HMO | $370.35 | $451.63 | $7,500 | $10,000 |
| UHC Bronze Standard (No Referrals) UnitedHealthcare | Expanded Bronze | HMO | $421.04 | $513.45 | $7,500 | $10,000 |
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) UnitedHealthcare | Expanded Bronze | HMO | $440.29 | $536.92 | $0 | $10,600 |
| UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) UnitedHealthcare | Expanded Bronze | HMO | $452.87 | $552.26 | $0 | $10,600 |
| CareSource (Common Ground Healthcare) Bronze Standard $7500 CareSource (Common Ground Healthcare) | Expanded Bronze | EPO | $469.15 | $572.12 | $7,500 | $10,000 |
| CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) CareSource (Common Ground Healthcare) | Expanded Bronze | EPO | $469.37 | $572.38 | $9,600 | $9,600 |
| CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam CareSource (Common Ground Healthcare) | Expanded Bronze | EPO | $470.30 | $573.52 | $7,500 | $10,000 |
| CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam CareSource (Common Ground Healthcare) | Expanded Bronze | EPO | $470.52 | $573.79 | $9,600 | $9,600 |
| CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded CareSource (Common Ground Healthcare) | Expanded Bronze | EPO | $490.90 | $598.64 | $0 | $9,500 |
| CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam CareSource (Common Ground Healthcare) | Expanded Bronze | EPO | $492.05 | $600.04 | $0 | $9,500 |
| MercyCare Silver Standard MercyCare Health Plans | Silver | HMO | $445.33 | $543.07 | $6,000 | $8,900 |
| MercyCare Silver 2,500 (3 Free PCP Visits) MercyCare Health Plans | Silver | HMO | $448.01 | $546.34 | $2,500 | $10,000 |
| MercyCare Silver Health Savings MercyCare Health Plans | Silver | HMO | $451.65 | $550.77 | $5,400 | $5,400 |
| Dean Silver $0 Copay PCP Visits Dean Health Plan | Silver | HMO | $500.12 | $609.88 | $3,500 | $10,450 |
| Dean Silver Share Dean Health Plan | Silver | HMO | $511.34 | $623.56 | $3,525 | $8,850 |
| Dean Silver Standard Dean Health Plan | Silver | HMO | $523.21 | $638.03 | $6,000 | $8,900 |
| UHC Silver Standard (No Referrals) UnitedHealthcare | Silver | HMO | $525.12 | $640.36 | $6,000 | $8,900 |
| UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) UnitedHealthcare | Silver | HMO | $525.14 | $640.38 | $4,000 | $8,750 |
| UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) UnitedHealthcare | Silver | HMO | $531.45 | $648.08 | $3,500 | $9,800 |
| UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals) UnitedHealthcare | Silver | HMO | $537.71 | $655.72 | $4,000 | $8,750 |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) UnitedHealthcare | Silver | HMO | $544.02 | $663.41 | $3,500 | $9,800 |
| CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded CareSource (Common Ground Healthcare) | Silver | EPO | $566.89 | $691.31 | $5,000 | $10,600 |
| CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam CareSource (Common Ground Healthcare) | Silver | EPO | $568.04 | $692.71 | $5,000 | $10,600 |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded CareSource (Common Ground Healthcare) | Silver | EPO | $572.20 | $697.78 | $4,700 | $10,600 |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam CareSource (Common Ground Healthcare) | Silver | EPO | $573.35 | $699.19 | $4,700 | $10,600 |
| CareSource (Common Ground Healthcare) Silver Standard $6000 CareSource (Common Ground Healthcare) | Silver | EPO | $574.23 | $700.26 | $6,000 | $8,900 |
| CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam CareSource (Common Ground Healthcare) | Silver | EPO | $575.38 | $701.66 | $6,000 | $8,900 |
| MercyCare Gold Standard MercyCare Health Plans | Gold | HMO | $456.13 | $556.24 | $2,000 | $8,200 |
| Dean Gold Share Dean Health Plan | Gold | HMO | $504.29 | $614.96 | $2,500 | $5,900 |
| Dean Gold Standard Dean Health Plan | Gold | HMO | $522.87 | $637.62 | $2,000 | $8,200 |
| Dean Gold HSA Dean Health Plan | Gold | HMO | $534.63 | $651.97 | $3,400 | $4,400 |
| UHC Gold Standard (No Referrals) UnitedHealthcare | Gold | HMO | $574.62 | $700.73 | $2,000 | $8,200 |
| UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) UnitedHealthcare | Gold | HMO | $578.93 | $705.99 | $1,500 | $7,000 |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) UnitedHealthcare | Gold | HMO | $591.08 | $720.80 | $0 | $8,500 |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) UnitedHealthcare | Gold | HMO | $591.51 | $721.32 | $1,500 | $7,000 |
| CareSource (Common Ground Healthcare) Gold $3300 CareSource (Common Ground Healthcare) | Gold | EPO | $646.78 | $788.72 | $3,300 | $8,500 |
| CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam CareSource (Common Ground Healthcare) | Gold | EPO | $647.93 | $790.12 | $3,300 | $8,500 |
| CareSource (Common Ground Healthcare) Gold Standard $2000 CareSource (Common Ground Healthcare) | Gold | EPO | $653.19 | $796.54 | $2,000 | $8,200 |
| CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam CareSource (Common Ground Healthcare) | Gold | EPO | $654.34 | $797.94 | $2,000 | $8,200 |
| CareSource (Common Ground Healthcare) Gold $0 Ded CareSource (Common Ground Healthcare) | Gold | EPO | $713.04 | $869.53 | $0 | $9,000 |
| CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam CareSource (Common Ground Healthcare) | Gold | EPO | $714.18 | $870.91 | $0 | $9,000 |
Silver Premium Trend (2022-2026)
| Year | Avg Premium | Min | Max | Plans | Issuers |
|---|---|---|---|---|---|
| 2022 | $411/mo | $336 | $483 | 31 | 5 |
| 2023 | $463/mo | $362 | $578 | 42 | 6 |
| 2024 | $426/mo | $366 | $543 | 40 | 7 |
| 2025 | $452/mo | $377 | $574 | 33 | 7 |
| 2026 | $528/mo | $445 | $575 | 17 | 4 |
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 Walworth, WI?
There are 46 ACA marketplace plans available in Walworth from 4 insurance issuers for plan year 2026.
What is the cheapest health insurance plan in Walworth?
The lowest-premium plan in Walworth starts at $318/mo (Bronze tier, age 27). Silver plans start at $445/mo. Actual premiums vary by age and may be reduced by premium tax credits.
What is the benchmark premium for Walworth?
The benchmark (second-lowest Silver) premium in Walworth is $448/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 Walworth?
Average premiums in Walworth changed by +28.4% 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 Walworth?
The average annual deductible across all plans in Walworth is $5,067, and the average out-of-pocket maximum is $9,102. 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 Walworth?
There are 4 insurance issuers offering ACA marketplace plans in Walworth, including CareSource (Common Ground Healthcare), UnitedHealthcare, Dean Health Plan, and others. 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
