ACA plans available
42
Plan year 2026
2026 data Public-data reference. official source
Waushara, Wisconsin Health Insurance
Open-data reference.
42 ACA plans from 4 issuers - Plan year 2026
Waushara, Wisconsin offers 42 ACA marketplace plans from 4 issuers for plan year 2026. Bronze plans start at $371/mo and Silver plans start at $431/mo (age 27, before subsidies). Use the tables below to compare premiums, deductibles, and issuers across all metal tiers.
$516
Avg Silver Premium/mo
$445
Benchmark Premium/mo
+14.1%
Year-over-Year Change
$5,195
Avg Deductible
What the Numbers Say About Waushara
Waushara, Wisconsin has 42 ACA marketplace plans offered by 4 issuers for plan year 2026. The average Silver-tier premium comes in at $516/mo for a 27-year-old non-tobacco user, with the lowest Silver at $431 and the highest at $653. Bronze plans start at $371/mo, useful for healthy enrollees who want catastrophic protection with the lowest monthly outlay.
The benchmark (second-lowest Silver) premium is $445/mo, the figure used to calculate your Advance Premium Tax Credit (the federal subsidy). Enrollees whose expected income-based contribution falls below this amount receive a subsidy for the difference. Across all plans, the average annual deductible is $5,195 and the average out-of-pocket maximum is $8,865 - numbers that matter more than the sticker premium once you actually use care. Year-over-year, average premiums in Waushara shifted by +14.1%, 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 Waushara, consumers have meaningful competition to pressure premiums lower. HMO is the most common network type in Waushara, with POS and PPO rounding out the alternatives. 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$400/mo avg
$371 - $430
Silver
13 plans$516/mo avg
$431 - $653
Gold
11 plans$548/mo avg
$449 - $749
Catastrophic plan available: avg $296/mo (1 plan) - only for individuals under 30 or with a hardship exemption.
Benchmark Premium & Subsidies
The benchmark premium (2nd-lowest Silver plan) in Waushara is $445/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
$445 /mo
Sets your subsidy ceiling
Avg deductible
$5,195
Across all metal tiers
Waushara ACA plans by premium and deductible
Each marker is the Waushara average for one metal tier, monthly premium (age 27) plotted against the average annual deductible, both computed directly from this county's plans. The classic ACA tradeoff is visible: lower-premium Bronze tiers carry the highest deductibles, while Gold and Platinum invert it.
Source: CMS Marketplace Public Use Files for Waushara, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible).
Issuers in Waushara
| Issuer | Plans | Avg Premium (Age 27) |
|---|---|---|
| Network Health | 13 | $411/mo |
| Aspirus Health Plan | 12 | $446/mo |
| Anthem Blue Cross and Blue Shield | 9 | $604/mo |
| HealthPartners | 8 | $462/mo |
All Plans in Waushara
| Plan Name | Metal | Type | Premium (27) | Premium (40) | Deductible | OOP Max |
|---|---|---|---|---|---|---|
| HMO Catastrophic 10600 with 3 free PCP visits Aspirus Health Plan | Catastrophic | HMO | $295.65 | $360.54 | $10,600 | $10,600 |
| HMO Bronze 10000 Aspirus Health Plan | Bronze | HMO | $370.50 | $451.81 | $10,000 | $10,000 |
| POS Bronze 8500 Aspirus Health Plan | Bronze | POS | $429.69 | $523.99 | $8,500 | $9,500 |
| Prestige Bronze Essential + 3 Free PCP Visits Network Health | Expanded Bronze | HMO | $325.54 | $396.98 | $7,750 | $9,500 |
| Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits Network Health | Expanded Bronze | HMO | $328.89 | $401.06 | $7,750 | $9,500 |
| Prestige Bronze Plus Network Health | Expanded Bronze | HMO | $339.15 | $413.58 | $7,500 | $10,000 |
| Prestige Bronze $0 Medical Deductible Network Health | Expanded Bronze | HMO | $352.10 | $429.37 | $0 | $9,200 |
| NE WI Select $8,400 HSA Bronze HealthPartners | Expanded Bronze | PPO | $353.10 | $430.60 | $8,400 | $8,400 |
| Prestige Bronze $0 Medical Deductible + Dental +Vision Network Health | Expanded Bronze | HMO | $355.72 | $433.78 | $0 | $9,200 |
| NE WI Select $6,800 Plus Bronze HSA HealthPartners | Expanded Bronze | PPO | $358.78 | $437.52 | $6,800 | $10,600 |
| NE WI Select $7,500 Standard Bronze HSA HealthPartners | Expanded Bronze | PPO | $371.16 | $452.62 | $7,500 | $10,000 |
| HMO Bronze 7500 Aspirus Health Plan | Expanded Bronze | HMO | $383.39 | $467.53 | $7,500 | $10,000 |
| HMO Bronze $0 Medical Deductible Aspirus Health Plan | Expanded Bronze | HMO | $422.28 | $514.96 | $0 | $10,600 |
| POS Bronze 7500 Aspirus Health Plan | Expanded Bronze | POS | $434.54 | $529.90 | $7,500 | $10,000 |
| Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield | Expanded Bronze | POS | $484.11 | $590.36 | $5,000 | $10,600 |
| Anthem Bronze Preferred/Broad HSA (+ Incentives) Anthem Blue Cross and Blue Shield | Expanded Bronze | POS | $489.49 | $596.92 | $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 | $490.28 | $597.87 | $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 | $519.07 | $632.99 | $0 | $10,600 |
| Prestige Silver Network Health | Silver | HMO | $431.07 | $525.67 | $6,000 | $8,900 |
| Prestige Silver Essential + 3 Free PCP Visits Network Health | Silver | HMO | $445.40 | $543.15 | $4,600 | $9,100 |
| Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits Network Health | Silver | HMO | $449.98 | $548.73 | $4,600 | $9,100 |
| NE WI Select $3,800 HSA Silver HealthPartners | Silver | PPO | $462.25 | $563.70 | $3,800 | $8,000 |
| HMO Silver 6000 Aspirus Health Plan | Silver | HMO | $474.93 | $579.16 | $6,000 | $8,900 |
| NE WI Select $3,150 Plus Silver HealthPartners | Silver | PPO | $479.16 | $584.31 | $3,150 | $9,700 |
| HMO Silver 6600 Aspirus Health Plan | Silver | HMO | $481.05 | $586.62 | $6,600 | $8,600 |
| NE WI Select $6,000 Standard Silver HealthPartners | Silver | PPO | $486.85 | $593.69 | $6,000 | $8,900 |
| HMO HDHP Silver 5900 Aspirus Health Plan | Silver | HMO | $496.60 | $605.59 | $5,900 | $5,900 |
| POS Silver 6000 Aspirus Health Plan | Silver | POS | $537.69 | $655.69 | $6,000 | $8,900 |
| Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield | Silver | POS | $652.24 | $795.39 | $6,000 | $8,900 |
| Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield | Silver | POS | $652.38 | $795.56 | $4,000 | $9,400 |
| Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield | Silver | POS | $652.75 | $796.00 | $5,500 | $9,200 |
| Prestige Gold Network Health | Gold | HMO | $449.49 | $548.14 | $2,000 | $8,200 |
| Prestige Gold Essential + 3Free PCP Visits Network Health | Gold | HMO | $450.10 | $548.88 | $1,750 | $8,950 |
| Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits Network Health | Gold | HMO | $454.73 | $554.52 | $1,750 | $8,950 |
| Prestige Gold 50 + 1 Free PCP Visit Network Health | Gold | HMO | $480.08 | $585.44 | $1,000 | $4,300 |
| Prestige Gold 50 + Dental + Vision+ 1 Free PCP Visit Network Health | Gold | HMO | $485.02 | $591.46 | $1,000 | $4,300 |
| HMO Gold 2700 Aspirus Health Plan | Gold | HMO | $510.81 | $622.91 | $2,700 | $7,000 |
| HMO Gold 2000 Aspirus Health Plan | Gold | HMO | $514.49 | $627.40 | $2,000 | $8,200 |
| Oak $2,000 Standard Gold HealthPartners | Gold | PPO | $586.82 | $715.60 | $2,000 | $8,200 |
| Oak $1,300 Gold HealthPartners | Gold | PPO | $597.44 | $728.56 | $1,300 | $8,600 |
| Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield | Gold | POS | $749.30 | $913.74 | $1,000 | $7,200 |
| Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield | Gold | POS | $749.35 | $913.81 | $2,000 | $8,200 |
Silver Premium Trend (2022-2026)
| Year | Avg Premium | Min | Max | Plans | Issuers |
|---|---|---|---|---|---|
| 2022 | $402/mo | $317 | $488 | 39 | 7 |
| 2023 | $452/mo | $331 | $590 | 44 | 6 |
| 2024 | $446/mo | $360 | $569 | 31 | 6 |
| 2025 | $474/mo | $395 | $601 | 26 | 6 |
| 2026 | $516/mo | $431 | $653 | 13 | 4 |
Frequently Asked Questions
How many ACA plans are available in Waushara, WI?
There are 42 ACA marketplace plans available in Waushara from 4 insurance issuers for plan year 2026.
What is the cheapest health insurance plan in Waushara?
The lowest-premium plan in Waushara starts at $371/mo (Bronze tier, age 27). Silver plans start at $431/mo. Actual premiums vary by age and may be reduced by premium tax credits.
What is the benchmark premium for Waushara?
The benchmark (second-lowest Silver) premium in Waushara is $445/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 Waushara?
Average premiums in Waushara changed by +14.1% 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 Waushara?
The average annual deductible across all plans in Waushara is $5,195, and the average out-of-pocket maximum is $8,865. 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 Waushara?
There are 4 insurance issuers offering ACA marketplace plans in Waushara, including Network Health, Aspirus Health Plan, Anthem Blue Cross and Blue Shield, 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.
Counties With a Similar Benchmark Premium
The closest counties nationwide to Waushara, WI's $445/mo benchmark premium.
Data sources
Data sourced from the CMS Health Insurance Marketplace Public Use Files. See our methodology for details. Retrieved and formatted by PlainHealthPlan Editorial
