HomeCostHow Much Does Health Insurance Cost In Wisconsin

How Much Does Health Insurance Cost In Wisconsin

Your Gender And Marital Status

How Much Does the Health Insurance Plan Cost?

Under the Affordable Care Act, insurance companies are no longer able to charge consumers more based on their gender.8 But other factors do make a difference. For instance, if youre married and have kids, you can expect to pay more to cover your familys needs. Note that if your familys income falls below a certain level, a tax credit could save you money.9

But marital status arent the only things that determine how much you could be shelling out. Here are some other things insurance companies look for.

Compare Wisconsin Pet Insurance Quotes From Top Companies With Pawlicy Advisor

Remember, there is no one-size-fits-all pet insurance. The best plan will depend on your cat or dogs breed, age, and zip code in Wisconsin. However, it’s important to not only look at what your pet insurance policy will cost today, but to understandwhat it will ultimately cost across the lifespan of your pet.

To put it simply, the policy that looks cheaper today might not be cheaper in the long run. This information is hard to find without Pawlicy Advisor.

With Pawlicy Advisor, you’ll see hundreds of quotes from top providers custom-ranked by

Digging Deeper For Pricing Information

For more details, we consulted the 2020 Health Insurance Exchange Premium Landscape Issue Brief linked to the bottom of the press release. It reveals that 27-year-olds buying silver plans will see their premiums increase by 10% or more in Indiana, Louisiana, and New Jersey.

More importantly, it reveals that the percentage changes don’t tell us much about what people are actually paying: “Some of the states with the largest decreases still have relatively high premiums and vice versa,” the brief states. “For example, while Nebraskas benchmark plan premium decreased 15% from PY19 to PY20, the average 27-year-old PY20 benchmark plan premium is $583. On the other hand, while Indianas average PY20 benchmark plan premium increased 13% from PY19, the average 27-year-old PY20 benchmark plan premium is $314.”

In fact, the benchmark plan premium for a 27-year-old in 2020 is a whopping $723 in Wyoming. How many 27-year-olds can afford that kind of monthly premium? By contrast, New Mexicos 2020 benchmark plan premium for a 27-year-old is the lowest in the nation at $282.

All of these numbers only apply to the 38 states whose residents buy plans through the federal exchange at Healthcare.gov. Residents of California, Colorado, Connecticut, Idaho, Maryland, Massachusetts, Minnesota, Nevada, New York, Rhode Island, Vermont, Washington, and Washington, D.C. buy insurance through their state’s exchange.

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Health Care Costs At Your Doctors Office**

Wisconsin PricePoint lists the average cost of many common procedures performed at a doctors office, with costs broken down by county. Costs are broken down by county, so you can get the most accurate estimate possible.

To see cost estimates by doctors office procedure, use the health care cost estimator for hospitals and health care professionals on Wisconsin PricePoint.

**Prices may not reflect your out-of-pockets costs or the negotiated rates your health care provider has with your specific health insurance plan.

Choose Professional Services as the service type.

Medicare Supplement In Wisconsin

Diabetic eye care

Wisconsin is one of three states where Medicare Supplement plans are different than whats commonly available. Most states have plans lettered A through N that offer the same standard benefits. Wisconsin offers the basic plan and a few other options that have slightly different coverage.12

If you have Original Medicare, you can add a Wisconsin Medicare Supplement plan to help cover your out-of-pocket costs, including copayments, coinsurance, and deductibles. Wisconsins Department of Health Services offers a Medigap helpline for residents.

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Average Health Insurance Cost By Plan

Less surprising, though, is how the cost will differ based on the plan you use. After all, different plans offer different services, and those with more services and flexibility come at the price of a higher premium.

The four types of plans you may be able to get for your health insurance are a health maintenance organization , point-of-service , preferred provider organization and exclusive provider organization . Per ValuePenguin, the average monthly rate for a 21-year-old on each plan is:

  • HMO: $230

How Much Does Obamacare Cost In 2021

âObamaCareâ is the common name for marketplace health insurance that is made more affordable by the Affordable Care Act. The average cost of an Obamacare plan ranges from $328 to $482 but varies depending on the company, type of plan, and where you live. These plans often come with substantial deductibles, copayments, and coinsurance.

If you are struggling to find an affordable plan, consider looking at a healthcare alternative like Mira. For only $45/month, youâll have access to low-cost urgent care visits, discounted prescriptions, and same-day lab testing. Donât delay or postpone visits because of the cost worry. Put your health in your own hands.

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American Family: Best For Customer Service

American Family is the highest-rated of our picks for customer satisfaction. In J.D. Powers 2021 U.S. Home Insurance Study, it receives above-average scores. With 24/7 claims support and simple account access, it is easy to keep track of your life insurance coverage. You can also save when you bundle your insurance needs, with average savings of 29% for auto insurance and 20% off your home insurance.

American Family has fantastic online resources to ensure you purchase the right coverage with the right amount of protection. There is a convenient first-time homebuyers guide, plus tools that are helpful even to the experienced homebuyer.

Medicare And Medicare Advantage

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The charts showing the cost the the number of enrollees includes people covered by all types of Medicare and Medicare Advantage. The cost of this type of health coverage includes participation from employers, individuals, federal, state and local government. Excluded from the costs are any form of co-pay or a deductible the individual must pay to receive care.

How enrollees use their health care services is based on enrollees in Medicare Advantage plans only. Medicare Advantage plans are Medicare health plans offered by private companies that contract with Medicare. Medicare Advantage plans include Health Maintenance Organizations , Preferred Provider Organizations , Private Fee for Service Plans, Special Needs Plans and Medicare Medical Savings Account Plans .

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Wisconsin Homeowners Insurance Rates By Zip Code And City

Using Insurance.coms homeowners insurance calculator, we calculate average home insurance rates by city and zip code.

The most expensive home insurance rates in Wisconsin are found in the sprawling metropolis of Milwaukee, with residents in the 53205 zip code facing an average cost of $2,220 per year. Conversely, the cheapest Wisconsin home insurance is found in Sheboygans 53081 zip code, with the average policy costing $1,605 per year.

Average Cost Of Health Insurance

One of the primary factors in your individual health insurance costs is your location, as prices will vary depending on the state and county where you live. In this first table, we look at health insurance premiums for 2021 and how they differ based upon the state you reside in.


Policy premiums are for a 40-year-old applicant.

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Buying Wisconsin Health Insurance For Individuals Families And Self

Wisconsinites have access to individual and family plans under the ACA. This also applies if youre a self-employed entrepreneur or freelancer with no employees.

ACA plans come in bronze, silver, gold, and platinum. Each plan covers a percentage of your costs. Plans are required to offer 10 essential health benefits, including emergency services and prescription drug coverage. Dental and vision benefits must also be offered to children. Plans cannot deny you coverage because of your health or a preexisting condition.

You can buy ACA health insurance in Wisconsin through the federal Marketplace at Healthcare.gov. Open enrollment typically takes place from November 1 to January 15. You can still get 2021 coverage in Wisconsin if you qualify for a Special Enrollment Period.

Whats The Best Pet Insurance In Wi For My Dog Or Cat


It depends on your pets breed, age, zip code, your financial standing, and the kind of coverage you need.To better understand how the chart above relates to your dog or cat’s breed-specific risks in Wisconsin, use Pawlicy Advisor to instantly analyze top-rated plans across “The Badger State”. In 5 minutes or less youll understand which waiting times, coverage exclusions, and therapies are ideal for your pets breed and age.

For example, if you have a larger breed, having a policy with a long waiting period on knee injuries might not be ideal – but that same policy could be perfect for a small lap dog. Pawlicy Advisor will scan the fine print to show a custom

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Employee Health Insurance Premiums

If you work for a large employer, health insurance might cost as much as a new car, according to the 2019 Employer Health Benefits Survey from the Kaiser Family Foundation. Kaiser found that average annual premiums for family coverage were $20,576 in 2019, which was nearly identical to the base price of a Honda Civic.

Families contributed an average of $6,015 toward the cost, which means employers picked up 71% of the premium bill. For a single worker in 2019, the average premium was $7,188. Of that, workers paid $1,242 or 17.2%.

Kaiser included health maintenance organizations , Preferred Provider Organizations , point-of-service plans , and high deductible health plans with a savings option in arriving at the average premium figures. It found that PPOs were the most common plan type, insuring 44% of covered workers. While high deductible health plans with a savings option covered 30% of insured workers.

Average Employee Premiums in 2019
Employee Share

Of course, whatever employers spend on their workers’ health insurance leaves less money for wages and salaries. So workers are actually shouldering more of their premiums than these numbers show. In fact, one reason wages may not have risen much over the last two decades is because health costs have risen so much.

Which type of plan employees choose affects their premiums, deductibles, choice of healthcare providers and hospitals, and whether they can have a health savings account , among many choices.

Alex: Your Personalized Online Benefits Counselor

ALEX is an online resource to help you better understand the comprehensive benefits offered to UWMadison employees. ALEX will ask you a series of questions to walk you through your benefits options and suggest appropriate plans based on your answers. Before you make your benefits elections, let ALEX explain your options in plain English.

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What Types Of Alternative Health Insurance Plans Are Available In Wisconsin

Wisconsin residents can enroll in cost-sharing programs. These programs can help save you money because all members pool their resources to pay for medical costs, but the plans arent insurance and typically have extensive limitations. Wisconsin also has the Consumer Operated and Oriented Plan program.

Health Insurance Deductibles: What Can You Expect

How much Does the health insurance plan cost

On top of premiums, everyone who carries health insurance also pays a deductible. This means you pay 100% of your health expenses out of pocket until you have paid a predetermined amount. At that point, insurance coverage kicks in and you pay a percentage of your bills, with the insurer picking up the rest. Most workers are covered by a general annual deductible, which means it applies to most or all healthcare services. Here’s how general deductibles varied in 2019:

  • $1,655: Average general annual deductible for a single worker, employer plan
  • $2,271: Average annual deductible if that single worker was employed by a small firm
  • $1,412: Average annual deductible if that single worker was employed by a large firm
Median Individual Deductible, Qualifying Health Plan Without Subsidies from Healthcare.gov., Plan Year 2020

Individuals who are eligible for cost-sharing reductions are responsible for deductibles as low as $115 for those with household incomes closest to the federal poverty level.

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How Much Does Health Insurance Cost In Wi

The Health Insurance Marketplace Calculator updated with 2021 premium data provides estimates of health insurance premiums and subsidies for people purchasing insurance on their own in health. In 2021 the average cost of individual health insurance for a 40-year-old across all metal tiers of coverage is 495.

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The Effect Of Insurance Deductibles On The Cost Of Health Care

WI residents insured through group, individual and medicare health plans generally have a deductible. Deductibles define the amount of the medical expenses the insured person must pay before the insurers coverage begins to pay the medical bills. The deductible amount depends on the insurance plan. Generally speaking, individual insurance has larger deductibles than other plans. Deductibles have the effect of increasing the cost of the insurance for people that file insurance claims. For example, a person on an individual plan paying the average price of $5,000 with a relatively common $6,000 deductible has an effective price of approximately $11,000, if they use their insurance.

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What Is The Average Price Of Health Insurance For A 4 Member Family

For non-subsidized insurance, consumers who buy for a family with four members pay an average monthly premium cost of $1,437. This is a slight increase of $1,403 from 2019.

Monthly premiums can be affected by the plan you choose. The monthly premium is usually higher if the plan provides more coverage. Only the Bronze family plan premiums have decreased for family coverage between 2019 and 2020.

However, monthly premiums only represent a small portion of the overall cost of health insurance. Also, consider the annual deductibles. These are the out-of pocket costs that you pay before your insurance pays for most services. In 2020, the average family plan deductible was $8,439. This is a 5% increase over the previous year. For a family of 4, the average family deductible was $7,767.

How Much Does Health Insurance Cost Per Month In Each State


The national average health insurance premium for a benchmark plan in 2021 is $452, according to the Kaiser Family Foundation. A benchmark plan is the average premium for each states second lowest cost silver plan.

The following data reflects the national average, and each states average, but does not include any reduction in cost from subsidies. Rates will vary by area.

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The Cost Of Health Insurance In Wisconsin

The average cost of health insurance in the state of Wisconsin is $6,503 per person based on the most recently published data. For a family of four, this translates to $26,013. This is $478 per person below the national average for health insurance coverage. However, health insurance costs vary significantly based on the cost of care and the population insured. The chart below shows the four major insurance types available in Wisconsin. The dollar amounts shown on the chart are the average cost in Wisconsin to insure people for each type of insurance.

Insurance For Individuals In Wisconsin

An individual health insurance policy can lower your financial responsibility in an emergency. You can save money if you choose a plan with a higher annual deductible and lower coinsurance, but pay more when you require care.

There are three primary types of plans. Each plan has its benefits and disadvantages.

  • Health Maintenance Organization plans offer lower premiums but restrict access to care by requiring you to see in-network doctors and get referrals if you need to see a specialist.
  • Preferred Provider Organization plans let you see the doctors you choose. But, you can expect higher monthly premiums than HMOs offer.
  • Point-of-Service plans are somewhere in the middle, allowing you to see out-of-network doctors if you agree to a higher copayment.

The following health insurance companies offer individual coverage in Wisconsin, depending on what part of the state you reside:

  • Aspirus Arise
  • Unity Health Insurance

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Cheapest Health Insurance By Metal Tier

For 2021 plans, the average health insurance premium is $455 in Wisconsin for a 40-year-old. This represents a 5% decrease, or $31 per month lower rates, on average.

We compared policies in Wisconsin by metal tier to find the most affordable health insurance policy at each level of coverage you may see on the state exchange. Although availability depends on the county you live in, the table provides a good starting point to compare the costs and benefits you may expect from a given metal tier.

Metal tier Monthly cost for a 40-year-old
Bronze Dean Focus Network Bronze Value Copay 8500X $8,500
Dean Focus Network Bronze Copay Plus 8500X $8,500
MercyCare HMO Gold Option B $7,900
Select Platinum 500 Ded/1500 MOOP $500 $1,500 $477

As you can see above, health plans with a higher metal tier have higher rates. Although the cheapest options for health insurance plans in Wisconsin do offer low rates, they are limited in availability by location.

Health Coverage For Immigrants

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Unfortunately, undocumented immigrants arenât able to purchase marketplace insurance themselves, but there are many healthcare alternatives. One option is Mira, which offers low-cost urgent care visits, same-day lab testing, and discounted prescriptions for only $45/month. When signing up for Mira, you are only asked to enter your name, birth date, and gender. You will never be asked for documentation papers or your resident status. Another option is to apply for coverage on behalf of another documented individual.

It can often take a while for legal immigrants to receive health coverage through the government, especially if the immigration status is recent. There is a five-year waiting period to receive Medicaid for any recent immigrants. Even if they fall below the poverty level of 138%, they cannot receive this healthcare assistance. Luckily, the ACA allows this group of people to receive premium tax credits to help reduce their monthly premium costs.

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