Compare individual and family health plans from top insurance companies at the lowest available cost.
Wisconsin health insurance plans
Compare individual and family health plans from top insurance companies at the lowest available cost.
Need health insurance in Wisconsin? eHealth makes shopping easy.
Navigating Wisconsin health insurance plans
Finding the right health insurance plan in Wisconsin can be overwhelming. Whether you’re an individual looking for comprehensive coverage or a family seeking a plan to fit everyone’s needs, it’s important to consider factors such as:
Coverage needs
Evaluate what types of medical services you or your family use most frequently. Do you need regular doctor visits, specialist care, or prescription medications?
Budget
Look at both premiums and out-of-pocket costs. Sometimes a plan with a higher premium may save you money overall if you frequently use healthcare services.
Provider network
Ensure your preferred doctors and hospitals are included in the plan’s network to avoid higher out-of-network costs.
Additional benefits
Some plans offer extra perks, like wellness programs, telemedicine, or mental health services, which could be valuable to you or your family’s overall health.
Find health insurance plans for every stage of life
Health insurance
Health insurance exists to protect you from substantial medical costs. Each plan is an agreement between you and the health insurance company about the services they will cover, how much you will pay, and how much they will pay.
Can cover everything from routine cleanings and fillings to more comprehensive procedures, usually at a low premium. May cover annual eye exams and/or reduce the cost of contact lenses or glasses.
When you buy an insurance policy, you will pay a premium payment monthly or annually. In exchange for that premium, your insurance provider agrees to cover a portion of your healthcare bills as outlined in your plan policy. You are still responsible for some costs, like deductibles and copays. Here are descriptions of those costs and what you should expect.
Frequently asked questions
Wisconsin follows the guidelines of the Affordable Care Act, also known as Obamacare, which no longer requires everyone to have a health insurance plan. Wisconsin is not one of the states to adopt their own health insurance requirements at this time. Plans are available through the federal exchange and Wisconsin features numerous insurance providers and plans for residents.
Wisconsin residents can apply for health insurance during open enrollment and during special enrollment periods for qualifying life events, such as a loss of coverage or a change in marital status. You can find plans through private insurance providers or the federal exchange.
Wisconsin residents can expect to pay an average of $553.37 per person for an individual health insurance plan. This is the average monthly premium price of a plan available from eHealth in Wisconsin, but actual prices available depend on zip code, age, gender, plan metal level, and other factors. Get a personalized quote to see what may be available for you.
Since Wisconsin uses the federally facilitated marketplace, residents of the state can enroll in ACA-compliant health plans through the federal website, HealthCare.gov.
Open enrollment typically begins on November 1 and runs through January 15. If you need healthcare coverage outside this window you will need to qualify for a special enrollment period via a qualifying life event like loss of insurance coverage or change in marital status.
BadgerCare is Wisconsin’s Medicaid program, offering free or low-cost health coverage to eligible individuals and families. It provides comprehensive healthcare services, including doctor visits, hospital care, prescription medications, and more. Medicaid, on the other hand, is a federal program that provides healthcare coverage to eligible individuals based on income. BadgerCare is Wisconsin’s specific implementation of Medicaid.
Wisconsin offers various types of health insurance plans to cater to different needs. These include employer-sponsored plans, individual and family plans, Medicaid (BadgerCare), Children’s Health Insurance Program (CHIP), Medicare, and short-term health insurance plans. Employer-sponsored plans are provided by employers to their employees, while individual and family plans can be purchased directly from insurance companies or through the Health Insurance Marketplace.
Yes, health insurance premiums may be tax-deductible in Wisconsin, but it depends on certain factors. Self-employed individuals and certain small businesses may qualify for deductions on health insurance premiums. It’s recommended to consult with a tax professional or refer to the Wisconsin Department of Revenue for specific guidelines and eligibility criteria.
Absolutely! Wisconsin residents have access to several resources to assist them in obtaining health insurance coverage. The Wisconsin Department of Health Services provides information and resources about BadgerCare and other healthcare programs in the state. Additionally, the Health Insurance Marketplace, operated by the federal government, offers resources and enrollment assistance for individuals and families seeking health insurance coverage.
Applying for affordable health insurance in Wisconsin shouldn’t be a daunting task. By understanding the different programs available, income requirements for BadgerCare, the types of health insurance plans, tax deductibility rules, and utilizing the resources provided, you can find the right health insurance coverage for you and your family. Remember to consider your healthcare needs, budget, and seek guidance from licensed insurance professionals if needed.
Yes, free health insurance is available in Wisconsin through programs like Medicaid for eligible low-income residents.
In Wisconsin, short-term health insurance can last up to 18 months, but these plans may not cover pre-existing conditions and offer limited benefits compared to ACA-compliant plans.
The cost of health insurance in Wisconsin varies, but it is generally comparable to national averages, with specific prices depending on factors like plan type, age, and location.
There are many health insurance providers offering coverage in Wisconsin, include Anthem, Dean Health Plan, Group Health Cooperative of South Central Wisconsin, HealthPartner, Medica, Molina, Quartz, Security Health Plan, and United Healthcare.
Health insurance is accessible in Wisconsin, with various options available through the Health Insurance Marketplace, Medicaid, and private insurers.
Medicaid eligibility in Wisconsin is based on factors like income, family size, and special conditions, with expanded coverage under BadgerCare Plus for certain low-income residents.
To find the best Wisconsin insurance plan, compare options on the Wisconsin Health Insurance Marketplace, considering factors like coverage needs, budget, and eligibility for subsidies or Medicaid.
