Home › Blog › Affordable Health Insurance in Wisconsin: What Most People Don't Know
Affordable Health Insurance in Wisconsin: What Most People Don't Know
Five facts most Wisconsinites learn the expensive way.
1. "Affordable" on the marketplace means subsidized
HealthCare.gov prices are designed to be offset by the premium tax credit. Without it, you're paying the full cost of a guaranteed-issue pool.
2. There's a second market
Private shared-network plans on Cigna, Aetna and PHCS PPO price on health instead of income. For healthy people above the subsidy line they're often half the price, with a PPO.
3. Your doctor probably takes the PPO, not the HMO
National PPO networks are what most employer plans use. Many doctors in Milwaukee and Madison are in the Cigna, Aetna and PHCS PPO network and not in the narrow marketplace HMOs.
4. You can enroll in a private plan any month
No waiting for November. Apply by the 20th, coverage on the 1st.
5. The deduction applies either way
Wisconsin has a progressive state income tax, so the self-employed health premium deduction helps at both the federal and state level.
And one Wisconsin-specific thing
Wisconsin chose a partial Medicaid approach that stops at 100% of the poverty level, so there is a subsidy-eligible group just above that line — and a large self-employed farm, trade and small-business population above the subsidy range.
Check your options to see what affordable actually looks like for your situation.