Wisconsin · Licensed · Independent

Private health insurance in Wisconsin

Private PPO health plans for Wisconsin residents who don't qualify for a subsidy — how they work, who qualifies, what they cost.

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  • National PPO networks
  • Enroll any month

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We are not affiliated with HealthCare.gov or any government agency. No obligation.

What 'private health insurance' means in Wisconsin

Major-medical plans sold outside HealthCare.gov by carriers that lease national PPO networks — in Wisconsin, Cigna, Aetna and PHCS PPO. They cover doctor visits, hospitalization, surgery, prescriptions and preventive care, with deductibles and an out-of-pocket maximum. Because they're medically underwritten, healthy applicants are priced lower than a guaranteed-issue pool.

Who qualifies

Generally healthy applicants, ages 18–64, with no major pre-existing conditions. There's a short health questionnaire and a prescription-history check; no exam. Serious conditions can be declined or excluded — if that's your situation, the marketplace is the right answer and we'll say so.

What they cost in Wisconsin

Individuals roughly $290–$600 a month by age and deductible; families roughly $800–$1,300. Enroll any month; apply by the 20th for the 1st. See live prices on our quoting tool.

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.

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Reviewed by Martin Elefant
Licensed insurance agent · NPN 20765405 · Lyons Life LLC

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