QHP Index

Prestige Bronze $0 Medical Deductible + Dental + Vision

Expanded Bronze · HMO · Network Health · Wisconsin

At age 40 it costs between $529.44 and $586.62 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.

What CMS publishes about it

Plan ID81413WI0470018
InsurerNetwork Health
Metal levelExpanded Bronze
Plan typeHMO
Deductible (individual)$0
Deductible (family)$0
Drug deductible$1,500
Most you could pay in a year$9,200
Family maximum$18,400
Primary care visit$45
Specialist visit$150
Emergency room$2,000
Inpatient stay$1,500 Copay per Day
Generic drugs$30
Preferred brand drugs$160
Specialty drugs40% Coinsurance after deductible
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits98.98%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-855-275-1400 · TTY 1-800-947-3529

Where it is sold, and what it costs there

6 counties. The premium is the price before any tax credit; what you pay depends on your income.

CountyAt 21At 30At 40At 50At 60
Milwaukee County $414.27$470.20 $529.44$739.89 $1,124.33
Ozaukee County $418.83$475.37 $535.26$748.02 $1,136.69
Washington County $418.83$475.37 $535.26$748.02 $1,136.69
Waukesha County $418.83$475.37 $535.26$748.02 $1,136.69
Kenosha County $459.01$520.98 $586.62$819.79 $1,245.75
Racine County $459.01$520.98 $586.62$819.79 $1,245.75

Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.

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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.