Ranked 5 of 15 states · median $687/mo · CMS PY2026
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A 40-year-old bookkeeper in Wisconsin pays a median $687/month for a Silver plan before subsidies — 5th of 15 on cost. The cheapest plan in the state is $526 from Network Health in Calumet. On cheapest Silver at age 27, Wisconsin ranks 6 of 15 for this occupation.
Screen-based work skews younger and healthier, which is exactly the profile a high-deductible plan is built for. The risk is real — you carry the first several thousand dollars yourself — so the tables below show what a healthy buyer pays across the age curve, not just at 40.
Occupational context: Repetitive stress and eye strain from screen work.
Worth being clear about what this does and does not affect: a carrier in Wisconsin cannot ask what you do for a living, cannot charge a bookkeeper more than a librarian of the same age in the same ZIP, and cannot exclude anything you were already treated for. Occupation only tells you which plan structure to shop for.
Premium is set by rating area, so a bookkeeper in one Wisconsin county can pay materially more than one an hour away. Six counties from across the state, cheapest Silver plan for a 40-year-old:
| County | Cheapest Silver @40 | Issuer | Deductible | Carriers |
|---|---|---|---|---|
| Walworth | $543 | MercyCare | $6,000 | 4 |
| Washington | $575 | CareSource (Common Ground Healthcare) | $5,000 | 4 |
| Polk | $602 | HealthPartners | $3,800 | 3 |
| Portage | $623 | Aspirus | $6,000 | 2 |
| Vilas | $633 | Security | $6,000 | 2 |
| Grant | $643 | Dean | $3,500 | 2 |
The spread across just these six is $100/month — $1,204 a year for the same metal tier. Statewide the range runs $526 to $1,062. Coverage by County publishes all 72 Wisconsin counties individually.
| Wisconsin — the age curve | 2026 |
|---|---|
| Cheapest Silver @27 | $431 |
| Cheapest Silver @40 | $526 |
| Cheapest Silver @60 | $1,116 |
| Cheapest Bronze @40 | $388 — MercyCare |
| Bronze deductible | $10,000 |
| Lowest deductible in state | $700 |
A 27-year-old bookkeeper in Wisconsin starts at $431; the same plan class at 60 starts at $1,116 — roughly 2.6× as much. If a Bronze plan here is HSA-qualified, the deduction plus low claim volume usually beats Silver on total annual cost. Confirm HSA eligibility on the plan document, not the metal tier.
Source: CMS Plan Year 2026 Qualified Health Plan Landscape file. 2,651 plan records across 72 Wisconsin counties. Full-price filed rates before premium tax credits — verify at enrollment.
Cheaper for the same coverage: Ohio ($625), South Carolina ($636), Alabama ($680). More expensive: Michigan ($708), South Dakota ($725), Oklahoma ($731).
Side-by-side: Wisconsin vs South Carolina · Wisconsin vs Alabama · Wisconsin vs Michigan · Wisconsin vs South Dakota
A caveat on the table above: rating is by residence, not by job site. A bookkeeper living in Wisconsin and working across a state line still buys Wisconsin plans. A genuine permanent move does trigger a special enrollment period, but the plan year restarts with a fresh deductible.
If you file a Schedule C as a bookkeeper, the categories that usually show up are: Software subscriptions, home office, continuing education. The health premium itself is normally an above-the-line deduction under IRC §162(l), which reduces AGI rather than requiring you to itemize. Your CPA should confirm it against your actual situation.
If your household income is above the subsidy range, ACA is not automatically the answer. There are other categories of coverage that may fit, and they work very differently. That is a conversation, not a web page.
The cheapest Silver plan for a 40-year-old in Wisconsin is $526 per month from Network Health, with a state median of $687. Both figures are full price before premium tax credits; most buyers pay less after subsidies.
It cannot happen on an exchange plan. Rating in Wisconsin uses four inputs only: age, ZIP code, tobacco use and how many people are on the policy. Trade, injury history and pre-existing conditions are all excluded from pricing by law.
Yes. Plan types filed for 2026: EPO, HMO, POS, PPO.
Wisconsin ranks 5 of 15 states covered here, at a median $687 per month. Indiana is cheapest at $558 and Nebraska is most expensive at $875.
Below the cliff. At this income a single-person household remains eligible for a premium tax credit in 2026.
This occupation is below the cliff in all 21 states reported.
What this figure is. It is the median annual wage BLS reports for Bookkeeping, Accounting, and Auditing Clerks (SOC 43-3031) in Wisconsin. BLS surveys wage and salary workers and excludes the self-employed, so it is a benchmark for the occupation in this state — not the income of a self-employed bookkeeper. Premium tax credit eligibility is set by household modified adjusted gross income and household size, not by occupation, so treat this as a reference point rather than a determination of what you qualify for.
Why the cliff is back. The enhanced premium tax credits expired on 31 December 2025. For plan year 2026 the 400% FPL limit applies again, so household income above $62,600 ends premium tax credit eligibility outright.
This page compares states. For Wisconsin specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for Bookkeepers in Wisconsin and a blog covering deductibles, subsidies and special enrollment.
The Wisconsin market currently runs to 12 carriers over 72 counties. Carriers re-file every year, and for Bookkeepers the question that actually decides your renewal is which of them are still there in November.
On price the only honest number today is national: the Peterson-KFF read of 2027 filings puts the median proposed rise near 15%, spanning −1% to 54%. Final Wisconsin rates are not approved, so any precise 2027 figure quoted for this state is guesswork.
Mark November 1, 2026 to open and December 15 to act. That second date guarantees cover from January 1 in Wisconsin regardless of how the current litigation over the enrollment window resolves.
Check before renewing: PPOs are sold in 15 of Wisconsin’s 72 counties, not all. Whether yours has one decides how much out-of-network care is covered — usually a bigger question for Bookkeepers than the monthly figure.
Nothing about 2027 is urgent yet, which is exactly why it is worth ten minutes now. Come November you will be choosing between Wisconsin’s carriers under a deadline; today you can do it without one.
Give me a ZIP and I will tell you three things:
Rates for Bookkeepers in Wisconsin are set by county, not by occupation. Start with your ZIP and I will show you the plans actually filed where you live.