Ranked 5 of 15 states · median $687/mo · CMS PY2026
Prefer to talk? Call (713) 575-9904
Licensed Independent Agent · NPN #22052447 · 23 States
A 40-year-old psychologist 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 median Silver premium, Wisconsin ranks 5 of 15 for this occupation.
Patient-facing and standing work means steady, predictable utilization — regular visits, prescriptions, physical therapy. Copay structure and network breadth drive real annual cost more than the headline premium, so these pages rank states on median premium and carrier count together.
Occupational context: Emotional load and burnout; sedentary strain.
This is background for choosing a plan, not for pricing one. Since 2014 every Wisconsin exchange plan has been guaranteed issue and community rated: same age, same ZIP, same tobacco status means the same filed premium whether you are a psychologist or an accountant. Occupation changes the shopping criteria, nothing else.
Premium is set by rating area, so a psychologist 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 |
|---|---|---|---|---|
| Saint Croix | $602 | HealthPartners | $3,800 | 3 |
| Wood | $623 | Aspirus | $6,000 | 3 |
| Dodge | $633 | Dean | $3,500 | 4 |
| Iowa | $643 | Dean | $3,500 | 2 |
| Price | $673 | Security | $6,000 | 2 |
| Barron | $731 | Security | $6,000 | 3 |
The spread across just these six is $128/month — $1,538 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 — network and cost | 2026 |
|---|---|
| Median Silver premium @40 | $687 |
| Cheapest Silver @40 | $526 — Network Health (Calumet) |
| Most expensive Silver @40 | $1,062 |
| Carriers filing in the state | 12 — Anthem Blue Cross and Blue Shield, Aspirus, CareSource (Common Ground Healthcare), Dean |
| Plan types available | EPO, HMO, POS, PPO |
| Counties with only one carrier | 1 of 72 |
Wisconsin has 12 carriers filing and 1 of 72 counties served by a single issuer. For a psychologist with an established provider relationship, that carrier count is the number that decides whether you keep your doctor.
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
Read the comparison as context, not as a shopping list. Your county of residence determines what you can buy, and for a psychologist that is fixed unless you relocate. Where it is actionable is a move already in progress — that is a qualifying life event, and you have 60 days on either side of it.
Self-employed Psychologists in Wisconsin typically deduct: Licensing, malpractice insurance, EHR software, CE. Health premiums sit separately, above the line under IRC §162(l), and only when neither you nor a spouse could have joined an employer plan — eligibility disqualifies you even if you declined the coverage.
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.
No. Under the ACA, carriers cannot rate, decline, or exclude based on occupation or health history. Rates vary only by age, ZIP code, tobacco use and household size.
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.
Above the cliff. At this income a single-person household receives no premium tax credit for 2026 and pays the full premium.
This occupation sits above the cliff in 16 of the 18 states reported and below it in the other 2, so the answer changes with the state.
What this figure is. It is the median annual wage BLS reports for Clinical and Counseling Psychologists (SOC 19-3033) 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 psychologist. 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 Psychologists in Wisconsin and a blog covering deductibles, subsidies and special enrollment.
Right now 12 carriers file plans across the 72 counties of Wisconsin. Participation is reset annually, which is why Psychologists should check the roster in November rather than assume this year’s options carry over.
Nobody can tell you your 2027 Wisconsin premium yet. Filings nationally cluster around a 15% median increase, with the full spread running −1% to 54% — and until this state signs off, a specific local number is invention.
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 Psychologists 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:
Most Psychologists here are buying their own coverage without an employer. One ZIP is all I need to show you what is available in your part of Wisconsin.