Ranked 5 of 15 states · median $687/mo · CMS PY2026
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A 40-year-old therapist 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 on-your-feet work produces steady, predictable claims — routine visits, refills, physical therapy, the occasional urgent care. That profile is decided by copay design and by whether your providers are in network, not by the sticker premium, so carrier count sits alongside cost below.
Occupational context: Emotional load and burnout; sedentary strain.
None of that changes your price. ACA plans in Wisconsin are community rated — premium varies by age, ZIP code, tobacco use and household size only. Your occupation cannot be used to rate you, decline you, or exclude a condition. What it changes is which plan design is the right bet.
Premium is set by rating area, so a therapist 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 therapist 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 therapist 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.
Deduction categories that generally fit this trade: Licensing, malpractice insurance, EHR software, supervision. Note the ordering problem with health premiums: the §162(l) deduction lowers your AGI, and your AGI is what sets your premium tax credit, so the two calculate against each other. That is a CPA conversation and worth having before you enroll, not after.
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. Wisconsin exchange plans are guaranteed issue and community rated, so a therapist pays exactly what anyone else of the same age in the same ZIP pays. Occupation is not on the application as a rating factor.
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 sits above the cliff in 7 of the 20 states reported and below it in the other 13, so the answer changes with the state.
What this figure is. It is the median annual wage BLS reports for Marriage and Family Therapists (SOC 21-1013) 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 therapist. 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 Therapists 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 Therapists the question that actually decides your renewal is which of them are still there in November.
Rate filings for 2027 point to roughly a 15% median increase nationally, from −1% at one end to 54% at the other. Wisconsin has not finalised, so treat exact local 2027 pricing as unavailable rather than unknown.
The window opens November 1, 2026, and December 15 is the date worth writing down — it is what secures January 1 cover in Wisconsin and everywhere else. You will find later dates quoted; they stem from a 2025 rule that was vacated in June 2026 and is under appeal.
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 Therapists 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 Therapists 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.