Navigating the maze of marketplace insurance in Wisconsin can be daunting, but with 5,000+ plans to choose from, finding coverage that meets your needs and budget is possible.
Understanding Marketplace Insurance
Marketplace insurance, also known as Affordable Care Act (ACA) health insurance, is a government-regulated program that provides health insurance coverage to individuals and families who don't have employer-sponsored insurance or who qualify for subsidies.
Wisconsin Marketplace Options
Wisconsin's marketplace, run by the Wisconsin Department of Health Services, offers a wide range of plans from 17 insurance carriers. These plans include:
Finding the Right Plan
To find the plan that's right for you, consider:
Enrolling in Marketplace Insurance
Open enrollment for marketplace insurance typically runs from November 1st to January 15th. You can enroll online, by phone, or through an insurance agent.
Benefits of Marketplace Insurance
Pain Point #1: High Deductibles
Pain Point #2: Limited Provider Networks
Pain Point #3: Navigating Enrollment
Having health insurance is crucial for financial protection and access to quality healthcare. Marketplace insurance provides:
1. Marketplace Coverage Levels
Plan Type | Monthly Premium | Deductible | Out-of-Pocket Costs |
---|---|---|---|
Bronze | Low | High | High |
Silver | Moderate | Moderate | Moderate |
Gold | High | Low | Low |
Platinum | Highest | Lowest | Lowest |
2. Wisconsin Marketplace Insurance Carriers
Insurance Carrier | Number of Plans |
---|---|
Anthem Blue Cross Blue Shield | 1,200 |
Gundersen Health Plan | 750 |
Marshfield Clinic Health System | 600 |
Molina Healthcare | 500 |
Quartz Benefits | 400 |
3. Wisconsin Marketplace Subsidy Eligibility
Income Level | Subsidy Eligibility |
---|---|
Up to $51,520 for individuals | Yes, may qualify for premium tax credits and cost-sharing reductions |
$51,520 - $103,040 for individuals | May qualify for premium tax credits only |
Up to $103,040 for families of four | Yes, may qualify for premium tax credits and cost-sharing reductions |
$103,040 - $206,080 for families of four | May qualify for premium tax credits only |
4. Wisconsin Marketplace Enrollment Timeline
Timeline | Action |
---|---|
November 1st - January 15th | Open enrollment |
January 15th - March 31st | Special enrollment period (only for those who qualify for a qualifying life event) |
Rest of the year | Exceptionally difficult to qualify for enrollment outside of open enrollment or special enrollment periods |
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