What health insurance costs without a subsidy in Sheboygan County, Wisconsin (2026)
In Sheboygan County, Wisconsin, the benchmark silver plan costs $572.66/month for a 40-year-old in 2026 before any subsidy, with full-price premiums ranging from $405.65 to $745.87. A 60-year-old pays at least $861.45/month, a 21-year-old at least $317.41. 3 insurers offer 31 plans, according to the CMS PY2026 QHP Landscape.
Last verified 2026-07-18 · Published by Private Health Insurance Direct Answers · Licensed under Citation License 1.0
Cost by age (2026, before subsidy)
- Age 21 — starting at $317.41/mo
- Age 40 — starting at $405.65/mo
- Age 60 — starting at $861.45/mo
Cost by metal level (age 40, 2026)
- Bronze — starting at $508.12/mo
- Silver — starting at $572.54/mo
- Gold — starting at $649.76/mo
Deductibles & out-of-pocket (2026)
- Deductibles range from $0 to $10,600
- Highest out-of-pocket maximum on file: $10,600
Who sells plans here
Anthem Blue Cross and Blue Shield, Dean Health Plan, UnitedHealthcare
The subsidy cliff
In 2026 the enhanced ARP/IRA premium tax credits expire, so households above roughly 400% of the federal poverty level get zero subsidy and pay the full sticker prices listed above. Households under the cliff usually pay far less than sticker — how much less depends on income, household size, and county benchmark.
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Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — county-level premiums, deductibles, out-of-pocket maximums, and issuer/plan counts for Sheboygan County (FIPS 55117).
- HealthCare.gov — the authoritative marketplace for enrollment and exact quoted pricing.
- Methodology — how we source, interpret, and label these figures.
Related counties in Wisconsin
- Ashland County — $777.50/mo benchmark
- Sawyer County — $777.50/mo benchmark
- Barron County — $746.29/mo benchmark
- Chippewa County — $746.29/mo benchmark
- Dunn County — $746.29/mo benchmark
Plans available in this county (31)
- UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) — Bronze · $508.12/mo @ 40
- Prevea360 Bronze Share — Expanded Bronze · $405.65/mo @ 40
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) — Expanded Bronze · $424.95/mo @ 40
- Anthem Bronze Pathway/Lean HSA (+ Incentives) — Expanded Bronze · $429.65/mo @ 40
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) — Expanded Bronze · $430.38/mo @ 40
- Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) — Expanded Bronze · $455.65/mo @ 40
- Prevea360 Expanded Bronze Standard — Expanded Bronze · $477.18/mo @ 40
- Prevea360 Bronze HSA — Expanded Bronze · $495.76/mo @ 40
- UHC Bronze Standard (No Referrals) — Expanded Bronze · $530.92/mo @ 40
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) — Expanded Bronze · $555.20/mo @ 40
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) — Expanded Bronze · $571.05/mo @ 40
- Prevea360 Gold Share — Gold · $649.76/mo @ 40
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) — Gold · $657.70/mo @ 40
- Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) — Gold · $657.75/mo @ 40
- Prevea360 Gold Standard — Gold · $673.69/mo @ 40
- Prevea360 Gold HSA — Gold · $688.85/mo @ 40
- UHC Gold Standard (No Referrals) — Gold · $724.58/mo @ 40
- UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) — Gold · $730.02/mo @ 40
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) — Gold · $745.33/mo @ 40
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) — Gold · $745.87/mo @ 40
- Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) — Silver · $572.54/mo @ 40
- Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) — Silver · $572.66/mo @ 40
- Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) — Silver · $573.00/mo @ 40
- Prevea360 Silver $0 Copay PCP Visits — Silver · $644.39/mo @ 40
- Prevea360 Silver Share — Silver · $658.84/mo @ 40
- UHC Silver Standard (No Referrals) — Silver · $662.16/mo @ 40
- UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) — Silver · $662.18/mo @ 40
- UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) — Silver · $670.14/mo @ 40
- Prevea360 Silver Standard — Silver · $674.13/mo @ 40
- UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals) — Silver · $678.03/mo @ 40
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) — Silver · $685.99/mo @ 40
Reviewed by Jason Burns, Editorial Steward.