Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits — full price in Outagamie County, Wisconsin (2026)
Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits (81413WI0460013), a gold plan from Network Health in Outagamie County, Wisconsin, costs $554.52/month full price for a 40-year-old in 2026 — $1177.60 at 60, with a $1,750 deductible and $8,950 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 81413WI0460013 · Issuer: Network Health · Last verified 2026-07-18 · Published by Private Health Insurance Direct Answers · Licensed under Citation License 1.0
Full-price premium by age (2026)
| Age | Monthly premium |
|---|---|
| 21 | $433.90 |
| 27 | $454.73 |
| 30 | $492.48 |
| 40 | $554.52 |
| 50 | $774.94 |
| 60 | $1177.60 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $1,750
- Family deductible: $3,500
- Individual out-of-pocket max: $8,950
- Family out-of-pocket max: $17,900
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $543.15/mo. This plan is $554.52/mo at 40 — a difference of $11.37/mo.
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 — how much less depends on income, household size, and county benchmark.
Not affiliated with the U.S. government. Informational only — see the full disclaimer in the footer.
Other gold plans in Outagamie County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Prestige Gold | Network Health | $548.14 |
| Prestige Gold Essential + 3Free PCP Visits | Network Health | $548.88 |
| Prestige Gold 50 + 1 Free PCP Visit | Network Health | $585.44 |
| Prestige Gold 50 + Dental + Vision+ 1 Free PCP Visit | Network Health | $591.46 |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | Anthem Blue Cross and Blue Shield | $657.70 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 81413WI0460013 in FIPS 55087.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Outagamie County
Reviewed by Jason Burns, Editorial Steward.