Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits — full price in Waukesha County, Wisconsin (2026)
Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits (81413WI0470013), a gold plan from Network Health in Waukesha County, Wisconsin, costs $684.26/month full price for a 40-year-old in 2026 — $1453.10 at 60, with a $1,750 deductible and $8,950 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 81413WI0470013 · 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 | $535.41 |
| 27 | $561.11 |
| 30 | $607.69 |
| 40 | $684.26 |
| 50 | $956.24 |
| 60 | $1453.10 |
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 $576.42/mo. This plan is $684.26/mo at 40 — a difference of $107.84/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 Waukesha County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| CareSource (Common Ground Healthcare) Gold $3300 | CareSource (Common Ground Healthcare) | $656.31 |
| CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam | CareSource (Common Ground Healthcare) | $657.48 |
| CareSource (Common Ground Healthcare) Gold Standard $2000 | CareSource (Common Ground Healthcare) | $662.81 |
| CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam | CareSource (Common Ground Healthcare) | $663.98 |
| Prestige Gold | Network Health | $676.38 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 81413WI0470013 in FIPS 55133.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Waukesha County
Reviewed by Jason Burns, Editorial Steward.