Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits — full price in Waupaca County, Wisconsin (2026)
Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits (81413WI0460011), a silver plan from Network Health in Waupaca County, Wisconsin, costs $548.73/month full price for a 40-year-old in 2026 — $1165.30 at 60, with a $4,600 deductible and $9,100 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 81413WI0460011 · 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 | $429.37 |
| 27 | $449.98 |
| 30 | $487.33 |
| 40 | $548.73 |
| 50 | $766.85 |
| 60 | $1165.30 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $4,600
- Family deductible: $9,200
- Individual out-of-pocket max: $9,100
- Family out-of-pocket max: $18,200
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $543.15/mo. This plan is $548.73/mo at 40 — a difference of $5.58/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 silver plans in Waupaca County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Prestige Silver | Network Health | $525.67 |
| Prestige Silver Essential + 3 Free PCP Visits | Network Health | $543.15 |
| NE WI Select $3,800 HSA Silver | HealthPartners | $563.70 |
| NE WI Select $3,150 Plus Silver | HealthPartners | $584.31 |
| NE WI Select $6,000 Standard Silver | HealthPartners | $593.69 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 81413WI0460011 in FIPS 55135.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Waupaca County
Reviewed by Jason Burns, Editorial Steward.