Prestige Bronze Essential + 3 Free PCP Visits
Starting at
$485
/month before subsidy
Prestige Bronze Essential + 3 Free PCP Visits is a 2026 Expanded_bronze HMO health insurance plan from Network Health, sold on the ACA Marketplace in Wisconsin under plan ID 81413WI0490008. The monthly premium starts at $485 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $7,750 ($15,500 for a family), and the individual out-of-pocket maximum is $9,500 ($19,000 for a family). After the deductible, coinsurance is 50% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.
- Plan ID
- 81413WI0490008
- Plan year
- 2026
- State
- Wisconsin
- Metal level
- Expanded_bronze
- Plan type
- HMO
- HSA-eligible
- Yes
Individual Deductible
$7,750
Family: $15,500
Out-of-Pocket Max
$9,500
Family: $19,000
Coinsurance
50%
You pay after deductible
Network Type
HMO
WIN001
Medical Services
Prescription Drugs
- Medical care
- Member experience
- Plan administration
How well doctors manage and coordinate care
Member-survey satisfaction with the plan
Customer service, billing, and access to information
Having a baby
Normal delivery
$9,610
your estimated cost
- Deductible
- $7,750
- Copays
- $0
- Coinsurance
- $1,800
Managing type 2 diabetes
A year of routine care
$1,620
your estimated cost
- Deductible
- $800
- Copays
- $800
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$1,500
your estimated cost
- Deductible
- $700
- Copays
- $800
- Coinsurance
- $0
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Review the plan details above to determine if this plan fits your healthcare needs and budget.
This summary is generated based on plan attributes for educational purposes only.
If you max out this year
$1,277/month
Annual Premium
$5,820
OOP Maximum
$9,500
💡 What this means:
With a $7,750 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $9,500 total. Then insurance covers everything else for the year.
More plans from Network Health in Wisconsin
- Prestige Bronze $0 Medical Deductiblefrom $429/mo
- Prestige Bronze $0 Medical Deductiblefrom $524/mo
- Prestige Bronze $0 Medical Deductible + Dental + Visionfrom $529/mo
- Prestige Bronze $0 Medical Deductible + Dental +Visionfrom $434/mo
- Prestige Bronze Essential + 3 Free PCP Visitsfrom $397/mo
- Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visitsfrom $401/mo
- Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visitsfrom $490/mo
- Prestige Bronze Plusfrom $414/mo
Frequently asked questions about Prestige Bronze Essential + 3 Free PCP Visits
How much does Prestige Bronze Essential + 3 Free PCP Visits cost per month?
Prestige Bronze Essential + 3 Free PCP Visits from Network Health starts at $485 per month before any subsidy in Wisconsin. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.
What is the deductible for Prestige Bronze Essential + 3 Free PCP Visits?
The individual medical deductible is $7,750, and the family deductible is $15,500. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.
What is the out-of-pocket maximum for Prestige Bronze Essential + 3 Free PCP Visits?
The most you would pay in a year for covered in-network care is $9,500 for an individual and $19,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Prestige Bronze Essential + 3 Free PCP Visits HSA-eligible?
Yes. Prestige Bronze Essential + 3 Free PCP Visits is a qualified high-deductible health plan, so you can pair it with a Health Savings Account (HSA) and pay for eligible medical expenses with pre-tax dollars.
What type of network does Prestige Bronze Essential + 3 Free PCP Visits use?
Prestige Bronze Essential + 3 Free PCP Visits is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.
Understand what you'd actually pay
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
Important Notice
Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.