2027 marketplace changes in Wisconsin

Which insurance companies are leaving the Wisconsin marketplace in 2027

Who is leaving, what's left in your county, and what to do before the deadline. Last checked October 5, 2026.

The short answer

No major insurer is leaving the Wisconsin marketplace for 2027.

  • What I checked: Every company that sold Wisconsin marketplace plans in 2026 has a 2027 rate filing on the federal rate review site. source

In 2026, 12 companies sold Wisconsin marketplace plans: Anthem (Elevance), Aspirus Health Plan, CareSource, Dean Health Plan, Group Health Cooperative-SCW, HealthPartners, Medica, MercyCare Health Plans, Network Health, Quartz, Security Health Plan and UnitedHealthcare.

Sam Jaber, licensed health insurance broker

What this means in Wisconsin

Hi, I'm Sam Jaber, and I'm a broker licensed in 36 states, Wisconsin among them. Wisconsin has one of the busiest marketplaces I work with, and the 2027 news here is quiet: I found no company leaving it. All 12 companies that sold Wisconsin marketplace plans in 2026 have filed for 2027.

If Molina's name turned up in a 2027 headline you read, it changes nothing in Wisconsin: the one off-marketplace plan involved had no members.

The change that still matters here happened a year ago, when two companies were reported to have pulled out of the Wisconsin marketplace for 2026, Chorus Community Health Plans and Molina. If you were moved off one of them, you're now renewing a plan you may have taken in a hurry. That's reason enough to re-shop before December 15.

Fond du Lac, the Fox Valley and the PPO map

How much choice you have depends heavily on the county. Most of the state had 3 or 4 companies in 2026. Sixteen counties had 2, and Fond du Lac County had just one. If you live somewhere like that, a single network change at your company matters more to you than any statewide headline.

Picture a self-employed dairy nutritionist who lives in Fond du Lac and drives to farms all over east-central Wisconsin. With one company in her county, her 2027 decision is less about which insurer and more about which of that company's plans keeps her doctor. She should look up her county in late October, when the 2027 plan list publishes, and call her clinic before she decides.

Marketplace PPOs in Wisconsin are regional. HealthPartners sold them in 15 counties in 2026: Green Bay and the Fox Cities, the counties around them reaching north to Florence on the Michigan line, and the counties along the Minnesota line from Hudson and River Falls up to Superior. If you live outside that map, or you want a network that follows you out of state, you can still get a PPO through me, a nationwide private plan that is priced on your health.

What's on the Wisconsin marketplace

No Wisconsin county loses a marketplace insurer for 2027 from what I checked.

On the marketplace, PPO plans were sold in 15 of Wisconsin's 72 counties in 2026. They come from HealthPartners.

Other changes you may have read about

A few other names come up in the news about this. Here's where each one actually stands.

  • Molina is not a 2027 change in Wisconsin: it was already off the marketplace in 2026, and the off-marketplace plan it is withdrawing had no members. source
  • Wisconsin Physicians Service did not sell marketplace plans in 2026, so the 2027 filing it did not make does not affect marketplace members. source
  • Chorus Community Health Plans and Molina are reported to have left the Wisconsin marketplace for 2026. source

What happens to your plan

When an insurance company leaves, your plan doesn't stop overnight. It runs through December 31, 2026, and the company has to tell you in writing first. Federal rules require at least 90 calendar days notice when a company drops a plan, and at least 180 calendar days when it leaves a state's individual market entirely. If your company is leaving and you haven't seen that letter, call the company and ask for it.

What happens next is the part people get wrong. If no plan from your company is left on the marketplace, the federal rule (45 CFR 155.335) says the marketplace may move you to a plan from a different company. It doesn't say it will. The move has to fit state law, it follows the state regulator's direction, and without that direction the marketplace picks a "similar" plan. Nothing in that rule checks your doctors or your prescriptions.

If you bought your plan straight from the company, off the marketplace, the marketplace's re-enrollment rule doesn't reach you at all. You need to pick a new plan yourself.

Open enrollment on HealthCare.gov starts November 1. By then you should get 2 letters: one from your current company and one from the marketplace. The marketplace letter tells you which plan, if any, you'll be moved into if you do nothing by December 15. HealthCare.gov is plain that in some cases you won't be automatically re-enrolled.

Pick by December 15 and your new plan starts January 1. Pick between December 16 and January 15 and it starts February 1, which leaves January uncovered if your old plan ended December 31.

Miss open enrollment and you may still have a way in. Losing a plan because it's discontinued is on HealthCare.gov's list of qualifying events, and the federal rule gives you 60 days before and 60 days after the day your old coverage ends to pick a new plan. Don't build your plan around that window. Confirm you qualify before you count on it.

What to do now

Here's how I'd think about it, depending on where you are. Each path ends the same way: a call with me before the deadline.

Scenario 1 of 2

Your income qualifies you for help with the premium

If your household income qualifies you for the premium tax credit, the marketplace is usually where your most affordable coverage is, because that's the only place the credit can be used. So don't let the marketplace pick for you. Re-shop before December 15, look at every company still selling in your county, and check your doctors and prescriptions against the network of the plan you choose, not the one you had.

Scenario 2 of 2

You pay full price and you're healthy

If you earn too much for the credit, you're paying the full marketplace price, and now you're paying it for whatever is left in your county. You have another option. Private plans with medical underwriting run on nationwide PPO networks and are priced on your health, which is how the price for a healthy person can come in under the marketplace's full rate. They ask health questions up front, and the company can decline you or leave out a past condition, so we go through the details together before you choose.

You can still get a nationwide PPO in Wisconsin

Whatever the marketplace looks like in your county, you can still get a nationwide PPO in Wisconsin through me. On the marketplace, PPO plans were sold in 15 of Wisconsin's 72 counties in 2026. They come from HealthPartners.

Private PPO plans with medical underwriting use networks that work across the country, and for a healthy person who pays full price on the marketplace, they're often worth pricing. I'm licensed in 36 states, and Wisconsin is one of them.

Questions about insurers leaving Wisconsin

Straight answers, no sales pitch.

Which insurance companies are leaving the Wisconsin marketplace in 2027?

No major insurer is leaving the Wisconsin marketplace for 2027. Every company that sold Wisconsin marketplace plans in 2026 has a 2027 rate filing on the federal rate review site.

If my insurance company leaves, will I be moved to a new plan automatically?

Maybe, but don't count on it. The federal rule says the marketplace may move you to a similar plan from a different company, as state law and your state regulator allow. HealthCare.gov says that in some cases you won't be automatically re-enrolled, and if you bought off the marketplace, nobody moves you. Pick your own plan.

What's the deadline to pick a new Wisconsin plan for 2027?

On HealthCare.gov, pick by December 15 for coverage that starts January 1. Open enrollment runs to January 15, but a plan picked after December 15 starts February 1.

Can I still get a PPO in Wisconsin?

Yes. You can still get a nationwide PPO in Wisconsin through me. On the marketplace, PPO plans were sold in 15 of Wisconsin's 72 counties in 2026. They come from HealthPartners.

Sources

  • In 2026, 12 companies sold Wisconsin marketplace plans: Anthem (Elevance), Aspirus Health Plan, CareSource, Dean Health Plan, Group Health Cooperative-SCW, HealthPartners, Medica, MercyCare Health Plans, Network Health, Quartz, Security Health Plan and UnitedHealthcare (CMS 2026 plan data) source
  • Wisconsin marketplace PPO plans in 2026: 15 of 72 counties; after the confirmed exits: 15 (CMS 2026 plan data) source
  • Molina is not a 2027 change in Wisconsin: it was already off the marketplace in 2026, and the off-marketplace plan it is withdrawing had no members. source
  • Wisconsin Physicians Service did not sell marketplace plans in 2026, so the 2027 filing it did not make does not affect marketplace members. source
  • Chorus Community Health Plans and Molina are reported to have left the Wisconsin marketplace for 2026. source
  • Every company that sold Wisconsin marketplace plans in 2026 has a 2027 rate filing on the federal rate review site. source
  • HealthCare.gov says that by November 1 you should get 2 letters, one from your current insurance company and one from the Marketplace, and that in some cases you won't be automatically re-enrolled source
  • 45 CFR 155.335(j)(3): when no plans from the same insurer are available, the Exchange "may enroll the enrollee in a QHP issued by a different issuer, to the extent permitted by applicable State law", as the state regulator directs or, if it does not, "in a similar QHP from a different issuer, as determined by the Exchange" source
  • HealthCare.gov open enrollment starts November 1; enroll by December 15 for coverage that starts January 1, or December 16 to January 15 for coverage that starts February 1 source
  • 45 CFR 155.420: losing coverage is a triggering event, the loss date is the last day of the old plan's coverage, and the person has 60 days before and 60 days after it to pick a new plan source
  • HealthCare.gov lists "Your individual plan or your Marketplace plan is discontinued (no longer exists)" as a qualifying event for a special enrollment period source
  • 45 CFR 147.106: an insurer that drops a product must give written notice at least 90 calendar days before coverage ends; one that leaves a state's individual market entirely must give at least 180 calendar days notice and cannot return to that market for 5 years source
  • 12 companies sold Wisconsin marketplace plans in 2026, and every one of them has a 2027 individual filing on the federal rate review site source
  • HealthPartners' 2026 Wisconsin marketplace PPO plans were sold in Brown, Outagamie, Winnebago, Waupaca, Waushara, Shawano, Oconto, Kewaunee, Menominee, Florence, Pierce, Polk, St. Croix, Burnett and Douglas counties (CMS 2026 plan data) source
  • In 2026, Fond du Lac County had 1 Wisconsin marketplace company, 16 Wisconsin counties had 2, 32 had 3, 19 had 4 and 4 had 5 (CMS 2026 plan data, counted by company) source

Last checked October 5, 2026. I update this page when the 2027 plan list publishes in late October.

Got a letter? Bring it to the call.

Tell me your county, who's on your plan and what your letter says. I'll show you what's left on the Wisconsin marketplace, price a nationwide PPO next to it, and help you pick before the deadline. I'm licensed in 36 states and work by phone.

Keep reading

Every state on the list, and guides for Wisconsin