Wisconsin 2016 Health Insurance Rates Released by Federal Government

Wisconsin Was Only State Which Did Not Release in Advance

STATEWIDE: Late last night Healthcare.gov launched its comparison tool, for the first time releasing the 2016 health insurance rates for Wisconsin. As Citizen Action of Wisconsin revealed 10 days ago, Wisconsin was the only state not to release actual rates in advance for the individual and small group markets.

Citizen Action of Wisconsin conducted a preliminary review of the numbers in order to give health consumers more timely information than has been provided by their own state government.

Wisconsin has long been one of the most expensive states for health insurance in the country, and moderate premium increases are still quite sizable in dollar terms because they start from a higher base. This year’s numbers indicate there is a much larger increase in deductibles than premiums, shifting more cost onto Wisconsin health consumers who buy insurance on their own. 

Key Findings (full metro area charts below)

  1. Comparing the most common health plan (2nd lowest cost silver) for a 40 year old within Wisconsin metro areas, premiums are increasing on average only 4.2% from last year.

  2. Deductibles are increasing a stunning 40% on average for this same group.

  3. Increases vary dramatically across the state. Sheboygan premiums are falling 27% while Hudson premiums are increasing 52% from last year.

  4. While deductibles for the most common health plan fell in cities like Madison, deductibles are increasing by $4,000 on average in Milwaukee and Racine.

“These new numbers are further proof that Governor Walker and the Legislature need to get to work to address high insurance costs,” said Robert Kraig, Executive Director of Citizen Action of Wisconsin. “Walker and the Legislature’s insistence on wasting time and money trying to undermine the Affordable Care Act, rather than working together to tackle costs, is proving costly for health consumers.”

Figure 1: Premium change, 2nd lowest cost silver for 40 year old, by Metro.

METRO

2016 premiums, monthly

 

Percent change since 2015

Madison

$254

+ 0.1%

Appleton

$254

- 6.5%

Janesville/Beloit

$254

+ 0.1%

Fond du Lac

$267

- 1.3%

Sheboygan

$267

- 29.5%

Manitowoc

$296

+ 7.9%

Waukesha

$296

- 1.2%

Green Bay

$305

+ 11.2%

Oshkosh

$310

+ 13.4%

Milwaukee

$326

- 2.0%

Wausau

$339

+ 10.4%

Stevens Point/Wis Rapids

$339

+ 7.9%

Rhinelander

$347

-1.0%

Racine

$347

+ 10.4%

Superior

$355

-1.7%

La Crosse

$360

- 4.1%

Eau Claire

$369

+ 12.0%

Kenosha

$370

+ 17.7%

Hudson

$413

+ 52.0%

AVERAGE OF ABOVE METROS*

$319

+ 4.2%

* - comparison of metros treats Wisconsin Rapids (Wood Co) and Stevens Point (Portage Co) as one area as they occupy the same rating area, have same rates, same number of plans and same number of insurers.

 

Figure 2: Medical deductible change, 2nd lowest cost silver for 40 year old, by Metro.

METRO

2016 deductible, annual

 

Dollar change since 2015

Madison

$3,400

- $600

Appleton

$3,400

+ $900

Janesville/Beloit

$3,400

- $600

Fond du Lac

$4,500

$0

Sheboygan

$4,500

+ $1,900

Manitowoc

$5,150

+ $2,650

Waukesha

$4,500

$0

Green Bay

$5,150

+ $2,650

Oshkosh

$3,500

+ $500

Milwaukee

$6,500

+ $4,000

Wausau

$6,850

+ $2,350

Stevens Point/Wis Rapids

$6,850

+ $3,350

Rhinelander

$4,500

$0

Racine

$6,500

+ $4,000

Superior

$2,500

+ $500

La Crosse

$4,125

+ $1,125

Eau Claire

$2,500

+ $500

Kenosha

$3,000

+ $500

Hudson

$2,600

+ $100

AVERAGE OF ABOVE METROS*

$4,390

+ $1,253 (+40%)

* - comparison of metros treats Wisconsin Rapids (Wood Co) and Stevens Point (Portage Co) as one area as they occupy the same rating area, have same rates, same number of plans and same number of insurers.


Media Contacts

Robert Kraig (414) 322-5324 robert.kraig@citizenactionwi.org

Kevin Kane (414) 550 8280, kevin.kane@citizenactionwi.org

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