Compare ACA marketplace and private plans across the Madison area — with a Wisconsin-licensed agent who knows the local carrier networks.
Not a government marketplace. Health Enrollment Center is operated by Sprinter Insurance Agency LLC.
If you live in the Madison area — covering Dane County — your health insurance options and pricing are shaped by the carriers and provider networks operating locally. Two plans with the same premium can have very different hospital and specialist networks, which is exactly where a good agent earns their keep.
Madison revolves around the academic UW Health, with SSM Health (St. Mary's) and the local Group Health Cooperative, which is both a system and an insurer. Because several carriers here are tied to specific systems, the plan you pick can steer which hospital you use.
Wisconsin uses the federal marketplace, HealthCare.gov, for individual ACA enrollment. Wisconsin did not adopt ACA Medicaid expansion, but its BadgerCare Plus program covers adults up to 100% of the poverty line — so unlike other non-expansion states it has no coverage gap, and marketplace subsidies begin right at 100% FPL.
We're licensed in Wisconsin and quote Madison residents every week. We'll compare marketplace plans (with any premium tax credit you qualify for) against private off-marketplace options, check that your doctors and preferred hospitals are in-network, and enroll you over the phone — at no cost.
These systems operate in the area. Which ones a given plan actually contracts with varies by carrier and by plan — we check your specific doctors and hospitals before you enroll.
These companies offer individual and family health plans in Madison. We're an independent agency, not an insurance company, and we don't offer every plan available here. Tell us which doctors and hospitals matter to you and we'll show you what we can quote.
Don't see yours? Call a licensed agent — most answers take under two minutes.
Premiums in the Madison area depend on your age, household size and income, and the specific plan. Many residents are found eligible for a premium tax credit that lowers the marketplace price substantially, while households above the income range pay full price. A licensed agent will price your exact ZIP in Dane County in a few minutes.
Carriers active in the Madison area include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground), Dean Health Plan, Group Health Cooperative of South Central Wisconsin and others, though the exact lineup and networks vary by county. We're an independent agency rather than a single carrier's captive shop, but we don't offer every plan sold here — tell a licensed agent which doctors you need and they'll tell you what we can quote.
The largest systems in the area include UW Health, SSM Health and Group Health Cooperative of South Central Wisconsin. Whether a specific plan contracts with a specific system varies — the same carrier may include one system on its PPO and exclude it from its HMO — so we check your actual doctors and hospitals against the plan you're considering instead of assuming a network from the carrier's name.
No. We're a licensed insurance agency paid by the carriers, not by you. The premium of any plan is identical whether you enroll through us or directly with the insurer — you just also get an agent who handles renewals and claims questions.
No. Health Enrollment Center is a brand operated by Sprinter Insurance Agency LLC, a private licensed insurance agency. We are not HealthCare.gov, not a state exchange, and not affiliated with any government agency. We help you enroll in marketplace plans when they're the best fit, and we also show private plans the marketplace doesn't carry.
Start with your ZIP. Two quick questions, then a licensed agent brings you the plans you actually qualify for — no cost, no obligation.