Qualified Health Plans on the Marketplace

Want to learn more about the plans offered to Wisconsin consumers on the Marketplace? Look no further.

 
 
  • Use the map from OCI to find which insurance companies offer comprehensive health insurance plans to individuals and families in each county. These plans are designed for individuals and families who purchase their own coverage through Marketplace or direct for the insurer.

  • See this document for the recommended contacts at each health plan for Navigators and CACs with consumer-specific inquiries, regionally specific questions, local event opportunities, etc.

  • Scroll down through this webpage to find materials from insurers about plans offered on the Marketplace in 2022.

 

Northeastern Wisconsin

  • Common Ground Healthcare Cooperative

    Common Ground offers plans throughout eastern Wisconsin

  • Molina

    Molina 2022 Product Portfolio for Wisconsin

  • Security Health Plan

    SimplyOne plan for residents in Adams, Clark, Florence, Forest, Juneau, Langlade, Lincoln, Marathon, Menominee, Oneida, Portage, Price, Shawano, Taylor, Vilas, Waupaca and Wood counties we are offering a new plan:SimplyOne. This plan features access to providers within the Marshfield Clinic Health System.

  • Anthem Blue Cross Blue Sheild

    2022 Wisconsin Pathways Network available in Outagamie, Winnebago, Calumet, Washington Ozaukee, Waukesha, Milwaukee, Racine and Kenosha.

  • Quartz One with Aurora Health Care

    The Quartz One network partners with Aurora Health Care in Eastern Wisconsin to feature top-rated providers in the Aurora Health Care system, along with UW Health, UnityPoint-Meriter and others. The network expands into Illinois, Iowa, and Minnesota. You can enroll in this plan if you reside in one of the 15 counties below:

  • Together with CCHP

    Together with CCHP is available in14 counties in eastern Wisconsin

Northeastern Wisconsin

  • Common Ground Healthcare Cooperative

    Common Ground offers plans throughout eastern Wisconsin

  • Molina

    Molina 2022 Product Portfolio for Wisconsin

  • Security Health Plan

    SimplyOne plan for residents in Adams, Clark, Florence, Forest, Juneau, Langlade, Lincoln, Marathon, Menominee, Oneida, Portage, Price, Shawano, Taylor, Vilas, Waupaca and Wood counties we are offering a new plan:SimplyOne. This plan features access to providers within the Marshfield Clinic Health System.

  • Anthem Blue Cross Blue Sheild

    2022 Wisconsin Pathways Network available in Outagamie, Winnebago, Calumet, Washington Ozaukee, Waukesha, Milwaukee, Racine and Kenosha.

  • Quartz One with Aurora Health Care

    The Quartz One network partners with Aurora Health Care in Eastern Wisconsin to feature top-rated providers in the Aurora Health Care system, along with UW Health, UnityPoint-Meriter and others. The network expands into Illinois, Iowa, and Minnesota. You can enroll in this plan if you reside in one of the 15 counties below:

  • Together with CCHP

    Together with CCHP is an EPO, available on and off Exchange and covers EHB as prescribed by the ACA

    Together with CCHP is available in14 counties in eastern Wisconsin

Central

  • Security Health Plan

    SimplyOne Plans for residents in Adams, Clark, Florence, Forest, Juneau, Langlade, Lincoln, Marathon, Menominee, Oneida, Portage, Price, Shawano, Taylor, Vilas, Waupaca and Wood.

    Select Plans available in Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Douglas, Dunn, Eau Claire, Iron, Jackson, Pepin, Rusk, Sawyer, Trempealeau and Washburn.

    Enrich available exclusively in Dodge County.

  • Quartz

    Tiered Choice Plus: Adams, Buffalo, Columbia, Crawford, Dodge, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Lafayette, Marquette, Monroe, Richland, Sauk, Trempealeau, Vernon, Walworth, Waukesha and Waushara counties.

    Quartz One: Dane, LaCrosse, Chippewa, Eau Claire, Pepin counties.

    Beliot One: Rock county only.

Milwaukee Metro

  • Qualified Health Plan Networks in the 2022 Marketplace in Milwaukee County

    This chart shows the provider networks for each plan. When you pick your insurance plan, make sure it has doctors, clinics and hospitals you use or want. If you use providers that are not in your insurance’s network, you might pay more for your care.

    MKEN Chart
  • Milwaukee QHPs Presentation

    In October 2022 MKEN hosted their annual Qualified Health Plan (QHP) panel. Six QHPs presented their Marketplace plans for the 2022 year.

  • Milwaukee QHP Documents

    Within MKEN’s shared folder you will find QHP panelists' slides, a link to a recording of our panel, as well as individual materials provided by the QHP carriers.

    All materials have been uploaded and organized in one google drive folder for you to be able to bookmark and download from for quick and easy access

    Network Health
    Common Ground Healthcare Cooperative Molina Healthcare
    Together with CCHP
    Quartz
    Anthem Blue Cross Blue Shield

Western Wisconsin

  • Quartz

    Tiered Choice Plus: Adams, Buffalo, Columbia, Crawford, Dodge, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Lafayette, Marquette, Monroe, Richland, Sauk, Trempealeau, Vernon, Walworth, Waukesha and Waushara counties.

    Quartz One: Dane, LaCrosse, Chippewa, Eau Claire, Pepin.

Western Wisconsin

  • Quartz

    Tiered Choice Plus: Adams, Buffalo, Columbia, Crawford, Dodge, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Lafayette, Marquette, Monroe, Richland, Sauk, Trempealeau, Vernon, Walworth, Waukesha and Waushara counties.

    Quartz One: Dane, LaCrosse, Chippewa, Eau Claire, Pepin.