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

    Common Ground Slide Deck
    Map of Wisconsin showing 2022 Community Health Center Service Area with areas highlighted in peach and striped patterns indicating expansion counties and dental benefit availability.

  • Molina

    Molina 2022 Product Portfolio for Wisconsin

    Molina Slide Deck
    Map of Wisconsin showing counties, color-coded by five regions: Menominee, Green Lake, Washington, Ozaukee, Milwaukee, with county names.

  • 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.

    SHP Slide Deck
    Map of Wisconsin showing service area regions, with different areas marked in blue, yellow, and green.

  • Anthem Blue Cross Blue Sheild

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

    Network Map
    Floor plan showing three rooms labeled Outagamie, Winnebago, and Calumet, with electrical outlet symbols in each room.

  • 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:

    Got to Quartz Slide Deck
    Map of Wisconsin counties highlighted in purple, including Marinette, Oconto, Shawano, Outagamie, Brown, Winnebago, Calumet, Sheboygan, Racine, Kenosha, Manitowoc, Kewaunee, Washington, Ozaukee, Milwaukee, and Walworth.

  • Together with CCHP

    Together with CCHP is available in14 counties in eastern Wisconsin

    CCHP Slide Deck
    A slide titled 'Service Area/Provider Network' listing health care providers in Waukesha County, Wisconsin, including a map with highlighted regions.

Northeastern Wisconsin

  • Common Ground Healthcare Cooperative

    Common Ground offers plans throughout eastern Wisconsin

    Common Ground Slide Deck
    Map of Wisconsin showing 2022 CGHC service areas in orange, expansion counties with diagonal lines, and counties with dental benefits available only for indigent populations in light peach.

  • Molina

    Molina 2022 Product Portfolio for Wisconsin

    Molina Slide Deck
    Map of Wisconsin showing its counties, with a color-coded legend for five different regions labeled Menominee, Green Lake, Washington, Ozaukee, and Milwaukee.

  • 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.

    SHP Slide Deck
    Map of Milwaukee County showing different service areas with color codes: blue for select service area, yellow for simpleOne service area, and green for enrich service area.

  • Anthem Blue Cross Blue Sheild

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

    Network Map
    A map showing Outagamie at the top, Winnebago at the bottom left, and Calumet at the bottom right. Each area has a red circle with an H inside, indicating hospitals.

  • 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:

    Got to Quartz Slide Deck
    Map of central and eastern Wisconsin with certain counties highlighted in dark purple.

  • 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

    CCHP Slide Deck
    Slide displaying information about a healthcare provider network in Wisconsin, including service areas in various counties and listing new providers for 2022, with a map highlighting the counties in blue.

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.

    SHP Slide Deck
    Map of Waukesha County divided into service areas, highlighted in blue, yellow, and green.

  • 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.

    Go to Quartz Slide Deck
    Map showing different school districts in Wisconsin, with labels for Quartz One, Beloit One, and Tiered Choice Plus.

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.

    Go to MKEN Chart
    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.

    Watch Recorded Presentation
    A PowerPoint slide showing the title 'Milwaukee QHP Panel' with the date October 22, 2021. To the right, there is a photo of three people standing indoors, including a woman and two children, one boy and one girl.

  • 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

    Go to MKEN Folder

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.

    Go to Quartz Slide Deck
    Map of the United States showing two regions. The upper region highlights certain states in the Midwest with labels 'Quartz One' and 'Tiered Choice Plus'. The lower region highlights several states in the Midwest and Great Plains with the label 'Tiered Choice Plus'.

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.

    Go to Quartz Slide Deck
    Map of Wisconsin with regions labeled for Quartz One and Tiered Choice Plus