Accepted Insurance

 

The following plans offer in-network access to Aspirus in 2026.

Aspirus Network contracts with most Payors in the region. These Payors include health maintenance organizations (HMOs), preferred provider organizations (PPOs), and network only or "broker" arrangements. We also contract directly with employers and community business coalitions.

Please note coverage limitations are dependent on individuals and/or employer group contracts. To verify participation status in your health insurance plan, please refer to the information on the back of your health insurance identification card or check with your insurance carrier.

Aetna Health Plan

Aetna Medicare ESA, Extended Service Area Product (group retiree solution).

  • Medicare Advantage HMO

The Alliance Employer Cooperative

Regional self-insured employer coalition representing multiple employers located throughout the Aspirus Network geographical area, specifically Central Wisconsin and Dane County; health benefit plans administered by various TPAs (Third Party Administrators).

Aspirus Health Plan of Wisconsin 

Wisconsin regional health insurance plan; promotes Aspirus Network, Inc. in North Central Wisconsin.

  • Aspirus Health Plan Individual, Small, and Large Group Plans 
  • Aspirus Health Plan Medicare Advantage Plans

CIGNA

National health insurance plan with participation in PPO and Open Access Plus benefit plans; behavioral health services are not included in this contract.

First Health

National rental PPO network.

Group Health Cooperative of Eau Claire

Wisconsin regional health insurance plan: participation in the Medicaid HMO is an OPT-IN or voluntary basis only.

  • Commercial HMO
  • Medicaid HMO BadgerCare Plus / Medicaid SSI

HealthPartners

Minnesota health insurance plan, licensed to sell plans in western and north central Wisconsin.

  • Commercial PPO

Humana

National health insurance plan.

  • Medicare Advantage HMO / PPO / POS
  • Medicare Advantage Network PFFS

Claritev (Formerly MultiPlan, Inc.)

National PPO rental network offered to self-insured employers; health benefit plans administered by various TPAs and includes other networks under this contract.

  • Aetna - Commercial PPO
  • HealthEOS - Commercial PPO (Wisconsin statewide)
  • PHCS (including Beech Street) - Commercial PPO

OptumServe – VA Community Care Program

National partnership with the U.S. Department of Veterans Affairs through VA’s Community Care Network.

Security Health Plan (SHP)

Wisconsin regional health insurance plan; note ancillary DME, ancillary behavioral health providers.

  • Commercial HMO
  • Medicare Advantage HMO
  • Medicaid - BadgerCare plus

UnitedHealthcare (UHC)

National health insurance plan: behavioral health services are not included in this contract.

  • Commercial HMO / PPO / POS / EPO
  • Medicare Advantage HMO / PPO
  • Affordable Care Act (ACA) on/off Exchange Plans
  • Medicaid HMO BadgerCare Plus / Medicaid SSI

Wisconsin Physician's Service (WPS)

Statewide health insurance plan.

  • PPO / POS / EPO
  • FOCUS (exclusively offers Aspirus Network)
  • Affordable Care Act (ACA) on/off Exchange Plan

TriWest Healthcare Alliance

  • Only for the Wisconsin Region
  • Military, Veterans, & Families Receive Care Through the Network
  • Submit your questions regarding our negotiations with Anthem Wisconsin. 

    Submit a Question