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What insurance does Aspirus Health accept?

Aspirus Health serves Eagle River, Medford, Merrill, Portage and 6 more in Wisconsin. Which insurers file plans there, what the plan data actually shows, and how to verify your own plan.

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Aspirus Health runs 10 hospitals in Wisconsin, in Eagle River, Medford, Merrill, Portage and 6 more. Whether a marketplace plan covers any one of them depends on the individual plan, not on the carrier's name, and it can change during the year. Here is what is actually knowable, and how to settle it for your own plan.

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Is Aspirus Health in the plan you’re looking at? I’ll check for you.

Enter your ZIP code. I’ll check Aspirus Health, and any doctors you name, against every 2026 marketplace plan filed in your county, then send you the plans that include them and the date I checked. It costs nothing, and I only call if you ask me to.

  1. Your ZIP code
  2. Who to check — Aspirus Health is filled in
  3. My answer, usually the same day

Open Enrollment for 2027 opens November 1. CareSource is leaving Ohio’s marketplace for 2027. If your plan is from CareSource, it ends December 31, and the plan that replaces it may not include Aspirus Health. I’ll check the 2027 plans for you before you choose.

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Where Aspirus Health is

10 facilities, taken from the CMS Hospital General Information file, updated 22 July 2026. Listing a hospital is not a statement about which plans contract with it — that is decided plan by plan.

HospitalCityCountyEmergency room
Aspirus Stanley HospitalStanleyChippewa CountyYes
Aspirus Divine Savior HospitalPortageColumbia CountyYes
Aspirus Merrill HospitalMerrillLincoln CountyYes
Aspirus Tomahawk HospitalTomahawkLincoln CountyYes
Aspirus Wausau HospitalWausauMarathon CountyYes
Aspirus Rhinelander HospitalRhinelanderOneida CountyYes
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens PointPortage CountyYes
Aspirus Medford Hospital & Clinics, IncMedfordTaylor CountyYes
Aspirus Eagle River HospitalEagle RiverVilas CountyYes
Aspirus Riverview Hospital & Clinics IncWisconsin RapidsWood CountyYes

Why no page can promise your plan covers Aspirus Health

Hospital networks are set plan by plan and renegotiated during the year. Two plans from the same insurer, at similar prices, can differ on whether a hospital is in network. Nothing in the public CMS files records hospital contracts, so any page listing "insurers Aspirus Health accepts" is describing one plan on one day, and not saying which.

What is knowable is the shape of the market: 7 insurers file 315 plans across the 9 counties below, and every plan filed in Columbia County for 2026 is a restricted network — EPO, HMO, POS — so out-of-network care is generally limited to emergencies.

Three checks settle it for your own plan: the insurer’s own provider directory for the exact plan name, the hospital’s billing office (ask about the plan, not the carrier), and the date you checked, because the answer can change mid-year.

The 2026 marketplace where Aspirus Health sits

Filed rates for plan year 2026, before any premium tax credit. Benchmark Silver is the second-lowest-cost Silver plan for a 40-year-old, the plan credits are calculated against.

CountyInsurers filingPlans filedPPO soldBenchmark Silver, age 40Family of 4, per month
Chippewa County334No$731$2,336
Columbia County449No$579$1,852
Lincoln County337No$623$1,993
Marathon County446No$623$1,993
Oneida County228No$633$2,022
Portage County228No$623$1,993
Taylor County228No$673$2,150
Vilas County228No$633$2,022
Wood County337No$623$1,993

In Columbia County the insurers filing are Aspirus Health Plan, Dean Health Plan, Group Health Cooperative-SCW, Quartz. No PPO is sold here.

Open Enrollment 2027

Molina is leaving Wisconsin's marketplace for 2027, and Open Enrollment runs 1 November 2026 to 15 January 2027. If your 2026 plan is from Molina, the plan that replaces it is a different plan with its own network. I can check Aspirus Health, and any doctors you name, against the plans filed in your county and send you the ones that include them, with the date I checked.

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Emergency care is treated differently

10 of these locations run an emergency room. Federal law requires marketplace plans to cover emergency care at in-network cost sharing even when the hospital is out of network, so an emergency visit is not the case to worry about. Planned surgery, imaging, maternity and specialist follow-up are where the network matters.

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