Free hospital check
Is Aspirus Health in your plan? Get a free check.
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“I run my own business and my time is valuable. Daniel handled everything — compared the private options, explained what I was actually getting, and had me covered fast. Way better experience than trying to navigate it myself.”
How the check works: a licensed agent checks Aspirus Health, and any doctors you name, against every 2026 marketplace plan filed in your county, then sends you the plans that include them and the date it was checked. It costs nothing, and you only get a call if you ask for one.
- Your ZIP code
- Who to check — Aspirus Health is filled in
- Your answer, usually the same day
Open Enrollment for 2027 runs November 1 to January 15: choose by December 15 for coverage from January 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. A licensed agent will check the 2027 plans for you before you choose.
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.
Insurance at Aspirus Health: the short answer
These 7 insurers sell 2027 marketplace plans in the 9 counties it serves: Anthem Blue Cross and Blue Shield, Medica, Security Health Plan, Aspirus Health Plan, Dean Health Plan, Group Health Cooperative-SCW and Quartz.
That is not a list of plans Aspirus Health accepts. Hospitals contract with individual plans, not whole insurers, so the same insurer can sell one plan that includes Aspirus Health and another that doesn’t. The answer that counts is a check of your exact plan, dated. Get my free hospital check ↑
Searching for MetLife, Delta Dental or Renaissance? Those are dental insurers: dental plans cover teeth, not hospital care. If you want dental coverage too, see dental insurance for individuals.
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.
| Hospital | City | County | Emergency room | CMS star rating | Type | Ownership |
|---|---|---|---|---|---|---|
| Aspirus Stanley Hospital | Stanley | Chippewa County | Yes | Not rated | Critical access | Non-profit |
| Aspirus Divine Savior Hospital | Portage | Columbia County | Yes | 3 of 5 | Acute care | Non-profit |
| Aspirus Merrill Hospital | Merrill | Lincoln County | Yes | Not rated | Critical access | Non-profit |
| Aspirus Tomahawk Hospital | Tomahawk | Lincoln County | Yes | Not rated | Critical access | Non-profit |
| Aspirus Wausau Hospital | Wausau | Marathon County | Yes | 4 of 5 | Acute care | For-profit |
| Aspirus Rhinelander Hospital | Rhinelander | Oneida County | Yes | 3 of 5 | Acute care | Non-profit |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Stevens Point | Portage County | Yes | 4 of 5 | Acute care | Non-profit |
| Aspirus Medford Hospital & Clinics, Inc | Medford | Taylor County | Yes | Not rated | Critical access | Non-profit |
| Aspirus Eagle River Hospital | Eagle River | Vilas County | Yes | Not rated | Critical access | Non-profit |
| Aspirus Riverview Hospital & Clinics Inc | Wisconsin Rapids | Wood County | Yes | 3 of 5 | Acute care | Non-profit |
CMS star rating is the federal overall hospital quality rating, 1 to 5, from the same July 2026 CMS file. Small rural (critical access) hospitals often have too few reported measures to be rated.
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 237 plans across the 9 counties below, and every plan filed in Columbia County for 2027 is a restricted network — HMO, POS — so out-of-network care is limited: an HMO pays only for emergencies, and a POS pays part of an out-of-network bill.
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 2027 marketplace where Aspirus Health sits
Filed rates for plan year 2027, 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.
| County | Insurers filing | Plans filed | PPO sold | Benchmark Silver, age 40 | Family of 4, per month |
|---|---|---|---|---|---|
| Chippewa County | 3 | 25 | No | $823 | $2,631 |
| Columbia County | 4 | 48 | No | $738 | $2,360 |
| Lincoln County | 3 | 28 | No | $748 | $2,393 |
| Marathon County | 3 | 28 | No | $748 | $2,393 |
| Oneida County | 2 | 20 | No | $756 | $2,418 |
| Portage County | 2 | 20 | No | $748 | $2,393 |
| Taylor County | 2 | 20 | No | $772 | $2,468 |
| Vilas County | 2 | 20 | No | $756 | $2,418 |
| Wood County | 3 | 28 | No | $748 | $2,393 |
In Columbia County the insurers filing are Aspirus Health Plan, Dean Health Plan, Group Health Cooperative-SCW, Quartz. No PPO is sold here.
How many providers each insurer lists in Chippewa County
Every insurer selling marketplace plans has to publish its provider directory as a data file. The figures count the doctors, clinics and hospitals each one lists at an address in Chippewa County, across the 2026 plans it filed there. Anthem Blue Cross and Blue Shield lists the most, 872. Medica lists the fewest, 812.
| Insurer | Providers listed in Chippewa County | Plans filed |
|---|---|---|
| Anthem Blue Cross and Blue Shield | 872 | 9 |
| Security Health Plan | 841 | 16 |
| Medica | 812 | 9 |
From each insurer’s own CMS machine-readable provider directory, downloaded September 25, 2026. A bigger number is not a promise about Aspirus Health. These files are self-reported, they go stale, and one insurer’s plans do not all use the same network — which is why a licensed agent checks the exact plan against Aspirus Health by hand above.
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. A licensed agent 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 it was checked.
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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