ThedaCare runs 7 hospitals in Wisconsin, in Appleton, Berlin, Neenah, New London and 3 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.
Free hospital check
Is ThedaCare in the plan you’re looking at? I’ll check for you.
Enter your ZIP code. I’ll check ThedaCare, 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.
- Your ZIP code
- Who to check — ThedaCare is filled in
- 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 ThedaCare. I’ll check the 2027 plans for you before you choose.
Where ThedaCare is
7 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 |
|---|---|---|---|
| ThedaCare Medical Center - Berlin Inc | Berlin | Green Lake County | Yes |
| ThedaCare Regional Medical Center - Appleton Inc | Appleton | Outagamie County | Yes |
| ThedaCare Medical Center - Shawano | Shawano | Shawano County | Yes |
| ThedaCare Medical Center - New London | New London | Waupaca County | Yes |
| ThedaCare Medical Center-Waupaca | Waupaca | Waupaca County | Yes |
| ThedaCare Medical Center - Wild Rose | Wild Rose | Waushara County | Yes |
| ThedaCare Regional Med Ctr - Neenah | Neenah | Winnebago County | Yes |
Why no page can promise your plan covers ThedaCare
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 ThedaCare accepts" is describing one plan on one day, and not saying which.
What is knowable is the shape of the market: 7 insurers file 222 plans across the 6 counties below, and some plans in Shawano County are PPOs, which pay something out of network; the rest (EPO, HMO, POS) generally do not.
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 ThedaCare 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.
| County | Insurers filing | Plans filed | PPO sold | Benchmark Silver, age 40 | Family of 4, per month |
|---|---|---|---|---|---|
| Green Lake County | 3 | 36 | No | $603 | $1,926 |
| Outagamie County | 3 | 30 | Yes | $526 | $1,681 |
| Shawano County | 5 | 54 | Yes | $541 | $1,730 |
| Waupaca County | 3 | 30 | Yes | $526 | $1,681 |
| Waushara County | 4 | 42 | Yes | $526 | $1,681 |
| Winnebago County | 3 | 30 | Yes | $526 | $1,681 |
In Shawano County the insurers filing are Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Security Health Plan. 5 of these counties have a PPO on the exchange.
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 ThedaCare, 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.
Emergency care is treated differently
7 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.