MATTHEW A SOLBERG MD
Accepted Insurance for NPI 1578595708
Pediatrics in Wauwatosa, WI
Active since July 07, 2006PECOS Enrolled
Does Dr. Solberg take my insurance?
135 Wisconsin plans sold on HealthCare.gov for 2027 include Dr. Solberg, from Quartz, CareSource (Common Ground Healthcare), Anthem Blue Cross and Blue Shield and 4 other insurers.
Call before you book: insurer directories can be out of date, so call the office at (414) 771-7900 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed. The NPPES record lists a Wisconsin Medicaid ID; ask the office which Medicaid plans it takes.
No plans match your search or filters.
Wisconsin plans 135 plans · 178 plan IDs
Plans sold to Wisconsin residents. Costs are for the standard version of each plan. Insurers often sell the same plan under several plan IDs, one per service area; those share one row.
Quartz
Quartz One Achieve network · 38 plans · Preferred tier
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE $700 DEDNetwork tier: PreferredHMOGold$70037833WI0510319View details
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE (DENTAL & VISION) $700 DEDNetwork tier: PreferredHMOGold$70037833WI0380319View details
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE $700 DEDNetwork tier: PreferredHMOGold$70037833WI0510194View details
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE (DENTAL & VISION) $700 DEDNetwork tier: PreferredHMOGold$70037833WI0380194View details
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOGold$2,50037833WI0380320View details
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD STANDARD EASY PRICINGNetwork tier: PreferredHMOGold$2,50037833WI0510320View details
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOGold$2,50037833WI0380196View details
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD STANDARD EASY PRICINGNetwork tier: PreferredHMOGold$2,50037833WI0510196View details
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD $4,250 DEDNetwork tier: PreferredHMOGold$4,25037833WI0510318View details
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) $4,250 DEDNetwork tier: PreferredHMOGold$4,25037833WI0380318View details
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD $4,250 DEDNetwork tier: PreferredHMOGold$4,25037833WI0510268View details
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) $4,250 DEDNetwork tier: PreferredHMOGold$4,25037833WI0380268View details
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOSilver$6,40037833WI0380323View details
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER STANDARD EASY PRICINGNetwork tier: PreferredHMOSilver$6,40037833WI0510323View details
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOSilver$6,40037833WI0380274View details
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER STANDARD EASY PRICINGNetwork tier: PreferredHMOSilver$6,40037833WI0510200View details
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $8,500 DEDNetwork tier: PreferredHMOSilver$8,50037833WI0510321View details
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $8,500 DEDNetwork tier: PreferredHMOSilver$8,50037833WI0380321View details
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $8,500 DEDNetwork tier: PreferredHMOSilver$8,50037833WI0510272View details
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $8,500 DEDNetwork tier: PreferredHMOSilver$8,50037833WI0380272View details
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $9,900 DEDNetwork tier: PreferredHMOSilver$9,90037833WI0510343View details
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $9,900 DEDNetwork tier: PreferredHMOSilver$9,90037833WI0380343View details
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $9,900 DEDNetwork tier: PreferredHMOSilver$9,90037833WI0510342View details
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $9,900 DEDNetwork tier: PreferredHMOSilver$9,90037833WI0380342View details
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DEDNetwork tier: PreferredHMOExpanded Bronze$037833WI0510325View details
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $0 MEDICAL DEDNetwork tier: PreferredHMOExpanded Bronze$037833WI0380325View details
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $0 MEDICAL DEDNetwork tier: PreferredHMOExpanded Bronze$037833WI0510204View details
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $0 MEDICAL DEDNetwork tier: PreferredHMOExpanded Bronze$037833WI0380204View details
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOExpanded Bronze$7,50037833WI0380326View details
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE STANDARD EASY PRICINGNetwork tier: PreferredHMOExpanded Bronze$7,50037833WI0510326View details
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOExpanded Bronze$7,50037833WI0380275View details
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE STANDARD EASY PRICINGNetwork tier: PreferredHMOExpanded Bronze$7,50037833WI0510205View details
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $10,800 DEDNetwork tier: PreferredHMOExpanded Bronze$10,80037833WI0510340View details
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $10,800 DEDNetwork tier: PreferredHMOExpanded Bronze$10,80037833WI0380340View details
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $10,800 DEDNetwork tier: PreferredHMOExpanded Bronze$10,80037833WI0510338View details
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $10,800 DEDNetwork tier: PreferredHMOExpanded Bronze$10,80037833WI0380338View details
QUARTZ ONE ACHIEVE W/GUNDERSEN CATASTROPHIC $12,000 DEDNetwork tier: PreferredHMOCatastrophic$12,00037833WI0540089View details
QUARTZ ONE ACHIEVE W/UW HEALTH CATASTROPHIC $12,000 DEDNetwork tier: PreferredHMOCatastrophic$12,00037833WI0540008View details
Quartz Gundersen Performance network · 19 plans · Preferred tier
QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DEDNetwork tier: PreferredHMOGold$70037833WI0510305View details
QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DEDNetwork tier: PreferredHMOGold$70037833WI0380305View details
QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOGold$2,50037833WI0380281View details
QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICINGNetwork tier: PreferredHMOGold$2,50037833WI0510281View details
QUARTZ GUNDERSEN PERFORMANCE GOLD $4,250 DEDNetwork tier: PreferredHMOGold$4,25037833WI0510280View details
QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,250 DEDNetwork tier: PreferredHMOGold$4,25037833WI0380280View details
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOSilver$6,40037833WI0380288View details
QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICINGNetwork tier: PreferredHMOSilver$6,40037833WI0510288View details
QUARTZ GUNDERSEN PERFORMANCE SILVER $8,500 DEDNetwork tier: PreferredHMOSilver$8,50037833WI0510284View details
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,500 DEDNetwork tier: PreferredHMOSilver$8,50037833WI0380284View details
QUARTZ GUNDERSEN PERFORMANCE SILVER $9,900 DEDNetwork tier: PreferredHMOSilver$9,90037833WI0510344View details
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,900 DEDNetwork tier: PreferredHMOSilver$9,90037833WI0380344View details
QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DEDNetwork tier: PreferredHMOExpanded Bronze$037833WI0510292View details
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DEDNetwork tier: PreferredHMOExpanded Bronze$037833WI0380292View details
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOExpanded Bronze$7,50037833WI0380289View details
QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICINGNetwork tier: PreferredHMOExpanded Bronze$7,50037833WI0510289View details
QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,800 DEDNetwork tier: PreferredHMOExpanded Bronze$10,80037833WI0510341View details
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,800 DEDNetwork tier: PreferredHMOExpanded Bronze$10,80037833WI0380341View details
QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $12,000 DEDNetwork tier: PreferredHMOCatastrophic$12,00037833WI0540084View details
CareSource (Common Ground Healthcare)
Gold Standard EPO 2500 $30 PCP + Vision ExamNetwork tier: PreferredEPOGold$2,50087416WI0060001View details
Value Gold EPO 3700 $20 PCP + Vision ExamNetwork tier: PreferredEPOGold$3,70087416WI0060006View details
Low Deductible Silver EPO 5300 Ded/5650 Rx Ded $55 PCPNetwork tier: PreferredEPOSilver$5,30087416WI0030023View details
Low Deductible Silver EPO 5300 Ded/5650 Rx Ded $55 PCP + Vision ExamNetwork tier: PreferredEPOSilver$5,30087416WI0060012View details
Value Silver EPO 5700 Ded/6000 Rx Ded $35 PCPNetwork tier: PreferredEPOSilver$5,70087416WI0030047View details
Value Silver EPO 5700 Ded/6000 Rx Ded $35 PCP + Vision ExamNetwork tier: PreferredEPOSilver$5,70087416WI0060011View details
Silver Standard EPO 6400 $40 PCP + Vision ExamNetwork tier: PreferredEPOSilver$6,40087416WI0060002View details
Bronze EPO $0 Ded/3000 Rx Ded $55 PCP HSANetwork tier: PreferredEPOExpanded Bronze$087416WI0030003View details
Bronze EPO $0 Ded/3000 Rx Ded $55 PCP HSA + Vision ExamNetwork tier: PreferredEPOExpanded Bronze$087416WI0060023View details
Bronze Standard EPO 7500 $50 PCP HSANetwork tier: PreferredEPOExpanded Bronze$7,50087416WI0030041View details
Bronze Standard EPO 7500 $50 PCP HSA + Vision ExamNetwork tier: PreferredEPOExpanded Bronze$7,50087416WI0060003View details
Low Premium Bronze EPO 12000 $50 PCP HSANetwork tier: PreferredEPOExpanded Bronze$12,00087416WI0030027View details
Low Premium Bronze EPO 12000 $50 PCP HSA + Vision ExamNetwork tier: PreferredEPOExpanded Bronze$12,00087416WI0060015View details
Anthem Blue Cross and Blue Shield
Pathway and Rx Choice Tiered Network · 5 plans · Participating tier
Anthem Silver Pathway 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$4,00079475WI0550003View details
Anthem Silver Pathway 5500 ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$5,50079475WI0550005View details
Anthem Heart Healthy Bronze Pathway 0 Med Ded HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$079475WI0550007View details
Anthem Bronze Pathway 5000 HSA (3 Free PCP Visits + $0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$5,00079475WI0550002View details
Anthem Bronze Pathway 8000 HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$8,00079475WI0550001View details
Blue Preferred and Rx Choice Tiered Network · 5 plans · Participating tier
Anthem Silver Preferred 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$4,00079475WI0550104View details
Anthem Silver Preferred 5500 ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$5,50079475WI0550102View details
Anthem Heart Healthy Bronze Preferred 0 Med Ded HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$079475WI0550101View details
Anthem Bronze Preferred 5000 HSA (3 Free PCP Visits + $0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$5,00079475WI0550103View details
Anthem Bronze Preferred 8000 HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$8,00079475WI0550106View details
Pathway and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Pathway 2500 Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOGold$2,50079475WI0550031View details
Anthem Silver Pathway 6400 Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$6,40079475WI0550030View details
Anthem Bronze Pathway 7500 HSA Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$7,50079475WI0550029View details
Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Preferred 2500 Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOGold$2,50079475WI0550107View details
Anthem Silver Preferred 6400 Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$6,40079475WI0550108View details
Anthem Bronze Preferred 7500 HSA Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$7,50079475WI0550105View details
UnitedHealthcare
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)Network tier: Non PreferredHMOGold$080180WI0100012View details
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOGold$080180WI0110012View details
UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)Network tier: Non PreferredHMOGold$1,50080180WI0100002View details
UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOGold$1,50080180WI0110002View details
UHC Gold Standard ($0 Insulin, No Referrals)Network tier: Non PreferredHMOGold$2,50080180WI0100010View details
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)Network tier: Non PreferredHMOSilver$3,50080180WI0100020View details
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOSilver$3,50080180WI0110006View details
UHC Silver Value ($0 Virtual Urgent Care, $0 Insulin, No Referrals)Network tier: Non PreferredHMOSilver$5,00080180WI0100008View details
UHC Silver Value+ ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOSilver$5,00080180WI0110004View details
UHC Silver Value- ($0 Virtual Urgent Care, $0 Insulin, No Referrals)Network tier: Non PreferredHMOSilver$5,00080180WI0120002View details
UHC Silver Standard ($0 Insulin, No Referrals)Network tier: Non PreferredHMOSilver$6,40080180WI0100005View details
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)Network tier: Non PreferredHMOBronze$11,75080180WI0100022View details
UHC Bronze Essential- ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)Network tier: Non PreferredHMOBronze$11,75080180WI0120001View details
UHC Bronze Copay Focus $0 Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)Network tier: Non PreferredHMOExpanded Bronze$080180WI0100019View details
UHC Bronze Copay Focus+ $0 Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOExpanded Bronze$080180WI0110005View details
UHC Bronze Standard (HSA, $0 Insulin, No Referrals)Network tier: Non PreferredHMOExpanded Bronze$7,50080180WI0100001View details
Aspirus Health Plan
Listing last updated Mar 6, 2024, over a year agoHMO Bronze $0 Medical DeductibleNetwork tier: AspirussignHMOExpanded Bronze$086584WI0010016View details
HMO Catastrophic 12000 with 3 free PCP visitsNetwork tier: AspirussignHMOCatastrophic$12,00086584WI0010008View details
Network Health
Prestige Gold 50 + 1 Free PCP VisitNetwork tier: PrestigegoldfiftyHMOGold$1,00081413WI0480016View details
Prestige Gold 50 + Dental + Vision + 1 Free PCP VisitNetwork tier: PrestigegoldfiftydvHMOGold$1,00081413WI0460016View details
Prestige Gold Essential + 3 Free PCP VisitsNetwork tier: PrestigegoldessentialHMOGold$1,75081413WI0480013View details
Prestige Gold Essential + Dental + Vision + 3 Free PCP VisitsNetwork tier: PrestigegoldessentialdvHMOGold$1,75081413WI0460013View details
Prestige Silver Essential + 3 Free PCP VisitsNetwork tier: PrestigesilveressentialHMOSilver$4,60081413WI0480011View details
Prestige Silver Essential + Dental + Vision + 3 Free PCP VisitsNetwork tier: PrestigesilveressentialdvHMOSilver$4,60081413WI0460011View details
Prestige Bronze PlusNetwork tier: PrestigebronzeplusHMOExpanded Bronze$7,50081413WI0480002View details
Prestige Bronze Essential + 3 Free PCP VisitsNetwork tier: PrestigebronzeessentialHMOExpanded Bronze$7,75081413WI0480008View details
Prestige Bronze Essential + Dental + Vision + 3 Free PCP VisitsNetwork tier: PrestigebronzeessentialdvHMOExpanded Bronze$7,75081413WI0460008View details
HealthPartners
Listing last updated Aug 28, 2025, over a year agoQuestions about Dr. Solberg’s insurance
What insurance does Dr. Solberg take?
In Wisconsin, Quartz, CareSource (Common Ground Healthcare), Anthem Blue Cross and Blue Shield, UnitedHealthcare, Aspirus Health Plan, Network Health and HealthPartners include Dr. Solberg in 135 Marketplace plans for 2027. Call the office at (414) 771-7900 to confirm your plan before booking.
Is Dr. Solberg accepting new patients?
The insurers that list Dr. Solberg report that Dr. Solberg is accepting new patients. Call the office at (414) 771-7900 to confirm your plan before booking.
Do I need a referral to see Dr. Solberg?
Not under the Wisconsin plans that list Dr. Solberg: the 2027 plan files say a specialist referral is not required.
Does Dr. Solberg accept Medicare?
CMS files show a PECOS enrollment but no Medicare assignment indicator. Ask the office.
About this data
This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.
| Source | What it provides here | Source date |
|---|---|---|
| Insurer provider directory files | Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules. | CareSource (Common Ground Healthcare): Nov 5, 2026 UnitedHealthcare: Nov 3, 2026 Anthem Blue Cross and Blue Shield: Oct 29, 2026 Quartz: Oct 15, 2026 Network Health: Oct 1, 2026 HealthPartners: Aug 28, 2025 Aspirus Health Plan: Mar 6, 2024 |
| CMS Health Insurance Exchange public use files | Plan details and Summary of Benefits links for HealthCare.gov states. | Plan year 2027, Oct 20, 2026 |
- Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
- Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
- Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
- Networks change during the year. Confirm with your insurer or the practice before booking.
