MATTHEW A SOLBERG MD
Accepted Insurance for NPI 1578595708
Pediatrics in Wauwatosa, WI
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
MATTHEW A SOLBERG MD, a pediatrics provider in Wauwatosa, WI, is listed as in-network for 102 health insurance plans from 5 insurance companies, led by Quartz, CareSource (Common Ground Healthcare) and UnitedHealthcare. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Aspirus Health Plan
HMO Bronze $0 Medical Deductible
HMO Bronze 10000
HMO Bronze 7500
HMO Catastrophic 10600 with 3 free PCP visits
HMO Gold 2000
HMO Gold 2700
HMO HDHP Silver 5900
HMO Silver 6000
HMO Silver 6600
POS Bronze 7500
POS Bronze 8500
POS Silver 6000
CareSource (Common Ground Healthcare)
CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam
CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded
CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam
CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay)
CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam
CareSource (Common Ground Healthcare) Bronze Standard $7500
CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam
CareSource (Common Ground Healthcare) Gold $0 Ded
CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam
CareSource (Common Ground Healthcare) Gold $3300
CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam
CareSource (Common Ground Healthcare) Gold Standard $2000
CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam
CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded
CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam
CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded
CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam
CareSource (Common Ground Healthcare) Silver Standard $6000
HealthPartners
Oak $1,300 Gold
Oak $2,000 Standard Gold
Quartz
QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED
QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING
QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED
QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED
QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED
QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DED
QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DED
QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING
QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DED
QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DED
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DED
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DED
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $10,150 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $0 MEDICAL DED
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $10,150 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/GUNDERSEN CATASTROPHIC $10,600 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD $4,000 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) $4,000 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE $700 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE (DENTAL & VISION) $700 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $8,000 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $9,000 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $8,000 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $9,000 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $0 MEDICAL DED
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $10,150 DED
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $0 MEDICAL DED
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $10,150 DED
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/UW HEALTH CATASTROPHIC $10,600 DED
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD $4,000 DED
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) $4,000 DED
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE $700 DED
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE (DENTAL & VISION) $700 DED
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $8,000 DED
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $9,000 DED
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $8,000 DED
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $9,000 DED
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER STANDARD EASY PRICING
UnitedHealthcare
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)
UHC Bronze Standard (No Referrals)
UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
UHC Gold Standard (No Referrals)
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)
UHC Silver Standard (No Referrals)
UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)
UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals)
Coverage Questions FAQs
Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.
What insurance does MATTHEW A SOLBERG MD accept?
Marketplace files for the 2026 plan year list MATTHEW A SOLBERG MD as in-network for 102 plans from 5 insurance companies. The largest networks are Quartz (57 plans), CareSource (Common Ground Healthcare) (18 plans), UnitedHealthcare (13 plans), followed by 2 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is MATTHEW A SOLBERG MD enrolled in Medicare?
The CMS enrollment files for this NPI show a PECOS enrollment record, which certifies the provider to order, refer, and prescribe for Medicare beneficiaries. The files do not currently show a Medicare assignment indicator; verify Medicare participation directly with the practice.
What network types does MATTHEW A SOLBERG MD participate in?
The accepted plans include 79 HMO plans, 18 EPO plans, 3 POS plans and 2 PPO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals.
Where does this insurance data come from and how current is it?
Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.
