PLANNED PARENTHOOD OF WISCONSIN
Accepted Insurance for NPI 1790959310
Clinic/Center - Ambulatory Family Planning Facility in Manitowoc, WI
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
PLANNED PARENTHOOD OF WISCONSIN, a clinic/center provider in Manitowoc, WI, is listed as in-network for 141 health insurance plans from 4 insurance companies, led by Quartz, Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare). This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Anthem Blue Cross and Blue Shield
Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)
Anthem Bronze Pathway/Lean HSA (+ Incentives)
Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)
Anthem Bronze Preferred/Broad HSA (+ Incentives)
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)
Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)
Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)
Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
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
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
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 PLANNED PARENTHOOD OF WISCONSIN accept?
Marketplace files for the 2026 plan year list PLANNED PARENTHOOD OF WISCONSIN as in-network for 141 plans from 4 insurance companies. The largest networks are Quartz (57 plans), Anthem Blue Cross and Blue Shield (18 plans), CareSource (Common Ground Healthcare) (18 plans), followed by 1 more company. The full list above shows each plan's metal level, network type, and plan IDs.
Is PLANNED PARENTHOOD OF WISCONSIN enrolled in Medicare?
The CMS Medicare enrollment files linked to this NPI do not currently show a Medicare assignment or PECOS enrollment indicator. Registry files can lag recent enrollment changes, so verify Medicare participation directly with the practice.
What network types does PLANNED PARENTHOOD OF WISCONSIN participate in?
The accepted plans include 75 HMO plans, 18 EPO plans and 12 POS 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.
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.
