Health Insurance in Appleton, WI

Health Insurance Carriers in Appleton, WI

Residents of Appleton can compare plans from: Common Ground Healthcare Cooperative, Dean Health Plan, Security Health Plan, Medica, WPS Health Insurance, Quartz Health Plan. The leading carrier in the Appleton area is Quartz Health Plan. Plan availability varies by ZIP code — always check your specific address for available options.

Appleton is in the Fox Valley region of Wisconsin, primarily served by ThedaCare, a regional health system. Quartz Health Plan (formerly Unity Health Insurance) has a strong presence in the Fox Valley market.

2026 Plan Data for Residents in Appleton

Here is what is actually filed and for sale in Outagamie County for 2026.

• Appleton sits in Outagamie County, where 3 carrier(s) have filed 30 plans for 2026: Anthem Blue Cross and Blue Shield, HealthPartners, Network Health.
• Plan types available to Appleton residents: HMO, PPO.
• One of the lower-cost Silver options is Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) from Anthem Blue Cross and Blue Shield — $573/month at age 40 with a $6,000 deductible and $40 primary care.

Source: CMS Plan Year 2026 Qualified Health Plan Landscape file. Full-price filed rates before premium tax credits; not a quote or an offer of coverage. Verify current rates at enrollment.

Local Hospitals in Appleton, WI

Medicare’s hospital directory lists these acute-care hospitals in Appleton:

• Ascension Ne Wisconsin – St. Elizabeth Campus
• ThedaCare Regional Medical Center – Appleton

Which plans include each hospital varies by plan and year, not just by insurer. Before you enroll, confirm that your doctors and preferred hospital are in-network for the specific plan ID you choose. We do this check for every client at no charge.

Urgent Care in Appleton

• ThedaCare Urgent Care Appleton
• Ascension Medical Group Urgent Care Appleton
• AFC Urgent Care Appleton

Subsidies and Medicaid in Appleton

ACA premium tax credits are available for Appleton residents with income between 100% and 400% FPL (~$15,650–$62,600 for a single adult in 2026). Contact a licensed broker to determine your eligibility based on your household size and income.

Appleton Health Insurance Market Profile

• Population: 78K
• County: Outagamie County
• Median Household Income: $65,000 (~415% of the 2026 FPL)
• Marketplace: healthcare.gov