NEWMedicare Advantage 2027 plans are live in the API.Read the changelog
INSURER

Network Health provider networks, plan by plan.

InPlan holds provider listings for 26 Network Health marketplace (ACA) plans in Wisconsin. Together they hold more than 706,000 provider-plan links, each with the date we read the directory.

InPlan is independent and not affiliated with Network Health. Plan and insurer names appear as the plans publish them.

PLANS WITH LISTINGS
26
STATE
Wisconsin
PLAN YEARS
2026
LATEST READ
2026-10-29

What we hold for Network Health.

Each plan below has a provider directory that lists providers in our data. The API answers from these listings, one provider and one plan at a time, and returns the source type and read date with every answer.

Network Health plans with provider listings, by market
MARKETPLANSSTATESPLAN YEARSPROVIDER-PLAN LINKSLATEST READ
Marketplace (ACA)2612026706,4402026-10-29

How we count: a plan counts when its provider directory lists at least one provider in our data. A provider-plan link is one listing of one provider in one plan. For marketplace plans it counts each plan year and network tier the directory gives; for Medicare Advantage plans it counts each provider once per plan.

Where: Wisconsin.

Plans with provider listings in each state. A Medicare Advantage plan that serves several states counts in each of them.

Network Health plans with provider listings, by state
STATEMARKETPLACE PLANS
Wisconsin26

Example Network Health plans.

5 of the plans we hold, with the plan ID the API takes. Look any plan ID up for free with the plan ID lookup.

Example plans with provider listings
PLANPLAN IDYEARTYPESTATEPROVIDER-PLAN LINKS
Prestige Bronze Essential + Dental + Vision + 3 Free PCP VisitsNetwork Health81413WI04600082026Marketplace (ACA)Expanded Bronze · HMOWisconsin27,571
Prestige Silver Essential + Dental + Vision + 3 Free PCP VisitsNetwork Health81413WI04600112026Marketplace (ACA)Silver · HMOWisconsin27,571
Prestige Gold Essential + Dental + Vision + 3 Free PCP VisitsNetwork Health81413WI04600132026Marketplace (ACA)Gold · HMOWisconsin27,571
Prestige Bronze PlusNetwork Health81413WI04800022026Marketplace (ACA)Expanded Bronze · HMOWisconsin27,571
Prestige Gold 50 + Dental + Vision+ 1 Free PCP VisitNetwork Health81413WI04600162026Marketplace (ACA)Gold · HMOWisconsin27,571
SAMPLE ANSWER

Is Zachary L. Smith, DO in this Network Health plan?

Yes. The directory for 81413WI0460008 lists Zachary L. Smith, DO in Milwaukee, WI. This is the answer the API gives today for that pair, with its source type and the date we read the listing.

Requestany language that speaks HTTP
curl -H "Authorization: Bearer $INPLAN_KEY" \
  "https://api.inplan.io/v1/check?npi=1003048976&plan_id=81413WI0460008"
Response, trimmed200 OK
{
  "npi": "1003048976",
  "plan_id": "81413WI0460008",
  "market": "aca",
  "in_network": true,
  "answer": "listed",
  "plan_year": 2026,
  "source": { "type": "insurer_directory", "as_of": "2026-10-29" }
}
NPI 1003048976PLAN 81413WI0460008

Zachary L. Smith, DO

Gastroenterology · Milwaukee, WI

Listed

PLAN
Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits
INSURER
Network Health
MARKET
Marketplace (ACA), plan year 2026
PLAN TYPE
Expanded Bronze · HMO
NETWORK TIER
PRESTIGEBRONZEESSENTIALDV
SOURCE
insurer_directory · read 2026-10-29
One real answer, as the API returns itCheck another pair
FREE API KEY

Check any provider against Network Health plans.

Send an NPI and a plan ID, get an answer with its evidence. Or ask for every plan that lists a provider. A free key gives 500 calls a month.

Other insurers in the same states

Figures counted 2026-10-30. Sources: provider directories published by insurers and plans; public plan and provider registries.