Wisconsin's healthcare industry integrates a mix of insurance providers and medical service organizations, focusing on affordability and access to care. Companies in this sector deliver plans for individuals, families, businesses, and Medicare recipients, fostering community health through preventive care. Rapid technological advancements and a growing emphasis on telehealth are reshaping patient experiences and broadening access to care. As health needs shift and funding options diversify, the landscape is evolving, creating new opportunities for growth and innovation within this vital industry.


The companies in this listing include various private and corporate entities, ranging from small firms with less than 10 employees to those with thousands. Headquartered in cities like Madison and Milwaukee, these providers have been founded between 1973 and 2020, offering health insurance plans, pharmacy management, and wellness solutions. Each has carved a niche, focusing on specific needs, such as Medicare services or telemedicine, compelling them to contribute significantly to Wisconsin's healthcare offerings.


Discover the leading healthcare companies based in Wisconsin.


Top 19 Healthcare Companies in Wisconsin


1. Network Health WI

  • Website: networkhealth.com
  • Ownership type: Corporate
  • Headquarters: Menasha, Wisconsin, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: November 2011
  • Founded year: 1982
  • Headcount: 201-500
  • LinkedIn: network-health-wi

Network Health WI, based in Menasha, Wisconsin, is a health insurance provider that has been serving the community since 1982. The company specializes in a range of health insurance plans, including Medicare Advantage, employer plans, and individual and family coverage. With a workforce of approximately 409 employees, Network Health emphasizes accessible healthcare coverage tailored to the needs of Wisconsin residents. They are dedicated to enhancing community health through various wellness programs and initiatives. Their local presence allows them to offer personalized service, which is often highlighted by members who appreciate the ability to connect with knowledgeable representatives. Network Health WI also engages in community activities, reinforcing their commitment to building healthy and strong communities in Wisconsin.


2. Quartz Health Solutions

  • Website: quartzbenefits.com
  • Ownership type: Private
  • Headquarters: Fitchburg, Wisconsin, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2016
  • Headcount: 501-1000
  • LinkedIn: quartz-health-solutions

Quartz Health Solutions, based in Fitchburg, Wisconsin, is a private health insurance provider that has been operational since 2016. The company offers a variety of health plans tailored to meet the needs of individuals, families, and groups, as well as specialized options for Medicaid and Medicare recipients. Quartz Health Solutions emphasizes customer service, ensuring that clients receive the necessary support in managing their health and wellness. They are actively involved in community outreach, aiming to improve health outcomes in the areas they serve. Their focus on local engagement and customer satisfaction reflects a commitment to enhancing the healthcare experience for their members. Quartz Health Solutions operates entirely within the United States, with a workforce of approximately 743 employees dedicated to delivering quality health insurance services.


3. Dean Health Plan, Inc.

  • Website: deancare.com
  • Ownership type: Corporate
  • Headquarters: Madison, Wisconsin, United States (USA)
  • Employee distribution: United States (USA) 99%
  • Latest funding: $232.7M, May 2022
  • Founded year: 1983
  • Headcount: 501-1000
  • LinkedIn: dean-health-plan-inc-

Dean Health Plan, Inc., based in Madison, Wisconsin, is a health insurance provider that has been serving the community since 1983. The company offers a range of health plans tailored for individuals, families, and employers, including specialized Medicare Advantage plans. With a workforce of approximately 487 employees, Dean Health Plan is committed to facilitating access to essential medical services for its members. The company operates primarily within the United States, with a significant focus on the Wisconsin market. Dean Health Plan has established a robust network that includes over 2,400 providers and 28 hospitals, ensuring that members have access to quality care. The company has also received substantial funding, amounting to $232.7 million in May 2022, which underscores its ongoing relevance and potential for growth in the healthcare industry.


4. MercyCare Insurance Company, Inc.


MercyCare Insurance Company, Inc., founded in 1994 and based in Janesville, Wisconsin, is a private health insurance provider. The company offers a variety of health plans tailored to meet the needs of individuals, families, and businesses. Their offerings include marketplace plans for both Illinois and Wisconsin, direct individual and family plans, and employer-sponsored options. Additionally, MercyCare provides Medicare services, including Medigap plans, catering to the senior population. The company emphasizes wellness and preventive care through programs like the Stay Healthy Incentive Program, which targets large groups in Illinois. MercyCare is dedicated to ensuring access to medical care and financial protection against health-related costs, making it a vital resource for its members. The company operates without reported funding, indicating a self-sustaining business model.


5. Aspirus Health Plan

  • Website: aspirushealthplan.com
  • Ownership type: Private
  • Headquarters: Wausau, Wisconsin, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2016
  • Headcount: 51-200
  • LinkedIn: aspirus-arise

Aspirus Health Plan, based in Wausau, Wisconsin, is a private health insurance provider that was established in 2016. The company specializes in offering a variety of health insurance plans tailored to meet the needs of individuals, families, and businesses. Their offerings include Medicare Advantage plans, Individual & Family Plans, and Employer Group Plans. Aspirus Health Plan emphasizes quality service and support, aiming to help members manage their healthcare expenses effectively. The company operates with a focus on affordability and accessibility, providing a robust provider network and various resources to assist members in navigating their health insurance options. Aspirus Health Plan is also recognized for its commitment to preventive care, offering 100% coverage for preventive services through in-network providers. The company has received accreditation from the National Committee for Quality Assurance (NCQA) for its commercial and exchange products, reflecting its dedication to clinical quality and member satisfaction.


6. MHS Health Wisconsin

  • Website: mhswi.com
  • Ownership type: Private
  • Headquarters: West Allis, Wisconsin, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 1984
  • Headcount: 51-200
  • LinkedIn: mhshealthwisconsin

MHS Health Wisconsin, founded in 1984 and based in West Allis, Wisconsin, is a private health insurance provider specializing in Medicaid and Medicare Advantage plans. The company serves individuals and families, aiming to provide affordable healthcare coverage and access to a network of healthcare providers. MHS Health Wisconsin is dedicated to enhancing community health through various health and wellness services, reflecting a commitment to improving the lives of its members. The company operates entirely within the United States, ensuring that its services are tailored to the needs of the local population. With a workforce of 51-200 employees, MHS Health Wisconsin plays a significant role in the healthcare industry, particularly in the Medicaid and Medicare sectors, which are critical for many Americans seeking healthcare support.


7. Cypress Benefit Administrators

  • Website: cypressbenefit.com
  • Ownership type: Corporate
  • Headquarters: Appleton, Wisconsin, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: June 2017
  • Founded year: 2000
  • Headcount: 51-200
  • LinkedIn: cypress-benefit-administrators

Cypress Benefit Administrators, now integrated into Lucent Health, specializes in health benefits administration. Founded in 2000 and based in Appleton, Wisconsin, the company focuses on delivering tailored health plans and care management services to self-insured employers. Their mission is to help organizations manage healthcare costs while ensuring that employees receive necessary care. Cypress Benefit Administrators employs a data-driven approach, utilizing analytics to create customized health plans that meet the unique needs of each employer and their workforce. The company has a strong emphasis on compassionate support, assisting employees in navigating complex healthcare challenges. This focus on both economic and clinical aspects of healthcare positions them as a significant player in the industry, particularly in the realm of self-insured health plans. They have not reported any recent funding, indicating a stable operational model since their founding.


8. Navitus Health Solutions

  • Website: navitus.com
  • Ownership type: Private
  • Headquarters: Madison, Wisconsin, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2003
  • Headcount: 1001-5000
  • LinkedIn: navitus-health-solutions

Navitus Health Solutions, founded in 2003 and based in Madison, Wisconsin, is a private healthcare service provider specializing in pharmacy benefit management (PBM). The company is dedicated to making prescription medications more affordable for individuals while supporting plan sponsors and health plans in managing their pharmacy benefits. With a workforce of approximately 1,464 employees, Navitus operates under a unique 100% pass-through business model, which aims to reduce costs and improve access to medications. This model is designed to align the interests of all stakeholders, ensuring that members receive the best possible care without hidden fees. Navitus has earned accreditations from the National Committee for Quality Assurance (NCQA) and URAC, reflecting its commitment to high-quality healthcare services. The company serves a variety of clients, including members, prescribers, and pharmacies, and is particularly focused on enhancing the healthcare experience for individuals who rely on prescription medications.


9. National Benefit Consultant, inc


National Benefit Consultants, Inc. (NBCI), based in Wales, Wisconsin, has been a significant player in the health insurance and employee benefits sector since its inception in 1980. The company specializes in providing comprehensive health insurance solutions, including group health insurance, Medicare Advantage plans, and consulting services tailored for employers, municipalities, and labor organizations. NBCI has developed strategic partnerships with major insurance carriers, allowing them to offer a wide range of products to meet the unique needs of their clients. With a focus on cost-effective solutions and exceptional service, NBCI manages benefits for over 200 nationwide employers and organizations. Their expertise in retiree medical insurance and Medicare services positions them as a trusted resource for clients navigating the complexities of healthcare benefits.


10. Cyganiak Planning Inc


Cyganiak Planning Inc., founded in 1973 and based in Brookfield, Wisconsin, operates as an insurance agency with a strong focus on employee benefits, Medicare, individual health insurance, life insurance planning, and retirement planning. The company serves small to midsize businesses and individuals, primarily in Wisconsin, helping them navigate the complexities of insurance options. Cyganiak Planning is particularly adept at assisting businesses that lack a dedicated benefits department, providing essential support in designing quality employee benefits programs. Their team is committed to developing customized protection and retention strategies that align with their clients' long-term financial goals. With a history spanning over four decades, Cyganiak Planning has built a reputation for reliability and expertise in the insurance market, particularly in the areas of health and financial security.


11. Astia Health, Inc

  • Website: astiahealth.com
  • Ownership type: Family Owned
  • Headquarters: Weston, Wisconsin, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2014
  • Headcount: 11-50
  • LinkedIn: astia-health-llc-%c2%ae

Astia Health, Inc., founded in 2014 by Dr. Alex Sommers, is a family-owned healthcare provider based in Weston, Wisconsin. The company specializes in subscription-based healthcare services, including direct primary care and telemedicine, aimed at individuals, families, and employers. Astia Health's mission is to reduce healthcare costs while enhancing access to quality care. They offer a range of medical services that can be accessed through various communication channels, including secure messaging and virtual appointments. The company has established itself as a trusted partner for organizations seeking comprehensive healthcare solutions, particularly in Central Wisconsin. With a focus on preventive care and chronic disease management, Astia Health aims to empower patients to take control of their health outcomes. Their innovative model has attracted attention as a viable alternative to traditional healthcare systems, emphasizing affordability and accessibility.


12. Hudson Physicians

  • Website: hudsonphysicians.com
  • Ownership type: Private
  • Headquarters: Hudson, Wisconsin, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 1987
  • Headcount: 201-500
  • LinkedIn: hudson-physicians

Hudson Physicians is a private healthcare provider based in Hudson, Wisconsin, established in 1987. The organization offers a wide array of medical services, including family medicine, pediatrics, urgent care, and specialty services such as behavioral health and diabetes education. With a workforce of approximately 139 employees, Hudson Physicians operates multiple clinics across Hudson, New Richmond, and Baldwin, ensuring that healthcare is accessible to individuals and families in these communities. The company emphasizes personalized care, aiming to meet the unique health needs of its patients. Their commitment to preventive care and health education further positions them as a vital resource in the local healthcare ecosystem.


13. Novir

  • Website: novir-usa.com
  • Ownership type: Private
  • Headquarters: Milwaukee, Wisconsin, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: Other (Debt), $2.3M, September 2024
  • Founded year: 2020
  • Headcount: 51-200
  • LinkedIn: novir

Novir is a healthcare service provider based in Milwaukee, Wisconsin, founded in 2020. The company specializes in preventive health solutions, offering a range of services that include lead testing, vaccinations, and drug screening. Novir aims to empower individuals and organizations to take charge of their health through accessible and innovative testing solutions. They serve a variety of clients, including public health entities, educational institutions, and employers, providing tailored health services that meet the unique needs of each sector. With a focus on affordability and accessibility, Novir has developed a model that shifts the traditional healthcare approach from reactive to proactive, emphasizing early detection and prevention. The company has recently secured funding of approximately $2.27 million, indicating a commitment to expanding their services and impact in the healthcare industry.


14. Primary Care Associates of Appleton LTD


Primary Care Associates of Appleton LTD is an independent primary care medical clinic located in Appleton, Wisconsin. Founded in 2000, the clinic specializes in family and internal medicine, providing comprehensive healthcare services to individuals and families. Their offerings include acute care, diabetes management, preventive medicine, and a variety of diagnostic imaging services. The clinic prides itself on building meaningful relationships with patients, which enhances the quality of care and promotes better health outcomes. With a team of board-certified physicians and healthcare professionals, Primary Care Associates of Appleton is dedicated to treating illness, promoting disease prevention, and managing complex medical conditions. The clinic has also received accolades for its commitment to quality care, including recognition from the American Heart Association for excellence in managing diabetes, blood pressure, and cholesterol. This focus on patient-centered care and community involvement positions them as a significant entity in the healthcare industry.


15. Care Management Solutions Inc. (CMSI)

  • Website: cmspecial.com
  • Ownership type: Corporate
  • Headquarters: Hartland, Wisconsin, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: February 2021
  • Founded year: 2012
  • Headcount: 11-50
  • LinkedIn: case-management-specialists-inc.-cms-

Care Management Solutions Inc. (CMSI), founded in 2012 and based in Hartland, Wisconsin, is a healthcare management company dedicated to providing a range of medical management services. The company specializes in case management, utilization management, and condition care management, aiming to improve health outcomes for employees while effectively managing healthcare costs for businesses. CMSI's approach is characterized by a personalized, member-centric philosophy, ensuring that the needs of individuals are prioritized in their healthcare journey. Their services include innovative programs such as diabetes remote monitoring and musculoskeletal health management, which reflect their commitment to addressing specific health challenges. CMSI's team consists of experienced healthcare professionals who navigate the complexities of the healthcare system, providing support and guidance to both members and employers. This focus on tailored solutions and proactive health management underscores their relevance in the healthcare industry.


16. Pharmastar PBM

  • Website: pharmastarpbm.com
  • Ownership type: Private
  • Headquarters: Altoona, Wisconsin, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 1997
  • Headcount: 51-200
  • LinkedIn: pharmastar-pbm

Pharmastar PBM, now branded as AnewHealth, is a pharmacy care management company based in Altoona, Wisconsin. Founded in 1997, the company has evolved to focus on providing comprehensive pharmacy solutions and medication management services tailored for healthcare organizations. AnewHealth specializes in supporting patients with complex medical needs, particularly those requiring ongoing medication management. They partner with various healthcare entities, including home health providers, PACE organizations, and health plans, to enhance patient care and optimize medication therapy. Their innovative MedWise® technology aids in personalizing medication management, helping to mitigate risks associated with polypharmacy. AnewHealth has a strong commitment to improving patient outcomes and reducing healthcare costs, making it a significant player in the pharmacy benefit management sector. The company operates across all 50 states, serving over 100,000 patients and delivering millions of prescriptions annually.


17. LEB Insurance Group

  • Website: lebinsurancegroup.com
  • Ownership type: Family Owned
  • Headquarters: Fond Du Lac, Wisconsin, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2009
  • Headcount: 201-500
  • LinkedIn: leb-insurance-group

LEB Insurance Group, founded in 2009 and based in Fond Du Lac, Wisconsin, is a family-owned insurance agency dedicated to providing health and life insurance solutions. With a team of knowledgeable agents, the company offers a variety of products tailored to meet the needs of individuals, families, and businesses. Their offerings include health, dental, and vision insurance, as well as Medicare plans and employee benefits. LEB Insurance Group emphasizes a client-centered approach, aiming to make the insurance process straightforward and accessible. They have built a reputation for delivering personalized service, helping clients navigate their insurance options effectively. The agency operates nationwide, reflecting its commitment to serving a broad clientele while maintaining a focus on local, personalized care.


18. HSA Bank, a division of Webster Bank, N.A.

  • Website: hsabank.com
  • Ownership type: Private
  • Headquarters: Sheboygan, Wisconsin, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 1997
  • Headcount: 501-1000
  • LinkedIn: hsa-bank

HSA Bank, a division of Webster Bank, N.A., is based in Sheboygan, Wisconsin, and was founded in 1997. The company specializes in administering health savings accounts and offers a variety of financial solutions tailored to healthcare expenses. HSA Bank provides tax-advantaged accounts, including HSAs, FSAs, and HRAs, catering to individuals, employers, and brokers. Their mission is to assist customers in effectively managing healthcare costs while enhancing employee benefits packages. With a dedicated team of experts, HSA Bank focuses on delivering personalized support and educational resources to help clients optimize their healthcare financial strategies. The company has established itself as a reliable partner in the healthcare finance sector, emphasizing the connection between health and financial well-being.


19. Pivotal Healthcare

  • Website: pivotalhealth.care
  • Ownership type: Corporate
  • Headquarters: Madison, Wisconsin, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: Seed, $1.5M, March 2023
  • Founded year: 2020
  • Headcount: 11-50
  • LinkedIn: pivotal-healthcare

Pivotal Healthcare, based in Madison, Wisconsin, is a healthcare service provider that focuses on in-home urgent and primary care. Established in 2020, the company aims to enhance healthcare accessibility for individuals and families by offering a range of services, including urgent care, primary care, mental health services, and advanced cancer screening. Their business model is designed to simplify the healthcare experience by providing direct care without the complications of insurance. Patients can schedule visits at their convenience, receiving care from licensed clinicians in their homes. Pivotal Healthcare has recently secured $1.48 million in seed funding as of March 2023, which underscores its potential for growth and innovation in the healthcare sector. The company currently serves several metro areas in Wisconsin, including Madison, Green Bay, and Oshkosh, and is expanding its reach to meet the needs of more patients.



Healthcare Insights: Key Companies in Wisconsin


CompanyHeadquarterSizeFoundedOwnership
Network Health WIMenasha, Wisconsin, United States (USA)201-5001982Corporate
Quartz Health SolutionsFitchburg, Wisconsin, United States (USA)501-10002016Private
Dean Health Plan, Inc.Madison, Wisconsin, United States (USA)501-10001983Corporate
MercyCare Insurance Company, Inc.Janesville, Wisconsin, United States (USA)1-101994Private
Aspirus Health PlanWausau, Wisconsin, United States (USA)51-2002016Private
MHS Health WisconsinWest Allis, Wisconsin, United States (USA)51-2001984Private
Cypress Benefit AdministratorsAppleton, Wisconsin, United States (USA)51-2002000Corporate
Navitus Health SolutionsMadison, Wisconsin, United States (USA)1001-50002003Private
National Benefit Consultant, incWales, Wisconsin, United States (USA)11-501980Private
Cyganiak Planning IncBrookfield, Wisconsin, United States (USA)11-501973Family Owned
Astia Health, Inc Weston, Wisconsin, United States (USA)11-502014Family Owned
Hudson PhysiciansHudson, Wisconsin, United States (USA)201-5001987Private
NovirMilwaukee, Wisconsin, United States (USA)51-2002020Private
Primary Care Associates of Appleton LTDAppleton, Wisconsin, United States (USA)51-2002000Private
Care Management Solutions Inc. (CMSI)Hartland, Wisconsin, United States (USA)11-502012Corporate
Pharmastar PBMAltoona, Wisconsin, United States (USA)51-2001997Private
LEB Insurance GroupFond Du Lac, Wisconsin, United States (USA)201-5002009Family Owned
HSA Bank, a division of Webster Bank, N.A.Sheboygan, Wisconsin, United States (USA)501-10001997Private
Pivotal HealthcareMadison, Wisconsin, United States (USA)11-502020Corporate


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