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Oxford Health Plans (UHC) Doctors in Shawano, WI

158 in-network providers across 31 specialties and 4 plans

158 Providers
31 Specialties
Oxford Health Plans (UHC)’s Wisconsin network spans 23,500 providers. Shawano accounts for 1% of that. The largest Oxford Health Plans (UHC) footprint in Wisconsin is in Milwaukee (4,393 providers).
Showing 120 of 158 providers·
SS
Dr. Shannon Schmidt, MD
Hematology/Oncology
Thedacare Incorporated
225 Memorial Dr, Shawano, WI 54923· 57.4 mi away
17 years experience · Medical College Of Wisconsin
Oxford Health Plans (UHC)✓ Medicare6 plans

About Oxford Health Plans (UHC) Coverage in Shawano

Oxford Health Plans (UHC) operates 4 distinct networks in Shawano, WI, with a combined in-network roster of 158 doctors across 31 medical specialties. Among the five largest insurers we track in Shawano, Oxford Health Plans (UHC) ranks #5 by provider count, the leader is Cigna with 221 in-network doctors. Use this page to confirm a specific provider is in-network, understand which Oxford Health Plans (UHC) networks have the widest reach in Shawano, and compare coverage against other major insurers before scheduling care.

Oxford Health Plans (UHC) publishes its Shawano directory at the network level rather than the consumer-plan level. The labels on each row below (for example Choice Plus POS) are network identifiers, not the plan names printed on your member ID card. Your specific plan typically maps to one of these networks, but the mapping isn’t exposed in the federal filing. Match the doctor’s name first, then call the office with your member ID to confirm your plan is accepted.

Data is sourced from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Last refreshed May 29, 2026. Networks change between filings, so even when a doctor appears here we recommend calling their office with your member ID to confirm current network status before your visit.

Oxford Health Plans (UHC) Networks in Shawano

Oxford Health Plans (UHC) contracts with doctors at the network level in Shawano. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them.

Plan / NetworkTypeDoctors

Choice Plus POS

POS

135

Core POS

POS

133

Optum Health Behavioral Services OHBS

14

OHPH Chiro

9

Top Specialties Accepting Oxford Health Plans (UHC)

Oxford Health Plans (UHC)’s Shawano network spans 31 distinct medical specialties. The mix reflects where the insurer has negotiated the deepest physician contracts. primary-care specialties and behavioral health tend to dominate, with surgical and sub-specialty networks typically narrower.

Click any specialty below to see a filtered list of just those in-network providers in Shawano, including ratings, locations, years of experience, and contact information. For specialties with fewer than 10 in-network providers, you’ll likely want to check nearby cities too. the section further down on this page has your geographic options.

Physician Experience in Oxford Health Plans (UHC)’s Shawano Network

Years since medical school graduation is a reasonable proxy for experience, though it doesn’t capture fellowship training, subspecialty certifications, or years spent in specific clinical settings. For Oxford Health Plans (UHC)’s Shawano network the breakdown below gives a quick sense of whether you’re picking from a predominantly early-career roster or one weighted toward veteran practitioners.

A network heavy on early-career doctors (0–5 years) often means lower wait times for new patients and exposure to the latest training, while veteran providers (30+ years) typically bring deeper pattern recognition for unusual presentations. A balanced distribution. roughly one-quarter in each bucket. is a healthy signal that the insurer has depth at every career stage, not just new graduates filling out its directory.

Median27years of experience
1,118 Oxford Health Plans (UHC) providers in Shawano with graduation-year data
Early career0–5 yrs
26providers
2%
Established6–15 yrs
166providers
15%
Senior16–30 yrs
519providers
46%
Veteran30+ yrs
407providers
36%

Telehealth Coverage in Shawano

2 of 158 Oxford Health Plans (UHC) in-network providers (1%) offer telehealth visits in Shawano. Video appointments are typically covered for follow-ups, medication refills and adjustments, mental-health sessions, dermatology triage, and low-acuity primary care.

Availability and reimbursement still vary by state regulation and specific plan. Psychiatry, behavioral-health, and primary-care telehealth is near-universal at this point; procedural specialties (cardiology, orthopedics) typically offer video visits for pre-op consults and post-op follow-up but not initial diagnostic visits. Call the office with your Oxford Health Plans (UHC) member ID to confirm your plan covers the visit type you need.

Top specialties offering telehealth in Shawano

Top Hospitals Serving Oxford Health Plans (UHC) Patients in Shawano

Hospitals with the most Oxford Health Plans (UHC)-network physicians practicing there. Large affiliation counts indicate that Oxford Health Plans (UHC) has a durable relationship with the facility, which typically means smoother prior-authorizations for admissions, lab work, and follow-up care coordinated under one roof.

Hospital coverage is a separate contract from physician coverage. your Oxford Health Plans (UHC) plan may cover a doctor who admits at Hospital X but classify the hospital itself as out-of-network, leaving you with a surprise facility bill. Before scheduling anything inpatient or procedural, call both the doctor’s office and the hospital billing line with your member ID to confirm both sides are in-network for the specific plan you hold.

Coverage Compared in Shawano

Side-by-side provider counts for the five largest commercial and government insurers tracked in Shawano. These numbers show raw network breadth. they don’t adjust for quality, specialty mix, or your specific plan’s tier structure, but they’re a useful first filter when choosing a carrier at open enrollment.

If Oxford Health Plans (UHC)’s provider count looks limited for your needs, the alternatives below may fit better. Click any row to open that insurer’s Shawano provider list with the same filters, plan breakdown, and hospital affiliations that you’re seeing here.

Cigna221Medicare205Aetna168UnitedHealthcare164
Oxford Health Plans (UHC)This page158
Humana125

Nearby Cities with Oxford Health Plans (UHC) Coverage

Cities closest to Shawano where Oxford Health Plans (UHC) has an in-network provider base of meaningful size. Useful if you’re willing to drive a short distance for a hard-to-find specialist, have two offices to choose between, or are planning a move inside the region.

The mileage figures are straight-line distances computed from average practice-address coordinates, not drive-time. Counts reflect each nearby city’s Oxford Health Plans (UHC) network size. a small count doesn’t mean no coverage, just that your in-Shawano options are likely more plentiful.

Frequently Asked Questions

Common questions about Oxford Health Plans (UHC) coverage in Shawano

How do I find an Oxford Health Plans (UHC) in-network doctor in Shawano, WI?

Oxford Health Plans (UHC) has 158 in-network providers across 31 medical specialties in Shawano. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified May 29, 2026. Filter by specialty, plan type, gender, telehealth or experience above to narrow your search, then click any provider for full credentials and contact details. Always confirm coverage with your specific plan before scheduling.

Which hospitals in Shawano accept Oxford Health Plans (UHC)?

Hospitals where Oxford Health Plans (UHC) doctors most commonly practice in Shawano include THEDACARE REGIONAL MED CTR - NEENAH, THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC, THEDACARE MEDICAL CENTER - SHAWANO, AURORA BAYCARE MEDICAL CTR. This is inferred from physician affiliations rather than direct insurer-hospital contracts, so confirm hospital network status separately with both your Oxford Health Plans (UHC) plan and the hospital's billing department before scheduling any inpatient or surgical procedure. Even when a doctor is in-network, the hospital where they admit may not be.

Which medical specialties have the most Oxford Health Plans (UHC) providers in Shawano?

Oxford Health Plans (UHC)'s Shawano network is largest in Diagnostic Radiology (30), Nurse Practitioner (24), Family Practice (18). Primary care, behavioral health, and physical therapy tend to dominate insurer networks because high patient volumes drive deeper provider contracts. Surgical sub-specialties typically have narrower networks. Click any specialty in the section above to see a filtered list of those in-network providers.

How does Oxford Health Plans (UHC) compare to other insurers in Shawano?

Oxford Health Plans (UHC) ranks #5 of 6 major insurers tracked in Shawano by provider count, with 158 doctors. Cigna leads at 221 providers. Larger network size means more provider choice but doesn't guarantee that your specific doctor is in-network with any insurer. The Coverage Compared section above shows side-by-side counts for the top five carriers in Shawano.

Why don't I see specific Oxford Health Plans (UHC) plan names like Bronze or Silver?

Oxford Health Plans (UHC) files its Shawano provider directory at the network level rather than by consumer plan name. The labels above (such as Choice Plus POS) are the network identifiers Oxford Health Plans (UHC) uses internally. Your specific plan, whether commercial group, Medicare, or Medicaid, maps to one of these networks but the federal filing format doesn't expose which plan goes with which network. To verify your exact plan covers a specific doctor, call the provider with your member ID handy.

How do I verify a doctor is in-network with Oxford Health Plans (UHC)?

Three steps: first match the doctor's name against this list, second call the provider's office with your member ID to confirm they currently accept your specific Oxford Health Plans (UHC) plan, and third check Oxford Health Plans (UHC)'s own member portal for the most authoritative real-time status. Networks change between monthly federal filings; our data was last refreshed May 29, 2026.

What if my doctor isn't listed here?

This list reflects Oxford Health Plans (UHC)'s submitted network data as of the last federal filing on May 29, 2026. Doctors join and leave networks between filings, so a current in-network provider may be missing if they joined recently. Call the doctor's office to ask whether they currently accept Oxford Health Plans (UHC), then check Oxford Health Plans (UHC)'s own member portal for confirmation.

When was this Oxford Health Plans (UHC) data last updated?

The Oxford Health Plans (UHC) Shawano provider list was last refreshed May 29, 2026. Doctor and network data come from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Refresh cadence: monthly for provider data, annually for marketplace and Medicare plans.

Related healthcare resources

Patient resources for Shawano Oxford Health Plans (UHC) members.

Data freshness

Last verified May 29, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly