It's Your Choice 2016
State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)
MercyCare Health Plans1-800-895-2421
What’s New for 2016
Our website has also been revised to better manage your healthcare needs. Visit our newly enhanced, user friendly website at mercycarehealthplans.com. You can still hold your place in line at a Mercy emergency room or urgent care facility by using Mercy Health System’s website at mercyinquicker.org.
Go to mercycarehealthplans.com to access a provider directory. On the right side of the page, in the interactive center box, click “State of Wisconsin Members” then under provider directories click “State of WI 2015 Provider Directory.” To request a printed directory be mailed to you, call 1-800-895-2421.
Referrals, Prior Authorizations, Out-of-Network Care
MercyCare Health Plans requires referrals from the member’s Primary Care Physician for all specialist visits, both in- and out-of-network.
Qualified: Jefferson, Rock and Walworth counties.
Not Qualified: Green
Emergency and Urgent Care Outside Service Area
If you require emergency or urgent care when outside of the network, seek care at the nearest medical facility. Contact MercyCare Health Plans at 1-800-895-2421 within 48 hours of receiving care, if possible. Follow-up care must be received from an in-network provider unless otherwise approved by MercyCare Health Plans.
Mental, Behavioral Health and Substance Abuse
No prior authorization or referral is required for outpatient services from an in-network provider. Prior authorization and referral is required for inpatient services and transitional care out-of-network. For other services, contact 1-800-895-2421.
Healthline: 608-758-5770 or 1-888-756-6060
This page was last modified on: 9/23/2015 4:36:41 PM