Description
Medica West and Mayo Clinic Health System offer a holistic approach to your well-being. We’ll meet you where you are and give you the benefits and support to help maintain balance in your life. We prioritize prevention and work to enhance your overall wellness. You’ll have access to a strong care network– featuring the providers of Mayo Clinic Health System. When you choose us, you benefit from having your clinical team of physicians, specialists, and pharmacies working for you and with your health plan. It’s a different kind of healthcare model where providers and coverage coordinate to better care for you.
You’re covered with 28 hospitals and many conveniently located primary care sites, spanning across 14 counties throughout western Wisconsin. You also have access to care in southern Minnesota with the Mayo Clinic Health System providers. Take advantage of one of the largest provider networks in western Wisconsin with:
- 9,000+ practitioners
- 90+ primary care clinic locations, with many owned by Mayo Clinic Health System
- 80+ specialty care clinics
What's New for 2025
With the closure of the western HSHS and Prevea Health locations, the Prevea360 West and Mayo Clinic Health System network option will be rebranded under Dean Health Plan by Medica. The network name will change to Medica West and Mayo Clinic Health System. You will retain access to the same network of providers. Your 2025 ID cards will have a new look featuring the Dean Health Plan by Medica logo. You will also notice a new Member Services phone number (1-800-279-1301).
Mayo Clinic Health System Celebrates New Hospital (La Crosse)
The new 6-floor, 96 bed La Crosse Hospital brings an exceptional care experience to patients, integrating new technologies and design enhancements that elevate the overall experience for both patients and staff. Updates include state-of-the-art, flexible care spaces, and digitally integrated tools to expand capabilities and enhance collaboration across health system sites, including with Mayo Clinic in Rochester.
Mayo Clinic Health System Diagnostic Imaging & Sports Medicine Center (Eau Claire)
Taking sports medicine care to the next level, the new Mayo Clinic Health System Diagnostic Imaging & Sports Medicine Center provides services to area athletes and active residents of all ages and abilities. This new facility expands imaging capacity for patients via the addition of state-of-the-art technology while providing world-class space for sports medicine patients throughout the Chippewa Valley.
Primary Care On Demand connects you to Mayo Clinic providers 24/7. Download the new mobile app to receive the medical care you need on your schedule. Now offering on-demand visits for you and your family members ages 3 and older.
Provider Directory
To find providers on the Providers and Information section of our State of Wisconsin Group Health Insurance Program webpage, select "Medica West and Mayo Clinic Health System HMO network" or "Medica West and Mayo Clinic Health System" (PDF). To request a printed directory by mail, call 1-800-279-1301.
Referrals, Authorizations, Out-of-Network
Referrals are not needed when receiving care from in-network providers.
Prior authorizations are required for certain services, procedures, and for out-of-network providers before you receive care. A prior authorization is a written request that is completed by a network Primary Care Provider and/or network specialist provider. It requests authorization for a specific service(s) or procedure to be performed by an in-network provider or, in some cases, an out-of-network provider.
Prior authorization is required for care from any out-of-network providers unless it is an emergency or urgent care.
Access the PATIENT PORTAL to help you manage your care and give you secure and convenient access to all your health information. To create a Mayo Clinic patient portal account go to the patient portal page or download the Mayo Clinic App from Google Play or the App Store.
If you’re unsure if a service, test, or procedure requires prior authorization or a referral, call 1-800-279-1301 before your appointment.
Emergency and Urgent Care
If you require emergency or urgent care when outside of the network, seek care at the nearest medical facility. Contact Member Services at 1-800-279-1301, if possible, when you receive emergency care from an out-of-network provider. Follow-up care must be received by an in-network provider unless otherwise approved by Dean Health Plan. Most often Primary Care Providers should be your first choice for care. This is because they’re familiar with your medical history and a scheduled office visit is the most cost-effective method of care. When a more immediate need arises, you have other options. We can help you find the right care in the right place at the right cost. Primary Care On Demand* connects you to Mayo Clinic providers 24/7. Download the mobile app to receive the medical care you need on your schedule. Now offering on-demand visits for you and your family members ages 3 and older. *Available in Wisconsin, Minnesota, and Iowa |
Mental, Behavioral Health and Substance Abuse
More ways to access mental health services
If you or someone you know is struggling, you’re not alone. We offer many supports, services, and treatment options within our network.
For members with mental health and substance use disorders, our behavioral health and substance use case management provides an individualized approach. The goal is to help you manage your health and live your best life. Learn more about our behavioral health services.
Telemedicine continues to grow every day and more specialties are finding ways to provide virtual options for patients. Find an in-network provider to get started.
A prior authorization is required for the following mental health and substance use services:
- Detox
- Inpatient
- Residential
- Partial hospitalization/day treatment
- Intensive outpatient
- In-home therapy
24-Hour Nurseline
Nurse Advice Line is there whenever you have a health question. You can connect with an experienced registered nurse by calling 1-800-576-8773 (TTY: 711).
The Nurse Advice Line is available after-clinic hours from 5 p.m. - 8 p.m. and 24/7 on weekends and holidays to serve patient triage needs.
NOTE: Due to licensing restrictions Nurse Advice Line's triage services are only available to residents of Wisconsin.
Virtual Visits
EXPRESS CARE ONLINE - quick, convenient care for common conditions to patients ages 18 months through 75 years, unless otherwise noted. Learn more.
VIDEO APPOINTMENTS - Video appointments are another way Mayo Clinic Health System provides you care. You can start one from home on a mobile device or computer by using your Patient Online Services account. These videos show you how to log in to your video appointments from a computer and a mobile device.
Major Health Systems
- Mayo Clinic
- Mayo Clinic Health System
- Northfield Hospital & Clinics
- OakLeaf Clinics
- Black River Memorial Hospital