Description
MercyCare has been providing dependable, affordable health care coverage since 1994. We coordinate all aspects of health care to give you the best health benefits possible at the lowest cost. MercyCare's integration with Mercyhealth gives you access to Mercyhealth's five hospitals, over 85 primary and specialty care locations and post acute services (home health and hospice services and medical equipment), pharmacies, and retail services. Our MyChart allows members to access medical records and health insurance information, helping you manage costs 24/7. We look forward to serving you!
What's New for 2025
2024 Updates
Mercyhealth Behavioral Health Clinic–Crystal Lake
Mercyhealth Behavioral Health Clinic–Crystal Lake, 415-A Congress Pkwy., Crystal Lake, is now open for referrals. To make an appointment in Crystal Lake, call 1-779-220-5600.
Mercyhealth Behavioral Health Clinic–Beloit
Mercyhealth Behavioral Health Clinic -Beloit has moved to a new location at 1400 E. Inman Pkwy., Beloit. To make an appointment in Beloit, call 1-608-362-7330.
Spring 2025
Mercyhealth is proud to grow our services as the needs of the Beloit community grow. We will soon enhance access to care and choice for Beloit-area patients with:
- State-of-the-art emergency department
- Urgent care
- Renovated clinic and added services.
We’ll maintain our current services during renovation:
- Cardiology
- Dietician services
- Family medicine
- Laboratory
- Imaging services
- Obstetrics
- Pediatrics
- Physical therapy
- Occupational therapy
- Women’s health
As part of this expansion, behavioral health services have moved to 1400 E. Inman Pkwy. Their phone number remains the same, 1-608-362-7330. Completion is scheduled for Spring 2025.
Provider Directory
Go to MercyCare's website to access a provider directory. In the middle of the page, click on the box "Find a provider/facility." When prompted, enter your zip code and click, "Yes, this is correct". Then select "State and Local ETF (HMO)" as your plan type and click on "Confirm selection." Once you are there, you can narrow your search by provider name, provider specialty, facilities by name, etc. You can also view and print a full directory by clicking here.
Referrals, Authorizations, Out-of-Network
Referrals are not needed when receiving care from in-network providers. Prior authorization is required for certain services, procedures, and for out-of-network providers before you receive care. You will receive written notification upon approval or denial for the prior authorization. If you are unsure if a service, test, or procedure requires prior authorization or a referral, call 1-800-895-2421, option 5, prior to the appointment.
MercyCare Health Plans recognizes UW Health and University of Wisconsin Hospital and Clinics (UWHC) as a preferred referral center when care cannot be provided by an in-network provider. Prior authorization would be required for any services provided by UWHC
Emergency and Urgent Care
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, option 5 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, option 5.
24-Hour Nurseline
Healthline: 608-758-5770 or 1-888-756-6060
Virtual Visits
Virtual Visit / E-Visit
What is an e-visit?
An e-visit is a way to get care for certain conditions without needing to schedule an appointment or come in to a clinic. We’ll ask you some questions about yourself and your symptoms, and a member of our e-visit team will respond with a care plan or recommendations for what to do next.
How does it work?
• If you use MyChart, you can connect to the e-visit directly from your MyChart account in the main menu under “Find Care.”
• If you don’t use MyChart, create an account.
Major Health Systems
- Mercyhealth Hospital and Trauma Center–Janesville, WI
- Mercyhealth Hospital and Medical Center–Walworth, WI
- Mercyhealth Hospital and Medical Center–Harvard, IL
- Javon Bea Hospital’s–Riverside & Rockton, IL
- Fort HealthCare, WI
- Watertown HealthCare, WI