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 2026
Autism Program
The Mercyhealth Autism Program has expanded to Walworth County to better serve the community. Mercyhealth is committed to providing expanded treatment options with both in-home and clinic-based applied behavior analysis services for children. The Mercyhealth Autism Program will be located at N2832 WI-67, Lake Geneva.
Cancer Institute
Staff at the new 19,000-square-foot Mercyhealth Cancer Institute, adjacent to Javon Bea Hospital–Riverside, welcomed its first patients, Monday, May 5. The new facility features:
- Enhanced treatment areas: Spacious infusion suites with comfortable seating and natural light to support the healing journey
- Advanced technology: The latest equipment for diagnostics, treatment and therapy, ensuring the highest level of care
- Patient-centered design: Thoughtfully designed spaces, including private consultation rooms and calming décor, to create a welcoming environment
- Convenient access: Ample parking and a circular drive at the entrance, allowing patients to be conveniently dropped off at the door
- Emergency care: Connected to a Level 1 Trauma Center for quick emergency care
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 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 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 Health, 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 800-895-2421, option 5.
24-Hour Nurseline
Healthline: 608-758-5770 or 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
- Mercyhealth Hospital and Medical Centers
- Javon Bea Hospitals
- Fort HealthCare
- Watertown HealthCare