consumer’s guide to managed care health plans
TRANSCRIPT
Consumer’s Guide to Managed Care Health Plans This guide explains the different managed care health plans in Wisconsin, how they differ, what
benefits are covered, frequently asked questions, and the process to follow if you have a grievance.
Wisconsin Office of the Commissioner of Insurance 125 South Webster Street, P.O. Box 7873, Madison, WI 53707-7873
p: 608-266-3585 | p: 1-800-236-8517 | f: 608-266-9935 [email protected] | oci.wi.gov
Disclaimer This guide is intended as a general overview of current law in this area, but is not intended as a substitute for legal advice in any particular situation. You may want to consult your attorney about your specific rights. Publications are updated annually unless otherwise stated and, as such, the information in this publication may not be accurate or timely in all instances. Publications are available on OCI’s website at oci.wi.gov/Publications. If you need a printed copy of a publication, use the online order form (oci.wi.gov/Pages/Consumers/Order-a-Publication.aspx) or call 1-800-236-8517. One copy of this publication is available free of charge to the general public. All materials may be printed or copied without permission.
File a Complaint If you have a specific complaint about your insurance, refer it first to the insurance company or agent involved. If you do not receive satisfactory answers, contact the Office of the Commissioner of Insurance (OCI).
• Reach out to OCI (1-800-236-8517, [email protected]) to speak with our staff. If sending an email, pleaseindicate your name and phone number.
• File a complaint with OCI. You can file a complaint online at oci.wi.gov/complaints. If you would like to file your complaintby mail, visit oci.wi.gov/complaints, email [email protected], or call 1-800-236-8517 for a form.
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Contents Types of Health Plans .......................................................................................................................................................................................................... 2
Health Maintenance Organizations .......................................................................................................................................................................... 2 Limited Service Health Organizations ...................................................................................................................................................................... 3 Preferred Provider Plans ................................................................................................................................................................................................ 3
Health Plan Requirements ................................................................................................................................................................................................. 3
Affordable Care Act ......................................................................................................................................................................................................... 3 Provider Directories ......................................................................................................................................................................................................... 4 Continuity of Care ............................................................................................................................................................................................................ 5 Referral Procedure ........................................................................................................................................................................................................... 5 Mandated Benefits .......................................................................................................................................................................................................... 5 Grievance Procedure ....................................................................................................................................................................................................... 6 Independent Review ....................................................................................................................................................................................................... 6 Disenrollment .................................................................................................................................................................................................................... 7 Quality Assurance Plans ................................................................................................................................................................................................ 7
Questions and Concerns About Your Health Insurance ........................................................................................................................................ 7
Frequently Asked Questions ............................................................................................................................................................................................. 8
Counties Served by HMOs .............................................................................................................................................................................................. 10
Directory of Licensed HMOs ........................................................................................................................................................................................... 26
Directory of Licensed LSHOs and Counties Served ............................................................................................................................................... 28
Tables ....................................................................................................................................................................................................................................... 30
Table 1 – Wisconsin Counties Enrollment as of January 1, 2021** ............................................................................................................ 30 Table 1A – Wisconsin Counties Enrollment as of January 1, 2021 ............................................................................................................. 31 Table 2 – Wisconsin HMOs (Closed Panel Plans) Enrollment by County as of January 1, 2021 ..................................................... 34 Table 3 – Wisconsin HMOs (Point-of-Service Plans) Enrollment by County as of January 1, 2021 .............................................. 36 Table 4 – Total Enrollment by Company as of January 1, 2021 ................................................................................................................... 38
Types of Health Plans
Health insurance is an important part of taking care of your health and safeguarding yourself against costly expenses. In Wisconsin, there are several delivery systems, all are considered forms of managed care plans. A managed care health plan is a type of health insurance that is involved in the choice of medical care providers and the choice of medical treatments, such as health maintenance organizations and preferred provider plans.
Health Maintenance Organizations
A Health Maintenance Organization (HMO) is a health insurance plan providing comprehensive medical care when services are provided by a plan provider. Persons insured by an HMO plan are referred to as enrollees.
An HMO generally operates on a closed-panel basis. This means enrollees are required to seek care from a medical provider who is either employed by or under contract to the HMO.
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HMOs limit care to a specific geographic area. Except for serious emergencies or the need for urgent care outside the service area, the HMO will probably not pay for care enrollees receive from a provider who is not affiliated with the HMO unless the HMO approves the referral request to that provider.
Many HMOs permit enrollees to choose providers who are not on the panel if the enrollee is willing to pay a larger portion of the cost. A typical point-of-service plan permits an enrollee to make the choice at the time services are needed. If an enrollee in a point-of-service plan chooses a non-HMO provider, he or she may have to pay a higher deductible and coinsurance.
HMOs are regulated as insurance companies by the Office of the Commissioner of Insurance (OCI). To do business in the state, an HMO must meet certain financial requirements and abide by relevant insurance laws.
Limited Service Health Organizations
A Limited Service Health Organization (LSHO) is the same as an HMO except it provides a limited range of health care services. For example, a dental LSHO provides only specific dental services.
Like an HMO, an LSHO operates in a certain geographic area, is limited to specific providers, and is regulated by OCI. The LSHO will normally not pay for services received from a provider who is not affiliated with the organization.
Preferred Provider Plans
A Preferred Provider Plan (PPP) pays a specific level of benefits if certain providers are used and a lesser amount if non-PPP providers are utilized.
A PPP must provide reasonable access to network providers in the service area. However, a PPP is not required to offer a choice of participating providers in each geographic area.
PPPs may require enrollees to pay coinsurance of up to 50% for services provided by nonparticipating providers. Enrollees should read their policies carefully before seeking services from nonparticipating providers.
Like an HMO and an LSHO, a PPP operates in a certain geographic area, is limited to specific providers, and is regulated by OCI. A PPP that has a provider agreement with a hospital may not have an agreement with every provider who provides services at the hospital, such as anesthesiologists, pathologists, and radiologists.
Health Plan Requirements
Health plans and LSHOs are subject to a variety of state and federal law requirements. Following are some of the more important requirements:
Affordable Care Act
The Affordable Care Act (ACA) includes requirements that apply to small employer health insurance and comprehensive individual health insurance. Insurers are required to sell their health insurance plans to you if you apply for coverage, regardless of your health. Insurers are also prohibited from excluding or limiting coverage for preexisting conditions.
You and your family can purchase health insurance coverage through the private market or the federal exchange, also known as Federally Facilitated Marketplace (FFM), during an annual open enrollment period. Annual Open enrollment is usually November 1 through December 15, for coverage starting the following January 1. The exact dates of the annual open enrollment period can vary slightly so check HealthCare.gov to get exact dates when they are released.
You cannot purchase a comprehensive individual health insurance plan at other times during the year unless you qualify for a special enrollment period. A special enrollment period allows you to purchase coverage in the individual market outside open enrollment in certain circumstances, such as if you lose minimum essential coverage,
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get married or have a baby, become a citizen, or become newly eligible for premium tax credits. If you qualify for a special enrollment period, you generally have 60 days to enroll in new or different health insurance coverage.
ACA also provides the option of allowing small employers to enroll in a Small Business Health Options Program (SHOP) plan by purchasing this coverage directly with an insurance company with the assistance of an insurance agent or broker. The program offers employers flexibility, and enrollment in a SHOP plan is typically the only way for eligible small employers to take advantage of the Small Business Health Care Tax Credit.
Under ACA, small group and comprehensive individual health insurance are required to include essential health benefits. Essential health benefits consist of 10 categories of items and services that must be covered in all small group health and comprehensive individual insurance plans. Plans are prohibited from imposing annual or lifetime limits on essential health benefits.
ACA’s 10 essential health benefit categories:
1. Ambulatory services – most common form of health care, often called outpatient care
2. Emergency services – care received in an emergency room
3. Hospitalization – a stay in the hospital
4. Maternity and newborn care – prenatal care as well as childbirth and newborn infant care
5. Mental health and substance use disorder services – mental or behavioral health services
6. Prescription drugs – coverage of at least one drug in every category and class in the U.S. Pharmacopeia
7. Rehabilitative and habilitative services and devices – therapies and medical equipment needed after injury or illness, as well as therapies to help people with long-term disabilities
8. Laboratory services – lab work and preventive screening tests
9. Preventive and wellness services – services such as physicals, vaccines, and well visits
10. Pediatric services, including oral and vision care – dental and vision care for children under age 19
In addition to health care services in these categories, all of Wisconsin’s mandated benefits are considered essential health benefits and must be covered by ACA-compliant health insurance policies. Information on Wisconsin mandated benefits may be found on page 8 of this publication.
Small group and comprehensive individual health insurance plans are categorized into one of four different levels, based on how you and the plan will share the costs of health care. The four levels are sometimes referred to as metal tiers. Each metal tier lists the average percent of expected costs a plan will cover for the average individual. The metal tiers include Bronze plans covering 60% of the total average cost of care, Silver plans covering 70%, Gold plans covering 80%, and Platinum plans covering 90%.
Provider Directories
A managed care plan and LSHO will provide an enrollee with a provider directory, listing hospitals, primary care physicians, and specialty providers from whom the enrollee may obtain services. These directories are generally available on the plan’s website, but a paper copy must be provided upon request.
Providers may terminate their participation with the managed care plan at any time during the year, so an enrollee should inquire with the plan at the time of making an appointment as to whether the provider is currently participating in the managed care organization's network. Managed care plans often have more than one provider network. The coverage an enrollee chooses at the time of enrollment determines the provider
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network available. An enrollee must stay within the specific provider network for medical services to be covered at the in-network level.
Continuity of Care
If during an open enrollment period, a plan represented a primary care physician (defined as a physician specializing in internal medicine, pediatrics, or family practice) as being available, it must make the physician available at no additional cost for the entire plan year. A specialist provider must be made available for your care for 90 days or through the current course of treatment if the treatment lasts less than 90 days. If an enrollee is in her second trimester of pregnancy, the provider must be available through postpartum care. The exceptions are for a provider who is no longer practicing in the managed care plan's service area or who was terminated from the plan for misconduct.
Referral Procedure
Some HMOs and LSHOs require a referral from a primary care physician before an enrollee can see another plan provider. All HMOs and LSHOs require the enrollee to have a referral approved by the plan before going to a non-plan provider. The enrollee handbook includes information on the procedure to follow and any notification requirements.
Standing Referrals Managed care plans must have a procedure allowing for standing referrals. A standing referral authorizes an enrollee to be seen by a specialist provider for a specific duration of time or specific number of visits without having to obtain a separate referral from the primary provider for each visit to the specialist.
No Referral Required In some cases, an HMO or LSHO cannot require a patient to obtain a referral to see certain providers. The plan must allow a woman to receive obstetrical and gynecological services from a plan physician who specializes in obstetrics or gynecology without requiring a referral from her primary care provider. A managed care plan also may not require a referral from a physician for services from a plan chiropractor.
If an enrollee goes to a non-HMO provider without an approved referral, the claim for those services will not be reimbursed by the HMO or LSHO. Enrollees have the right to file a grievance when a referral is denied.
Mandated Benefits
Health insurance policies sold in Wisconsin often include mandated benefits. These are benefits that an insurer must include in certain types of health insurance policies. Except for HMOs organized as cooperatives under ch. 185, Wis. Stat., HMOs are required to provide the same benefits as traditional insurers.
The mandated benefits required by Wisconsin state law include coverage for:
• health care services provided by certain nonphysician health care providers
• adopted children • handicapped children • nervous and mental disorders • alcoholism and other drug abuse • home health care • skilled nursing care • kidney disease • mammography
• breast reconstruction following a mastectomy
• anesthesia for certain dental procedures • maternity coverage for all persons covered
under the policy if it provides maternity coverage for anyone
• immunizations for children under the age of 6
• coverage of certain health care costs in cancer clinical trials
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• newborn infants • grandchildren born to dependent children
under the age of 18 who are covered by the policy
• diabetes • lead screening • temporomandibular joint treatment
• coverage of student on medical leave • treatment for autism spectrum disorders • hearing aids, cochlear implants, and related
treatment for infants and children • contraceptives and services • colorectal cancer screening • coverage of dependents under age 26 • prescription eye drop refills
Health insurance covering injected or intravenous chemotherapy and oral chemotherapy is prohibited from requiring a higher copayment, deductible, or coinsurance amount for oral chemotherapy than they require for injected or intravenous chemotherapy. For high-deductible health plans, the limitation applies only after the enrollee’s deductible has been satisfied for the year.
Every managed care plan must cover a second opinion from another provider within the managed care plan provider network. Every health plan covering emergency care, including managed care plans, must cover services required to stabilize a condition most people would consider to be an emergency, without prior authorization. Managed care plans are permitted to charge a reasonable copayment or coinsurance for this benefit.
For more information on mandated benefits, see the Fact Sheet on Mandated Benefits in Health Insurance Policies available on OCI’s website at oci.wi.gov/Pages/Consumers/PI-019.aspx or call OCI at 1-800-236-8517 to request a copy.
Grievance Procedure
Enrollees may wish to first contact the managed care plan or LSHO with a question or complaint. Many complaints can be resolved quickly and require no further action. However, filing a complaint with the plan first is not required. An enrollee may file a complaint with the appropriate state agency instead of, before, or at the same time as filing with the managed care plan or LSHO.
All health insurance plans, including all managed care plans and LSHOs, are required to have an internal grievance procedure for those who are not satisfied with the service they receive. The managed care plan or LSHO must provide each enrollee with complete and understandable information about how to use the grievance procedure. An enrollee has the right to appear in person before the grievance committee and present additional information.
Managed care plans and LSHOs are required to have a separate expedited grievance procedure for situations where the medical condition requires immediate medical attention. The procedure requires managed care organizations to resolve an expedited grievance within 72 hours after receiving the grievance.
Managed care plans and LSHOs are required to file a report with OCI listing the number of grievances they had in the previous year. A summary of this information is available on the OCI website at oci.wi.gov/Pages/Consumers/ GrievanceReport.aspx.
Independent Review
There is an additional way for enrollees to resolve disputes involving medical judgments. The health plan is required to provide enrollees with information on the availability of the independent review process when that determination is eligible for an independent review. In most instances, the enrollee will first complete the health plan’s internal grievance process. However, this is not required if the enrollee needs immediate medical care or if the health plan agrees to bypass the grievance process.
The independent review process provides the enrollee with an opportunity to have medical professionals who have no connection to the health plan review the dispute. The enrollee may request that an independent review
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organization (IRO) review the health plan’s decision. The IRO assigns the dispute to a clinical peer reviewer who is an expert in the treatment of the enrollee’s medical condition. The IRO has the authority to determine whether the treatment should be covered by the health plan.
For more information on the independent review process, see the Fact Sheet on the Independent Review Process in Wisconsin available on the OCI website at oci.wi.gov/Pages/Consumers/PI-203.aspx or call OCI at 1-800-236-8517 to request a copy.
Disenrollment
An HMO and an LSHO must disclose in the policy and certificate any circumstances under which an enrollee may be disenrolled. Disenrollment proceedings may be initiated only for the following reasons:
• The enrollee has failed to pay required premiums by the end of the grace period.
• The enrollee has moved outside of the geographical service area of the organization.
Enrollees have the right to file a grievance when a disenrollment proceeding is initiated.
Quality Assurance Plans
HMO plans are required to develop quality assurance plans to monitor the quality of the health care their enrollees receive. One way they do this is by collecting data on how often enrollees receive certain medical services and how satisfied enrollees are with the plan. They may then compare their performance to national standards. Questions and Concerns About Your Health Insurance
In addition to your HMO, LSHO, or PPP, the Office of the Commissioner of Insurance (OCI) and the Wisconsin Department of Safety and Professional Services and your employer may help with complaints.
Office of the Commissioner of Insurance P.O. Box 7873 Madison, WI 53707-7873 (608) 266-0103 (In Madison) 1-800-236-8517 (Statewide) oci.wi.gov
Deaf and hearing or speech impaired callers may reach OCI through WI TRS.
OCI has a Consumer Affairs section dedicated to answering insurance-related questions and assisting individuals experiencing problems with their insurance company or insurance agent. OCI investigates complaints against HMOs, LSHOs, and all other insurance companies. You can contact OCI when you experience: delays in paying claims, underwriting problems including refusal to insure, deceptive or false advertising, misrepresentation by the HMO or LSHO, failure to provide services guaranteed by the policy, and lack of disclosure about what is or is not covered.
All insurance companies and agents doing business in Wisconsin are licensed by OCI. Information regarding licensed insurance companies and agents is available on OCI's website at oci.wi.gov or you may call 1-800-236-8517.
OCI does not have the authority to force a company to insure anyone. However, OCI can take action against agents or insurers who misrepresent coverage, unfairly discriminate, or violate Wisconsin's insurance laws.
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The Wisconsin Department of Safety and Professional Services grants licenses to physicians and other health care providers and takes disciplinary action against licensees who have been proven not to meet minimum standards of professional conduct.
Department of Safety and Professional Services 4822 Madison Yards Way Madison, WI 53705 (608) 266-2112 dsps.wi.gov
Frequently Asked Questions
How do I select a health plan?
Think about what is most important to you in a health plan:
• low cost
• availability of a specific physician, clinic, or hospital
• freedom to see any physician you want
• convenient location of facilities
Remember, you may face trade-offs. For example, you may pay less for a plan, but you may have higher out-of-pocket costs or a narrower provider network. If you like the physician you are currently seeing, check to see if they are a provider in the plan you are considering. If you or a dependent has special medical needs, check to be sure the plan you are considering has adequate medical services and providers for that specialty.
What is a defined network plan?
A defined network plan is the term used in Wisconsin insurance law to refer to any health benefit plan that creates incentives for its enrollees to use network providers. Some defined network plans will provide coverage only if the enrollee uses network providers and other plans will pay a larger portion of the charges if the enrollee uses network providers. HMOs and preferred provider plans are examples of defined network plans. Some people refer to these plans as managed care plans.
In completing the application, I had to choose a primary care provider. What does that mean?
Your primary care provider is responsible for managing your health care needs. Many HMOs require their enrollees to receive all care from the primary care provider or with a referral from the primary care provider.
What can I do if I want a different primary care provider?
Every plan has its own procedures for changing primary care providers. Some plans will only allow you to change primary care providers once during the year. Others allow you to change as often as you like. This should be explained in your enrollee handbook or by contacting the plan.
What happens if I need care immediately?
If you need emergency care, most plans will allow you to go to the nearest emergency room. If it is not an emergency but you need care sooner than a routine doctor's visit, you may be required to go to a plan provider. You should always contact the insurance company as soon as possible. Some plans require you to pay an additional portion of the charges if you do not contact them within 48 hours of receiving care in an emergency room.
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Does it matter if the specialist to whom I am referred is a plan provider?
Yes. Most closed panel plans will require you to see a specialist who is a plan provider if one is able to provide the services you need. You should ask your physician to only refer you to plan providers.
My primary care provider referred me to a nonplan provider. Do I have to contact the insurance company before my appointment?
Yes. Most closed panel plans require a referral to a nonplan provider to be prior authorized by the insurance company before the appointment. In some cases, your primary care provider may submit the referral request to the insurer for you, and the insurer will send you a notice letting you know if the referral has been approved. In some cases, you may be required to contact the insurer directly. In either case, if you have not received the authorization from the insurance company prior to your appointment, you should contact the insurance company to determine if the service will be covered.
How are students or dependents living out of the service area covered?
Dependents who live out of the area are generally covered for emergency or urgent medical problems. The dependent would be required to receive all follow-up care and routine care from plan providers in the service area.
May I use any provider I choose under the plan?
If you are covered under an HMO or other closed panel plan, you will need to receive all services from your primary care provider or other plan providers. If you are covered under a preferred provider plan or point-of-service plan, you will be able to choose any provider. However, you will be required to pay a larger portion of the bill if you use a nonplan provider and may be required to have some services prior authorized by the insurance company. Your enrollee handbook should explain the requirements specific to your plan.
Will I incur any liability if I fail to follow the prior authorization requirements?
Yes. If you fail to follow the required prior authorization procedures, you will be required to pay a larger portion of the claim. In some cases, the plan may determine the service is not covered under the contract and completely deny the claim.
What is a drug formulary?
Many managed care plans establish a list of prescription drugs the plan considers medically appropriate and cost effective. Prescription drugs are usually grouped into tiers, and your share of the cost is determined by the tier that your medication is on.
My doctor is no longer with my plan, but I want to stay with this provider. What can I do?
The agreement between the managed care plan and your doctor is a separate agreement that may terminate any time during the year.
If the provider is your primary provider, the plan must cover your care for the remainder of the plan year.
If you are in your second or third trimester of pregnancy, the plan must cover your care through postpartum care.
If you are seeing a specialist, the plan must cover your care for the lesser of 90 days or through the current course of treatment.
If the provider leaves the plan because he or she no longer practices in the plan's service area or is terminated for misconduct, the foregoing provisions do not apply.
If your employer offers other plans, you may wish to consider changing plans during your employer's open enrollment period.
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My doctor didn’t tell me that they were no longer with my plan and the plan did not tell me either. Now I have bills the plan will not cover. What can I do?
If your doctor leaves the plan in the middle of the plan year, there are notice requirements. The plan is required to notify you at least 30 days in advance if its contract with your primary care provider is terminated. If it terminates its contract with a specialist, it must either notify you at least 30 days in advance or require the specialist to post a notice in the provider's office.
If you receive bills, you should file a grievance with the plan explaining the extenuating circumstances. You may also file a complaint with OCI.
I disagree with my doctor and want a second opinion. Will the insurer pay for it?
Yes, so long as you go to a plan provider or, if necessary, obtain a referral from your primary provider for the second opinion.
I live in a different county from where I work and my employer only offers an HMO. It is too far for me to go to see the doctor. What can I do?
If you enroll in the HMO, you must follow its procedures. This means you will be required to receive your care from plan providers. You may wish to ask your employer to consider offering other coverage.
I received a provider directory when I enrolled in my health plan. How do I know whether I am in an HMO, a preferred provider plan (PPP), or some other type of managed care plan? What difference does it make?
When you enrolled, you should have received a certificate of coverage and other written information explaining how your health plan works. This material should describe the benefits covered by your plan and explain any procedures you must follow in order to receive coverage. It is very important to review this information. It explains whether you must use plan providers or whether you can choose any provider. It will also explain when you need a referral from your primary care provider and when you need to contact the health plan for authorization before receiving health care.
If you have any questions about your coverage, call the health plan's customer service department. If you have coverage through your employer, the employer's human resources department may also be able to answer your questions.
I am covered by a group health plan through my employer. I would like to receive a copy of the certificate of insurance. How do I go about obtaining a copy?
Under Wisconsin insurance law, health insurers are required to provide enrollees with a copy of the health insurance certificate. Most health insurers make the certificate available on their website. You should have received a letter from your insurer telling you how to get a copy of the certificate. The correspondence must also include an offer to provide a paper copy of the certificate if an enrollee requests it.
Are large group plans required to cover essential health benefits (EHBs)?
No, large group plans are not required to cover EHBs. However, if a large group plan provides coverage for any EHBs, the plan is prohibited from imposing annual or lifetime dollar limits on those benefits.
Plans may impose non-dollar limits, such as limits on the number of doctor visits.
Counties Served by HMOs
Adams Aspirus Health Plan, Inc.Compcare Health Services Insurance Corporation
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Dean Health Plan, Inc.
Group Health Cooperative of Eau Claire
Health Tradition Health Plan
Independent Care Health Plan
Managed Health Services Insurance Corp. Quartz Health Benefit Plans Corporation
Quartz Health Plan Corporation
Security Health Plan of Wisconsin, Inc.
UnitedHealthcare of Wisconsin, Inc.
Wisconsin Collaborative Insurance Company Ashland Compcare Health Services Insurance Corporation
Group Health Cooperative of Eau Claire
Health Tradition Health Plan
Managed Health Services Insurance Corp. Medica Community Health Plans
Security Health Plan of Wisconsin, Inc.
UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company Barron Compcare Health Services Insurance Corporation
Group Health Cooperative of Eau Claire
Health Tradition Health Plan Managed Health Services Insurance Corp.
Medica Community Health Plans
Security Health Plan of Wisconsin, Inc.
UnitedHealthcare of Wisconsin, Inc.
Wisconsin Collaborative Insurance Company Bayfield Compcare Health Services Insurance Corporation
Group Health Cooperative of Eau Claire
Health Tradition Health Plan
Managed Health Services Insurance Corp. Medica Community Health Plans
Security Health Plan of Wisconsin, Inc.
UnitedHealthcare of Wisconsin, Inc.
Wisconsin Collaborative Insurance Company Brown Children's Community Health Plan, Inc.
Compcare Health Services Insurance Corporation
Dean Health Plan, Inc. Health Tradition Health Plan
Humana Wisconsin Health Organization Insurance Corp.
Independent Care Health Plan
Managed Health Services Insurance Corp.
Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc.
Network Health Plan, Inc.
Quartz Health Plan Corporation
UnitedHealthcare of Wisconsin, Inc.
Wisconsin Collaborative Insurance Company Buffalo Compcare Health Services Insurance Corporation
Dean Health Plan, Inc.
Group Health Cooperative of Eau Claire
Health Tradition Health Plan Managed Health Services Insurance Corp.
Medica Community Health Plans
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Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Burnett Compcare Health Services Insurance Corporation Group Health Cooperative of Eau Claire Health Tradition Health Plan Managed Health Services Insurance Corp. Medica Community Health Plans Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Calumet Children's Community Health Plan, Inc. Community Care Health Plan, Inc. Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Chippewa Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Group Health Cooperative of Eau Claire Health Tradition Health Plan Managed Health Services Insurance Corp. Medica Community Health Plans Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Clark Aspirus Health Plan, Inc.Compcare Health Services Insurance Corporation Group Health Cooperative of Eau ClaireManaged Health Services Insurance Corp.Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Columbia Aspirus Health Plan, Inc.Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Group Health Cooperative of Eau Claire Group Health Cooperative of South Central Wisconsin Independent Care Health Plan Managed Health Services Insurance Corp. My Choice Health Plan, Inc. Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation Security Health Plan of Wisconsin, Inc.
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UnitedHealthcare of Wisconsin, Inc.
Wisconsin Collaborative Insurance Company Crawford Compcare Health Services Insurance Corporation
Dean Health Plan, Inc. Group Health Cooperative of Eau Claire
Health Tradition Health Plan
Independent Care Health Plan
Managed Health Services Insurance Corp.
Medica Community Health Plans Medical Associates Clinic Health Plan of Wisconsin, The
Quartz Health Benefit Plans Corporation
Quartz Health Plan Corporation
Security Health Plan of Wisconsin, Inc.
UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company Dane Compcare Health Services Insurance Corporation Dean Health Plan, Inc.
Group Health Cooperative of South Central Wisconsin
Humana Wisconsin Health Organization Insurance Corp.
Independent Care Health Plan
Managed Health Services Insurance Corp. My Choice Health Plan, Inc.
Quartz Health Benefit Plans Corporation
Quartz Health Plan Corporation
Security Health Plan of Wisconsin, Inc.
UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company Dodge Compcare Health Services Insurance Corporation
Dean Health Plan, Inc.
Group Health Cooperative of South Central Wisconsin Humana Wisconsin Health Organization Insurance Corp.
Managed Health Services Insurance Corp.
Molina Healthcare of Wisconsin, Inc.
My Choice Health Plan, Inc.
Network Health Plan, Inc. Quartz Health Benefit Plans Corporation
Quartz Health Plan Corporation
Security Health Plan of Wisconsin, Inc.
UnitedHealthcare of Wisconsin, Inc.
Wisconsin Collaborative Insurance Company Door Children's Community Health Plan, Inc.
Compcare Health Services Insurance Corporation Dean Health Plan, Inc.
Health Tradition Health Plan
Humana Wisconsin Health Organization Insurance Corp.
Independent Care Health Plan
Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc.
Network Health Plan, Inc.
UnitedHealthcare of Wisconsin, Inc.
Wisconsin Collaborative Insurance Company Douglas Compcare Health Services Insurance Corporation
Group Health Cooperative of Eau Claire
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Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Managed Health Services Insurance Corp. Medica Community Health Plans Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Dunn Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Group Health Cooperative of Eau Claire Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Managed Health Services Insurance Corp. Medica Community Health Plans Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Eau Claire Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Group Health Cooperative of Eau Claire Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Managed Health Services Insurance Corp. Medica Community Health Plans Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Florence Aspirus Health Plan, Inc.Compcare Health Services Insurance Corporation Managed Health Services Insurance Corp.Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Security Health Plan of Wisconsin, Inc.UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Fond du Lac Children's Community Health Plan, Inc. Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. Network Health Plan, Inc. Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Forest Aspirus Health Plan, Inc.Children's Community Health Plan, Inc.Compcare Health Services Insurance Corporation Group Health Cooperative of Eau Claire
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Managed Health Services Insurance Corp.
Molina Healthcare of Wisconsin, Inc.
My Choice Health Plan, Inc.
Security Health Plan of Wisconsin, Inc.
UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company Grant Compcare Health Services Insurance Corporation
Dean Health Plan, Inc.
Group Health Cooperative of Eau Claire Health Tradition Health Plan
Independent Care Health Plan
Managed Health Services Insurance Corp.
Medical Associates Clinic Health Plan of Wisconsin, The
Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation
UnitedHealthcare of Wisconsin, Inc.
Wisconsin Collaborative Insurance Company Green Compcare Health Services Insurance Corporation
Dean Health Plan, Inc.
Group Health Cooperative of Eau Claire
Group Health Cooperative of South Central Wisconsin Humana Wisconsin Health Organization Insurance Corp.
Independent Care Health Plan
Managed Health Services Insurance Corp.
MercyCare HMO, Inc.
Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation
Security Health Plan of Wisconsin, Inc.
UnitedHealthcare of Wisconsin, Inc.
Wisconsin Collaborative Insurance Company Green Lake Children's Community Health Plan, Inc.
Compcare Health Services Insurance Corporation
Dean Health Plan, Inc.
Group Health Cooperative of Eau Claire
Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp.
Independent Care Health Plan
Managed Health Services Insurance Corp.
Molina Healthcare of Wisconsin, Inc.
My Choice Health Plan, Inc. Network Health Plan, Inc.
Quartz Health Benefit Plans Corporation
Quartz Health Plan Corporation
UnitedHealthcare of Wisconsin, Inc.
Wisconsin Collaborative Insurance Company Iowa Compcare Health Services Insurance Corporation
Dean Health Plan, Inc. Group Health Cooperative of Eau Claire
Group Health Cooperative of South Central Wisconsin
Independent Care Health Plan
Managed Health Services Insurance Corp.
Medical Associates Clinic Health Plan of Wisconsin, The Quartz Health Benefit Plans Corporation
16
Quartz Health Plan Corporation Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Iron Aspirus Health Plan, Inc.Compcare Health Services Insurance Corporation Group Health Cooperative of Eau ClaireManaged Health Services Insurance Corp.Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Jackson Compcare Health Services Insurance Corporation Group Health Cooperative of Eau Claire Health Tradition Health Plan Independent Care Health Plan Managed Health Services Insurance Corp. Medica Community Health Plans Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Jefferson Children's Community Health Plan, Inc. Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Group Health Cooperative of South Central Wisconsin Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Managed Health Services Insurance Corp. MercyCare HMO, Inc. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Juneau Aspirus Health Plan, Inc.Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Group Health Cooperative of Eau Claire Group Health Cooperative of South Central Wisconsin Health Tradition Health Plan Independent Care Health Plan Managed Health Services Insurance Corp. Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Kenosha Children's Community Health Plan, Inc. Community Care Health Plan, Inc. Compcare Health Services Insurance Corporation
17
Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc. Quartz Health Plan Corporation UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Lincoln Aspirus Health Plan, Inc.
Kewaunee Children's Community Health Plan, Inc. Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
La Crosse Compcare Health Services Insurance Corporation Group Health Cooperative of Eau Claire Health Tradition Health Plan Independent Care Health Plan Managed Health Services Insurance Corp. Medica Community Health Plans Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Lafayette Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Group Health Cooperative of Eau Claire Group Health Cooperative of South Central Wisconsin Independent Care Health Plan Managed Health Services Insurance Corp. Medical Associates Clinic Health Plan of Wisconsin, The Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Langlade Aspirus Health Plan, Inc.Compcare Health Services Insurance CorporationGroup Health Cooperative of Eau ClaireManaged Health Services Insurance Corp.Molina Healthcare of Wisconsin, Inc. Security Health Plan of Wisconsin, Inc.UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
18
Children's Community Health Plan, Inc. Compcare Health Services Insurance Corporation Group Health Cooperative of Eau Claire Humana Wisconsin Health Organization Insurance Corp. Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Manitowoc Children's Community Health Plan, Inc. Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc. Quartz Health Plan Corporation UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Marathon Aspirus Health Plan, Inc.Compcare Health Services Insurance CorporationGroup Health Cooperative of Eau Claire Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. Security Health Plan of Wisconsin, Inc.UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Marinette Children's Community Health Plan, Inc. Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Marquette Aspirus Health Plan, Inc.Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc. Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation
19
Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Menominee Compcare Health Services Insurance Corporation Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Milwaukee Children's Community Health Plan, Inc. Community Care Health Plan, Inc. Compcare Health Services Insurance Corporation Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc. Quartz Health Plan Corporation UnitedHealthcare of Wisconsin, Inc. WellCare Health Plans of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Monroe Compcare Health Services Insurance Corporation Group Health Cooperative of Eau Claire Health Tradition Health Plan Independent Care Health Plan Managed Health Services Insurance Corp. Medica Community Health Plans Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Oconto Children's Community Health Plan, Inc. Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Onieda Aspirus Health Plan, Inc.Children's Community Health Plan, Inc. Compcare Health Services Insurance Corporation Group Health Cooperative of Eau Claire Humana Wisconsin Health Organization Insurance Corp. Managed Health Services Insurance Corp.
20
Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Outagamie Children's Community Health Plan, Inc. Community Care Health Plan, Inc. Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Ozaukee Children's Community Health Plan, Inc. Community Care Health Plan, Inc. Compcare Health Services Insurance Corporation Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc. Quartz Health Plan Corporation UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Pepin Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Group Health Cooperative of Eau Claire Health Tradition Health Plan Managed Health Services Insurance Corp. Medica Community Health Plans Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Pierce Compcare Health Services Insurance Corporation Group Health Cooperative of Eau Claire Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Managed Health Services Insurance Corp. Medica Community Health Plans Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Polk Compcare Health Services Insurance Corporation Group Health Cooperative of Eau Claire Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp.
21
Managed Health Services Insurance Corp. Medica Community Health Plans Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Portage Aspirus Health Plan, Inc.Compcare Health Services Insurance Corporation Group Health Cooperative of Eau Claire Humana Wisconsin Health Organization Insurance Corp. Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc. Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Price Aspirus Health Plan, Inc.Compcare Health Services Insurance Corporation Group Health Cooperative of Eau ClaireManaged Health Services Insurance Corp.Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Racine Children's Community Health Plan, Inc. Community Care Health Plan, Inc. Compcare Health Services Insurance Corporation Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc. Quartz Health Plan Corporation UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Richland Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Group Health Cooperative of Eau Claire Group Health Cooperative of South Central Wisconsin Health Tradition Health Plan Independent Care Health Plan Managed Health Services Insurance Corp. Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Rock Children's Community Health Plan, Inc. Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Group Health Cooperative of South Central Wisconsin Humana Wisconsin Health Organization Insurance Corp.
22
Managed Health Services Insurance Corp. MercyCare HMO, Inc. Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Rusk Compcare Health Services Insurance Corporation Group Health Cooperative of Eau Claire Health Tradition Health Plan Managed Health Services Insurance Corp. Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
St Croix Compcare Health Services Insurance Corporation Group Health Cooperative of Eau Claire Humana Wisconsin Health Organization Insurance Corp. Managed Health Services Insurance Corp. Medica Community Health Plans Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Sauk Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Group Health Cooperative of Eau Claire Group Health Cooperative of South Central Wisconsin Health Tradition Health Plan Independent Care Health Plan Managed Health Services Insurance Corp. My Choice Health Plan, Inc. Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Sawyer Compcare Health Services Insurance Corporation Group Health Cooperative of Eau Claire Managed Health Services Insurance Corp. Medica Community Health Plans Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Shawano Aspirus Health Plan, Inc.Children's Community Health Plan, Inc. Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Group Health Cooperative of Eau Claire Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc.
23
Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Sheboygan Children's Community Health Plan, Inc. Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc. Quartz Health Plan Corporation UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Taylor Aspirus Health Plan, Inc.Compcare Health Services Insurance Corporation Group Health Cooperative of Eau ClaireManaged Health Services Insurance Corp.Molina Healthcare of Wisconsin, Inc. Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Trempealeau Compcare Health Services Insurance Corporation Group Health Cooperative of Eau Claire Health Tradition Health Plan Independent Care Health Plan Managed Health Services Insurance Corp. Medica Community Health Plans Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Vernon Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Group Health Cooperative of Eau Claire Group Health Cooperative of South Central Wisconsin Health Tradition Health Plan Independent Care Health Plan Managed Health Services Insurance Corp. Medica Community Health Plans Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Vilas Aspirus Health Plan, Inc.Children's Community Health Plan, Inc.Compcare Health Services Insurance Corporation Group Health Cooperative of Eau ClaireManaged Health Services Insurance Corp.
24
Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Walworth Children's Community Health Plan, Inc. Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. MercyCare HMO, Inc. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Washburn Compcare Health Services Insurance Corporation Group Health Cooperative of Eau Claire Health Tradition Health Plan Managed Health Services Insurance Corp. Medica Community Health Plans Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Washington Children's Community Health Plan, Inc. Community Care Health Plan, Inc. Compcare Health Services Insurance Corporation Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc. Quartz Health Plan Corporation UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Waukesha Children's Community Health Plan, Inc. Community Care Health Plan, Inc. Compcare Health Services Insurance Corporation Dean Health Plan, Inc. Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc. Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation
25
Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. WellCare Health Plans of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Waupaca Children's Community Health Plan, Inc. Community Care Health Plan, Inc. Compcare Health Services Insurance Corporation Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc. Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Waushara Aspirus Health Plan, Inc.Children's Community Health Plan, Inc. Compcare Health Services Insurance Corporation Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc. Quartz Health Benefit Plans Corporation Quartz Health Plan Corporation Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Winnebago Children's Community Health Plan, Inc. Compcare Health Services Insurance Corporation Health Tradition Health Plan Humana Wisconsin Health Organization Insurance Corp. Independent Care Health Plan Managed Health Services Insurance Corp. Molina Healthcare of Wisconsin, Inc. My Choice Health Plan, Inc. Network Health Plan, Inc. Quartz Health Plan Corporation UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
Wood Aspirus Health Plan, Inc.Compcare Health Services Insurance Corporation Group Health Cooperative of Eau ClaireManaged Health Services Insurance Corp.Molina Healthcare of Wisconsin, Inc. Security Health Plan of Wisconsin, Inc. UnitedHealthcare of Wisconsin, Inc. Wisconsin Collaborative Insurance Company
26
Directory of Licensed HMOs
This list includes only HMOs that are licensed separately. Some HMOs are not separately licensed but are offered as a line of business of an insurance company. These plans are not listed in this directory.
The Medical Associates Clinic Health Plan of Wisconsin 1605 Associates Drive, Suite 101 Dubuque, IA 52002-2270 (563) 556-80701-800-747-8900www.mahealthcare.com
MercyCare HMO, Inc. 580 N Washington P.O. Box 550 Janesville, WI 53547-0550 (608) 752-34311-800-752-3431www.mercycarehealthplans.com
Molina Healthcare of Wisconsin, Inc. 11002 W Park Pl Milwaukee, WI 53224 (414) 214-24951-888-999-2404www.molinahealthcare.com
My Choice Wisconsin Health Plan, Inc. 1617 Sherman Avenue Madison, WI 53704-5930 (608) 240-00201-800-963-0035https://mychoicewi.org
Network Health Plan, Inc. 1570 Midway Place P. O. Box 120 Menasha, WI 54952-0120 (920) 720-12001-800-826-0940www.networkhealth.com
Quartz Health Plan Corp.
Aspirus Health Plan, Inc.3000 Westhill Drive, Suite 303 Wausau, WI 54401 (715) 843-1387www.aspirushealthplan.com
Children's Community Health Plan, Inc. 9000 West Wisconsin Avenue Milwaukee, WI 53226 (414) 266-63281-800-482-8010www.childrenschp.com
Community Care Health Plan, Inc. 205 Bishops Way Brookfield, WI 53005 (414) 385-66001-866-992-6600www.CommunityCareInc.org
Compcare Health Services Ins. Corp. N17 W24340 Riverwood Road Waukesha, WI 53188 262-523-2439www.anthem.com
Dean Health Plan, Inc. 1277 Deming Way Madison, WI 53717 (608) 836-14001-800-279-1301www.deancare.com
Group Health Cooperative of Eau Claire PO BOX 3217 Eau Claire, WI 54702 (715) 552-43001-888-203-7770www.group-health.com 840 Carolina St.
Sauk City, WI 53583 (608) 775-8007www.quartzbenefits.com
27
Group Health Cooperative of South Central Wisconsin Quartz Health Benefit Plans Corp. PO BOX 44971 840 Carolina Street Madison, WI 53744 Sauk City, WI 53583-1371 (608) 251-4156 (608) 643-24911-800-605-4327 1-800-362-3308www.ghcscw.com www.quartzbenefits.com
Health Tradition Health Plan Security Health Plan of Wisconsin, Inc. 45 Nob Hill Rd 1515 Saint Joseph Avenue Madison, WI 53713 P. O. Box 8000 (608) 781-9692 Marshfield, WI 54449 1-877-832-1823 (715) 221-9555www.healthtradition.com 1-800-472-2363
www.securityhealth.orgHumana Wisconsin Health Org. Ins. Corp. PO BOX 740036 UnitedHealthcare of Wisconsin, Inc. Louisville, KY 40201-7436 10701 West Research Drive (262) 951-2560 PO Box 26649 1-800-558-4444 Wauwatosa, WI 53226-0649 www.humana.com (414) 443-4000
1-800-879-0071Independent Care Health Plan www.unitedhealthcare.com1555 North RiverCenter Drive, Suite 206 Milwaukee, WI 53212 WellCare Health Plans of Wisconsin, Inc. (414) 223-4847 8725 Henderson Rd Ste 1 1-800-777-4376 Tampa, FL 33634 http://www.icarehealthplan.org http://www.centene.com
Managed Health Services Insurance Corp. Wisconsin Collaborative Ins. Co. 801 W 60th St Ste 200 N17 W24340 Riverwood Drive West Allis, WI 53214 Waukesha, WI 53188 (414) 345-4600 (262) 523-24391-800-547-1647 www.wellpriority.com
www.mhswi.com
WPS Health Plan, Inc. P.O. Box 14540 Madison, WI 53708-0540 (608)-977-6602 1-888-711-1444
Directory of Licensed LSHOs and Counties Served
This list includes only LSHOs that are licensed separately. Some LSHOs are not separately licensed but are offered as a line of business of an insurance company. These plans are not listed in this directory.
Name of Insurer * Counties Served AccessCare General Wisconsin Insurance, Inc. 8500 W 110th St Ste 450 Overland Park, KS 66210 877-647-7948
Adams, Barron, Brown, Buffalo, Calumet, Chippewa, Clark, Columbia, Crawford, Dane, Dodge, Door, Dunn, Eau Claire, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Kenosha, Kewanee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pepin, Pierce, Polk, Portage, Racine, Richland, Rock, Saint Croix, Sauk, Shawano, Sheboygan, Taylor, Trempealeau, Walworth, Washington, Waukesha, Waupaca, Winnebago, Wood
American Dental Plan of Wisconsin, Inc. 1221 John Q Hammons Drive Madison, WI 53717 (608) 831-1047 1-800-257-0396 www.adpofwi.com
Columbia, Dane, Dodge, Grant, Iowa, Jefferson, Richland, Rock, Sauk, Waukesha
Care-Plus Dental Plans, Inc. 205 E Wisconsin Ave Milwaukee, WI 53202 (414) 771-1711 1-800-318-7007 http://www.careplusdentalplans.com
Brown, Calumet, Dodge, Door, Fond du Lac, Green Lake, Jefferson, Kenosha, Kewaunee, Manitowoc, Marinette, Marquette, Menominee, Milwaukee, Oconto, Outagamie, Ozaukee, Racine, Shawano, Sheboygan, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago
Dental Com Insurance Plan P O Box 929 Marshfield, WI 54449 (715) 387-1702
Clark, Marathon, Portage, Taylor, Wood
Dental Protection Plan, Inc. 7130 West Greenfield Avenue West Allis, WI 53214-4708 (414) 259-9522 http://www.dentalprotectionplaninc.com
Eastern Wisconsin
Momentum Insurance Plans, Inc. 2971 Chapel Valley Road Fitchburg, WI 53711-7420 (608) 729-6500 1-866-421-6649 https://www.momentumplans.com
Statewide
Preferred Insurance Affiliates, Inc. 1029 Howard Street, Suite 201 Evanston, IL 60202-3877 (847) 491-0660
Milwaukee
29
SeniorDent Dental Plan, Inc. 18622 S RTE 59 Unit A1 Shorewood, IL 60404 (773) 329-4450 1-888-970-3400 https://www.srdent.com
Dane, Dodge, Fond du Lac, Green Lake, Iowa, Jefferson, Kenosha, Kewaunee, Manitowoc, Milwaukee, Outagamie
* Plans may serve only portions of listed counties. Consult the plan for more detailed information.
30
Tables
Table 1 – Wisconsin Counties Enrollment as of January 1, 2021**
Percentages are based on U.S. Census Bureau estimates as of July 1, 2021, and are rounded to nearest whole percent.
* = Less than 1% of population enrolled in HMOs.
** = Includes data from separately licensed HMOs only. HMOs operated as a line of business within a traditional insurer are not included. Percentages include enrollees in both closed panel and point-of-service plans.
Table 1A – Wisconsin Counties Enrollment as of January 1, 2021
HMO POS Small Group
Large Group & Other
Total HMO
Small Group
Large Group & Other
Total POS
Total HMO and POS
Population Penetration
Adams 261 6,278 6,539 36 817 853 7,392 20,498 36% Ashland 108 4,062 4,170 79 703 782 4,952 15,415 32% Barron 268 11,080 11,348 115 2,573 2,688 14,036 45,090 31% Bayfield 81 3,098 3,179 35 674 709 3,888 15,242 26% Brown 2,654 62,207 64,861 2,266 5,589 7,855 72,716 264,610 27% Buffalo 199 3,322 3,521 38 232 270 3,791 13,033 29% Burnett 11 3,350 3,361 45 287 332 3,693 15,557 24% Calumet 905 7,770 8,675 460 1,134 1,594 10,269 50,209 20% Chippewa 613 16,163 16,776 160 2,888 3,048 19,824 64,737 31% Clark 362 8,867 9,229 69 3,025 3,094 12,323 34,720 35% Columbia 2,139 28,997 31,136 234 2,786 3,020 34,156 57,668 59% Crawford 440 5,818 6,258 79 293 372 6,630 16,021 41% Dane 19,896 318,376 338,272 1,643 14,421 16,064 354,336 552,536 64% Dodge 1,641 29,839 31,480 672 1,846 2,518 33,998 87,336 39% Door 212 9,390 9,602 208 672 880 10,482 27,889 38% Douglas 11 8,384 8,395 128 532 660 9,055 43,702 21% Dunn 337 8,384 8,721 132 770 902 9,623 45,452 21% Eau Claire 768 25,356 26,124 341 3,019 3,360 29,484 105,260 28% Florence 2 1,092 1,094 4 27 31 1,125 4,298 26% Fond du Lac 1,001 26,923 27,924 1,110 1,899 3,009 30,933 102,902 30% Forest 72 2,708 2,780 47 405 452 3,232 8,960 36% Grant 4,404 18,931 23,335 198 532 730 24,065 51,021 47% Green 1,296 16,922 18,218 165 938 1,103 19,321 36,603 53% Green Lake 486 5,278 5,764 200 276 476 6,240 18,908 33% Iowa 859 12,057 12,916 117 831 948 13,864 23,640 59% Iron 49 1,666 1,715 14 714 728 2,443 5,698 43% Jackson 251 6,659 6,910 46 582 628 7,538 20,630 37% Jefferson 1,786 32,408 34,194 506 2,974 3,480 37,674 85,038 44% Juneau 658 10,749 11,407 61 658 719 12,126 26,908 45%
32
Kenosha 400 40,542 40,942 1,073 2,119 3,192 44,134 169,671 26% Kewaunee 264 4,792 5,056 173 403 576 5,632 20,386 28% La Crosse 3,008 36,729 39,737 299 811 1,110 40,847 118,502 34% Lafayette 1,042 6,430 7,472 137 190 327 7,799 16,646 47% Langlade 287 6,811 7,098 118 1,471 1,589 8,687 19,119 45% Lincoln 372 7,973 8,345 83 2,350 2,433 10,778 27,566 39% Manitowoc 416 19,012 19,428 1,069 4,809 5,878 25,306 78,757 32% Marathon 2,061 32,984 35,045 576 12,323 12,899 47,944 135,593 35% Marinette 136 11,551 11,687 259 525 784 12,471 40,262 31% Marquette 335 5,838 6,173 86 280 366 6,539 15,585 42% Menominee 0 901 901 14 10 24 925 4,546 20% Milwaukee 3,136 387,213 390,349 9,182 12,553 21,735 412,084 945,016 44% Monroe 913 12,413 13,326 97 772 869 14,195 46,582 30% Oconto 300 4,483 4,783 317 627 944 5,727 38,383 15% Oneida 500 11,068 11,568 94 2,930 3,024 14,592 35,751 41% Outagamie 3,228 38,899 42,127 2,355 3,658 6,013 48,140 188,766 26% Ozaukee 523 15,378 15,901 1,610 2,230 3,840 19,741 90,043 22% Pepin 39 1,681 1,720 66 248 314 2,034 7,271 28% Pierce 20 4,576 4,596 47 260 307 4,903 42,700 11% Polk 17 7,551 7,568 60 200 260 7,828 43,794 18% Portage 696 14,375 15,071 242 3,244 3,486 18,557 71,032 26% Price 147 4,566 4,713 49 1,410 1,459 6,172 13,245 47% Racine 822 64,423 65,245 2,127 3,685 5,812 71,057 195,802 36% Richland 348 7,129 7,477 24 443 467 7,944 17,258 46% Rock 3,520 50,279 53,799 609 5,558 6,167 59,966 163,084 37% Rusk 146 4,305 4,451 34 1,411 1,445 5,896 14,022 42% St Croix 36 10,546 10,582 62 175 237 10,819 91,838 12% Sauk 2,335 30,894 33,229 188 1,738 1,926 35,155 64,449 55% Sawyer 147 3,651 3,798 30 1,357 1,387 5,185 16,700 31% Shawano 499 9,425 9,924 223 1,175 1,398 11,322 40,786 28% Sheboygan 413 27,072 27,485 1,061 2,526 3,587 31,072 115,240 27% Taylor 238 6,951 7,189 4 1,639 1,643 8,832 20,318 43% Trempealeau 634 9,595 10,229 65 668 733 10,962 29,681 37%
33
Vernon 865 11,589 12,454 60 1,162 1,222 13,676 30,861 44% Vilas 369 7,308 7,677 46 1,659 1,705 9,382 22,356 42% Walworth 788 23,874 24,662 711 1,527 2,238 26,900 103,953 26% Washburn 89 4,229 4,318 33 1,065 1,098 5,416 15,712 34% Washington 981 28,939 29,920 2,324 3,456 5,780 35,700 136,445 26% Waukesha 2,148 76,406 78,554 6,528 8,600 15,128 93,682 406,172 23% Waupaca 514 11,361 11,875 562 605 1,167 13,042 50,664 26% Waushara 386 6,524 6,910 152 280 432 7,342 24,326 30% Winnebago 2,322 41,208 43,530 1,811 2,980 4,791 48,321 171,631 28% Wood 1,135 20,822 21,957 167 10,980 11,147 33,104 72,560 46% Totals 78,345 1,828,430 1,906,775 44,035 158,209 202,244 2,109,019 5,832,655 36%
Percentages are based on U.S. Census Bureau estimates as of July 1, 2021, and are rounded to nearest whole percent.
34
Table 2 – Wisconsin HMOs (Closed Panel Plans) Enrollment by County as of January 1, 2021
ASPIRUS CCHP CHILDREN'S COMPCARE DEAN GHC-ECGHC-SC
WIHEALTH
TRADITION HUMANA I-CAREMANAGED HEALTH MCWHP
MEDICAL ASSOC
MERCYCARE HMO MOLINA NETWORK QHBPC QHPC SECURITY TRILOGY
UHC OF WI WCIC WPS HP TOTAL
Adams 69 0 0 501 1,629 301 128 1 0 244 160 20 0 2 1 160 1,060 42 1,526 0 694 0 1 6,539 Ashland 2 0 0 323 38 648 0 0 0 0 104 0 0 0 3 88 2 2 2,082 0 878 0 0 4,170 Barron 0 0 0 1,411 393 3,708 111 38 0 0 229 0 0 0 0 172 25 6 4,763 0 492 0 0 11,348 Bayfield 0 0 0 231 8 1,030 25 1 4 0 84 0 0 0 0 76 11 0 1,163 0 546 0 0 3,179 Brown 14 0 2,885 6,008 5,243 1 10 327 104 1,891 3,769 1,677 0 1 5,102 5,784 403 27 169 0 29,565 19 1,862 64,861 Buffalo 0 0 0 285 115 972 91 72 0 0 56 0 2 0 0 58 726 450 596 0 98 0 0 3,521 Burnett 0 0 0 425 11 1,288 5 0 0 0 111 0 0 0 0 130 2 1 822 0 566 0 0 3,361 Calumet 2 7 299 394 45 0 2 369 11 146 375 119 0 0 568 2,761 22 1 51 0 3,448 5 50 8,675 Chippewa 5 0 0 1,260 1,051 4,516 60 33 1 0 286 1 0 0 0 275 137 6 8,543 0 600 2 0 16,776 Clark 378 0 0 602 39 941 4 9 1 0 227 11 0 0 0 164 74 24 6,485 0 270 0 0 9,229 Columbia 28 0 0 1,499 13,113 760 2,917 1 3 79 302 300 0 5 0 255 9,182 1,867 56 0 769 0 0 31,136 Crawford 1 0 0 832 329 340 25 52 0 57 87 12 410 14 0 67 1,939 2,012 81 0 0 0 0 6,258 Dane 9 0 0 7,322 88,832 3,940 62,088 21 19 2,617 1,861 3,147 14 39 10 2,079 135,938 24,693 407 0 4,419 1 816 338,272 Dodge 0 0 0 2,581 11,786 64 443 28 24 72 814 424 0 21 916 991 5,762 1,331 171 0 5,981 13 58 31,480 Door 0 0 259 539 2,709 1 4 13 3 164 308 2 0 0 941 632 21 2 23 0 3,927 0 54 9,602 Douglas 0 0 0 1,291 3 2,613 0 1 0 0 554 0 0 0 0 517 4 0 1,386 0 2,026 0 0 8,395 Dunn 1 0 0 1,673 292 4,151 126 12 0 0 215 0 0 0 2 9 41 8 1,885 0 306 0 0 8,721 Eau Claire 1 0 0 2,244 1,682 9,287 184 135 1 0 485 0 0 0 0 477 256 10 10,476 0 886 0 0 26,124 Florence 33 0 0 120 3 0 0 0 0 0 76 28 0 0 155 33 4 0 170 0 470 2 0 1,094 Fond du Lac 9 0 398 2,396 4,624 3 10 28 27 746 1,725 45 0 0 610 4,878 2,381 649 52 0 9,060 208 75 27,924 Forest 351 0 0 179 4 78 0 0 0 0 119 36 0 0 88 86 2 0 1,157 0 664 0 16 2,780 Grant 1 0 0 2,053 5,188 2,850 220 1 0 365 388 49 5,231 0 0 257 4,982 735 44 0 971 0 0 23,335 Green 0 0 0 1,241 6,775 1,205 1,128 29 1 315 157 50 13 143 0 129 5,034 1,203 17 0 778 0 0 18,218 Green Lake 0 0 119 534 837 3 24 5 3 12 326 88 0 0 177 949 540 1 135 0 1,867 20 124 5,764 Iowa 0 0 0 580 6,177 784 872 1 1 22 113 31 297 1 0 101 3,573 208 16 0 139 0 0 12,916 Iron 188 0 0 161 6 156 1 0 0 0 74 0 0 0 0 30 5 2 1,028 0 62 2 0 1,715 Jackson 0 0 0 498 78 600 54 118 0 105 120 18 3 1 0 124 1,696 1,687 1,444 0 361 0 3 6,910 Jefferson 4 0 491 2,296 13,466 88 1,233 30 22 78 970 232 0 517 628 719 7,544 1,273 54 0 4,526 5 18 34,194 Juneau 12 0 0 1,119 1,440 1,053 671 7 1 274 195 46 0 0 2 156 3,524 1,554 743 0 610 0 0 11,407 Kenosha 0 56 10,500 7,273 27 0 2 154 35 1,879 1,511 858 0 25 5,596 2,549 69 83 26 0 10,246 8 45 40,942 Kewaunee 0 0 109 546 853 0 1 18 9 102 149 67 0 0 396 272 12 0 5 0 2,415 0 102 5,056 La Crosse 0 0 0 4,384 31 975 152 1,430 2 623 537 95 1 0 1 519 13,800 13,885 1,197 0 2,105 0 0 39,737 Lafayette 1 0 0 704 2,270 1,089 222 9 0 8 23 23 1,340 0 0 2 1,416 50 9 0 306 0 0 7,472 Langlade 1,031 0 0 523 3 333 0 2 2 4 540 0 0 0 189 423 10 0 2,559 0 1,442 1 36 7,098 Lincoln 944 0 62 580 3 478 4 2 2 0 282 0 0 0 440 256 21 0 4,431 0 815 0 25 8,345 Manitowoc 6 0 606 2,260 1,509 1 2 76 85 619 1,364 376 0 0 1,889 1,761 60 40 34 0 8,502 4 234 19,428 Marathon 3,847 0 0 2,119 17 1,590 3 8 6 5 1,267 1 0 0 1,028 1,114 147 4 20,233 0 3,628 1 27 35,045 Marinette 7 0 216 1,323 180 1 3 28 5 284 482 362 0 0 1,708 487 26 2 36 0 6,450 0 87 11,687 Marquette 22 0 0 602 1,921 72 159 1 1 0 216 111 0 0 68 273 1,404 104 139 0 1,073 0 7 6,173 Menominee 0 0 0 154 1 1 0 0 0 7 40 0 0 0 0 42 0 0 36 0 620 0 0 901 Milwaukee 2 674 104,935 46,260 256 16 56 585 341 24,344 15,154 10,222 4 10 46,177 19,915 1,052 309 130 0 119,713 108 86 390,349 Monroe 0 0 0 2,623 42 474 119 595 3 278 257 41 0 1 0 269 3,886 4,094 644 0 0 0 0 13,326 Oconto 2 0 234 1,040 843 1 0 49 9 202 501 172 0 0 713 867 12 0 91 0 0 0 47 4,783 Oneida 975 0 81 646 10 524 5 1 3 0 424 85 0 0 1,004 359 28 2 6,225 0 1,194 2 0 11,568 Outagamie 21 76 1,037 3,749 312 6 5 2,377 54 728 1,518 768 0 0 2,150 10,227 336 4 851 0 16,124 437 1,347 42,127 Ozaukee 1 40 2,560 1,392 52 0 7 101 66 125 274 208 0 0 1,182 1,648 81 65 28 0 8,048 10 13 15,901 Pepin 0 0 0 176 148 696 19 43 0 0 54 0 0 0 0 55 5 1 447 0 76 0 0 1,720 Pierce 0 0 0 731 31 1,488 4 11 0 0 152 0 1 0 0 139 14 3 364 0 1,658 0 0 4,596 Polk 4 0 0 1,046 23 3,434 2 1 0 0 246 0 0 0 0 214 4 1 507 0 2,086 0 0 7,568 Portage 1,302 0 0 1,089 17 502 10 3 2 0 644 193 0 0 1,217 660 139 22 7,027 0 2,165 1 78 15,071 Price 345 0 0 297 4 324 6 0 0 0 135 0 1 0 0 98 10 3 3,252 0 238 0 0 4,713 Racine 0 164 11,951 7,401 78 1 2 224 107 2,576 2,032 1,401 2 89 9,409 4,002 163 96 31 0 25,405 37 74 65,245 Richland 0 0 0 1,082 1,177 935 109 4 1 26 108 21 0 1 0 5 2,882 219 22 0 885 0 0 7,477 Rock 0 0 724 4,100 22,984 96 1,037 30 8 1,366 3,685 431 1 7,542 1 1,858 8,276 1,605 52 0 0 3 0 53,799 Rusk 6 0 0 426 30 1,051 13 17 0 0 43 0 0 0 0 23 9 5 2,691 0 137 0 0 4,451 Saint Croix 0 0 0 1,607 14 2,475 10 1 0 0 1,012 0 0 0 0 948 45 2 219 0 4,249 0 0 10,582 Sauk 10 0 0 1,886 15,728 252 1,916 1 1 718 340 205 6 7 0 92 8,697 2,541 51 0 778 0 0 33,229 Sawyer 0 0 0 392 10 882 15 0 0 0 239 0 0 1 1 289 12 2 1,595 0 360 0 0 3,798 Shawano 264 0 155 667 271 111 1 14 9 154 287 153 0 0 594 422 23 0 1,099 0 5,440 1 259 9,924 Sheboygan 7 0 1,419 2,781 1,438 1 21 113 57 926 436 676 1 0 2,610 832 94 92 22 0 15,747 5 207 27,485 Taylor 1,648 0 0 327 8 259 0 0 0 2 181 0 0 0 0 168 13 1 4,238 0 344 0 0 7,189 Trempealeau 3 0 0 1,700 335 1,046 121 265 0 139 142 9 0 0 0 134 2,146 2,454 1,307 0 424 0 4 10,229 Vernon 0 0 0 779 242 556 62 151 1 187 130 23 1 0 0 126 4,259 5,106 194 0 637 0 0 12,454 Vilas 454 0 55 355 17 397 2 1 1 0 159 48 1 0 60 157 36 4 4,876 0 1,054 0 0 7,677 Walworth 0 0 2,276 2,374 2,952 5 38 105 32 1,012 511 371 0 4,667 932 457 1,679 135 30 0 7,071 13 2 24,662 Washburn 0 0 0 487 35 1,480 16 1 0 0 116 0 0 0 3 115 15 0 1,769 0 281 0 0 4,318 Washington 0 52 5,536 2,156 159 1 4 155 102 202 482 418 0 1 1,345 2,379 344 62 30 0 16,292 15 185 29,920 Waukesha 6 139 10,310 7,735 3,495 12 45 459 207 1,503 1,135 888 0 19 2,556 3,654 6,914 591 97 0 38,412 70 307 78,554 Waupaca 48 25 306 848 20 3 5 54 7 280 414 216 0 0 598 1,409 66 0 1,012 0 6,018 12 534 11,875
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Waushara 32 0 139 500 74 12 16 32 3 11 410 132 0 1 299 930 365 3 628 0 2,960 12 351 6,910 Winnebago 4 0 1,380 3,463 131 4 4 570 50 1,151 1,872 933 1 0 2,397 10,480 563 38 199 0 16,812 2,852 626 43,530 Wood 1,992 0 0 1,141 19 1,091 16 2 1 0 747 0 0 0 4 661 243 3 13,763 0 2,274 0 0 21,957
14,092 1,233 159,042 162,322 223,686 64,056 74,670 9,025 1,438 46,648 54,541 25,843 7,330 13,108 93,770 93,447 244,266 69,425 127,741 0 409,463 3,869 7,760 1,906,775
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Table 3 – Wisconsin HMOs (Point-of-Service Plans) Enrollment by County as of January 1, 2021
ASPIRUS COMPCARE DEAN GHC-SC WIHEALTH
TRADITION HUMANAMEDICAL ASSOC
MERCYCARE HMO NETWORK QHBPC QHPC SECURITY
UHC OF WI WCIC WPS HP TOTAL
Adams 4 21 90 1 0 5 0 0 0 76 0 647 9 0 0 853Ashland 0 54 3 0 0 6 0 0 0 0 0 715 4 0 0 782Barron 1 147 73 0 7 11 0 0 0 1 0 2,441 6 1 0 2,688Bayfield 1 54 4 0 0 46 0 0 0 0 0 603 1 0 0 709Brown 6 1,943 1,119 0 0 2,534 0 0 11 7 0 46 1,279 192 718 7,855Buffalo 0 98 9 0 4 3 0 0 0 10 0 146 0 0 0 270Burnett 0 55 2 0 0 4 0 0 0 0 0 269 0 2 0 332Calumet 0 1,046 83 0 6 265 0 0 0 5 0 1 155 22 11 1,594Chippewa 19 211 100 0 26 20 0 0 0 7 0 2,657 8 0 0 3,048Clark 34 81 39 0 2 13 0 0 0 1 0 2,915 9 0 0 3,094Columbia 3 100 1,585 93 0 64 0 0 0 1,068 0 99 5 3 0 3,020Crawford 2 36 36 0 0 1 0 0 0 283 0 14 0 0 0 372Dane 0 849 7,751 1,062 2 468 7 12 0 5,111 0 649 103 46 4 16,064Dodge 0 573 556 11 4 589 0 0 7 384 0 1 357 22 14 2,518Door 0 118 529 0 0 83 0 0 0 0 0 0 92 7 51 880Douglas 0 152 4 0 0 1 0 0 0 0 0 485 18 0 0 660Dunn 0 202 46 0 12 6 0 0 0 2 0 630 2 2 0 902Eau Claire 7 390 241 0 35 12 0 0 0 30 0 2,608 37 0 0 3,360Florence 3 10 2 0 0 10 0 0 0 0 0 2 4 0 0 31Fond du Lac 4 650 527 1 6 661 0 1 2 253 0 4 790 58 52 3,009Forest 18 46 13 0 0 10 0 0 0 3 0 358 3 0 1 452Grant 0 126 208 1 0 8 88 0 0 292 0 6 1 0 0 730Green 0 184 429 25 0 28 4 28 0 359 0 39 6 1 0 1,103Green Lake 0 101 52 6 0 71 0 0 0 57 0 8 151 28 2 476Iowa 0 23 556 12 0 14 20 0 0 301 0 13 8 1 0 948Iron 25 2 11 0 0 0 0 0 0 0 0 681 9 0 0 728Jackson 0 101 10 0 14 11 0 0 0 35 0 452 5 0 0 628Jefferson 0 473 1,616 50 0 547 0 25 0 452 0 39 233 45 0 3,480Juneau 6 165 37 3 0 14 0 0 0 141 0 346 4 3 0 719Kenosha 0 1,104 35 0 0 859 0 5 13 7 0 1 1,005 103 60 3,192Kewaunee 0 98 137 0 0 211 0 0 0 0 0 2 69 15 44 576La Crosse 0 157 44 0 2 45 0 0 0 608 0 77 177 0 0 1,110Lafayette 0 41 100 4 0 8 77 0 0 90 0 1 6 0 0 327Langlade 25 70 6 0 0 37 0 0 0 1 0 1,431 14 1 4 1,589Lincoln 98 61 22 0 0 60 0 0 0 3 0 2,154 33 2 0 2,433Manitowoc 0 1,350 643 0 10 2,074 0 0 0 7 0 0 348 249 1,197 5,878Marathon 357 202 55 0 1 134 0 0 1 9 0 11,938 159 19 24 12,899Marinette 0 182 101 0 0 124 0 0 0 0 0 9 102 20 246 784Marquette 0 51 100 5 0 24 0 0 0 116 0 32 35 1 2 366Menominee 6 2 0 0 0 4 0 0 0 0 0 0 12 0 0 24Milwaukee 0 3,461 256 2 0 8,299 0 13 447 159 0 29 7,969 783 317 21,735Monroe 0 418 14 7 11 64 0 0 0 284 0 38 33 0 0 869Oconto 0 260 208 0 0 216 0 3 0 0 0 12 162 26 57 944Oneida 56 311 37 0 4 61 0 0 0 3 0 2,539 12 1 0 3,024Outagamie 7 2,329 260 0 0 1,323 0 0 0 42 0 48 1,177 246 581 6,013Ozaukee 0 836 103 1 0 1,610 0 1 33 31 0 2 1,151 34 38 3,840Pepin 0 88 5 0 8 0 0 0 0 4 0 208 1 0 0 314Pierce 2 176 60 0 2 0 0 0 0 0 0 66 1 0 0 307Polk 0 109 29 3 0 4 0 0 0 0 0 110 5 0 0 260
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Portage 131 70 42 0 0 60 0 0 0 15 0 3,045 111 12 0 3,486Price 36 8 12 0 0 11 0 0 0 1 0 1,387 3 1 0 1,459Racine 0 878 47 0 0 2,604 0 8 12 15 0 0 1,993 237 18 5,812Richland 1 10 134 2 0 17 0 0 0 188 3 106 6 0 0 467Rock 0 441 3,699 37 4 191 0 1,279 0 386 0 2 109 19 0 6,167Rusk 0 49 13 0 4 7 0 0 0 0 0 1,371 1 0 0 1,445Saint Croix 16 166 40 0 0 5 0 0 0 0 0 5 5 0 0 237Sauk 5 70 742 75 1 24 0 0 0 862 0 132 11 4 0 1,926Sawyer 0 418 6 0 4 1 0 0 0 2 0 956 0 0 0 1,387Shawano 69 112 51 0 3 211 0 0 0 2 0 450 125 16 359 1,398Sheboygan 0 660 633 0 65 1,383 0 0 1 4 0 0 652 80 109 3,587Taylor 31 10 8 0 0 5 0 0 0 2 0 1,586 1 0 0 1,643Trempealeau 1 430 14 0 6 5 0 0 0 64 0 209 4 0 0 733Vernon 0 91 10 0 0 13 0 0 0 1,069 0 21 18 0 0 1,222Vilas 58 88 41 0 1 21 0 0 0 1 0 1,484 11 0 0 1,705Walworth 0 385 313 0 0 784 1 89 0 91 0 5 467 62 41 2,238Washburn 0 48 19 0 0 2 0 0 0 4 0 1,024 1 0 0 1,098Washington 0 1,058 142 0 0 2,494 0 0 35 77 0 0 1,843 113 18 5,780Waukesha 0 2,412 465 8 0 5,020 0 29 109 569 0 50 5,397 320 749 15,128Waupaca 15 186 30 0 0 160 0 0 2 11 0 237 372 14 140 1,167Waushara 5 43 9 0 0 71 0 0 0 19 0 147 125 6 7 432Winnebago 0 1,409 247 0 0 1,224 0 0 3 53 0 26 1,008 352 469 4,791Wood 778 107 45 0 0 23 0 0 0 51 0 10,063 77 3 0 11,147
1,830 28,466 24,708 1,409 244 34,998 197 1,493 676 13,728 3 57,877 28,110 3,172 5,333 202,244
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Table 4 – Total Enrollment by Company as of January 1, 2021
AA ASPIRUS CCHP CHILDREN'S COMPCARE DEANGHC-
EC GHC-SC WIHEALTH
TRADITION HUMANA I-CAREMANAGED HEALTH MCWHP
MEDICAL ASSOC
MERCYCARE HMO MOLINA NETWORK QHBPC QHPC SECURITY UHC OF WI WCIC WPS HP TOTAL
HMO - Small Group 1,3721,3 0 0 11,578 683 4,609 1,176 2,772 0 0 0 4,630 1,500 0 11,922 27,658 2 6,483 0 0 3,960 78,345 HMO - Large Group & Other 12,720 1,233 159,042 150,744 223,003 59,447 73,494 6,253 1,438 46,648 54,54154,541 2 2,700 11,60811,608 9 81,525 216,608 69,423 121,25821,258 40 3,869 3,800 1,828,430 Total HMO 14,092 1,233 159,042 150,744 234,581 60,130 78,103 7,429 4,210 46,648 4,541 254,5415 7,330 3,108 913,1081 93,447 244,266 69,425 127,74127,741 40 3,869 7,760 1,906,775
POS - Small Group 119 0 0 0 9,035 1,735 0 6 108 0 0 0 197 0 0 2,631 0 667 28,110 0 1,427 44,035POS - Large Group & Other ,71,7111 0 0 19,431 22,973 0 1,403 136 34,998 0 0 0 1,493 0 676 11,097 3 57,210 0 3,172 3,906 158,209 Total POS ,81,8301 0 0 28,466 24,708 0 1,409 244 34,998 0 0 197 1,493 0 676 13,728 3 57,877 28,110 3,172 5,333 202,244
Totals 15,922 1,233 159,042 150,744 263,047 84,838 78,103 8,838 4,454 81,646 54,54154,541 2 7,527 4,601 914,6011 94,123 257,994 69,428 185,61885,618 43 7,041 13,093 2,109,019
ASPIRUS CCHP CHILDREN'S COMPCARE DEANGHC-
EC GHC-SC WIHEALTH
TRADITION HUMANA I-CAREMANAGED HEALTH MCWHP
MEDICAL ASSOC
MERCYCARE HMO MOLINA NETWORK QHBPC QHPC SECURITY UHC OF WI WCIC WPS HP TOTAL
HMO - Small Group ,31,3721 0 0 11,578 683 4,609 1,176 2,772 0 0 0 4,630 1,500 0 11,922 27,658 2 6,483 0 0 3,960 78,345 POS - Small Group 119 0 0 9,035 1,735 0 6 108 0 0 0 0 197 0 0 2,631 0 667 28,110 0 1,427 44,035Total Small Group 1,4911,4 0 9,035 13,313 683 4,615 1,284 2,772 0 0 0 4,827 1,500 0 11,922 30,289 2 7,150 28,110 0 5,387 122,380 HMO - Large Group & Other 12,720 1,233 159,042 150,744 223,003 59,447 73,494 6,253 1,438 46,648 54,54154,541 2 2,700 11,60811,608 9 81,525 216,608 69,423 121,25821,258 40 3,869 3,800 1,828,430 POS - Large Group & Other 1,711 0 0 19,431 22,973 0 1,403 136 34,99834, 0 0 0 1,493 0 676 11,09711, 57,210 0 3,172 3,906 158,209 Total Large Group & Other 14,431 1,233 159,042 170,175 245,976 59,447 74,897 6,389 36,436 46,648 54,54154,541 2 2,700 13,10113,101 9 82,201 227,705 69,426 178,468178,468 4 7,041 7,706 1,986,639
Totals 15,922 1,233 159,042 179,210 259,289 60,130 79,512 7,673 39,208 46,648 54,54154,541 2 7,527 14,60114,601 9 94,123 257,994 69,428 85,618 185,6181 4 7,041 13,093 2,109,019