If you are an employer looking to purchase health care coverage for yourself and your employees, please call (800) 895-2421 and a sales representative will be happy to assist you.

2020 Qualified Health Plans (QHP)

• WI Small Group Plan Benefit Summaries and Plan Summaries

• IL Small Group Plan Benefit Summaries and Plan Summaries

• Small Group Booklet- WI & IL

• QHP Formulary 4-Tier

2019 Qualified Health Plans (QHP)

• WI Small Group Plan Benefit Summaries and Plan Summaries

• IL Small Group Plan Benefit Summaries and Plan Summaries

• 2019 Small Group Booklet- WI & IL

• QHP Formulary 4-Tier

What types of plans do we offer?

• HMO plans (Health Maintenance Organization) – Our HMO plan includes Mercyhealth providers and contracted providers. Please see map for details:  HMO Map
  • Contracted providers: MercyCare contracts with Fort Healthcare, Watertown Regional Medical Center and others to provide healthcare to our members

• EPO plans (Exclusive Provider Option) – Our EPO plan contracts exclusively with Mercyhealth providers, helping you save on your premiums.  Please see map for details: EPO Map

• PPO plans (Preferred Provider Option) – PPO plans have two levels of care:
  • In-network providers – Mercyhealth & Firsthealth
  • Out-of-network coverage for providers outside of that network
    • *Staying in-network can save you on deductibles and co-insurance costs.
• Health Savings Accounts (HSA)– These plans use our HMO network and give members the opportunity to put money aside in a specific health savings account to help cover future medical expenses.

Certificates of Coverage

Large Group 

• HMO Certificate of Coverage & Amendments
• HMO HSA Certificate of Coverage & Amendments
• HMO Certificate of Coverage – IL
• HMO HSA Certificate of Coverage- IL
• EPO Certificate of Coverage
  • EPO Certificate of Coverage Amendments
• PPO Certificate of Coverage
• PPO HSA Certificate of Coverage

WI-Small Group Qualified Health Plans (QHP)

• 2019 WI Certificate of Coverage – HMO & EPO
• 2019 WI Certificate of Coverage – PPO

IL-Small Group Qualified Health Plans (QHP)

• 2019 IL Certificate of Coverage – HMO

For more information on any of these plans, please call (800) 895-2421.

Determining which MercyCare plans are available in your area will depend on where your business is domiciled*. MercyCare Health Plans’ service area includes four Wisconsin counties: Green, Jefferson, Rock and Walworth and two Illinois counties: Boone and Winnebago. MercyCare has created many plans for those employers and businesses in both Wisconsin and Illinois.

*Domiciled is defined as a business’s fixed, permanent and principal home for legal purposes.