Business Overview

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

Networks:

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 – WI

HMO Certificate of Coverage & Amendments

HMO HSA Certificate of Coverage & Amendments

EPO Certificate of Coverage

PPO Certificate of Coverage

PPO HSA Certificate of Coverage

Large Group – IL

HMO Certificate of Coverage – IL

HMO HSA Certificate of Coverage- IL

Small Group- WI

2020 WI Certificate of Coverage – HMO & EPO

Small Group- IL

2020 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.