Forms and documents

To locate your specific plan documents click here

Forms and Documents

Prescription Drug Claim Forms

*Not all members receive drug plan benefits through MercyCare. If you would like to verify your prescription drug benefits, please contact your employer or MercyCare’s customer service department at (800) 895-2421.

Customer Service

For questions about your health plan benefits or to speak to a customer service, please call MercyCare at (800) 895-2421, Monday through Friday, from 8:00 am to 5:00 pm
580 N. Washington St, Janesville, WI 53548