Direct Plans

Health Insurance OFF Marketplace

MercyCare Health Plans offers plans directly through MercyCare.

These plans are the same plans and premiums offered on the Marketplace, however they do not offer financial assistance (reduced premium or cost sharing).

Get a quote:

Call: 800-895-2421, extension 7 or email us at: MercyCareSales@MHemail.org

Apply for Coverage:

2021 WI Individual/ Family Enrollment Application

2021 IL Individual/ Family Enrollment Application

Pay First Premium:

“Pay my Bill” on MercyCare HOME page

Submit Application:

Option 1: Complete application and submit to MercyCareSales@MHemail.org .

Option 2: Mail in requirements to MercyCare Health Plans, Attn: Sales Department, P.O. Box 550, Janesville, WI 53547-0550

Make sure to include the following for a complete application:

Quote, application, premium payment receipt, Letter of Credible Coverage (LOCC) if applying outside of open enrollment- Document that shows loss of coverage allowing enrollment

Applications, payment and quote provided must be received by the 15th of each month for the upcoming month. If the 15th falls on a holiday or a weekend it must be submitted prior to.

2021 Plan information – Wisconsin & Illinois

2021 Individual/ Family Plan Summaries of Benefits and Coverage – Wisconsin

2021 Individual/ Family Plan Summaries of Benefits and Coverage – Illinois

2021 Individual/ Family Plan Boo (WI & IL)

2021 Formulary (WI & IL)

2021 Certificate of Coverage- Wisconsin

2021 Certificate of Coverage- Illinois

2021 Claims Payment Policies & Other Information

Note: Individuals purchasing insurance off-Marketplace are not eligible for tax credits or any cost-share reductions.

Pediatric dental coverage is not included in off-Marketplace plans or On- Marketplace plans. If you would like to purchase pediatric dental coverage, please contact Delta Dental at (800) 236-3713 or visit www.deltadentalcoversme.com.

Outside of Open Enrollment-Individuals who qualify for special enrollment and are interested in purchasing a health insurance plan off-Marketplace, and directly from MercyCare Health Plans, please download the application below and deliver or mail it to:

MercyCare Health Plans
580 N. Washington St., PO Box 550
Janesville, WI 53547-0550

Applications, payment and quote provided must be received by the 15th of each month for the upcoming month. If the 15th falls on a holiday or a weekend it must be submitted prior to.

Health and Wellness
FAQS
Marketplace Rate Increase Justification
Archived Plan Information