Federal employees

Federal Employees Health Benefits (FEHB) program members

Thank you for visiting the MercyCare Health Plans website.  We hope you will find our site to have the information and direction you need to properly manage your health care.

MercyCare Health Plans’ partnership with Mercyhealth provides members a complete continuum of health care services. We also offer access to additional contracted providers, specialties and services in outlying areas. Our members receive care from one of the top integrated health care systems in the nation at over 170 provider locations throughout southern Wisconsin and northern Illinois.

Mercy Hospital JanesvilleAwarded the Malcolm Baldrige National Quality Award in 2007—the nation’s highest presidential honor for quality and organizational excellence,—Mercyhealth is a vertically integrated health system with 70 facilities serving 26 communities throughout southern Wisconsin and northern Illinois. Mercyhealth sees over 1,200,000 patients annually, and employs approximately 4,000 partners, nearly 400 of whom are W2 partner physicians.

97% of Mercyhealth physicians are board certified and 100% are board eligible. This is a remarkable average—much higher than the national average, and higher than other area health care providers. Board certification is widely recognized by physicians, health care institutions, insurers and patients as an essential tool to judge that a physician has the knowledge, experience and skills to provide quality health. For more information about Mercyhealth, click here.

NOTE: With the exception of Members of Congress or designated Congressional staff, the health insurance Marketplace does not affect FEHB program enrollees. For additional information, click here to visit the US Office of Personnel Management’s (OPM) website.

Brochures:

2017 Brochure        2016 Brochure           2015 Brochure

Brochure (claims and appeals, sections 3, 7 & 8)

Section 7-Filing a claim for covered services

Section 8-Disputed claims process

Pharmacy:

OPM Formulary

Prescription Drug Copay Calculator

SBC’s:

2017 SBC (Summary of Benefits and Coverage)

2016 SBC (Summary of Benefits and Coverage)

2015 SBC (Summary of Benefits and Coverage)

SBC uniform glossary

Other:

Tobacco Cessation

Flu Flyer 2015

Health Care Coverage Forms for Federal Employees

Health Care Coverage Forms for Annuitants

Contact us

If you have any questions about your health plan benefits, or you would like to speak to a customer service representative, please call MercyCare at (800) 895-2421, Monday through Friday, from 8:00 am to 4:30 pm