Must reside in Rock or Walworth Counties to be eligible

2022 Plan Information

2022 Individual/ Family Plan Summaries of Benefits and Coverage- Wisconsin

2022 Individual / Family Booklet

2022 Formulary

2022 Certificate of Coverage

2022 Claims Payment Policies & Other Information

2021 Plan information

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

2021 Individual/ Family Booklet

2021 Formulary

2021 Certificate of Coverage

2021 Claims Payment Policies & Other Information

2020 & 2019 Archived Plan Information

Additional Documents

2021 WI Individual/ Family Enrollment Application

Covered Preventive Services

Voluntary Discontinuation of Coverage FILLABLE VERSION

MercyCare HMO Network

Our HMO network includes Mercyhealth providers and contracted providers. Please see map for details:  Map

  • Contracted providers – MercyCare contracts with Fort Healthcare, Watertown Regional Medical Center and others to provide healthcare to our members