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Accepted Insurance Plans & Network Contracts

​​​​Marshfield Clinic Health System contracts with many insurance plans and networks. 

If your insurance plan is not listed below, please check with your employer or insurance company to see if you have access to health care services at our locations.

Note: Coverage limitations are dependent on individual and/or employer group contracts and benefit plans.  To verify your coverage and benefits, please contact your insurance carrier directly.

Notify us of any updates in your insurance coverage

 

Call our Insurance Eligibility Helpline at 1-800-782-8581, ext. 7-5559
Visit the Patient Assistanc​e Center >

Commercial Insurance Contracts

  • America’s PPO
  • Anthem Blue Cross Blue Shield of Wisconsin (excludes Blue Priority WI)
  • Cigna
  • Direct Employer Groups (contact MCHS for participating groups)
  • First Health (National PPO Rental Network)
  • Group Health Cooperative of Eau Claire
  • HealthEOS / Multiplan / PHCS (National PPO Rental Network – includes Aetna)
  • HealthPartners
  • HealthSmart
  • Medica
  • Security Administrative Services (SAS)
  • Security Health Plan
  • The Alliance (includes Premier Network)
  • Three Rivers Provider Network (TRPN)
  • Trilogy Health Networks
  • United Healthcare
  • WEA Trust
  • WPS Health Insurance

Affordable Care Act (ACA)

Learn more about the Health Insurance Marketplace and how you can enroll >

  • Medica
  • Molina Healthcare
  • Security Health Plan

Medicare Advantage Contracts

For all other Medicare Advantage plans not listed below, we ask that you consult with your insurance carrier to determine your level of benefits for services at Marshfield Clinic Health System.

  • Anthem Blue Cross Blue Shield of Wisconsin – effective July 1, 2022
  • MyChoice Wisconsin (formerly Care Wisconsin)
  • Security Health Plan

Medicaid HMO Contracts

For all other Wisconsin Medicaid HMO plans not listed below, we ask that you consult your insurance plan directory or call your insurance company's customer service department to find an in-network provider.

  • Anthem Blue Cross Blue Shield of Wisconsin – BadgerCare Plus and SSI plans
  • Group Health Cooperative of Eau Claire – BadgerCare Plus and SSI plans
  • Inclusa – Family Care plan
  • MyChoice Wisconsin (formerly Care Wisconsin) – SSI and Family Care plans
  • MHS Health Wisconsin – SSI plan
  • Network Health Plan Medicaid (NHP)
  • Security Health Plan – BadgerCare Plus and SSI plans

Out-of-state Medicaid is not accepted.

Marshfield Clinic Health System participates in the Wisconsin Medicaid/BadgerCare Plus program and Family Health Center (FHC).

Other Government Contracts

  • Point Comfort Underwriters (Operation Allies Refuge – OAR)
  • The Wisconsin Well Woman Program
  • TRICARE East – Humana Military (Participating Non-Network Provider)
  • Veteran’s Administration Community Care Network via Optum (VA CCN)

Commercial Behavioral Health Contracts

  • Evernorth Behavioral Health (formerly Cigna Behavioral Health)
  • Integrated Behavioral Health (IBH)
  • Magellan Behavioral Health
  • United Behavioral Health (UBH)

Commercial Dental Contracts

  • Cigna Dental
  • Delta Dental
  • Humana Dental

Payor and Network Contracts

If you are an insurance company, network or third-party payor interested in a contract with Marshfield Clinic Health System, please contact the Payor Strategy and Network Contracting Department at (715) 387-5145 or email mchs.contracting@marshfieldclinic.org.