St. Nicholas Hospital Patients & Guests Patient Financial Services Insurance Plans and Networks
St Joseph's Chippewa Falls Patients and Guests Insurance Plans and Networks Nurse Smiling with patient

Insurance Plans and Networks

HSHS St. Nicholas Hospital accepts many different insurance plans and provider networks.

To be certain of your specific insurance plan details, please contact your health insurance company (phone number on the back of your insurance card) to confirm your benefit structure and Provider and Hospital participation.

If you are an insurance company, third-party administrator, or insurance network and are interested in a contract with HSHS St. Nicholas Hospital, contact the Managed Care Department at (715) 717-4240.

Commercial Insurance Contracts

 
  • Anthem Blue Cross and Blue Shield (excludes WI Blue Priority & WI Blue Priority X)
  • Centivo
  • Choice Care Network
  • CIGNA (excludes HealthPartners Robin)
  • Coventry HealthCare (excludes Aetna for HSHS St. Nicholas Hospital only)
  • First Health Network (excludes Aetna for HSHS St. Nicholas Hospital only)
  • Group Health Cooperative of Eau Claire
  • HealthEOS Network (excludes Aetna for St. Nicholas Hospital only)
  • Health Payment Systems
  • HealthSmart/Interplan Health Group
  • Humana (includes HPN Network for HSHS St. Nicholas Hospital only)
  • Live360 (HSHS Health Plan)
  • Multiplan Network
  • Network Health
  • Northcentral Employers Healthcare Alliance (NEHA) (excludes Aspirus plans)
  • North Shore Health Network (includes HSHS St. Vincent Hospital and HSHS St. Mary’s Hospital only)
  • Preferred Medical Claim Solutions (PMCS) (HSHS St. Clare Memorial Hospital only)
  • Prevea 360/Dean Health Plan (DHP) (excludes some DHP plans)
  • Security Health Plan (SHP) (excludes Affirm HMO/POS, Discover, Enrich, Inspire, Simplyone ACA/HMO/POS/SAS HMO)
  • Sheboygan Employer Health Network (SEHN)
  • The Alliance
  • Three Rivers Provider Network 
  • Trilogy Health Network
  • United HealthCare (UHC)
  • WEA Insurance Corporation
  • Wheaton Health Network (HSHS St. Nicholas Hospital only)
  • WPS (excludes Select/Select Plus)

Family Care Contracts

 
  • My Choice Wisconsin (formerly Care Wisconsin First) (HSHS St. Vincent Hospital & HSHS St. Nicholas Hospital only)
  • Inclusa (formerly Community Link, Inc, Community Care Connections of Wisconsin, ContinuUs and Western Wisconsin Cares)
  • Lakeland Care, Inc. (HSHS St. Vincent Hospital only)

 

Health Insurance Marketplace - For Individuals

  • Dean Health Plan/Prevea360
  • Molina Healthcare

 

SHOP Marketplace​ - For Small Businesses

  • Dean Health Plan/Prevea360
  • Molina Healthcare

 

Worker's Compensation

  • CorVel
  • Coventry/First Health
  • Trilogy

 

Other

  • Cigna Behavioral Health (St. Vincent Hospital dba Libertas only)
  • Naphcare 
  • United Behavioral Health/Optum (Behavioral Health inpatient only)
  • Unity Hospice (HSHS St. Vincent and HSHS St. Nicholas Hospital only)
  • VA – Optum (medical and behavioral health with referral only) 
  • Wisconsin Dept. of Justice Crime Victim
  • WI Well Woman Program

Medicaid Contracts

 
  • Anthem Blue Cross Blue Shield
  • Children’s Community Health Plan
  • Group Health Cooperative of Eau Claire (BadgerCare Plus and Medicaid SSI)
  • iCare
  • Managed Health Services (MHS) / Network Health Plan (BadgerCare Plus and Medicaid SSI)
  • My Choice Wisconsin (formerly Trilogy Medicaid)
  • Molina
  • Security Health Plan (SHP) (BadgerCare Plus and Medicaid SSI)
  • UnitedHealthcare Community Plan (BadgerCare)

 

Medicare Contracts

  • Anthem Blue Cross Blue Shield
  • Dean Health Plan/Prevea360
  • Humana 
  • iCare 
  • Managed Health Services (HSHS St. Clare Memorial Hospital only)
  • Molina
  • myNexus (Home care – HSHS St. Vincent Hospital and St. Nicholas Hospital only)
  • Network Health Plan
  • Security Health Plan (SHP) (excludes Promise RX, Surety RX)
  • Today’s Option/Universal American (HSHS St. Nicholas Hospital only)
  • United HealthCare (UHC)