Insurance Plans and Networks

We accept many different insurance plans and provider networks.

Female provider and elder patient smile and look at each other Female provider and elder patient smile and look at each other

Insurance, Medicaid, and Family Care Contracts

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.

Commercial Insurance Contracts

Commercial Insurance Contracts

  • Anthem Blue Cross and Blue Shield (includes Blue Preferred Broad Marketplace Plan; excludes WI Blue Priority & WI Blue Priority X)
  • Centivo
  • Chorus Community Health Plan (formerly Children’s Community Health Plan)
  • Choice Care Network
  • CIGNA (excludes HealthPartners Robin)
  • 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)
  • Molina
  • Multiplan Network
  • Network Health
  • 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 (SVG, SMG w/ Prevea East only)
  • Trilogy Health Network
  • United HealthCare (UHC)
  • Wheaton Health Network (HSHS St. Nicholas Hospital only)
  • WPS (excludes Select/Select Plus)

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