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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 (excludes Marketplace Blue Pathways, WI Blue Priority & WI Blue Priority X)
•    Centivo
•    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
•    Molina
•    Multiplan Network
•    Network Health
•    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 some plans)
•    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 

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•    Dean Health Plan/Prevea360
•    Network Health Plan
•    Security Health Plan (excludes some plans)

 
Medicaid Contracts

Medicaid Contracts

Medicaid Contracts
•    Anthem Blue Cross Blue Shield
•    Chorus Community Health Plan (formerly 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)
•    Molina (formerly My Choice Wisconsin)
•    Security Health Plan (SHP) (BadgerCare Plus and Medicaid SSI)
•    UnitedHealthcare Community Plan (BadgerCare)

 Family Care Contracts
•    Community Care, Inc. (HSHS St. Nicholas Hospital only)
•    Inclusa (by Humana)
•    Lakeland Care, Inc. (HSHS St. Vincent Hospital only)
•    Molina (formerly My Choice Wisconsin)
 
older man talking to a receptionist

Medicare

Medicare Contracts
•    Anthem Blue Cross Blue Shield
•    Carelon (formerly myNexus) Medicare Advantage (home care only – HSHS St. Vincent and St. Nicholas Hospital)
•    Devoted Health, Inc. Medicare Advantage
•    Humana Medicare Advantage
•    iCare (DSNP Medicare by Humana)
•    Managed Health Services (HSHS St. Clare Memorial Hospital only)
•    Molina Medicare Advantage & DSNP (includes former My Choice Wisconsin)
•    Network Health Plan Medicare Advantage
•    Security Health Plan Medicare Advantage (SHP) (excludes some plans)
•    United HealthCare (UHC) Medicare Advantage (excludes United Hearing)
 
couple discussing options with provider

Other

Worker's Compensation
•    CorVel (excludes HSHS St. Clare Memorial Hospital)
•    OccuNet (Green Bay Packers and UW-Green Bay Injured Athletes Only)
•    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) 
•    Vivent Health (formerly Aids Resource Center of WI)
•    Wisconsin Dept. of Justice Crime Victim
•    WI Well Woman Program

 

If you are an insurance company, third-party administrator, or insurance network and are interested in a contract with HSHS St. Vincent Hospital, contact the Managed Care Department at 920-884-5745.