2023 Plan Documents
2022 Plan Documents
2022 Guides/Certificates/SOB
Other Documents/Links
MercyCare is required to make a reasonable effort to resolve your problems and complaints. If you have a complaint regarding MercyCare, for example, the denial of a claim or referral, you should contact our customer service department to see if the problem can be resolved over the phone.
If you are unable to resolve your concern over the phone, you have the right to request a grievance hearing.
MercyCare will send you a written acknowledgement within five days of receipt of your grievance. If we are unable to overturn our original decision, we will offer you the opportunity to meet with our grievance committee to discuss your case. If you choose to attend, you may present written and/or oral information at the meeting to support your position.
The Grievance Committee will review and evaluate all available information pertinent to the grievance and conduct further investigation if necessary. MercyCare’s Grievance Coordinator will work with you throughout the process and will send you a letter advising you of the resolution of your grievance within thirty days of receiving the request.
In cases where your health may be put in jeopardy by a delay or there is an urgent clinical situation your request will be expedited and we will resolve your complaint within 72 hours.
Submit this form Grievance request form via:
Email: mcare@mhemail.org
Fax: 608.741.5238
Mail: MercyCare Health Plans, P.O. Box 550, Janesville, WI 53547-0550
Emergency Room vs. Urgent Care: Know where to go
Well Wisconsin/ WebMD portal
Archived Documents
Directories:
It's Your Choice (IYC) Guides/ Certificates of Coverage
State
- State health plans/employees guide
- Certificate (PO1)
- State health plans/retirees guide
- Certificate (PO1)
Local
- Local HDHP guide
- Certificate (PO7/PO17)
- Local health plan guide (coinsurance)
- Certificate (PO6/PO16)
- Local traditional guide
- Certificate PO2/PO12
- Local deductible guide
- Certificate (PO4/PO14)
Summary of Benefits & Coverage (SBC's)
State
Local
Provider/Member Directory
It's Your Choice (IYC) guides/Certificates of Coverage
Local plans
- IYC local HDHP guide
- IYC local health plan guide coinsurance
- IYC local traditional guide
- IYC local deductible guide
State plans
Summary of benefits and coverage (SBC)
Local plans
State Plans
Provider/Member Directory
It's Your Choice (IYC) guides/Certificates of Coverage
Local plans
- IYC local HDHP guide
- IYC local health plan guide
- IYC local traditional guide
- IYC local deductible guide
State plans
Summary of benefits and coverage (SBC)
Local plans
State plans
- IYC state health plan
- IYC state HDHP
Provider/Member Directory
It's Your Choice (IYC) guides/Certificates of Coverage
Local plans
- IYC local HDHP guide
- IYC local health plan guide
- IYC local traditional guide
- IYC local deductible guide
State plans
Summary of benefits and coverage (SBC)
Local plans
State Plans
Provider/Member Directory
It's Your Choice (IYC) guides/Certificates of Coverage
Local plans
- IYC local HDHP guide
- IYC local health plan guide
- IYC local traditional guide
- IYC local deductible guide
State plans
Summary of benefits and coverage (SBC)
Local plans
State Plans
2017 Wellness Incentive Program
- Administered by Staywell: 1.800.821.6591 (Customer Service)
Provider/Member Directory
- 2016 IYC decision guides
- 2016 State of Wisconsin Provider Directory
It's Your Choice (IYC) guides/Certificates of Coverage
Local plans
- IYC local HDHP guide
- IYC local health plan guide
- IYC local traditional guide
- IYC local deductible guide
State plans