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State of Wisconsin & local employer (WPE)

2022 Open Enrollment (9/27/2021-10/22/2021)

Directories

SBCs

Guides/Certificate of Coverage/Schedule of Benefits

State active employees PO1

State retirees PO1

State and local retirees with Medicare (all but PO4/PO14)

Local HDHP PO7/PO17

Local health plan (coinsurance) PO6/PO16

Local traditional PO2/PO12

Local deductible PO4/PO14

2021 Plan materials

Grievance procedure for ETF

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

Other documents/links

State of Wisconsin/locals archived documents

2016

Provider/Member Directory

It's Your Choice (IYC) guides/Certificates of Coverage

Local plans

State plans

Customer Service

For questions about your health plan benefits or to speak to a customer service, please call MercyCare at 800.895.2421, Monday-Friday, 8 am-5 pm.