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Large group plans

Forms and documents

Additional forms

Certificates of Coverage: Wisconsin and Illinois


Large group networks: HMO, EPO and PPO

  • Contracted providers: MercyCare contracts with Fort Healthcare, Watertown Regional Medical Center and others to provide health care to our members.

EPO plans (exclusive provider option): Our EPO plan contracts exclusively with Mercyhealth providers, helping you save on your premiums.

PPO plans (preferred provider option): PPO plans have two levels of care:

  • In-network providers: Mercyhealth and Firsthealth
  • Out-of-network coverage for providers outside of that network

*Staying in-network can save you on copays, deductibles and co-insurance costs.

Health savings accounts (HSA): We offer high-deductible health plans that can be paired with an HSA, allowing members to put money aside in to help cover future medical expenses.


For information about formularies, please visit our Pharmacy & Prescriptions page.