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Small group plans

Locate your specific plan documents

2023 small group details

2022 small group details

QHP Formulary 4-tier

2021 small group details

Additional forms and documents

Forms and documents

Prescription drug claim forms

*Not all members receive drug plan benefits through MercyCare. If you would like to verify your prescription drug benefits, please contact your employer or MercyCare’s customer service department at 800.895.2421.

MercyCare HMO network: Our HMO network includes Mercyhealth providers and contracted providers. Please see map for details: Map

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

Archived small group plans