Insurance information

Protect your physical, mental and financial well-being. Make sure you have health insurance and understand what’s covered under your plan.

Insurance plans accepted

If you have insurance, it is important to verify that your plan is accepted by your providers and clinic, hospital or other health care facility. ProHealth Care contracts with the insurance plans listed below. Be sure to contact your insurer directly to verify your specific coverage. Not all plans offered by an insurer may be accepted by ProHealth, and this list does not guarantee coverage.

Commercial insurance plans:

  • Aetna
  • Alliance
  • Anthem
  • Arise
  • Cigna
  • Coventry/First Health
  • Dean Health Plan
  • Health Payment Systems, Inc. (HPS)
  • Humana
  • Interplan Health Group (IHG)/HealthSmart
  • MultiPlan (HealthEOS, PHCS, MultiPlan, PHCS Savility)
  • PHC Employee Benefit Plan
  • Trilogy Health Solutions
  • UnitedHealthcare (UHC)
  • Quartz
  • WEA
  • WPS

Medicaid and Medicaid HMOs:

  • Anthem
  • Children’s Community Health Plan (CCHP)
  • Dean Health Plan
  • Managed Health Services
  • Network Health Plan
  • Traditional Medicaid
  • Trilogy Medicaid
  • UnitedHealthcare Medicaid (UHC)

Medicare and Medicare Advantage plans:

  • Anthem
  • Care Wisconsin
  • Community Care, Inc.
  • Humana
  • iCare (Independent Care)
  • Managed Health Services (MHS)
  • Security Health Plan
  • Traditional Medicare
  • ProHealth Senior Preferred
  • Quartz Senior Preferred
  • UnitedHealthcare Medicare (UHC)

Buying health insurance

Learn about finding and choosing health insurance. Visit the Wisconsin Department of Health Services website.

Insurance approvals

To get coverage for certain procedures or care, you may need to ask your insurance company for approval first. This is called prior authorization or preauthorization. It’s your responsibility to find out what your insurance plan requires and to make sure you have any necessary approvals.

Billing your insurance

If you provide us with your health insurance information, ProHealth will bill your insurance for your care. Any part of your bill that’s not covered by your insurance is your responsibility.

If you have questions about payments made by your insurance, contact your insurance provider.

Upcoming events

  • Sep
    10:00 AM - 6:00 PM
    Annual flu immunization is safe and effective, and the best way to protect yourself.
  • Sep
    11:00 AM - 12:00 PM
    Taking care of someone with cancer involves new responsibilities and challenges. Worrying about your loved one and the future can be stressful. This group provides the opportunity to share and connect with other people who can relate to your experience.
  • Sep
    1:00 PM - 2:00 PM
    Join us for a virtual breastfeeding support group led by certified lactation consultants.
  • Sep
    3:00 PM - 4:00 PM
    Get the guidance and advice you need from a ProHealth Care dietitian via a virtual grocery store tour. Learn how to choose the best options for you and your family in every department of the store.

Contact us

Call 866-432-7855 to learn more about paying for care at ProHealth Care.

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