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 (WPS)
  • Centivo (Broad (WI1B), Median (WI2M) and Value (WI3V))
  • Chorus Community Health Plan
  • Cigna
  • Coventry / First Health
  • Dean Health Plan
  • Health Payment Systems, Inc. (HPS)
  • Humana
  • Interplan Health Group (IHG) / HealthSmart
  • MultiPlan (HealthEOS, PHCS, MultiPlan, PHCS Savility)
  • ProHealth Care Employee Benefit Plan
  • Quartz
  • Trilogy Health Solutions
  • UnitedHealthcare (UHC)
  • WEA
  • WPS

Medicaid and Medicaid HMOs:

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

Medicare and Medicare Advantage plans:

  • Aetna Medicare Advantage
  • Anthem
  • Care Wisconsin (My Choice Wisconsin)
  • Community Care, Inc.
  • Humana
  • iCare (Independent Care)
  • Managed Health Services (MHS)
  • Quartz Medicare Advantage
  • Security Health Plan
  • Traditional Medicare
  • UnitedHealthcare Medicare (UHC)

Buying health insurance

To learn about finding and choosing a health insurance plan, visit the Wisconsin Department of Health Services website or the Health Insurance Marketplace.

To find a plan that includes ProHealth Care providers and hospitals on the Health Insurance Marketplace, look for plans offered by Anthem, Chorus Community Health Plan, Dean Health Plan, Quartz or WPS.

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
    3:00 PM - 4:00 PM
    An advance directive spells out your wishes for medical care with health care professionals and loved ones – in case you become too ill or injured to express them yourself.
  • Sep
    4:00 PM - 6:00 PM
    Thriving, a new program designed to help you manage any appearance-related side effects of your treatment.
  • Sep
    1:00 PM - 3:00 PM
    Ask questions and get support from certified lactation consultants and other parents

Contact us

Call 866-432-7855 or send an email message to our Customer Relations team if you have questions about a ProHealth hospital or physician bill.

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