Accepted Insurance Plans & Network Contracts

Marshfield Clinic Health System contracts with many insurance plans and networks.

If your insurance plan is not listed below, please check with your employer or insurance company to see if you have access to health care services at our locations.

Note: Coverage limitations are dependent on individual and/or employer group contracts and benefit plans. To verify your coverage and benefits, please contact your insurance carrier directly.

Notify us of any updates in your insurance coverage

Call our Insurance Eligibility Helpline at 1-800-782-8581, ext. 7-5559
Visit the Patient Assistance Center >

Commercial Insurance Contracts

America's PPO
Aetna via Health EOS
Anthem Blue Cross & Blue Shield (does not include Blue Priority WI)
Cigna
Cigna Behavioral Health*
Coventry Health Care
Delta Dental*
Direct Employer Groups (contact MCHS for participating groups)
First Health
Group Health Cooperative of Eau Claire
HealthEOS/Multiplan/PHCS
HealthPartners PPO
HealthSmart
Humana Dental*
Integrated Behavioral Health (IBH)*^
Magellan Behavioral Health*^
Medica
Northcentral Employers Healthcare Alliance (NEHA)
Security Administrative Services (SAS)
Security Health Plan (SHP)
SelectCare
The Alliance
Three Rivers Provider Network
Tricare
Trilogy
United Behavioral Health*
United Healthcare
Veteran’s Administration Community Care Network via Optum
Wisconsin Education Association (WEA)
Wisconsin Physician Services (WPS)

* Accepted for physician services only.

^ Accepted at limited physician locations. Please verify with your insurance to see if your preferred location is in-network with your plan.

Affordable Care Act (ACA) Plans

Learn more about the Health Insurance Marketplace and how you can enroll >

Medica
Security Health Plan (SHP)

Medicaid HMO Plans

For all Wisconsin Medicaid HMO plans not listed below, we ask that you consult your insurance plan directory or call your insurance company's customer service department to find an in-network provider.

Out-of-state Medicaid is not accepted.
Marshfield Clinic Health System participates in the Wisconsin Medicaid/BadgerCare Plus program and Family Health Center (FHC).

WI Medicaid HMO BadgerCare Plus plans:

Anthem BCBS WI
Group Health Cooperative of Eau Claire
Security Health Plan (SHP)

WI Medicaid HMO SSI plans:

Anthem BCBS WI
Care Wisconsin
Group Health Cooperative of Eau Claire
Managed Health Services (MHS)
Network Health Plan Medicaid (NHP)

Family Care plans:

Care Wisconsin
Inclusa

Medicare Advantage Plans

Marshfield Clinic Health System limits the contracted plans to Security Health Plan (SHP) and Care Wisconsin for Medicare Advantage. For all other Medicare Advantage plans please consult with your insurance carrier to determine your level of benefits for services at Marshfield Clinic Health System.

Payor and Network Contracts

If you are an insurance company, network or third-party payor interested in a contract with Marshfield Clinic Health System, please contact the Payor Strategy and Network Contracting Department at (715) 387-5145 or email mchs.contracting@marshfieldclinic.org.