Tips on Choosing a 2019 Health Insurance Plan

HSHS St. Vincent Hospital and HSHS St. Mary’s Hospital Medical Center in Green Bay, HSHS St. Nicholas Hospital in Sheboygan, HSHS St. Clare Memorial Hospital in Oconto Falls and Prevea Health are proud to accept a wide variety of health insurance plans to better serve their patients’ and communities’ health care needs.

The HSHS hospitals in Eastern Wisconsin and Prevea Health recommend the following tips when reviewing health insurance plan options:

  • Learn if the insurance plan limits your access to certain doctors or hospitals. Doctors, hospitals and other providers may be in one of the company’s provider networks, but not in others.
  • Be sure to review the number of primary care physicians and specialists available to you within the health insurance plan, and the geographic locations of those physicians and specialists.

Below is a current list of the most common health insurance plans accepted by HSHS St. Vincent, St. Mary’s, St. Nicholas and St. Clare Memorial Hospitals, and Prevea Health.

Commercial

  • Arise Health Plan (excludes About Health Network)
  • Anthem BlueCross BlueShield
    • Blue Access, Traditional PPO, Blue Preferred HMO/POS (excludes Blue Priority)
  • Choicecare Network
  • Cigna HealthCare – Open Access, OAPlus and PPO
  • HealthEOS Network
  • Health Payment Systems (HPS)
  • Humana – PPO, HMO/POS/NPOS and Humana Preferred Network (HPN) (excludes Humana Value Network)
  • Molina Healthcare
  • Multiplan – Beechstreet and PHCS Savility
  • Network Health Plan
  • NorthCentral Employees Healthcare Alliance (NEHA)
  • Prevea360 Health Plan
  • Sheboygan Employers Health Network (SEHN)
  • Three Rivers Provider Network (TRPN)
  • Trilogy Health Network
  • Tricare
  • United HealthCare (UHC) – HMO/PPO, Options PPO
  • WEA Insurance – Trust, Trust Preferred, PPP, WEA Provider Network
  • WPS – Statewide PPO

Medicare – Traditional and the following Medicare Advantage Plans

  • Anthem BC MediBlue Medicare Advantage
  • Humana Choice Medicare Advantage Plans
  • Network Health Medicare Advantage
  • Prevea360/Dean Health Medicare Advantage
  • United HealthCare Medicare Advantage
    • AARP Medicare Complete, UHC Medicare Solutions, UHC Community Plan

Medicaid – Traditional and the following Medicaid HMO Plans

  • Anthem BC
  • Badgercare
  • Children’s Community Health Plan (CCHP)
  • Care WI First
  • Group Health of Eau Claire
  • Managed Health Services
  • Molina Healthcare
  • Trilogy Health
  • United HealthCare Community Plan
  • WI Medicaid for SSI

ACA Exchange Plans (http://www.healthcare.gov/)

  • Molina Healthcare
    • Open enrollment is Nov. 1 – Dec. 15, 2018

More information can be obtained by calling the HSHS Eastern Wisconsin Division Business Office at (920) 433-8122, or the Prevea Health Business Office at (920) 496-4775.