Managed Care Contracts

Following is an alphabetical listing of the Eye Institute's Managed Care contracts, with links to the Carrier where possible. Contracts vary. Contact the Carrier or the Eye Institute Reimbursement Specialist at (414) 456-7879 for more details.

Advanced Health Care

Aetna (POS, PPO, ElectChoice)

Affordable Medical Networks (See First Health Network)

Associates for Health Care (PPO)

Beech Street

Blue Cross & Blue Shield United of Wisconsin (POS, PPO)

CCN (Community Care Network, Inc.)(PPO & Elect)

Champus / Tricare

Chicago HMO (see United Healthcare of Illinois)

CHW Employees

Cigna (Gatekeeper PPO)

Claims Management Services (PPO)

Columbia/St. Mary's (IPA)

Community Health Plan (HMO, POS, PPOS)

Compass Health Plans (See Oxford Health Plan)

Compcare Health Services Insurance Corporation (HMO, POS)

Condell Health Care System (IL)

EMPHESYS (see Humana/Emphesys, also formerly Employers Health Insurance Company)

First Health Network (formerly the Affordable Medical Networks) (PPO)

Fond du Lac Area Businesses on Health (FABOH)

GAMP

Health Care Coalition Corporation

Health Care Incorporated (PPO)

Health Care Network of WI (POS, PPO)

Health Options of Illinois (Peds Only) (POS, PPO)

Health Partnership Organization of WI (PPO)

Health Payors Organization, Ltd. (PPO)

Health Network (see Wellmark Health Network)

Healthstar, Inc. (PPO)

HMO of Wisconsin (see Unity Health Plan)

Horizon Healthcare (PPO)

Humana/Emphesys (formerly Employers Health Insurance Co.) (HMO, POS, PPO)

Humana/WHO (HMO [MCW IPA only], POS)

I Care (Independent Care)

Kenosha Health Services Corp (PPO)

Kenosha Physicians Network (CHW only-Peds)

Mc Henry County (Peds only)

Managed Health Services (Comm - Peds & Adults, T19 - Peds only)

Marshfield Clinic/Security Health Plan (case by case)

MCW Employees

Medicaid of Illinois (case by case) (T-19)

Medicaid of WI (T-19)

Medical Associates

Medicare (T-18)

Medicare Blue

MEI (PPO)

Mercy Care Health Plan (HMO)

Metrahealth (see United Healthcare)

Multiplan/WPPN (formerly Wisconsin Preferred Provider Network) (PPO)

Network Health Plan (HMO)

North Central Health Care Alliance

Pharm Cap (Peds only)

Physicians Plus Insurance Corp (CHW only - Peds) (HMO)

Plaines Health Network (PPO)

Preferred Plan

Primary Care Family Center (IL) (mostly Peds)

PrimeCare (including PrimeCare Gold) (HMO, POS, SELECT, CHOICE)

Private Health Care Systems (POS, PPO)

QuadGraphics (PPO)

St. Catherine's Network Physician (see Kenosha Physicians Network)

St. Joseph's Physicians Association (IPA)

St. Therese Physicians Association (Waukegan) (IPA)

St. Therese Physicians Hospital Association (Waukegan) (PHO)

Simplicity

Sysco

United Healthcare of Illinois (HMO)

United Healthcare (formerly MetraHealth) (HMO, POS, PPO)

United Heartland (Workers Comp)

Unity Health Plan (CHW only) (formerly HMO of Wisconsin)

USA Health Network (see USA Managed Care Organization) (PPO)

USA Managed Care Organization (USA Health Network) (PPO)

Watertown Preferred Provider Organization (PPO)

Waukesha Integrated Delivery System (POS, PPO)

Wausau Preferred Health Plan (POS, PPO)

Wellmark Health Network (formerly HealthNetwork, Inc.) (PPO)

Wheaton Health Network (see Community Health Plan)

WIPG (CHW only) (Physicians must have individual contract)

Wisconsin Preferred Provider Network (see Multiplan/WPPN)

WPS (POS, PPO)

Contracts vary. Contact the Carrier or the Eye Institute Reimbursement Specialist at (414) 456-7879 for more details.