Insurance Info

We contract with a variety of insurance carriers; including but not limited to:

  • Network Health*  HMO/PPO/POS
  • United Healthcare
  • Blue Cross and Blue Shield / Lumenos / Anthem
  • WEA
  • Aetna / Strategic Resource
  • Meritain
  • Principal
  • Cigna
  • Humana
  • Trilogy
  • Fiserv / WPS
  • Arise
  • UMR

Please check your policy to see if services will be covered at our office. In addition, we will work with you to help you understand your coverage and benefits, as well as arrange convenient payment plans for any out-of-pocket expenses. We have a full time billing staff on site. If you have questions and concerns about your bill, we can help you know what to ask your insurance carrier in order to get your bills processed.

We work with third party administrators and self-funded plans. We are in-network providers for Health EOS and Health EOS/Multiplan. If your insurance carrier uses their services to process your claims and you have questions, please contact our business office.

If you are a human resources manager and have questions on benefits and services, please call us at (920) 749-4000.

If you do not have medical coverage or have no maternity benefits through your health care plan, call our financial counselor at (920) 749-4000. We are providers for Wisconsin Medicaid BadgerCare Plus, Medicare and Wisconsin Well Women’s programs.

Network Health*Women’s Health Specialists is a participating provider of Network Health. We are the only privately owned OB/GYN specialist who can accept Network Health in Appleton and Neenah, and at any Women’s Health Specialists service site in the greater Fox Cities. Network Health members are encouraged to call our financial counselor at (920) 749-4000 to determine in-plan provider coverage.

Serving patients at Appleton Medical Center, Theda Clark Medical Center, and at St. Elizabeth Hospital.

Wisconsin Medicaid / BadgerCare Plus

If you have Wisconsin Medicaid / BadgerCare Plus , please note Women’s Health Specialists is not a provider under Managed Health HMO,Security Health HMO, Network Health HMO, Blue Cross Blue Shield HMO or Independent Care (ICARE) HMO. You can choose another HMO in order to be covered at Women’s Health Specialists. In order to change your HMO, call the Medicaid HMO enrollment specialist at (800) 291-2002. Ask for the change in HMO. Your BadgerCare Plus coverage must be verified as active prior to all appointments.